Evening Ebola Update, Wed, 2/4: Degowning procedures so important/MSF says ‘Need to communicate’/Read NEJM 5 Feb   Leave a comment


Dear Colleagues:

l.  The Guardian today says Nurse Cafferkey became infected with EBOV because she wore a visor rather than the goggles she should have worn while caring for EBOV patients.  See: http://www.theguardian.com/world/2015/feb/04/ebola-nurse-pauline-cafferkey-infected-visor-report for the full story.  The Guardian overstates the case for the visor as the cause of the infection.  The investigating board from Save the Children actually said the source of the EBOV infection came from the de-gowning procedure which was for googles not visors.  De-gowning is the critical step in preventing EBOV infections in HCW.

2.  Reuters reports that MSF says they focused too much on getting treatment to Guinea at the start of the EBOV outbreak and too little on communication with the native people of Guinea.  The world responded to their call for treatment, but the native Guineans were not informed of what was happening or asked if they had questions or issues with the treatment.  We need anthropologists in all global health emergencies.  See: http://www.reuters.com/article/2015/02/04/us-health-ebola-msf-idUSKBN0L81QF20150204

3.  The Japan Times gives more details about the timeline for pledges to become paid contributions to West African countries.  Details of the BMJ article posted last evening are given.  See: http://www.japantimes.co.jp/news/2015/02/04/world/science-health-world/delay-in-funds-may-have-helped-ebola-spread/#.VNKcEXI3Ocw

4.  NEJM 5 February has a fine editorial by Drazen, et. al. about the first year of the EBOV epidemic, a true-life Perspective on U.S. fellows and post-docs who want to serve in West Africa, and two Correspondences about clinical care of EBOV patients.  All of these articles appeared on-line earlier and have been posted on this blog.  The 5 February issue is not yet on-line.



Posted February 4, 2015 by levittrg in Ebola

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