Most U.S. Hospitals Cannot Safely Handle Ebola Patients

The Ebola patient that recently died in Dallas was the first to be cared for in a facility that did not follow biosafety-level 4 protocols. And so it should not be a surprise that this is the facility where transmission happened…

Of the six Ebola patients treated in the U.S. before the health worker’s case, Duncan was the only one not treated at one of the specialized units in several hospitals around the country set up to deal with high-risk germs.
The CDC’s director, Dr. Thomas Frieden, has said that any U.S. hospital with isolation capabilities can care for an Ebola patient. But his stance seemed to soften on Sunday, when asked at a news conference whether officials now would consider moving Ebola patients to specialized units.
“We’re going to look at all opportunities to improve the level of safety and to minimize risk, but we can’t let any hospital let its guard down,” because Ebola patients could turn up anywhere, and every hospital must be able to quickly isolate and diagnose such cases, he said.

The head of the CDC continues to underestimate the seriousness of this disease. His opinion that just about any U.S. hospital can safely handle Ebola patients is being contradicted by a whole host of medical experts, including ABC News chief health and medical editor Dr. Richard Besser…

Besser said he does not agree with the Centers for Disease Control, which says any U.S. hospital can safely care for an Ebola patient.
“To do it safely, health care workers need to train and practice using protective equipment like they have been doing at the Emory and Nebraska facilities,” he said, referring to special biocontainment units at Emory University Hospital in Atlanta — where Fort Worth physician Kent Brantly was treated for Ebola exposure; and the Nebraska Medical Center in Omaha, where an NBC photojournalist is currently being cared for. “I would never have gone into an Ebola ward in Africa without being dressed and decontaminated by experts — health care workers here should expect no less.”

And even if our hospitals had the proper equipment and hospital staff were being given proper BSL-4 protective clothing, the reality of the matter is that most of them have not received adequate training. Just check out the following excerpt from an NBC News article that was posted this week…

Three out of four nurses say their hospital hasn’t provided sufficient education for them on Ebola, according to a survey by the largest professional association of registered nurses in the United States.
National Nurses United has been conducting an online survey of health care workers across the U.S. as the Ebola outbreak has widened globally. After a Texas nurse who cared for the first patient diagnosed with the Ebola in the U.S. tested positive for the virus Sunday, the group released its latest survey findings.
Out of more than 1,900 nurses in 46 states and Washington D.C. who responded, 76 percent said their hospital still hadn’t communicated to them an official policy on admitting potential patients with Ebola. And a whopping 85 percent said their hospital hadn’t provided educational training sessions on Ebola in which nurses could interact and ask questions.

If this is indeed the most serious health emergency in modern times like the WHO is saying, then we need to get our health care personnel trained to face it immediately.

Sadly, if a major Ebola pandemic does break out in this country, there is no way that we are going to have the resources to be able to deal with it.

As I discussed yesterday, WND is reporting that there is only one BSL-4 care facility in the entire nation that is available to treat the general public…

Have you wondered why Ebola patients are being sent to Omaha, Nebraska?
It’s because one physician, Dr. Philip Smith, had the foresight to set up the Nebraska Biocontainment Patient Care Unit after the Sept. 11 attacks as a bulwark against bioterrorism. Empty for more than a decade, used only for drills, it was called “Maurer’s Folly,” for Harold Maurer, former chancellor of the University of Nebraska Medical Center.
The unit has a special air handling system to keep germs from escaping from patient rooms, and a steam sterilizer for scrubs and equipment.
It could handle at most 10 patients at a time, but one or two would be more comfortable, owing to the large volume of infectious waste.
It is the largest of only four such units in the U.S., and the only one designated for the general public.

If the outbreak in the United States is limited to just a few patients we will probably be fine.

But what if it isn’t?

Meanwhile, the Obama administration continues to do next to nothing to prevent more people infected with Ebola from traveling into this country.

Obama says that there is “extensive screening” at our airports, but that simply is not true.

The following is one example of the “extensive screening” that is taking place…

The World Health Organization is sending doctors to countries where the virus is most prevalent — Liberia, Guinea, Sierra Leone and Nigeria. Fusion’s Jorge Ramos spoke to one of the doctors, Dr. Aileen Marty, who recently returned home to Miami after spending 31 days in Nigeria. She says she was surprised what happened when she arrived at Miami International Airport.
“I get to the kiosk…mark the fact that I’ve been in Nigeria and nobody cares, nobody stopped me,” Marty said.
“Not a single test?” Ramos asked her, surprised.
“Nothing,” Marty answered.

And the head of the CDC continues to rule out a ban on air travel for non-essential personnel to and from the countries where Ebola is raging…

Dr. Frieden strongly argued against curtailing travel to and from West Africa, in part because that could make it harder to get supplies to those countries. “That will make it harder to stop the disease,” he said. “Whatever we do, we won’t stop travel to and from these countries.”

It is hard to put into words how foolish this is.

If this virus gets loose inside the United States it could easily become the worst health crisis our nation has ever seen.

The key is to keep the virus from getting into our country in the first place.

Banning air travel for non-essential personnel to and from Sierra Leone, Guinea and Liberia would not be that big of a deal. Many other countries have already done it.

But the CDC and the Obama administration are not even considering it.

If they have made the wrong call on this, it could end up costing large numbers of Americans their lives.

Michael Snyder is the Editor of the End of the American Dream blog.

Isolation Unit Beds

2? - Emory, Atlanta

3 - The Care and Isolation Unit in Missoula, Montana, opened in 2005 by the National Institutes of Health to serve lab workers at Rocky Mountain Laboratories, hasn’t yet served an infectious disease patient, only a handful with tuberculosis or contagious bacterial infections. The rooms look like everyday hospital rooms—white, sterile, a TV and window for entertainment. That’s because St. Patrick Hospital retrofitted three of its ICU rooms to make the unit.

10 – Omaha, Nebraska Medical Center run twice yearly drills with decontamination at their hospital’s 10-bed biocontainment unit. Opened in 2005. Has never had an infectious disease patient. Prior to Dr. Sacra in Sept., the unit had only briefly housed one patient with malaria five years ago. Malaria does not require quarantine.

7 - NIH opened a seven-bed Special Clinical Studies Unit at the Clinical Research Center in Bethesda to replace it. Its four patient rooms (two doubles and a single (hope their math doesn’t reflect in their training)). Bethesda unit has only served a patient with a drug-resistant bacterial illness. “It can handle the highest level of respiratory virus, but Ebola isn’t even spread that way,” said Richard Davey, deputy clinical director of NIH’s Division of Clinical Research.

? - US Army Medical Research Institute of Infectious Diseases (USAMRIID) – Ft. Detrick, Maryland.

As of 10/13, the CDC is scrambling to have Parkland and Baylor University Medical Center Dallas care for adults and Children’s Medical Center Dallas for kids. Of course, those are makeshift and NOT anywhere close to Level 4.

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