Referat (både audio og pdf) fra CDC konferanse holdt 13 oktober 2014 om CDC "Ebola Response"
http://www.cdc.gov/media/releases/2014/t1013-ebola-reponse-update.html
Langt. Men mye interessant.
Eksempel:
På spørsmål om CDC rekommanderer "respiratory protection", slik Leger Uten Grenser bruker i Liberia, svarte CDC-direktør Tom Frieden:
"TOM FRIEDEN: Actually the hospitals that have treated patients with Ebola in this country have all used what are called positive air pressure respirators. That is clearly not how the individual in Texas became infected. So I don't think we have concerns about the potential route of transmission, but our guidelines already say that if there's any concern for aerosol-generating procedures, such as intubation of a patient or suctioning, then absolutely we recommend respiratory protection."
Annet eksempel:
På spørsmål fra CNN-journalist Falco:
"MIRIAM FALCO: Miriam Falco from CNN. You have been telling us about what needs to be done and how prepared we are for months now. You've been telling us for a long time about the risks and all the things that can be done but you just said that you're working at making care simpler and you're providing hands-on training. It seems like there's a gap in what you may have thought was happening at the nation's happen hospitals and what actually is happening.
Have you thought about bringing in somebody like doctors without borders who has been successfully treating patients in Africa for years to learn about how they do it?
And then the second question i have is regarding the travel. You have said multiple times that a travel ban is not helpful for many reasons, but many people still think why not keep those people who may be sick from coming into this country. Can you better explain why you don't think a travel ban is a good idea? "
(Jeg har redigert litt i transkriptet for økt lesbarhet)
"TOM FRIEDEN: Thank you.
We've worked very closely with doctors without borders, MSF, in fact we have replicated their training course, and we have dozens and hundreds of U.S. doctors and other health care workers who are going to Africa to fight the outbreak at the source, going through a CDC-run training program that replicates the training that MSF has done. The same team at CDC who created that training course is training physicians throughout the U.S. but definitely we will be looking over the coming days in how we can increase training and increase training materials and availability most urgently for the health care workers caring for the patient in Dallas, but also more generally throughout our health care system.
It is worth highlighting that the single most important thing for every other hospital in the country to know is the importance of taking a history of travel. That if someone has fever or other symptoms that could be Ebola, ask where they have been in the previous 21 days. And if it's to Liberia, Sierra Leone or guinea, then immediately place them in isolation, consult with us, the state and local health department, and we'll go from there. But that's what the health care system in general needs to really focus on.
In terms of travel, we're looking at multiple levels of protection. The first is screening of people on departure from these three countries. All are screened with a questionnaire. All have their temperature taken. 77 people in the last two months were not allowed to board, not allowed to enter the airport even because they had fever or other symptoms. None of those were diagnosed with Ebola. Many of them had malaria.
In addition, starting yesterday at JFK international airport in New York City we began screening people who came from these countries, these three countries also with a detailed questionnaire and temperature check. Since that was implemented, 91 such individuals were identified. None of them had fever. Five of them were referred for additional evaluation by CDC. None were determined to have exposure to Ebola. So this is in place at JFK.
Thursday of this week we anticipate having this in place at four additional airports in the U.S. and we'll learn from that experience. Also making sure that doctors throughout the health care system diagnose Ebola promptly is very important. On the issue of banning travel, i understand that there are calls to do this. I really try to focus on the bottom line here. The bottom line here is reducing risk to Americans. The way we're going to reduce risk to Americans is do the steps of protection i just went through and stop it at the source in Africa.
Today CDC has 150 of our top disease detectives throughout the three countries and many of the counties, districts and prefectures within the three countries helping to turn the outbreak around, working along with the department of defense, with USAID, with the world health organization and with many other governments which are surging in to help stop it at the source. If we do things that unintentionally make it harder to get that response in, to get supplies in, that make it harder for those governments to manage, to get everything from economic activity to travel going, it's going to become much harder to stop the outbreak at the source. If that were to happen, it would spread for more months and potentially to other countries, and that would increase rather than decrease the risk to Americans. Above all, do no harm, and that's why we want to focus on stopping the outbreak at the source and protecting Americans wherever Ebola may arise, even though we know that that can be challenging. "
