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Information Update:US Domestic Response to the West Africa Ebola Outbreak & US Cases

Sunday, October 19, 2014   (0 Comments)
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Information ASTHO sent to state health officials, senior deputies, and preparedness directors on Oct. 17, 2014

Situation Update:

As of Oct. 12, 2014, a total of 80973 cases of Ebola and4484 deaths have been reported in countries with outbreaks.

  • Guinea reported1472 cases, including843 deaths.
  • Liberia reported4249 cases, including2458 deaths.
  • Sierra Leone reported3252 cases, including1183 deaths.

US Ebola Cases

On October 10, a healthcare worker who provided care for the index patient at Texas Health Presbyterian Hospital tested positive for Ebola.

  • The healthcare worker was isolated after initial reports of fever.
  • CDC interviewed the healthcare worker to identify any contacts or potential exposures in the community.

On October 15, a second healthcare worker who provided care for the index patient at Texas Health Presbyterian Hospital tested positive for Ebola.

  • On the morning of October 14, the healthcare worker reported to the hospital with a low-grade fever and was isolated.
  • The healthcare worker had traveled by air October 13, the day before she reported symptoms. Because of the proximity in time between the evening flight and the first report of illness, CDC is contacting passengers who flew on the flight from Cleveland to Dallas.
  • The healthcare worker did not exhibit signs or symptoms while on the flight.
  • Public health professionals have begun interviewing passengers about the flight, answering their questions, and arranging follow up.
  • Because of the ongoing investigation, additional exposures are not expected.

CDC has enhanced its outreach with the Department of Homeland Security (DHS) and other partners at ports of entry (primarily international airports) to use routine procedures for identifying and reporting travelers who show signs of infectious disease.

  • CDC and DHS are beginning enhanced entry screening at five U.S. airports (New York JFK, Washington Dulles, Newark Liberty, Chicago O'Hare International, and Atlanta Hartsfield-Jackson) to take additional steps to help prevent further spread of Ebola and to ensure that anyone found to be sick with Ebola at U.S. airports receives appropriate care immediately. This will enable evaluation of over 94% of travelers from countries with Ebola outbreaks.

Additional details can be found in the CDC Key Messages issued on October 16th.

Upcoming CDC Press Briefings

Information about upcoming CDC press briefings is available on the CDC Newsroom page. This page also houses transcripts of recent briefings and media advisories.

State Resources

ASTHO has launched the informational webpage Ebola Virus Disease: Information for States and Territories. This page can be used to find resources from CDC, state health agencies, and other outlets compiled in one convenient location. If you have an Ebola preparedness-related product or activity from your jurisdiction you would like featured on the ASTHO Ebola webpage, please let us know by contacting

NEW! On the ASTHO Ebola webpage:

Texas Ebola Response Resources

Kentucky Public Health Ebola Tabletop Exercise

ASTHO also has a press release - State and Territorial Health Departments Working Overtime to Prepare for Ebola and blog post - On the Front Lines: A Look at How States are Preparing for an Ebola Response highlighting the critical state role in Ebola response.

CDC Online Resources:

Outbreak Updates as of October 15, 2014

Media Release: CDC and Frontier Airlines Announce Passenger Notification Underway

Media Statement: Texas Reports Positive Test for Ebola in a Healthcare Worker

Medical Waste Management Information

Joint Airport Screening Fact Sheet

Fact Sheet: CDC Taking Active Steps Related to Hospital Preparedness for Ebola Treatment

Q&As about Ebola and Pets

Facts about Ebola Infographic

Content Syndication

Put CDC content on Ebola on your website that will update automatically.

Multimedia Resources:

Ebola Virus Disease Contact Tracing Form

Other Resources:

Video & Summary of ID Week Presentation by Dr. Bruce Ribner, Emory University, on his experiences caring for two Ebola patients.

Surveillance and Preparedness for Ebola Virus Disease - New York City, 2014

Isaac Benowitz, MD, Joel Ackelsberg, MD, Sharon E. Balter, MD, at al. MMWR 2014;63:934-6

At Symposium, Vaccine Seen as Best Hope for Arresting Ebola (CIDRAP) At a wide-ranging symposium on West Africa's Ebola epidemic today, much of the attention focused on the hope of an effective vaccine, as a US official announced that a large clinical trial of two candidate vaccines may be launched in Liberia in December.

CDC to Deploy Ebola Response Team to Help Hospitals (CIDRAP) The CDC has established an Ebola response team to immediately deploy to any hospital that has a confirmed Ebola patient, one of several steps under way as federal health officials reassess the nation's response in the wake of an infected Dallas nurse.

WHO: Ebola Response Roadmap Situation Report 15 October 2014 (WHO) A total of 8997 confirmed, probable, and suspected cases of Ebola virus disease have been reported in seven affected countries (Guinea, Liberia, Nigeria, Senegal, Sierra Leone, Spain, and the US) through the end of 12 October. There have been 4493 deaths.

Second Ebola-infected Dallas Nurse Triggers Air Passenger Tracing (CIDRAP) Ebola's

impact on the US reached far beyond Texas today, as federal and state health officials revealed preliminary test results indicating infection in a second nurse who had flown to Dallas from Ohio hours before she reported having a fever.

Online State Health Agency News:

CT: Governor Malloy Signs Order that Will Assist the State's Emergency Response in the Event of a Confirmed Infection or Exposure to Ebola

NJ: Ebola Preparedness ramps up in New Jersey as hospitals told to hold drills

OH: State health departments say few Ohioans need worry about the disease

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