Evening Ebola Update, Tues, 12/30: Scottish nurse should not have left Heathrow/Bats could be cause of index case of EBOV/To give/not give life-saving measures in EBOV patients   Leave a comment

12/30/14

Dear Colleagues:

1.  The Telegraph reports that the Scottish nurse with EBOV c/o fever at Heathrow Airport, had her temperature taken 7 times over one hour by nurses using an ear thermometer with positive/negative results and was then permitted to board a plane for Glasglow.  The physician who sat next to her on the flight to Glasglow c/o that the screening at Heathrow was in disarray.  Later that same day the patient was transferred back to London to Royal Free Hospital.  See: http://www.telegraph.co.uk/news/uknews/scotland/11317882/Ebola-nurse-should-not-have-left-Heathrow-suggests-chief-medical-officer.html  The chief health officer admits the patient should never have been allowed to leave Heathrow.

2.  Science reports on an article in EMBO Molecular Medicine by Leendertz, et. al. re: bats in the rural village in Guinea where the current EBOV epidemic had its index case.  Apparently, there was a tree which was home to fruit bats which scattered all over the village when the tree burned down.  But Leendertz, et. al. were not able to find EBOV virus or antibodies in 100+ bats tested in the village area.  No real proof that bats were the intermediate host in this epidemic yet.  See: http://news.sciencemag.org/africa/2014/12/bat-filled-tree-may-have-been-ground-zero-ebola-epidemic

3.  Annals of Internal Medicine 30 December on-line has an special article on the ethics of giving life-saving therapies such as intubation to EBOV patients in developed countries by Halpern, et. al. from the University of Pennsylvania and Wharton School of Business.  The article gives four different patient scenarios and comments on whether life-saving measures should/should not be given.  In my opinion, the take-home message from Halpern, et. al. is: Explain your institution’s policy on life-saving measures to patients and family on admission; explain each EBOV patient is approached individually, and let them know that as a patient’s condition changes over time so will the decision to give or not give life-saving measures.  See the article at: https://col128.mail.live.com/mail/ViewOfficePreview.aspx?messageid=mgoqPqw12Q5BGXiRBgS6DalA2&folderid=flsent&attindex=0&cp=-1&attdepth=0&n=27647390

RGL, MD

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Posted December 30, 2014 by levittrg in Ebola

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