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."

Specializes in NICU, PICU, Transport, L&D, Hospice.
The article is relevant to this thread, and to this discussion, in my opinion, as transmission of the Ebola virus is discussed.

Do you believe that epidemiologists and infections medicine professionals really don't know much about this virus after almost 40 years of study? Why?

Do you believe that there is credible evidence that indicates that people are infected through casual contact with people who are asymptomatic for ebola?

Do you think that ebola is spread via the respiratory system and why?

As the general public does read our forum, I feel you are promoting their hysteria when you represent yourself as a professional and post such inaccurate information.

None of you are experts on the disease-you're just nurses. So I consider all of the information here inaccurate.

Specializes in NICU, PICU, Transport, L&D, Hospice.
None of you are experts on the disease-you're just nurses. So I consider all of the information here inaccurate.

Given that you just called the detained nurse an arrogant B1tch in another thread it is pretty safe to guess that your comments and opinions are based in fear, emotion and likely FOX's Factless Frenzy over ebola.

I might be interested in what you do consider to be accurate information on the subject.

Specializes in L&D, Women's Health.
None of you are experts on the disease-you're just nurses. So I consider all of the information here inaccurate.

There easily could be experts on the disease posting here. But some of us do get our information about Ebola from experts who have been studying and working with Ebola for over 40 decades and from presented scientific evidence, not The Daily News, Huffingpost, etc. Fortunately, most are now no longer fretting on our professional forum for the general public to read "It could be airborne" and other unproven declarations that do nothing but contribute to hysteria.

None of you are experts on the disease-you're just nurses. So I consider all of the information here inaccurate.

You're a nurse. You shouldn't educate yourself by reading on an anonymous message board anyway, so it's inconsequential to me whether you believe anyone here.

Now go hit PubMed! :)

Specializes in L&D, Women's Health.

At least California isn't requiring mandatory quarantine for this returning doctor . . . maybe this will open some doors. But, meanwhile, let' keep frying Kaci (sarcasm)!

Bay Area Doctor Who Treated Dying Ebola Patients On Modified Isolation « KRON4 – San Francisco Bay Area News

My Way News - Compromise efforts stall for quarantined nurse

Compromise efforts stall for quarantined nurse

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Oct 30, 8:26 PM (ET)

By ROBERT F. BUKATY

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[COLOR=black][COLOR=black] "FORT KENT, Maine (AP) — Insisting she is perfectly healthy, nurse Kaci Hickox again defied the state's Ebola quarantine Thursday by taking a bike ride with her boyfriend, and Maine health authorities struggled to reach a compromise that would limit her contact with others.

Hickox, 33, stepped out of her home on the remote northern edge of Maine for the second day in a row, practically daring authorities to make good on their threat to go to court to have her confined against her will. On Wednesday evening, she went outside for an impromptu news conference and shook a reporter's outstretched hand.

By evening, it was unclear whether the state had gone to court or whether there had been any progress toward ending the standoff that has become the nation's most closely watched clash between personal freedom and fear of Ebola. The governor's office and Hickox's lawyers would not comment.

Hickox, who returned to the U.S. last week from treating Ebola victims in West Africa as a volunteer with Doctors Without Borders, has been under what Maine is calling a voluntary quarantine at her home in this town of 4,300 people.

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She has rebelled against the restrictions, saying that her rights are being violated and that she is no threat to others because she has no symptoms. She tested negative last weekend for Ebola, though it can take days for the virus to reach detectable levels. Her 21-day quarantine — the incubation period for the Ebola virus — is scheduled to end on Nov. 10.

Gov. Paul LePage said state attorneys and Hickox's lawyers had discussed a scaled-down quarantine that would have allowed her to go for walks, runs and bicycle rides while preventing her from venturing into populated public places or coming within 3 feet of others.

Around midday, however, LePage said that the hours of negotiations had gone nowhere, and that he was prepared to use the full extent of his authority to protect the public.

"I was ready and willing — and remain ready and willing — to reasonably address the needs of health care workers meeting guidelines to assure the public health is protected," he said."

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.

Kaci has completed her graduate degree at JH. See below website. Even the dean made a statement!

“Kaci Hickox, a nurse who received a joint master's degree from the Johns Hopkins schools of Public Health and Nursing in 2011”.

“Patricia M. Davidson, dean of the Johns Hopkins School of Nursing, called Hickox a "hero," adding "fear has a way of constraining our capacity for respect and empathy. This should not be an excuse for disrespectful attitudes, procedures or policies."

Johns Hopkins School of Public Health dean criticizes N.J. Ebola quarantine | Hub

Undergraduate at Univ of Texas at Arlington. See website below for full article. She has done some interesting work.

“It just made sense to pursue a two-year postgraduate fellowship in applied epidemiology with the Centers for Disease Control and Prevention in Las Vegas”

“Her first overseas project came in 2004 with the International Medical Corps after the tsunami in Indonesia. “While the work there was difficult and challenging, both professionally and emotionally, it also made me feel alive in a new way,” she says.

“After Doctors Without Borders turned her down, she enrolled at the London School of Hygiene and Tropical Medicine and received a Tropical Nursing Diploma. She also graduated from Johns Hopkins University’s dual program for a Master in Public Health and Master of Science in Nursing.

“Her perseverance paid off. She landed that position she wanted with Doctors Without Borders in Myanmar in Southeast Asia, where she spent two years managing three primary health care clinics. In 2010 she was working on a measles outbreak in northern Nigeria when the Doctors Without Borders team conducted a medical investigation. Children were dying in one village, and the team discovered the cause to be acute lead poisoning from poor gold mining practices”.

Passion, Practicality Drive Nursing Graduate – UTArlington – The University of Texas at Arlington Magazine

Do you believe that epidemiologists and infections medicine professionals really don't know much about this virus after almost 40 years of study? Why?

Yes. Mostly because they've said they don't.

http://www.nytimes.com/2014/10/31/health/genes-influence-ebola-infections-in-mice-study-suggests.html?_r=0

The work, by Angela L. Rasmussen and Michael G. Katze of the University of Washington and their colleagues, began three years ago, long before the current Ebola epidemic. They were inspired by their studies with the 1918 influenza virus that caused a worldwide lethal pandemic.

Using a variety of mouse strains, they found that genetics determined whether a mouse got sick or died from the flu, or never got sick at all. People, too, seem to have different responses to the same influenza virus. Dr. Katze, who has studied Ebola for the past decade, and Dr. Rasmussen, who chose to study infectious diseases because when she was in college she read "The Hot Zone," a book that told a terrifying tale of Ebola in Africa, wanted to find out if genes determine responses to Ebola.

Continue reading the main storyContinue reading the main story

Continue reading the main story

So little was-and is-known about the disease, Dr. Katze said. "All we know is that not everyone gets hemorrhagic fever, not everyone gets sick," he said. "There are a million articles about Ebola but very little scientific literature on the virus," he added, explaining that most of what has been published is opinion pieces, epidemiology, and clinical observations.

Specializes in RN, CHPN.
None of you are experts on the disease-you're just nurses. So I consider all of the information here inaccurate.

Everyone else here has taken a side, either for or against. Notice that the user hasn't done that. S/He is here to attempt to invalidate and devalue everyone.

My Way News - Lawsuit: Surgical gowns let diseases pass through

"LOS ANGELES (AP) — A $500 million lawsuit against Kimberly-Clark Corp. alleges the company falsely claimed its surgical gowns protected against Ebola and other infectious diseases."

"We are aware of individuals that have contracted various diseases while wearing the gown, but we are not at liberty to disclose what those are at the present time," said Michael Avenatti, the lead attorney in the case.

Avenatti said the Texas hospital where two nurses contracted Ebola once stocked the gowns but he didn't know whether those workers or an infected nursing assistant in Spain had worn them.

"We are still investigating," he said.

Specializes in L&D, Women's Health.

Maine Medical Association is referring to Kaci Hickox as a "hero" :yes: and I couldn't agree more with them!

State health leaders criticize Maine CDC over Kaci Hickox quarantine - The Portland Press Herald / Maine Sunday Telegram

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