RN Detained and Quarantined As Ebola Hysteria Reaches a New Low

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  1. Kaci Hickox, a nurse was placed under a mandatory Ebola quarantine in New Jersey by

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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........

http://www.dallasnews.com/ebola/headlines/20141025-uta-grad-isolated-at-new-jersey-hospital-as-part-of-ebola-quarantine.ece

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."

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.

And I’m appalled at the rabid disparagement of the America public evinced by a few nurses on this forum. Frankly, I wouldn’t want to be one of your patients. Please try to recall your nursing education that we are public servants, who owe our empathy and respect to those whom you so fervently malign. Seek for solutions, instead of being part of the problem.

Specializes in hospice.
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.

Well then maybe we should take the public school system out of the hands of the current crop of failures, who seem bent on churning out ignorant, easily controlled drones indoctrinated with all the right PC beliefs, and start teaching our kids HOW to think and HOW to learn, so we can return a measure of critical thinking to the public discourse.

Specializes in RN, CHPN.
And I’m appalled at the rabid disparagement of the America public evinced by a few nurses on this forum. Frankly, I wouldn’t want to be one of your patients. Please try to recall your nursing education that we are public servants, who owe our empathy and respect to those whom you so fervently malign. Seek for solutions, instead of being part of the problem.

Please try to recall the right to freedom of speech. Even nurses and other public servants have that. I don't think that her words equaled "rabid disparagement." You must find yourself offended quite often. What you should really be appalled at is the ignorance and cowardice of the American public.

I would want to be one of her patients if I belonged to the group she describes, because she would do her best to educate me and allay my unfounded fears. That is a BIG part of the solution.

Well then maybe we should take the public school system out of the hands of the current crop of failures, who seem bent on churning out ignorant, easily controlled drones indoctrinated with all the right PC beliefs, and start teaching our kids HOW to think and HOW to learn, so we can return a measure of critical thinking to the public discourse.

I agree 100%.

Specializes in RN, CHPN.

And I want to add, that just because she expresses these feelings it does not mean she doesn't treat her patients with empathy and respect. It just means she's exasperated.

Truthfully, ignorance is causing a huge problem right now.

Ignorance simply means a lack of information.

Specializes in Clinical Research, Outpt Women's Health.

I find her stance selfish. She is really causing public feelings to be that health care professionals are themselves selfish and think the rules do not apply to them and many are perceiving this very negatively.

I actually agree with her stance on the science of quarantine, but unless we can PROVE that to the public it has no chance of being embraced. Unfortunately, since so recently a doc became sick after going bowling the public sees it as high risk whether it is or not.

I find it arrogant to stand your ground because your right (if you are) at any cost. I think a smart approach allows for understanding peoples fear and finding a way to educate them without completely turning them against you so that they are not open to anything you are trying to get across.

And I’m appalled at the rabid disparagement of the America public evinced by a few nurses on this forum. Frankly, I wouldn’t want to be one of your patients. Please try to recall your nursing education that we are public servants, who owe our empathy and respect to those whom you so fervently malign. Seek for solutions, instead of being part of the problem.

I agree completely. I have read nurses on these forums complain that the general public does not trust health care professionals. I wonder why. I am a nurse and I find some of these comments about the general public disgusting.

Nurse=Public Servant? If you work for the government, then that applies. Otherwise.....free enterprise :)

Specializes in L&D, Women's Health.

I'm really glad Kaci is standing up for her rights. The rights of too many people are being blatantly disregarded because of the fear and hysteria of an uneducated public. I think her filing the law suit has given this family direction to do the same and if perhaps more followed suit, this ridiculous loss of freedoms will end:

Girl barred from Connecticut school amid Ebola fears - CNN.com

Keep in mind, it is not just these few cases. I'm sure we all remember reading of the two Rwanda students quarantined; the Maine teacher who could not return to work after visiting Dallas; the many schools sending students home. When is it to stop? Hopefully, with this case.

I'm failing to see why a nurse should be rendered mute when it comes to criticism of the American public. I'm unaware of the regulations for licensure that state that a nurse is forevermore forbidden to have a negative opinion of the public, or parts of it....?

It does get tiresome when people routinely equate "Nurse" with an image of a demure, mute, non-judgmental, non-opinionated, non-THINKING 'servant'.

I am educated....and I like to think reasonably intelligent. So when I am faced with a situation that decries all reasonable logic, if I see irrational behavior taking root, if I KNOW that misinformation is causing the less-educated and less intelligent to panic.....why on earth should I NOT react to that?

If the public is behaving irrationally and out of ignorance, it's not because I stood by and ignored it.

As a great literary hero once said, "Stupid is as stupid does".

Ignorance and hysteria coming from the general public is frustrating, but not surprising; coming from nurses it is a disgrace.

People want to quarantine healthy people and yet refuse to get their own flu shot. Oh, the irony.

She has got a heck of a lawsuit, I hope she takes it all the way!

I was going to make this exact point about the flu shots and HCWs so thank you many times over!

This leads me to my next question:

If an effective vaccine for Ebola is developed, how many HCWs who no refuse to vaccinate themselves or their families will choose to get this vaccine? I am not asking this rhetorically.

Wow. This chick is blowing it big time. It is not always about being technically right. She is going to freak people out so much that it will guarantee stricter measures to calm the public.

"This chick" Really, really! What kind of mindset is that to reduce this person with that phrase?

I think she will a hard time finding a job after this unless she wants to go back to Africa

I did not mean to thank this post; but I sure as heck meant to quote it...

I think she will find work just fine. She appears to have a sharp mind and dedication to her profession. I believe that I read she was taking classes in public health towards a masters at john Hopkins.

I think it's more likely that we'll be hearing more from her in the future.

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