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Texas Ebola Watch Eyes 50 People, 10 at 'High Risk'

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Ebola Victim's Air Journey shows weak spots in screening.

NEW YORK TIMES              October 3, 2014

MONROVIA, Liberia — The arrival in the United States of a Liberian man infected with the Ebola virus shows how difficult it is to control or restrict the disease from spreading, and how porous current procedures are in a world of globalized air travel.

Liberian officials said on Thursday that they planned to prosecute the passenger, Thomas E. Duncan, for lying on an airport questionnaire about not having contact with a person infected with Ebola before his travel — a pivotal part of the country’s screening process.

Mr. Duncan took three planes as he flew from Monrovia, the Liberian capital, to Dallas last month, connecting in Brussels and Washington.

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The Liberian Church Stopping Ebola With Gospel and Chlorine

 Dr. Mosoka Fallah, an epidemiologist and immunologist, speaks with residents during a neighborhood Ebola training session in Monrovia, Liberia, Aug. 30, 2014. Daniel Berehulak—The New York Times/Redux Aryn Baker - Sept. 22, 2014 - time.com

The Free Pentecostal Global Mission Church in the Chickensoup Factory district of Monrovia uses the pulpit to teach about the deadly virus, one sermon at a time

“Lord,” shouts the Reverend Joseph T.S. Menjor into a microphone. “We are tired of this situation. We are calling on you to cast this abomination from our country. Jesus, we want our land to be free of Ebola. Cast out this disease!”

The pastor is leading his people in prayer, but it is not a moment of quiet reflection. No, his congregation is on its feet, swaying to a gospel hymn, eyes closed and hands raised in supplication. At Menjor’s call, the 600 or so congregants of the Free Pentecostal Global Mission Church in the Chickensoup Factory district of Monrovia, Liberia chant a chorus of amens and launch into a cacophony of individual prayers, symbolically casting the evil of Ebola to the ground with repeated downward thrusts of their hands.

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Class from International Baccalaureate School in Houston Seeks Ebola Education from Global Resilience System

Pictured here are the students in
Ms. Appel’s class in Houston, gathering information on the Ebola virus
from a Global Resilience System volunteer, Kathy Gilbeaux, with their website shown in the background. 
Photo Credit: Emma Goerges

On Thursday, a fifth grade class from an International Baccalaureate school in Houston sought answers to their questions regarding the Ebola virus. After a short period of investigating its symptoms, spread, and severity, the students were left with several unanswered questions. Specifically, the students continued to inquire about the origin of Ebola, details of its spread to Texas, in what ways the United States is helping, and Ebola treatment options.

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Dallas Hospital says software flaw led to initial release of Ebola patent

Update with additional information and text of the hospital statement  (scroll down).

 

5 NBC News Chicago

 Oct 3, 2014 • Updated at 7:53 AM CDT

The Dallas Hospital that sent Ebola patient Thomas Eric Duncan home said a software flaw, and not human error, caused doctors to miss the diagnosis, NBC News is reporting.

The electronic health records (EHR) system that the hospital uses has a separate workflow for physicians and nurses. The travel history of the patient was located in the nursing portion of the workflow within the EHR, but not in the physician's workflow.

“As result of this discovery, Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows," the hospital said.

Link to story

Source: http://www.nbcbayarea.com/news/national-international/Texas-Hospital-Software-Blame-Ebola-Patients-Misdiagnosis-277988141.html#ixzz3F5cyR89B

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NBC Cameraman stricken with Ebola in Liberia, being flown home

      NBC NEWS            October 2, 2014

An American freelance cameraman working for NBC News in Liberia has tested positive for Ebola and will be flown back to the United States for treatment.

...

The freelancer came down with symptoms on Wednesday, feeling tired and achy. As part of a routine temperature check, he discovered he was running a slight fever. He immediately quarantined himself and sought medical advice. On Thursday morning, the 33 year-old American went to a Medecins Sans Frontieres (MSF) treatment center to be tested for the virus. The positive result came back just under 12 hours later.

The cameraman, who also is a writer, is the fourth American to have contracted Ebola in Liberia. He has been working in Liberia on various projects for the past three years. NBC News is withholding the cameraman’s name at the request of his family.

Full Story

http://www.nbcnews.com/storyline/ebola-virus-outbreak/nbc-news-freelancer-africa-diagnosed-ebola-n217271

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Man in U.S. With Ebola Had Been Screened to Fly, but System Is Spotty

NEW YORK TIMES   Oct. 2, 2014

By Matthew J. Wald and Jad Mouawad

As he was preparing to leave Liberia for Dallas two weeks ago, Thomas E. Duncan, the man confirmed to be the first Ebola case in the United States, was checked at the airport for signs of the disease. He was determined to have no fever and allowed to board his flight, American officials say. 

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Scrutiny in Texas to Detect Whether Ebola Spread

UPDATE

Officials: ‘About 100′ people may have had contact with the Texas Ebola patient

WASHINGTON  POST   OCTOBER 2, 2014  10:03 AM

Texas health officials said Thursday that there are "about 100" people who may have had contact with Thomas Eric Duncan, the man who is being treated in a Dallas-area hospital for Ebola.

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Working in Ebola areas: First rule is you don’t touch anyone

      

Lawrence Togbah, left, Moses Bryant, center, and Abraham Saye try to protect themselves from Ebola by covering their hands, feet and torso with plastic bags. They did not have proper protective gear like gloves or masks. (Michel du Cille/The Washington Post)

The WASHINGTON POST      OCT. 1, 2014

By Lenny Bernstein

MONROVIA, Liberia — I was goofing around with a small group of young children outside their home on a muddy, cratered road in the New Kru Town slum here. I made a scary face and the kids skittered, giggling, behind a low wall at the front of their shanty. Then they peeked out, hoping for more.

Finally the boldest of the lot, a little girl perhaps 5 years old, approached and stuck out her hand. “Shake!” she offered excitedly.

“No touching,” I responded, keeping my hands at my sides, trying to hide my sadness. “No touching.”

You don’t touch anyone in Liberia. Not kids, not adults, not other Westerners, not the colleagues you arrived with. It is the rule of rules, because while everyone able is taking precautions, you just can’t be sure where the invisible, lethal Ebola virus might be. Once the virus is on your fingers, it would be frighteningly easy to rub an eye and infect yourself.

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Information Relay Failure Admitted In Texas Ebola Victim Case

A patient was diagnosed with Ebola on Sept. 30 at Texas Health Presbyterian Hospital Dallas.(Photo: Mike Stone, Getty Images)

THE WASHINGTON POST

By Mark Berman October 1 at 3:15 PM

The man in Texas who tested positive for Ebola told hospital officials he had traveled from West Africa when he sought treatment on Friday, but that information was not relayed to everyone treating him at that time, authorities said Wednesday.

As a result, the man was diagnosed with a “low-grade, common viral disease” and sent home that day, said Mark C. Lester, executive vice president of the health-care system that includes Texas Health Presbyterian Hospital, the Dallas facility treating the Ebola patient.

“Regretfully, that information was not fully communicated throughout the full team,” Lester said during a news conference Wednesday. “As a result, the full import of that information wasn’t factored into the clinical decision-making.”

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