Sunday, October 26, 2014

I think mandatory quarantine is excessive, especially when one is quarantining professionals.

I understand the concern and when I heard over the news there was a nurse with a fever naturally I thought there had to be more measures taken to insure the public. However, the reporting of the initial fever of Dr. Craig Spencer by the media was completely wrong. He didn't call with a fever of 103 F it was 100.3 F. That is a huge difference. 

And quoting the media the nurse detained in New Jersey had the first blood specimen for Ebola come back negative for the virus. 

Samantha Power is visiting the effected countries of West Africa and I am sure she'll have some recommendations when she returns. In realizing the fever of Dr. Spencer was within the expected initial stage of Ebola regardless of the fatigue, he was not contagious until the morning he reported the fever. Fatigue is part of the syndrome of Ebola. If I may recommend moving the timeline back to the initial fatigue which will be followed about 48 hours later by a mild fever; it might give caregivers a leg up on treatment. Even reporting at the first sign of fatigue would be best. With professionals that just conducted a mission of compassion to West Africa followed by a long flight home might be fatigued naturally. So, to dismiss fatigue as the initial signs of Ebola is easy, but, perhaps that is not prudent.

With the quarantine of professionals after arriving home they probably won't lie or break the law. I am assuming the quarantines by these governors have penalties if not followed. Because if there is no penalties they will be circumventing NY, NJ and Illinois. That is exactly what the President didn't want to happen. But, professionals won't risk their license if there are court penalties and a criminal record.

I am sure Doctors without Borders and any of the faith based organization have ethical standards. I would think those ethics would include remaining out of work and in self-monitored and/or report monitoring for the 21 days after returning to the USA. It gets tricky with the professionals now returning home because it is my guess they weren't planning on any type of quarantine, not even self directed. I am sure they want to return to their families and careers and financial return to their home. Any of the organizations with members leaving to go to West Africa should be including information about monitoring and self-quarantine when returning home. Depending on whether they have a family or not will mean planning for a different type of return and stocking the pantry shelves before departing.

I would encourage all the nursing and physician organizations to review the information about Ebola and develop their own protocols in returning to work after a trip to West Africa. Professional organizations can only make recommendations, but, I would think medical directors and nursing leadership would have a policy in place for their employees if they participate as heroes to the people of West Africa.

New York, New Jersey, and Illinois have ordered the quarantine of anyone returning to the US who has been in contact with Ebola patients in West Africa. Medical experts warn this could discourage health care workers from going there to help.

October 25, 2014
By Brad Knickerbocker

...On Saturday, Florida Gov. Rick Scott (R) (click here) ordered  twice daily monitoring for anyone returning from places the US Centers for Disease Control and Prevention designates as affected by Ebola. Gov. Scott said if the state health department determines any of those monitored are at a high risk of contracting the disease, the state will take further action to protect those individuals and the rest of Florida with a mandatory quarantine....