Dallas Ebola patient had contact with children


By Ashley Fantz, Holly Yan and Dana Ford, CNN



Some school-age children have been in contact with the Ebola patient being treated in Dallas, Texas Gov. Rick Perry said Wednesday.










Dr. Edward Goodman, epidemiologist at Texas Health Presbyterian Hospital Dallas, speaks about the nature and treatment of the Ebola virus during a news conference at Texas Health Presbyterian Hospital Dallas, Wednesday, Oct. 1, 2014, in Dallas. Health officials assured that the recent Ebola case in Dallas is being contained. (AP Photo/LM Otero)


Five students at four different schools came into contact with the man, Dallas Superintendent Mike Miles added, but none has exhibited symptoms of the deadly virus. The children are being monitored at home, and the schools they attended remain open, Miles said. Between 12 and 18 people have been identified as having come in contact with the patient, who is the first to be diagnosed with Ebola in the United States, officials said.


Concern about the possible spread of the killer virus comes less than a day after the Centers for Disease Control and Prevention announced that, for the first time, a person with Ebola was diagnosed on American soil.


And the handling of the case has sparked serious questions.


The patient, a man, walked into an emergency room at Texas Health Presbyterian Hospital in Dallas on September 26. A nurse asked him about his recent travels while he was in the emergency room, and the patient said he had traveled to Africa, said Dr. Mark Lester, executive vice president of Texas Health Resources.


But that information was not “fully communicated” to the medical team, Lester said.


The man, who had flown from Liberia to the United States about a week earlier, underwent basic blood tests, but not an Ebola screening, and was sent home with antibiotics, said Dr. Edward Goodman with Texas Health Presbyterian Hospital.


Two days later, on September 28, the man returned to the facility, where it was determined that he probably had Ebola. He was then isolated. He tested positive for the virus Tuesday, health officials said.


The CDC, which has helped lead the international response to Ebola, advises that all medical facilities should ask patients with symptoms consistent with Ebola for their travel history.


It’s possible that others were infected because of the lapse. People who have Ebola are contagious — but only through contact with infected bodily fluids — when they display active symptoms of the virus, such as a high fever, severe headache, diarrhea and vomiting, among others. It’s not like a cold or the flu, which can be spread before symptoms show up, and it doesn’t spread through the air.


That the man had recently arrived in the United States from Liberia should have been a huge red flag. That country is one of the hotspots in a large outbreak of Ebola in West Africa, with 3,458 cases and 1,830 deaths as of September 23, according to the World Health Organization. Other countries affected include Guinea, Nigeria and Sierra Leone. In total, more than 3,000 people have died in those countries from Ebola, and more than 6,500 have contracted the disease.


This summer, two American missionaries who were working in Liberia contracted the virus and were brought back to the United States, where they were treated with the experimental drug ZMapp. Another American doctor working with the same charity was also infected in Liberia and brought home for treatment. They all have since recovered from the virus and were released from care.


The CDC has ramped up a national effort to stem the spread of Ebola, and in September President Barack Obama spoke at CDC headquarters in Atlanta. He called the virus a global health and security threat, and pledged U.S. assistance to the affected countries to try to stem the tide of the disease.


Ebola patient in serious condition


The patient in Dallas is now under intensive care and isolated at Texas Health Presbyterian Hospital, said CDC Director Dr. Thomas Frieden.


He is in serious condition, the hospital told CNN Wednesday.


The man flew from Liberia and arrived in Dallas to visit family on September 20, Frieden explained. He started feeling ill around September 24 and sought medical care on September 26, he added.


Earlier Wednesday, CNN Chief Medical Correspondent Dr. Sanjay Gupta asked Frieden on “New Day” if the man should have been tested for Ebola on his first visit to the hospital and if he should have been asked about his recent travel history.

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