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US steps up its domestic response to Ebola crisis - ASHARQ AL-AWSAT English Archive
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US President Barack Obama holds a meeting with cabinet agencies coordinating the government's Ebola response in the White House, Washington, on October 15, 2014. (Reuters/Kevin Lamarque)

US President Barack Obama holds a meeting with cabinet agencies coordinating the government’s Ebola response in the White House, Washington, on October 15, 2014. (Reuters/Kevin Lamarque)

Washington, AP—The federal government is ramping up its response to the Ebola crisis after a second Dallas nurse became ill and the disclosure that she had been cleared to fly a day before her diagnosis.

While Ebola patients are not considered contagious until they have symptoms and only two persons have been known to contract the disease in the US, the revelations Wednesday raised new alarms about whether hospitals and the public health system are equipped to handle the deadly disease.

Federal health officials were being called to testify before a congressional committee Thursday to explain where things went wrong.

President Barack Obama directed his administration to respond in a “much more aggressive way” to oversee the Dallas cases and ensure that the lessons learned there are transmitted to hospitals and clinics across the country. And for the second day in a row he canceled out-of-town trips to stay in Washington and monitor the Ebola response.

Even as the president sought to calm new fears about Ebola in the US, he cautioned against letting them overshadow the far more urgent crisis unfolding in West Africa where Ebola has killed more than 4,000.

Underscoring his emphasis on international action, Obama called European leaders Wednesday to discuss better coordination in the fight against Ebola in the countries of Sierra Leone, Liberia and Guinea and to issue a call for more money and personnel to “to bend the curve of the epidemic.”

British Prime Minister David Cameron’s office said that during the call Cameron offered to consult with the Italians to add treatment beds in Sierra Leone.

Dr. Tom Frieden, director of the Centers for Disease Control and Prevention, said nurse Amber Joy Vinson never should have been allowed to fly on a commercial jetliner because she had been exposed to the virus while caring for an Ebola patient who traveled to the US from Liberia.

Vinson was being monitored more closely since another nurse, Nina Pham, also involved in Thomas Eric Duncan’s care, was diagnosed with Ebola.

Still, a CDC official cleared Vinson to board the Frontier Airlines flight from Cleveland to the Dallas area by a CDC official. Her reported temperature—99.5 degrees—was below the threshold set by the agency and she had no symptoms, according to agency spokesman David Daigle.

Vinson was diagnosed with Ebola a day after the flight, news that sent airline stocks falling amid fears that it could dissuade people from flying. Losses of between 5 and 8 percent were recorded before shares recovered in afternoon trading.

The new development in Dallas captured political and public attention in the United States, heightening fears that the public health system and the protocols used to protect health care workers were not ironclad.

Duncan, who traveled to the US from Liberia, originally was sent home when he went to the Dallas hospital’s emergency room only to return much sicker two days later. He died of Ebola on October 8.

Frieden has said breaches of protocols led to the infection of the two nurses. More than 70 other health care workers involved in Duncan’s care were being monitored.

Republican lawmakers, including House Speaker John Boehner, increased calls for travel bans or visa suspensions from the West African countries where the disease has spread and urged the administration to take other measures to secure the transportation system.

The oversight subcommittee of the House Energy and Commerce Committee scheduled a hearing on Ebola for Thursday with Frieden and Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health.

In prepared testimony, Fauci said Duncan’s death and the infections outside of Africa of the two Dallas nurses and a nurse in Spain “intensify our concerns about this global health threat.” He said two Ebola vaccine candidates were undergoing a first phase of human clinical testing this fall. But he cautioned that scientists were still in the early stages of understanding how the Ebola infection can be treated and prevented.

Medical records provided to The Associated Press by Duncan’s family showed Vinson inserted catheters, drew blood and dealt with Duncan’s body fluids. Late Wednesday, she arrived in Atlanta to be treated at Emory University Hospital, which has already treated three Americans diagnosed with the virus.

Even though Vinson did not report having a fever until the day after she returned home, Frieden, the CDC director, said she should not have boarded a commercial flight.

From now on, Frieden said, no one else involved in Duncan’s care will be allowed to travel “other than in a controlled environment.” He cited guidelines that permit charter flights or travel by car but no public transportation.

On its website, the CDC says all people possibly exposed to Ebola should restrict their travels—including by avoiding commercial flights—for 21 days.

Obama sought to ease fears in the US, urging a stepped up response even as he stressed that the danger in the United States remained a long shot.
“We want a rapid response team, a SWAT team essentially, from the CDC to be on the ground as quickly as possible, hopefully within 24 hours, so that they are taking the local hospital step by step though what needs to be done,” he said.

But he also noted that Ebola is not an airborne virus like the flu and thus more difficult to transmit.

Asharq Al-Awsat

Asharq Al-Awsat

Asharq Al-Awsat is the world’s premier pan-Arab daily newspaper, printed simultaneously each day on four continents in 14 cities. Launched in London in 1978, Asharq Al-Awsat has established itself as the decisive publication on pan-Arab and international affairs, offering its readers in-depth analysis and exclusive editorials, as well as the most comprehensive coverage of the entire Arab world.

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