Texas Health Worker Tests Positive For Ebola

Thomas Eric Duncan, the first person to have been diagnosed in the U.S. with Ebola, and who subsequently died of the disease, was treated at Texas Health Presbyterian Hospital in Dallas. Now, in a second diagnosis for the U.S, an unidentified health-care worker from the hospital has tested positive for Ebola as well. According to the linked Reuters story, Texas officials did not identify the worker or give any details about the person, but CNN said it was a woman nurse. The worker was wearing full protective gear when in contact with Duncan, Texas Health Resources chief clinical officer Dan Varga told a news conference. "We are very concerned," Varga said. "We don't have a full analysis of all of the care. We are going through that right now." ... The worker was self-monitoring and has not worked during the last two days, Varga said. The worker was taking their own temperature twice a day and, as a result of the monitoring, the worker informed the hospital of a fever and was isolated immediately upon their arrival, the hospital said in a statement. (Also covered by the Associated Press, as carried by the Boston Globe, which notes that "If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S.")

Comments

No worse than AIDS, are you kidding?

[PeterM from Berkeley]

AIDS doesn't cause contagious blood, spit, diarrhea, and vomit to go everywhere. Ebola does.

AIDS doesn't infect health care workers who are treating patients unless there's a needlestick or sexual contact. Ebola does, with alarming frequency. Even if you DO have sex with someone with AIDS, it's not 100% that you'll get AIDS.

AIDS can't be spread by sneezing or coughing. It's possible Ebola *is*.

In terms of contagiousness, Ebola seems 10x worse. It's like saying "smallpox is no worse than chickenpox". Maybe if you put them both on a logarithmic plot and back up 50 feet!

--PM

Re:Everybody Panic!

[iluvcapra]

What kind of amateurs are running this place?

I had brunch with my friend this morning, who is an MD PhD in infectious disease and works in a BSL-4 laboratory from time to time, so I asked about this.

BSL-4 is a standard that only applies to laboratories, the same standards aren't necessarily applied to clinical environments, and in the case of Ebola are major overkill. Ebola can't travel through the air, so positive pressure suits aren't appropriate, and they still have to be taken on and off, and that's when health workers seem to get infected. People who "test positive" for Ebola are not contagious, only people who have symptoms are, and they can only pass the disease through contact with bodily fluids -- this usually implies touch, since hemorrhagic fevers cause people to give off all kinds of gross effluent, but it's just not like a "virus" one gets from casual contact, like, say, rubella.

The fact is, Ebola isn't that contagious -- HIV is more virulent, and these two are nothing compared to the influenza or SARS. It's bad that health workers can get it, but this is still one person, so on a completely epidemiological basis it's really not a big deal. Characterizing a single case as somehow indicative of the safety of these procedures is sensationalism.