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Wednesday, October 15, 2014

Why Has Texas Family Members Not Come Down With Ebola--They Lived With Him?

Family that lived with Texas Ebola victim showing no symptoms, mayor says

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Workers in hazardous material suits clean up after removing the contents of the apartment unit where Thomas Eric Duncan, the first Ebola patient in the U.S., had been staying in Dallas, Texas, October 6, 2014. (REUTERS/Jim Young)
The family who shared an apartment with a Liberian man who died of Ebola in Texas is showing no signs of illness, while the dog of a nurse who contracted the deadly virus is healthy and being cared for, Dallas's mayor said on Tuesday.
Thomas Eric Duncan's girlfriend, her 13-year-old son and two nephews in their 20s had been living with Duncan before he was admitted to a Dallas hospital on Sept. 28.
"So far no signs of the virus in any of them," Dallas Mayor Mike Rawlings said on CNN. "We check them twice a day, and everybody's healthy."
Rawlings said none of the other people being monitored after contact with Duncan, who died on Oct. 8, have gotten sick. There is a 21-day incubation period for the virus that has killed at least 4,400 people, predominantly in West Africa.
Federal health officials are working around the clock at Texas Health Presbyterian Hospital, Rawlings said, as the U.S. Centers for Disease Control and Prevention (CDC) tries to determine how 26-year-old nurse Nina Pham became infected while caring for Duncan in an isolation ward where he was treated for 11 days.
Pham's dog, Bentley, a 1-year-old King Charles Spaniel, was taken from her apartment Monday night and is being cared for in isolation, said the mayor, who called the nurse a hero.
"That dog was very important to her. We want to make sure that dog is healthy as can be at this point and being taken care of at this point," Rawlings said. He said Pham was sent a video of her pet, "so hopefully that buoys her up a bit."
Officials have said they do not know how the virus infected Pham, who was wearing protective gear while caring for Duncan. She is the first person known to have contracted Ebola in the United States.
The CDC said on Monday that medical experts need to rethink how highly infections diseases are handled in the United States as public fears grow of the virus spreading within the country.
In Kansas City, Kansas, a patient being evaluated for Ebola was feeling slightly better on Tuesday as doctors awaited test results, said Jill Chadwick, spokesperson for the University of Kansas Hospital.
The patient, a man in his 40s who had worked on a medical boat off the coast of West Africa, was admitted to the hospital Monday morning with a high fever and other serious symptoms, Chadwick said. Test results were expected by late Tuesday afternoon, and the patient remained isolated, she said.
A patient in Portland, Maine, was being monitored for Ebola symptoms at Maine Medical Center at the CDC's request, health officials said. No details on the patient were provided.
Dr. Brett Giroir, who was appointed by Texas Governor Rick Perry to lead a task force on infectious disease preparedness, said on CNN that every person at the Dallas hospital who had any contact with Duncan was interviewed by the CDC and local health authorities and assessed for risk.
He would not say how many hospital workers were on that list. Those who had real contact with Duncan were being actively monitored by the CDC, he said.
Ebola, which can cause fever, vomiting and diarrhea, spreads through contact with bodily fluids such as blood or saliva.
The infection of the Dallas nurse is the second known to have occurred outside West Africa since the outbreak that began in March. It follows that of a nurse's aide in Spain who helped treat a missionary from Sierra Leone who died of the virus.
Texas Health Presbyterian has been criticized for not admitting Duncan the first time he went to the hospital.
"He should have been identified as an Ebola patient and put in isolation," Giroir said. "There will clearly be lessons learned from this incident."

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