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."

This is just for a humorous side to the Ebola hysteria in US . . . enjoy:

That video has me in stitches... aah, my poor belly...

:lol2: :roflmao: :roflmao:

Specializes in RN, CHPN.
Yes they are heroic, but if they understood Ebola which the Dr certainly should he should have self quarantined for the 21 days to protect the public and his family.

The reason they don't quarantine themselves is BECAUSE they understand Ebola. But they DO self-monitor, and report as required. Just as Pham, Vinson and Spender did.

Do you get that? Or are you listening to the "news" that tells you that you can't trust nurses and doctors, those self-centered scoundrels!?

How can you say they don't understand? Have you seen pictures or videos or read anything about the conditions they work in with human beings who are desperately ill and dying from Ebola? And why would they risk their lives doing that work, and then come home and risk ours??? Does their caring stop at the African border? No, it lives within them.

C'mon, people, you can do better than this.

At least I hope you can, especially if you are actually working in health care, with actual human beings.

Don't let fear take control of your intelligence.

I agree, she intuitively understands. Her irrational fear may be taking center stage at this time, but deep down, her innate intelligence is trying to assert itself.

This is a rather divisive comment. How would you feel if other people characterized you in unflattering ways?

"Amber Vinson will make a statement at a 1 p.m. ET news conference announcing her discharge."

Dallas nurse Amber Vinson is Ebola-free, hospital says - CNN.com

Video below reports nurse Hickox is to do 17 days of in home quarantine, considering suing the state of NJ etc...

2nd Dallas Nurse to Be Discharged After Ebola Treatment - ABC News

Specializes in MICU, SICU, CICU.

Does anyone have a credible source that quantifies the viral load in seropositive Ebola carriers, both asymptomatic and symptomatic? I have read the 10/14/2014 Lancet article, which was very good, but it was unclear on this point.

Thank you.

Thank you for the article, interesting regarding this doctor's view. I was reading where Hickox’s boyfriend who is a nursing student will not be allowed on campus as long as he is living with Hickox until her quarantine is completed.

I was wondering if you lived in the country and had livestock to feed would you not be allowed outside? Would you not be allowed to walk your own property with your dog?

I was wondering if you lived in the country and had livestock to feed would you not be allowed outside? Would you not be allowed to walk your own property with your dog?

I fail to see how someone who stays on his own property is a risk to others, so I'm not sure I understand your question. How could either of these hypothetical situations pose any public health risk whatsoever?

I fail to see how someone who stays on his own property is a risk to others, so I'm not sure I understand your question. How could either of these hypothetical situations pose any public health risk whatsoever?

I agree, I just was unsure due to all the changes.

Specializes in Gerontology RN-BC and FNP MSN student.

What about regular people who are coming back from high risk areas? Why are they targeting only Nurses and Health care workers!?!

I love how HIPPA went the window for us health care workers they blast the names of doctors and nurse all over the media.... What an invasion of privacy!!!

Specializes in Oncology; medical specialty website.

Nice face-saving article for Christie, although at least the doctor wasn't talking about quarantining health care workers in the sort of draconian conditions nurse Hickox had to endure.

Hmmmm...

Dr. Beutler, an American medical doctor and researcher, won the Nobel Prize in Medicine and Physiology in 2011 for his work researching the cellular subsystem of the body’s overall immune system – the part of it that defends bodies from infections by other organisms, like Ebola.

Like Ebola”. I like the way this article tries to tie his expertise to Ebola. That’s however not what he’s conducted his research on.

If you’re interested:

Poltorak A, He X, Smirnova I, Liu MY, Van Huffel C, Du X, Birdwell D, Alejos E, Silva M, Galanos C, Freudenberg M, Ricciardi-Castagnoli P, Layton B, Beutler B. Defective LPS signaling in C3H/HeJ and C57BL/10ScCr mice: Mutations in Tlr4 gene. Science. 1998;282:2085-2088.

As far as I can understand, Dr. Beutler was awarded the Nobel Prize in Physiology or Medicine because of his discovery of the receptor on cells within the innate part of the immune system, that lipopolysaccharide (LPS) binds to. The receptor was named Toll like receptor (Tlr-4).

So why does he according to this article, support quarantining healthcare workers?

I favor it, because it’s not entirely clear that they can’t transmit the disease.

It may not be absolutely true that those without symptoms can’t transmit the disease, because we don’t have the numbers to back that up.

It could be people develop viremia , and become able to transmit the disease, before they have a fever ,even.

People may have said that without symptoms you can’t transmit Ebola. I’m not sure about that being 100% true.

Not entirely clear. It may not be. It could be. People may have said. I’m not sure.

I would have liked to see evidence or research to support these rather vague, speculative claims/opinions.

The only piece of research that is referenced is a study backed by the WHO that showed that in close to 13% of cases, those infected by Ebola exhibited no fever at all.

This is why I’ve constantly used the term asymptomatic and not afebrile.

MSF healthcare professionals who self-monitor will of course react and act upon other new onset symptoms, apart from an elevated temperature. They won’t ignore a new onset feeling of general malaise, headaches, athralgias, myalgias or any other symptom just because they happen to be afebrile. There is more than one parameter on their checklist. This ain’t the MSF’s first rodeo.

No one goes from feeling entirely healthy to projectile vomiting. There are early symptoms. Most of the time that early symptom is a fever, but not every time.

And of course there’s this:

Even if someone is asymptomatic you cannot rely on people to report themselves if they get a fever. You can’t just depend on the goodwill of people to confine the disease like that – even healthcare workers. They behave very irresponsibly.

Not exactly a ringing endorsement of his colleagues. I certainly hope that the journalist somehow quoted him incorrectly :no:

And this:

The thought of a parent passing Ebola on to a child – as ostensibly can happen 13 percent of the time, would disturb me.

Call me crazy, but I think it would disturb the nurse or physician parent too. Probably even more than it would disturb Dr. Beutler, considering that it’s their own child.

Or are nurses and doctors cold-hearted psychopaths as well as completely irresponsible?

(The leap from one study showing that ~13 % of patients are afebrile to this group passing on their infection (even if it is ostensibly) is a claim that in my opinion lacks scientific foundation).

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For the zillionth time. There’s no empirical data or research available that suggests that an asymptomatic person is contagious. Feel free to show me that research if you've seen any.

Who in their right mind believes that nurses and physicians who generously risk their own lives, work in wretched conditions and take significant pay cuts, in order to help human beings in need, are also reckless and callous enough to come home and not care if they risk infecting the people they love?

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