No worries USA. Only healthcare workers will be exposed to ebola.

Nurses COVID

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Last night I read that the CDC is planning to transport at least one American Citizen with the ebola virus to Atlanta for treatment. Driving around today my car radio kept assaulting me with experts soothingly asserting that there is no reason for the American population to fear exposure to the virus. To a man they all went on to say that only healthcare workers were likely to be exposed.

If you're a healthcare worker raise your hand. Are you angry? Do you feel like you're being considered expendable? Less than fully human? Are you worried?

I don't favor deliberately bringing ANY known infected person across the ocean to this continent. OK, Ebola is not all that easy to contract. It's a lot harder to contract if it is thousands of miles away.

The virus is spread by contact with infected body fluids. So lets say a nurses aid in a hospital comes in contact with those body fluids (diarrhea, emesis, blood, whatever. Accidents happen even if you take precautions.) What is to stop her from spreading the virus to her husband or child? What is to stop a child infected in this way from spreading it within his classroom?

I have always been able to deal with the concept of ebola by reminding myself that it exists on another continent. Perhaps I'm being selfish, but I believe that anyone sickened in Africa should be treated in Africa. We don't need to help diseases spread around the globe any more than we already do.

NIMBY. In this case, NIMBY. I'm not a NIMBY kind of girl, but this terrifies me.

What do you think? What would you do if you were assigned a patient know to be infected with Ebola?

This is a very interesting thread and I wish I had time today to read all of the comments, but I don't, so forgive me if this comes out of left field.

I lived in Africa for six years, including the DRC, where a lot of the outbreaks of Ebola have been centered. As such, I have followed many of the outbreaks of Ebola (and Marburg) for the last ten years. While living in Africa, I rarely gave Ebola a second thought. Why? Because most outbreaks of this virus have been self-limiting. People die so quickly after the onset of symptoms that there is no chance for the virus to spread very far. Also, the main mode of transportation used by people in Africa, especially in the rural areas where the virus usually breaks out, is by foot, further limiting the ability of the virus to spread. But, there is something different about this strain. This is the largest outbreak of Ebola I have seen, BY FAR!

I am not concerned about one patient being transported to the US via an airplane under controlled conditions and then cared for in a unit specially designed for infectious diseases. What I am concerned about is the individuals who arrive unmonitored from Africa, most likely into densely populated metropolitan areas and then wander around in public until they are too sick to walk. Sadly, unless action is taken to control the movements of people in and out of the areas where the infection has taken hold, it is only a matter of time before this scenario plays out.

If you subscribe to Pro med (the listserv of the International Society of Infectious Disease), you may have read this:

Despite repeated assurances that the ebolavirus cannot be transmitted

via airborne particles, the CDC is concerned about that very outcome

and has directed airline staff to take steps to prevent the spread of

"infectious material through the air."

While Ebola is highly contagious, the risk of a full blown pandemic

has been downplayed by health authorities because, according to our

current understanding of the virus, Ebola "is not airborne and is

transmitted through contact with bodily fluids, including sweat and

blood."

However, with concerns rising that the current strain of the virus,

which is the worst in history and has killed 887 people, could in fact

be airborne, the Centers For Disease Control has implemented steps to

prevent its spread via international air travel.

A CDC advisory entitled Interim Guidance about Ebola Virus Infection

for Airline Flight Crews, Cleaning Personnel, and Cargo Personnel

reveals that the federal agency is concerned about airborne

contamination.

The advisory urges airline staff to provide surgical masks to

potential Ebola victims in order "to reduce the number of droplets

expelled into the air by talking, sneezing, or coughing."

The CDC is also directing airline cleaning personnel to "not use

compressed air, which might spread infectious material through the

air."

The link for the website is here: ISID | International Society for Infectious Diseases

Specializes in Pediatrics Telemetry CCU ICU.

You are all fooling yourselves. The CDC already HAS Ebola samples from every outbreak that has occurred since being discovered. Those samples are in a level 4 containment laboratory in Atlanta... 26 years ago...we covered infectious disease in nursing school. I was lead to believe that Ebola was VERY contagious. Not airborne, but highly contagious all the same. And we are fooling ourselves if we think that the US government, the CDC and the NIH brought those people back to the US because they wanted them to "receive the best healthcare in the world." They are the CDC guinea pigs and even after they get better will probably continue to be subjected to all kinds of studies....in exchange for the comprehensive health care.

Specializes in L&D, Women's Health.
You are all fooling yourselves. The CDC already HAS Ebola samples from every outbreak that has occurred since being discovered. Those samples are in a level 4 containment laboratory in Atlanta... 26 years ago...we covered infectious disease in nursing school. I was lead to believe that Ebola was VERY contagious. Not airborne, but highly contagious all the same. And we are fooling ourselves if we think that the US government, the CDC and the NIH brought those people back to the US because they wanted them to "receive the best healthcare in the world." They are the CDC guinea pigs and even after they get better will probably continue to be subjected to all kinds of studies....in exchange for the comprehensive health care.

I believe they were brought back in order to receive health care; however, I also think it's understood by all that they will be experimental subjects as long as they live, and probably for some time even after that.

This is where those of us who are there for the money will be differentiated from those who really wish to serve. We want to save Americans as long as we can kill other people to do so. We are not willing to lay down our own lives to do so. Bringing these Americans to America for treatment was the best decision as they will not get the kind of care you get here, abroad. Having said that, I think staff assignments should be strictly voluntary, preference should be given to workers who do not have minor depends, impaired immunity, or are pregnant. They should also, be preferably sequestered till the threat passes so that they do not bring the organism out to the general population. Family should not be allowed physical contact with patients, period, as they are some of the worst offenders in an isolation system. (Physicians too)

What can be learned by treating these patients in Atlanta, with all of the resources CDC has to offer, far outweighs the risk to the staff that is highly trained in infectious disease. It is my understanding that these patients are going into state of the art isolation units to be cared for by specialty staff.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I have said this before: I am no martyr Mary or saint----nor did I sign up for military service when I joined the ranks of nursing. (I have served 10 years in the military so I can differentiate between the two). Those who are so judgmental should remember this.Also it's easy to be harsh on others who are frightened when YOU yourself have not yet faced the situation, nor have lost loved ones affected by this dangerous, deadly and virulent disease. Til you do, you may be surprised how you may react when it hits that close to home.

That said, if called upon to care for ebola patients, I would do so, with current education and proper protection. But NOT knowing just *how* it is spread, I would probably try to stay away from my loved ones, even if that meant staying in the hospital, sleeping and eating there. I did NOT sign up to endanger my family with a disease that is so very poorly-understood. But that is MY choice, as it must remain a choice for ALL in nursing. That is my honest opinion.

Have you thought about the US AirForce Flight Nurses who were dispatched out of their service unit to go to accept report from receiving facility and transport the 2 patients back to the US?

Seriously...these nurses are under federal presidential orders to perform the functions of their jobs and should be treated with the utmost respect. Please, think about all sides of the issue. Civilian nursing jobs can refuse report, enlisted government occupations do not. Praying for all those involved.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

That is what I am talking about; military service is another animal altogether. You can and will be ordered to care for patients as deemed necessary by the military/gov't. I have the UTMOST respect for these nurses. But believe me, they know what they signed up for and understand the gravity of their commitment. It's why I opted out of such service. I was not able to give what is required to be active military, so I got out. That is what I chose. I had/have that right to choose and will retain it. However, as I said my respect and admiration goes to the dedicated military nurse corps out there, everywhere. It's definitely a commitment above and beyond ordinary.

Specializes in Geriatrics, Dialysis.

I love movies like Contagion and Outbreak, but do I want to live it...big NO! Those movies are scary because while the scenario is implausible it is by no means impossible.

i am truly torn by this discussion. Do US citizens deserve the best care and diagnostics possible? Of course. But do I agree with bringing a patient with a known very deadly disease into the US for treatment? I am not so sure.

Global World is correct. I'm new to all nurses and been practicing NP long enough to know my core values to my country and our profession. Diversity is appreciated and my eyes have been opened reading the responses here. Thank you for helping me continue to learn.

Even with the strictest isolation protocols in place, all it takes is one careless staff member to "forget". At my old job the LPN would wear her gloves up and down the hall and ALWAYS claim she just put them on. Yesterday I heard of a guy in New York who turned himself in with symptoms and they are awaiting lab results. Who else is out there with symptoms and using public bathrooms and maybe a little messy with their hygiene? I sound super paranoid but it wouldn't take much for the virus to accelerate and take hold here in the US.

Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.

He was EVD negative as was the person in Ohio.

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