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-Signs, Portents, and the Weather-
Dallas County & TX slowly, slowly getting act together on Ebola contacts
2014-10-11
DALLAS -- Only after Dallas Deputy Michael Monnig showed up at a CareNow urgent care clinic feeling ill and rushed by ambulance to the hospital and isolated overnight did the Texas Department of State Health Services issue an official protocol for what to do in such a case.

The plan sent out to emergency personnel is dated Thursday, Oct. 9, a week after Thomas Duncan's Ebola case was confirmed.

"When a person who's under observation says, 'I'm developing symptoms, I feel feverish,' then they are to call Dallas County Health and Human Services," said Dr. Christopher Perkins.

Dr. Perkins is the county's official health authority. He said if the patient meets criteria, such as symptoms and risk factors for Ebola, they will be told to stay inside and call 9-1-1.

9-1-1 operators are supposed to be aware now of who is on the watch list and respond by alerting EMS. The protocol also says the county Epidemiologist can arrange transport of the patient if needed.

"What won't happen," said Dallas county Judge Clay Jenkins, "Is the people will not get in their own car and get into public and be around other people.

"A specially equipped private ambulance will pick them up with a team in full protocol," he continued. "They'll be taken to special rooms that are already prepared and handled under all the guidelines to make sure there's not a spread of the disease."

Jenkins says Children's Medical Center Dallas is designated for pediatric Ebola patients under the age of 14. Texas Health Presbyterian Dallas will take Ebola patients over 14.

Anyone else who is not considered to have close contact with an Ebola patient showing symptoms will be told to go to their own physician. That's what deputy Monnig was advised to do by Dr. Perkins.
And what do the personal physicians of Texas think about this advice?
Posted by:Anguper Hupomosing9418

#2  "Anyone else who is not considered to have close contact with an Ebola patient showing symptoms will be told to go to their own physician. That's what deputy Monnig was advised to do by Dr. Perkins."

And Monnig's case then scared the authorities sufficiently to start the entire outbreak protocol including suits for patient and personnel and isolation for those who came into contact with Monnig in the clinic.

If Monnig had been positive his visit to the clinic would have worsened the situation by at least an order of magnitude. If he'd been visited by EMS with protection equipment he could have been transported to a clinic without endangering anyone.

Since AFAIK a doctor can not rule out Ebola by performing a direct examination there was really no choice but to isolate Monnig preemptively.

If 'anyone else who is not considered to have close contact with an Ebola patient showing symptoms' shows unspecific symptoms of an infections they will have to do the same anyway.
Posted by: Elmerert Hupens2660   2014-10-11 14:58  

#1  And do we think any other county in the US is more ready?
Posted by: 49 Pan   2014-10-11 11:55  

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