Published
NJ and NY have instituted a policy of placing health workers into mandatory 21-day quarantine upon their return from West Africa if they came into contact with Ebola patients.
This new policy is a reaction to unfounded public hysteria surrounding Dr. Craig Spencer's return to NYC after working with Doctors Without Borders, and his subsequent diagnosis of Ebola, after he had taken the subway and gone bowling. People fear Ebola can be spread through casual contact with an asymptomatic person, even though public health experts say there's plenty of scientific evidence indicating that isn't the case.
Is this policy based on the facts about Ebola transmission? Is it based on science? No, it's not, and in fact no one is saying that it is:
"Voluntary quarantine is almost an oxymoron," New York Governor Andrew Cuomo said. "We've seen what happens. ... You ride a subway. You ride a bus. You could infect hundreds and hundreds of people."
"Public health experts say there's plenty of scientific evidence indicating that there's very little chance that a random person will get Ebola, unless they are in very close contact -- close enough to share bodily fluids -- with someone who has it.Still, there's also a sense that authorities have to do something because of Americans' fears -- rational or not -- and belief that the country is better off being safe than sorry.
Osterholm says, "You want to try to eliminate not just real risk, but perceived risk."
Mike Osterholm is an infectious disease epidemiologist at the University of Minnesota.
Because of this irrational "perceived" risk, Kaci Hickox, 33, an RN who has been caring for Ebola patients while on assignment with Doctors Without Borders in Sierra Leone, was detained at the airport, interrogated for hours, and placed in mandatory quarantine at a New Jersey hospital upon her return to the U.S. on Friday.
She has tested negative in a preliminary test for Ebola, and she does not have a fever, but the hospital says she will remain under mandatory quarantine for 21 days. She is not allowed to leave the hospital, unless officials reconsider that decision.
Here are some excerpts from her experience so far:
I am a nurse who has just returned to the U.S. after working with Doctors Without Borders in Sierra Leone - an Ebola-affected country. I have been quarantined in New Jersey. This is not a situation I would wish on anyone, and I am scared for those who will follow me...I arrived at the Newark Liberty International Airport around 1 p.m. on Friday, after a grueling two-day journey from Sierra Leone. I walked up to the immigration official...
I told him that I have traveled from Sierra Leone and he replied, a little less enthusiastically: "No problem. They are probably going to ask you a few questions."...
He put on gloves and a mask and called someone. Then he escorted me to the quarantine office a few yards away. I was told to sit down. Everyone that came out of the offices was hurrying from room to room in white protective coveralls, gloves, masks, and a disposable face shield.
One after another, people asked me questions. Some introduced themselves, some didn't. One man who must have been an immigration officer because he was wearing a weapon belt that I could see protruding from his white coveralls barked questions at me as if I was a criminal.
Two other officials asked about my work in Sierra Leone. One of them was from the Centers for Disease Control and Prevention.
I was tired, hungry and confused, but I tried to remain calm. My temperature was taken using a forehead scanner and it read a temperature of 98. I was feeling physically healthy but emotionally exhausted.
Three hours passed. No one seemed to be in charge. No one would tell me what was going on or what would happen to me.
I called my family to let them know that I was OK. I was hungry and thirsty and asked for something to eat and drink. I was given a granola bar and some water. I wondered what I had done wrong.
Four hours after I landed at the airport, an official approached me with a forehead scanner. My cheeks were flushed, I was upset at being held with no explanation. The scanner recorded my temperature as 101. The female officer looked smug. "You have a fever now," she said. I explained that an oral thermometer would be more accurate and that the forehead scanner was recording an elevated temperature because I was flushed and upset.
I was left alone in the room for another three hours. At around 7 p.m., I was told that I must go to a local hospital. I asked for the name and address of the facility. I realized that information was only shared with me if I asked.
Eight police cars escorted me to the University Hospital in Newark. Sirens blared, lights flashed. Again, I wondered what I had done wrong.
At the hospital, I was escorted to a tent that sat outside of the building. The infectious disease and emergency department doctors took my temperature and other vitals and looked puzzled. "Your temperature is 98.6," they said. "You don't have a fever but we were told you had a fever."
After my temperature was recorded as 98.6 on the oral thermometer, the doctor decided to see what the forehead scanner records. It read 101. The doctor felts my neck and looked at the temperature again. "There's no way you have a fever," he said. "Your face is just flushed."
My blood was taken and tested for Ebola. It came back negative........
This is what happens to nurses when public ignorance and hysteria is placated by politicians.
We've already seen nurses blamed for just about everything Ebola-related since the first case in Dallas, and now we see a nurse being held against her will, for no reason except to make scared people "feel safer."
"It does present serious civil liberties questions," said Norman Siegel, a civil liberties lawyer in New York and the former executive director of the New York Civil Liberties Union. "Historically, we've had these kinds of issues occur previously, and the courts then resolved the individual liberty issue against the larger concerns of the public's health concerns. So it then becomes a factual issue, the fact that she tested negative."
"It's completely unnecessary," said Harvard's Ashish Jha, the director of the Harvard Global Health Institute).
"I'm a believer in an abundance of caution but I'm not a believer of an abundance of idiocy."
This is a very sad day. I had hoped that Ms. Hickox would take the high road. Instead, it can reasonably be expected that her actions and those of her attorneys will further undermine public trust in the Federal government's handling of the Ebola crisis and, consequently, support for relief efforts in Africa.
On a more personal note, I fear that her actions will reflect badly on the nursing profession. Trust is hard to gain, but easily lost. As such, I feel compelled to publically condemn her actions.
EXPOSED: Massive Cover Up About Nurse Complaining After Being Quarantined for Ebola
Who knows if she already has a job, by this article, she works for the CDC if it is true
EXPOSED: Massive Cover Up About Nurse Complaining After Being Quarantined for EbolaWho knows if she already has a job, by this article, she works for the CDC if it is true
That source doesn't look trustworthy to me. A lot of partisan politics are at play here. It's important to separate that from the real issues at hand.
"The 33-year-old nurse has become the face of a nationwide debate over treatment of healthcare workers returning from West Africa...
Maine could have problems enforcing the quarantine, said Paul Millus, a New York attorney and civil rights litigator.
“The problem with this particular case is apparently Ms. Hickox is not demonstrating any symptoms whatsoever of Ebola infection,” he said. Mullis said Maine’s law requires the state to show “clear and convincing evidence” that someone quarantined for health reasons poses a public health threat. Without Hickox showing symptoms, he said it would be difficult for the state to satisfy that requirement."
Maine seeking court order to keep Ebola nurse Kaci Hickox quarantined - LA Times
EXPOSED: Massive Cover Up About Nurse Complaining After Being Quarantined for EbolaWho knows if she already has a job, by this article, she works for the CDC if it is true
I've repeatedly seen her referred to as an epidemiologist over the last couple of days.
For example here:
Quarantined nurse slams state Ebola policy - CNN.com
The Conservativetribune piece you linked to claims that “she was working with the CDC”. (was=past tense). Meaning what exactly? In collaboration with, but employed elsewhere? Presently employed by the CDC? (Probably not, since “was” was used). Perhaps she’s been an employee in the past? Trained by the CDC?
(Another online media outlet, claims she did a CDC fellowship in Epidemiology).
http://www.masslive.com/news/index.ssf/2014/10/maine_nurse_kaci_hickoxs_quara.html
The CDC apparently offer a two-year post-graduate training program in applied Epidemiology. Perhaps that’s it? Just speculating.
CDC - Epidemic Intelligence Service
(On a slight tangent, but is it because they’re named the Conservativetribune that they felt compelled to mention that she has a history of liberal activism? (I don’t know if she has or hasn’t, and I don’t see how it makes a difference one way or the other). If I had a less trusting nature it would almost seem like they’re trying to stir up some kind of response there… )
About the deleted LinkedIn account, if it were me being flagellated online, I’d immediately take steps to minimize my exposure and vulnerability online.
It doesn’t necessarily equal a cover up.
I fail to see why this would be such a big deal if she indeed has been trained by and/or previously been employed by the CDC. If anything, it only makes her more
of an authority on the subject.
One way or the other, the decision to place her under quarantine lacks scientific rationale. Her training or possible employers have absolutely no bearing on that.
I listened to an interview with her, linked in another thread, and she’s clearly an intelligent and articulate person who gave a very level-headed impression despite the drama of the past couple of days.
I have not read or heard anything on TV in regards to Dr. Spencer’s fiancée and the two friends that are quarantined. Has anyone else? I guess they are keeping a low profile or prefer to remain private.
The below article is about Ryan Boyko. He apparently was at a restaurant in Liberia, where Ashoka Mukpo (NBC camera man who later tested positive for Ebola) was also dining.
Student tests negative for Ebola, quarantined anyway | MSNBC
"Ryan Boyko, a Yale student quarantined by order of the state of Connecticut despite having tested negative for Ebola and having no symptoms of the disease, talks with Rachel Maddow about inconsistent and irrational Ebola quarantine rules in the U.S.
Another article on Ryan Boyko below"
.
“In the past, Boyko has traveled to Africa and elsewhere with Cornell’s Village Dog Genetic Diversity Project, which samples dog genes for testing in order to identify and treat various human diseases”.
Ryan Boyko, one of two quarantined graduate students, goes public | Yale Daily News
Its so embarrassing that the ignorant, paranoid, fear based behavior of unsophisticated and cowardly Americans is being broadcast around the world.
I mean none of us should be the least bit surprised given the many examples we have seen of how gullible and scientifically ignorant Americans are. I just wish we weren't giving the world yet another reason to be the laughing stock.
Ebola outbreak: Quarantine over for student who worked in West Africa - CBS News
“CBS News' Don Dahler was the first person to speak with Boyko at his home following his release from quarantine at midnight Wednesday night”.
"I saw the NBC freelancer, Ashoka Mukpo, the day before he became symptomatic," Boyko said. "There wasn't physical contact; we had a couple-minute conversation. And then as soon as I knew he was sick I called the CDC, and they said there's no risk."
Kaci Hickox: Still Waiting to Hear From the State of Maine - NBC News
Kaci enjoying a bike ride with her boyfriend. Seen interacting with camera crew.
My Way News - Ebola fears infect Louisiana medical conference
[COLOR=black] "NEW ORLEANS (AP) — Ebola fears have infected a medical conference on the subject. Louisiana state health officials told thousands of doctors planning to attend a tropical diseases meeting this weekend in New Orleans to stay away if they have been to certain African countries or have had contact with an Ebola patient in the last 21 days.
The order came in a letter Wednesday to the American Society of Tropical Medicine and Hygiene, which made clear it did not agree with the decision. Several doctors, including some from the World Health Organization and the Centers for Disease Control and Prevention, now may not be able to attend or present studies at the meeting, which runs Sunday through Wednesday.
The letter acknowledges that even people infected with the Ebola virus do not spread the disease unless they are showing symptoms. But it says that because people with a travel or exposure history to Ebola should avoid large group settings, "we see no utility in you traveling to New Orleans to simply be confined to your room."
It is signed by Kathy Kliebert, secretary of the state's Department of Health & Hospitals, and Kevin Davis, director of the Governor's Office of Homeland Security & Emergency Preparedness. It cites travel within the last 21 days — Ebola's maximum incubation period — to Liberia, Guinea or Sierra Leone as being a problem."
macawake, MSN
2,141 Posts
Why?
First of all, I assume she already has a job. Second, most educated healthcare professionals haven’t bought into the hysteria. They understand that she’s done nothing wrong.
This woman has done what very few have the heart, guts and knowledge to do.
Personally, I agree that she should stay in her home, primarily because I fear for
her safety. There are few phenomena that are uglier to behold, than the brainless creature that is a scared and irrational group of people/mob. Also her defying this quarantine (even though I think she has every right to parade up and down Main Street all day long, and wouldn’t be putting a single person at risk by doing so), would likely spark more hysterics and draconian measures.
Even though I think that it would be wise to stay home and fight this quarantine through the legal system, I admire her for having the courage of her convictions. She knows that she's right, and she's standing up for herself.
It’s probably good to have a cool-down period, not that I have much faith that people will come to their senses. Still, I hope that calmer, more rational heads will
in the end, prevail.