The Effects Of Policies Regarding Evaluation And Management Of The Ebola Virus Disease

The triage nurse conducted a routine assessment and recorded the patient’s temperature of 100.1 0F (Voorhees, 2014). At the time, annotating the patient’s travel history in the Electronic Health Record (EHR) was not part of the assessment protocol (Voorhees, 2014). Additionally, a physician assesses the triage nurse’s report and lab results from the patient’s EHR. The physician diagnoses the patient with abdominal pain, and sinusitis and discharged him from the emergency department (Voorhees, 2014). The triage nurse annotated that the patient came from Liberia in the EHR after the physician’s examination (Voorhees, 2014). Unfortunately, the misdiagnosis led Thomas Duncan back into the hospital in which he is diagnosed with Ebola and died there 10 days later. Thomas Duncan became the first person in the United States (U. S.) to contract the Ebola virus (Voorhees, 2014). Subsequently, the two triage nurses that assess Thomas Duncan contracted the Ebola virus. The Ebola virus outbreak sent alarms across the nation for healthcare provider, state and federal officials to create a multidisciplinary force to swiftly implement quality improvement measures to contain the Ebola

Historically Ebola has had a serious impact on human health and hygiene and still does due to the fact of no vaccine or treatment being discovered, but thanks to improvements in scientific and medical knowledge the virus itself is now controllable.

There has been an acute worry roaming about the United States concerning the Ebola Outbreak. Originally, Ebola had never touched the United States until September of 2014. (4) The disease was originated from and named after a river in the Democratic of Congo. Since discovered, there have been known cases in Africa. There have been many very deadly cases of Ebola - the fatality rate is estimated to from about fifty to ninety percent. (2) To the United States, there had never been any worry about the disease until September twentieth of 2014. A man by the name of Thomas Eric Duncan boarded flight 822 from Liberia to Dallas, Texas. Flight 822 was where it all began. Nobody had any

In late 2013, Ebola virus disease (EVD), a deadly and lethal disease, remerged in West Africa spreading to various countries in the region. In humans, the disease is spread through contact with infected bodily fluids leading to haemorrhagic fever (World Health Organization [WHO], 2015). Originating in 1976 in equatorial Africa, past outbreaks with a few hundred cases had been contained within rural, forested areas in Uganda and Congo (Piot, 2012). In 2014, a total of 20, 206 cases and 7,905 deaths were reported to have occurred in up to eight countries worldwide. Of all cases and deaths resulting from the disease, 99.8% occurred in three neighbouring West African countries - Liberia, Sierra Leone and Guinea (WHO, 2014). With a case fatality rate from about 50% to 90%, and the absence of preventative or curative therapies, the Ebola epidemic has led to overall global alarm and further elucidated existing global health disparities that perpetuated the epidemic with these West African countries.

In 2014 the United States was hit with a force far more deadly and dangerous than many threats received. The ebola virus took the world by storm after it was carried to the United States and spread by people who had visited West Africa. This virus was all the more deadly as it often took hours for any symptoms to occur. In this time the Center for Disease Control spent much time and many resources looking for answers to the many questions they had. Under the time constraint and scrutinizing public, they had to determine what ebola was, what it did and its effects on the general public.

Since the epidemic started the CDC, WHO and other U.S. government agencies coordinated a uniform response to the affected areas to gain control over this horrific occurrence. During the Ebola outbreak in West Africa, the CDC was organizing Ebola treatment centers in the United States (Centers for Disease Control and Prevention, 2015). These designated hospitals were spread throughout the U.S. and began receiving patients, many whom were doctors, aid workers, missionaries and one reporter. These centers received specialized training, as well as dedicated areas for the infected individuals. As the Ebola became more evident throughout the United States, medical staff became more informed of the illness and specialized training was necessary for front-line staff. Even though community hospitals were not likely to have been affected by patients being transferred from Africa, they too were receiving additional Ebola training for this

The whole world is at edge knowing that Ebola is a very lethal virus and it is very tough to treat and cure an infected person. But it has been seen that in countries were level of development is higher and health care is easily reached this disease can be fought.

More active disease surveillance needs to occur. This means that health care workers should be encouraged to document and report those they think have been exposed and their contacts. In more effectively reporting suspected cases, Ebola response teams are better able to promptly follow-up, transfer to isolation centers, and assess the scope of the epidemic (Matua, Van der Wal, & Locsin,

Although Ebola caught the world’s attention during the 1995 outbreak in Zaire, the first outbreak occurred in 1976. As the chart below displays, 71% of the people infected died as a result of Ebola during this first outbreak (Bulletin of the World Health Organization, 56 (2): 247-270, 1978). With the current outbreak, this ratio has dramatically decreased as a result of scientific research leading to early detection, but the current infected population is more than 20 times the amount of any previous outbreak and this number continues to grow as no vaccine exists to prevent the disease.

Despite modest health improvements in the decade or so following the end of active conflict, the 2014-2015 Ebola epidemic revealed ongoing systemic issues. The global involvement in the Mano River region countries, and particularly the role of the World Health

The man coming from Liberia to the United States on the 20th of September was allegedly the first case in America to be infected with Ebola.

Ebola Virus disease (EVD) is a severe and often fatal illness in humans according to the World Health Organisation (WHO) (WHO, 2016). Although initially originating in wild animals it spreads through the human population via human to human transmission of bodily fluids with the average casualty rate being about 50% (WHO, 2016). The key to prevention and control of Ebola outbreaks is through community engagement, safe burials and good health centre prevention measures (WHO, 2015). Two countries will be examined one has experienced multiple cases of Ebola, Sierra Leone, and the other a few cases, the United States of America. The

Diagnosis of the Ebola virus is very hard to do. You need a specialized laboratory to perform the blood test. These laboratories are not available commercially, so basically only the government can do it. The lab is an extreme bio hazard. It is conducted under maximum containment conditions.

The symptoms of Ebola are a fever, headache, joint and muscle aches, vomiting, stomach pain, sore throat, diarrhea, weakness and occasionally read eyes, rashes, hiccups, and internal and external bleeding and since these symptoms are not specific to Ebola, it is difficult to clinically diagnose and can often be confused with other viruses. The ELISA testing, short for enzyme-linked immunosorbent assay, and virus isolation are a couple of examples of the types of laboratory testing that can be done to diagnose and Ebola patient. Because of how easily it can be transmitted, it is extremely difficult to treat and there is no approved, official treatment. As of now, there is not standard treatment but usually the patients are given fluids and oxygen, have their blood pressure monitored and other necessary treatment. To prevent transmission and spreading the virus, the doctors use extreme caution and wear head to toe protective gear and isolate the patient. Even though the Ebola virus is common in Africa, there has been no known outbreak in the United States. Another difficulty facing scientists and the treatment for Ebola is that the natural reservoir for the virus unknown. The natural reservoir of a virus is it’s long term host of the

Normally infecting fruit bats, the Ebola virus found a mutation allowing it to spread to humans. This virus is an acute and often fatal illness. This virus first erupted in two outbreaks in 1976 (one occurring in Nzara and Sudan, while the other occurred in a village near the Ebola river, where the virus takes its name.) The current outbreak, starting in West Africa with the potential to spread throughout the world,  is  larger and more complex than previous outbreaks. This virus has caused more deaths than all other past Ebola outbreaks combined. With approximately five people infected with the virus every hour in Sierra Leone alone, how far – and how fast – will the Ebola virus go?