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"content": "\u003cp>In a development that could change the way the deadly Ebola disease is fought, researchers have announced promising results of a new vaccine's trial in Guinea, one of several countries affected by a historic outbreak in West Africa.\u003c/p>\n\u003cp>\"The estimated vaccine efficacy was 100 percent,\" a team of researchers say.\u003c/p>\n\u003cp>The trial was called \u003cem>Ebola ça Suffit\u003c/em> — French for \"Ebola that's enough.\" Funded by the World Health Organization and other groups, it started in April and ended on July 20, relying on 7,651 participants who consented to be part of the trial. The more than 20 researchers who took part published their findings \u003ca href=\"http://www.thelancet.com/pb/assets/raw/Lancet/pdfs/S0140673615611175.pdf\">in The Lancet medical journal\u003c/a> on Friday.\u003c/p>\n\u003cp>\"The current data basically tells us that the vaccine works to protect people against Ebola,\" says Dr. Bertrand Draguez, medical director of Médecins Sans Frontières, \u003ca href=\"http://www.msf.org/article/ebola-getting-closer-ebola-vaccine\">which took part in the research\u003c/a> along with WHO and authorities in Guinea.\u003c/p>\n\u003cp>Draguez and other experts are heartened by the new results — but they also warn that as testing expands, the effectiveness rate of the vaccine will likely fall below 100 percent. The trial used the \"ring vaccination\" method, in which all suspected contacts receive treatment. No placebos were administered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Even if the sample size is quite small and more research and analysis is needed,\" Draguez says, \"the enormity of the public health emergency should lead us to continue using this vaccine right now to protect those who might get exposed to the disease: contacts of infected patients and front-line workers.\"\u003c/p>\n\u003cp>The trial vaccine, formally called rVSV-ZEBOV but more commonly known as VSV-EBOV, was supplied by the pharmaceutical firm Merck Sharp & Dohme. The drug was initially developed by Canada's Public Health Agency and was tested \u003ca href=\"http://jid.oxfordjournals.org/content/204/suppl_3/S1066.full\">as early as 2011\u003c/a>.\u003c/p>\n\u003cp>To conduct the Guinea trial, researchers used newly confirmed Ebola cases to identify clusters of people with whom the patients had contact. On a random basis, those clusters then received the vaccine either immediately or after a 21-day delay.\u003c/p>\n\u003cp>\"In the immediate vaccination group, there were no cases of Ebola virus disease with symptom onset at least 10 days after randomization,\" the researchers say, \"whereas in the delayed vaccination group there were 16 cases of Ebola virus disease from seven clusters, showing a vaccine efficacy of 100 percent.\"\u003c/p>\n\u003cp>Researchers say that for both groups — those who got the vaccine immediately and those who received it after a delay — no new Ebola cases were diagnosed starting at six days after vaccination.\u003c/p>\n\u003cp>The randomization phase of the trial was stopped this week, WHO says, \"to allow for all people at risk to receive the vaccine immediately.\" It will also now include younger people than the adults involved in the trial.\u003c/p>\n\u003cp>The first person to receive the trial vaccine in Guinea was Mohamed Soumah, 27. \u003ca href=\"http://www.who.int/features/2015/guinea-ebola-vaccine/en/\">He tells WHO\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"It wasn't easy. People in the village said that the injection was to kill me. I was afraid. I was the first one to be injected, the very first, here in my village on 23 March 2015. I've been monitored for 3 months and I've had no problems. The last follow-up, 84 days after the vaccination, was all clear.\"\u003c/p>\u003c/blockquote>\n\u003cp>The vaccine is administered via a shot to the upper arm. The researchers who ran the trial say their results suggest a single injection is highly effective, and that protection against Ebola can be established quickly. They're also still analyzing possible adverse reactions to the drug.\u003c/p>\n\u003cp>The interim findings on the Guinea trial are the latest to bolster the belief that VSV-EBOV could be the drug Ebola-fighters have been waiting for. Earlier this year, it showed positive results in clinical trials at the Walter Reed Army Institute of Research and the National Institute of Allergy and Infectious Diseases.\u003c/p>\n\u003cp>\u003ca href=\"http://wrair-www.army.mil/Documents/NEJM%20Press%20Release%20Ebola%20Vaccine%20Trial%201%20Apr%2015.pdf\">A Walter Reed release\u003c/a> about that study explained how the drug is derived:\u003c/p>\n\u003cblockquote>\u003cp>\"VSV-EBOV is based in part on a genetically engineered version of vesicular stomatitis virus, which primarily affects rodents, cattle, swine and horses. Human VSV infections are rare and mild. In the VSV-EBOV investigational vaccine, the gene for the outer protein of VSV replaces the same gene segment of the Zaire Ebola virus species.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Researchers in the Guinea trial say the number of new clusters of potential patients is falling, because the rate of new diagnoses in the country has dropped. The next immediate step, they say, is to continue the trial and vaccinate more people. Last Friday, Guinea's government and medical ethics groups approved that plan.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=New+Ebola+Vaccine+Has+%27100+Percent%27+Effectiveness+In+Early+Results&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Even if the sample size is quite small and more research and analysis is needed,\" Draguez says, \"the enormity of the public health emergency should lead us to continue using this vaccine right now to protect those who might get exposed to the disease: contacts of infected patients and front-line workers.\"\u003c/p>\n\u003cp>The trial vaccine, formally called rVSV-ZEBOV but more commonly known as VSV-EBOV, was supplied by the pharmaceutical firm Merck Sharp & Dohme. The drug was initially developed by Canada's Public Health Agency and was tested \u003ca href=\"http://jid.oxfordjournals.org/content/204/suppl_3/S1066.full\">as early as 2011\u003c/a>.\u003c/p>\n\u003cp>To conduct the Guinea trial, researchers used newly confirmed Ebola cases to identify clusters of people with whom the patients had contact. On a random basis, those clusters then received the vaccine either immediately or after a 21-day delay.\u003c/p>\n\u003cp>\"In the immediate vaccination group, there were no cases of Ebola virus disease with symptom onset at least 10 days after randomization,\" the researchers say, \"whereas in the delayed vaccination group there were 16 cases of Ebola virus disease from seven clusters, showing a vaccine efficacy of 100 percent.\"\u003c/p>\n\u003cp>Researchers say that for both groups — those who got the vaccine immediately and those who received it after a delay — no new Ebola cases were diagnosed starting at six days after vaccination.\u003c/p>\n\u003cp>The randomization phase of the trial was stopped this week, WHO says, \"to allow for all people at risk to receive the vaccine immediately.\" It will also now include younger people than the adults involved in the trial.\u003c/p>\n\u003cp>The first person to receive the trial vaccine in Guinea was Mohamed Soumah, 27. \u003ca href=\"http://www.who.int/features/2015/guinea-ebola-vaccine/en/\">He tells WHO\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"It wasn't easy. People in the village said that the injection was to kill me. I was afraid. I was the first one to be injected, the very first, here in my village on 23 March 2015. I've been monitored for 3 months and I've had no problems. The last follow-up, 84 days after the vaccination, was all clear.\"\u003c/p>\u003c/blockquote>\n\u003cp>The vaccine is administered via a shot to the upper arm. The researchers who ran the trial say their results suggest a single injection is highly effective, and that protection against Ebola can be established quickly. They're also still analyzing possible adverse reactions to the drug.\u003c/p>\n\u003cp>The interim findings on the Guinea trial are the latest to bolster the belief that VSV-EBOV could be the drug Ebola-fighters have been waiting for. Earlier this year, it showed positive results in clinical trials at the Walter Reed Army Institute of Research and the National Institute of Allergy and Infectious Diseases.\u003c/p>\n\u003cp>\u003ca href=\"http://wrair-www.army.mil/Documents/NEJM%20Press%20Release%20Ebola%20Vaccine%20Trial%201%20Apr%2015.pdf\">A Walter Reed release\u003c/a> about that study explained how the drug is derived:\u003c/p>\n\u003cblockquote>\u003cp>\"VSV-EBOV is based in part on a genetically engineered version of vesicular stomatitis virus, which primarily affects rodents, cattle, swine and horses. Human VSV infections are rare and mild. In the VSV-EBOV investigational vaccine, the gene for the outer protein of VSV replaces the same gene segment of the Zaire Ebola virus species.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Researchers in the Guinea trial say the number of new clusters of potential patients is falling, because the rate of new diagnoses in the country has dropped. The next immediate step, they say, is to continue the trial and vaccinate more people. Last Friday, Guinea's government and medical ethics groups approved that plan.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=New+Ebola+Vaccine+Has+%27100+Percent%27+Effectiveness+In+Early+Results&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_22048\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-e1413347219345.jpg\">\u003cimg class=\"size-large wp-image-22048\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-640x498.jpg\" alt=\"(Courtesy: Centers for Disease Control)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Centers for Disease Control)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, Fri. January 30:\u003c/strong>\u003c/p>\n\u003cp>The California Department of Public Health says that the patient with suspected Ebola infection has tested negative for the virus. CDPH reminds everyone that there are no confirmed Ebola cases in California \"and no threat to the general public.\"\u003c/p>\n\u003cp>\u003cstrong>Original story:\u003c/strong>\u003c/p>\n\u003cp>A patient suspected of being infected with the Ebola virus was transferred to UC Davis Medical Center in Sacramento Thursday morning, the hospital said\u003ca title=\"http://m.ucdmc.ucdavis.edu/publish/news/newsroom/9672\" href=\"http://m.ucdmc.ucdavis.edu/publish/news/newsroom/9672\" target=\"_blank\"> in a statement\u003c/a>.\u003c/p>\n\u003cp>We have no other details about the patient at this time -- except that the patient was transferred from Mercy General Hospital in Sacramento. All five UC medical centers were \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/24/five-uc-hospitals-now-designated-for-ebola-care/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/24/five-uc-hospitals-now-designated-for-ebola-care/\" target=\"_blank\">designated Ebola treatment centers\u003c/a> by the California Department of Public Health last October.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Here's the full statement from UC Davis Medical Center:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>A patient with symptoms consistent with Ebola infection was transferred to UC Davis Medical Center Thursday morning from Mercy General Hospital in Sacramento. UC Davis, identified by the California Department of Public Health as a priority hospital to treat confirmed Ebola patients, is fully prepared to safely assess and treat the patient if necessary in accordance with guidelines established by the U.S. Centers for Disease Control and Prevention. The hospital is coordinating its response with the Sacramento County Department of Public Health. Measures put in place to protect the health and safety of hospital workers and patients include extensive training on proper use of personal protective equipment and the establishment of a dedicated isolation room for treatment of suspected and confirmed Ebola patients. UC Davis Medical Center remains open and is continuing to operate as normal.\u003c/p>\u003c/blockquote>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22048\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-e1413347219345.jpg\">\u003cimg class=\"size-large wp-image-22048\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-640x498.jpg\" alt=\"(Courtesy: Centers for Disease Control)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Centers for Disease Control)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, Fri. January 30:\u003c/strong>\u003c/p>\n\u003cp>The California Department of Public Health says that the patient with suspected Ebola infection has tested negative for the virus. CDPH reminds everyone that there are no confirmed Ebola cases in California \"and no threat to the general public.\"\u003c/p>\n\u003cp>\u003cstrong>Original story:\u003c/strong>\u003c/p>\n\u003cp>A patient suspected of being infected with the Ebola virus was transferred to UC Davis Medical Center in Sacramento Thursday morning, the hospital said\u003ca title=\"http://m.ucdmc.ucdavis.edu/publish/news/newsroom/9672\" href=\"http://m.ucdmc.ucdavis.edu/publish/news/newsroom/9672\" target=\"_blank\"> in a statement\u003c/a>.\u003c/p>\n\u003cp>We have no other details about the patient at this time -- except that the patient was transferred from Mercy General Hospital in Sacramento. All five UC medical centers were \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/24/five-uc-hospitals-now-designated-for-ebola-care/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/24/five-uc-hospitals-now-designated-for-ebola-care/\" target=\"_blank\">designated Ebola treatment centers\u003c/a> by the California Department of Public Health last October.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_22272\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_002-e1414611417497.jpg\">\u003cimg class=\"size-large wp-image-22272\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_002-640x354.jpg\" alt=\"Gov. Jerry Brown meets with state officials, including Dr. Ron Chapman, state health officer, on \" width=\"640\" height=\"354\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Jerry Brown met last week with state officials, including state health officer Dr. Ron Chapman, center left. (Brad Alexander/Office of the Governor)\u003c/figcaption>\u003c/figure>\n\u003cp>Joining other states across the country, California's health officer has now added guidelines for a \"risk-based quarantine order\" for people traveling to California from one of the three Ebola-affected West African countries, Guinea, LIberia and Sierra Leone.\u003c/p>\n\u003caside class=\"pullquote alignleft\">California's guidelines consistent with those from the Centers for Disease Control \u003c/aside>\n\u003cp>At present there are no known or suspected cases of Ebola in California.\u003c/p>\n\u003cp>The state's order is directed at anyone traveling to California from one of the affected countries who has also had contact with someone who has a confirmed case of Ebola.\u003c/p>\n\u003cp>Dr. Ron Chapman, California's health officer, said the state is establishing a \"standard protocol requiring some level of quarantine for those at highest risk of contracting and spreading Ebola.\"\u003c!--more-->\u003c/p>\n\u003cp>Unlike New York or New Jersey, where governors have mandated 21-day quarantines on people, including health care workers, who have had direct contact with Ebola patients, California's policy is more flexible.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In California, it is local health officers who have the authority to order a quarantine. They are to review each person on a \"case-by-case\" basis, the state says. Quarantine may involve \"isolation at home,\" but can also be tailored to allow people who are at lower risk fewer restrictions, such as \"observation and monitoring.\"\u003c/p>\n\u003cp>San Francisco health officer Dr. Tomas Aragon drew a distinction between the quarantine order in California and those being implemented in New York and New Jersey. \"There's always the ethical balance between the good of the community and individual rights, so we try to select the least restrictive option that achives that public health goal,\" he said.\u003c/p>\n\u003cp>\"That’s what they didn’t do back East. They jumped to the most restrictive option, and the problem with jumping to the most restrictive option is that’s hard to defend legally, especially if there’s a less restrictive option.\"\u003c/p>\n\u003cp>The order should \"protect the health and safety of Californians,\" Chapman said. He also seemed to acknowledge the tension between protecting the health of Californians at home -- and not posing an unfair burden on returning health care workers, whom he called \"great humanitarians,\" who are caring for Ebola patients in Africa.\u003c/p>\n\u003cp>\"They will be treated with respect and dignity when they come home as these important public health actions are taken,\" Chapman said.\u003c/p>\n\u003cp>Guidelines from the Centers for Disease Control were \u003ca title=\"http://www.cdc.gov/media/releases/2014/s1027-revised-guidance-monitoring.html\" href=\"http://www.cdc.gov/media/releases/2014/s1027-revised-guidance-monitoring.html\" target=\"_blank\">updated earlier this week\u003c/a> and recommend that anyone returning from one of the three countries should be monitored for 21 days after they arrive in the U.S. The CDC guidelines also call for a \"case-by-case\" review for those it categorizes as being at \"some risk.\" This includes health care workers who have directly cared for Ebola patients.\u003c/p>\n\u003cp>These workers may be subject to \"additional restrictions,\" the CDC guidelines say, \"such as controlled movement, workplace exclusions, or restrictions on other activities.\"\u003c/p>\n\u003cp>The California Department of Public Health says that its guidelines are \"consistent with CDC\" and called its order today \"\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">supplemental operational guidance for California local health departments.\"\u003c/span>\u003c/p>\n\u003cp>The New England Journal of Medicine \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMe1413139?query=featured_ebola&%20\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMe1413139?query=featured_ebola&%20\" target=\"_blank\">published an editorial\u003c/a> earlier this week criticizing the governors of New York and New Jersey for imposing mandatory 21-day quarantines of health care workers returning from West Africa who have cared for Ebola patients.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kaci Hickox, a nurse who was subject to mandatory quarantine after arriving at Newark International Airport from treating Ebola patients in West Africa and then transferred to Maine, \u003ca title=\"http://www.nytimes.com/2014/10/30/us/kaci-hickox-nurse-under-ebola-quarantine-threatens-lawsuit.html?hp&action=click&pgtype=Homepage&module=first-column-region®ion=top-news&WT.nav=top-news\" href=\"http://www.nytimes.com/2014/10/30/us/kaci-hickox-nurse-under-ebola-quarantine-threatens-lawsuit.html?hp&action=click&pgtype=Homepage&module=first-column-region®ion=top-news&WT.nav=top-news\" target=\"_blank\">says she is giving Maine's health officials \u003c/a>until tomorrow to lift her quarantine. She says she may sue the state if it does not comply.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22272\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_002-e1414611417497.jpg\">\u003cimg class=\"size-large wp-image-22272\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_002-640x354.jpg\" alt=\"Gov. Jerry Brown meets with state officials, including Dr. Ron Chapman, state health officer, on \" width=\"640\" height=\"354\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Jerry Brown met last week with state officials, including state health officer Dr. Ron Chapman, center left. (Brad Alexander/Office of the Governor)\u003c/figcaption>\u003c/figure>\n\u003cp>Joining other states across the country, California's health officer has now added guidelines for a \"risk-based quarantine order\" for people traveling to California from one of the three Ebola-affected West African countries, Guinea, LIberia and Sierra Leone.\u003c/p>\n\u003caside class=\"pullquote alignleft\">California's guidelines consistent with those from the Centers for Disease Control \u003c/aside>\n\u003cp>At present there are no known or suspected cases of Ebola in California.\u003c/p>\n\u003cp>The state's order is directed at anyone traveling to California from one of the affected countries who has also had contact with someone who has a confirmed case of Ebola.\u003c/p>\n\u003cp>Dr. Ron Chapman, California's health officer, said the state is establishing a \"standard protocol requiring some level of quarantine for those at highest risk of contracting and spreading Ebola.\"\u003c!--more-->\u003c/p>\n\u003cp>Unlike New York or New Jersey, where governors have mandated 21-day quarantines on people, including health care workers, who have had direct contact with Ebola patients, California's policy is more flexible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California, it is local health officers who have the authority to order a quarantine. They are to review each person on a \"case-by-case\" basis, the state says. Quarantine may involve \"isolation at home,\" but can also be tailored to allow people who are at lower risk fewer restrictions, such as \"observation and monitoring.\"\u003c/p>\n\u003cp>San Francisco health officer Dr. Tomas Aragon drew a distinction between the quarantine order in California and those being implemented in New York and New Jersey. \"There's always the ethical balance between the good of the community and individual rights, so we try to select the least restrictive option that achives that public health goal,\" he said.\u003c/p>\n\u003cp>\"That’s what they didn’t do back East. They jumped to the most restrictive option, and the problem with jumping to the most restrictive option is that’s hard to defend legally, especially if there’s a less restrictive option.\"\u003c/p>\n\u003cp>The order should \"protect the health and safety of Californians,\" Chapman said. He also seemed to acknowledge the tension between protecting the health of Californians at home -- and not posing an unfair burden on returning health care workers, whom he called \"great humanitarians,\" who are caring for Ebola patients in Africa.\u003c/p>\n\u003cp>\"They will be treated with respect and dignity when they come home as these important public health actions are taken,\" Chapman said.\u003c/p>\n\u003cp>Guidelines from the Centers for Disease Control were \u003ca title=\"http://www.cdc.gov/media/releases/2014/s1027-revised-guidance-monitoring.html\" href=\"http://www.cdc.gov/media/releases/2014/s1027-revised-guidance-monitoring.html\" target=\"_blank\">updated earlier this week\u003c/a> and recommend that anyone returning from one of the three countries should be monitored for 21 days after they arrive in the U.S. The CDC guidelines also call for a \"case-by-case\" review for those it categorizes as being at \"some risk.\" This includes health care workers who have directly cared for Ebola patients.\u003c/p>\n\u003cp>These workers may be subject to \"additional restrictions,\" the CDC guidelines say, \"such as controlled movement, workplace exclusions, or restrictions on other activities.\"\u003c/p>\n\u003cp>The California Department of Public Health says that its guidelines are \"consistent with CDC\" and called its order today \"\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">supplemental operational guidance for California local health departments.\"\u003c/span>\u003c/p>\n\u003cp>The New England Journal of Medicine \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMe1413139?query=featured_ebola&%20\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMe1413139?query=featured_ebola&%20\" target=\"_blank\">published an editorial\u003c/a> earlier this week criticizing the governors of New York and New Jersey for imposing mandatory 21-day quarantines of health care workers returning from West Africa who have cared for Ebola patients.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kaci Hickox, a nurse who was subject to mandatory quarantine after arriving at Newark International Airport from treating Ebola patients in West Africa and then transferred to Maine, \u003ca title=\"http://www.nytimes.com/2014/10/30/us/kaci-hickox-nurse-under-ebola-quarantine-threatens-lawsuit.html?hp&action=click&pgtype=Homepage&module=first-column-region®ion=top-news&WT.nav=top-news\" href=\"http://www.nytimes.com/2014/10/30/us/kaci-hickox-nurse-under-ebola-quarantine-threatens-lawsuit.html?hp&action=click&pgtype=Homepage&module=first-column-region®ion=top-news&WT.nav=top-news\" target=\"_blank\">says she is giving Maine's health officials \u003c/a>until tomorrow to lift her quarantine. She says she may sue the state if it does not comply.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Five UC Hospitals Now Designated for Ebola Care",
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"content": "\u003cfigure id=\"attachment_22211\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/niallkennedy/23702800/in/photolist-36u1Y-fQENmN-a2k54V-a2k4di-fuTBNn-fv8VmC-fv8Vr5-aAJVmL-9XwVkc-9Zng3S-86ABEV-9z5yut-a5yBSs-gUUWm-bEhY1G-br6i7T-hEkThR-7fffPx-foVSaL-aAGbKz-c1TXUN-5txUFW-a5vAda-9w6Rby-8rCiUY-5ttuPi-9NBbVC-9NBaz7-9NBKoE-9NBPoY-9NyBcH-9NBSbf-9NBR5E-9NBeCo-86DJ8U-9NBnrw-9NytPn-86AyvH-9NBMx3-9NBddh-5txNjs-8K7gb8-8Kajgo-8KajEh-2itVUX-86Awkc-ockNaD-nT56zf-7MZnGe-7fjcXj\">\u003cimg class=\"size-large wp-image-22211\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/23702800_3537341e4e_o-640x326.jpg\" alt=\"UCSF is one of the five centers designated. (Niall Kennedy/Flickr)\" width=\"640\" height=\"326\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">UCSF is one of the five centers designated. (Niall Kennedy/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The five medical centers of the University of California \u003ca title=\"http://www.cdph.ca.gov/Pages/NR14-088.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR14-088.aspx\" target=\"_blank\">will serve as designated Ebola treatment centers\u003c/a> should a person in the state become ill from the virus.\u003c/p>\n\u003cp>While public health officials are calling on all hospitals in California to redouble preparations for screening and isolating patients at risk for Ebola, those who are confirmed to have the virus will be transferred to a UC medical center in San Francisco, Davis, Irvine, Los Angeles, or San Diego.\u003c/p>\n\u003cp>“As a public university, stepping up to a public health crisis, like a potential Ebola outbreak, is what we do,” says Brooke Converse, spokesperson for the UC Office of the President. “Our overall mission as the University of California is to serve Californians and serve the taxpayers and the public.”\u003c!--more-->\u003c/p>\n\u003cp>Dr. Josh Adler, chief medical officer at UCSF Medical Center, says it makes sense to consolidate care to a handful hospitals. It can take two to three weeks to recover from Ebola and requires an incredible amount of resources for hospitals to provide the rigorous level care and infection control that's needed.\u003c/p>\n\u003cp>“It's easier to imagine that happening well in a smaller number of places that have really focused on it, rather than every hospital being able to sustain that for weeks on end,” he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Still, even with the geographic spread of the UC Medical Centers, there are still gaps in the state, like the Central Valley, that do not have a designated Ebola treatment center. Adler says it would be good to have a few more hospitals so that patients who may become ill would not have to travel so far to be transferred.\u003c/p>\n\u003cp>The California Hospital Association says it plans to release a list next week of additional hospitals that will be able to receive patients with a confirmed diagnosis. Earlier this week Kaiser Northern California said that any Ebola patients that present within its system \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/23/california-hospitals-prepare-for-ebola/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/23/california-hospitals-prepare-for-ebola/\" target=\"_blank\">will be treated at one of two of its hospitals\u003c/a> -- Kaiser Oakland or Kaiser South Sacramento.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>At present, there are no known or suspected cases of Ebola in California.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22211\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/niallkennedy/23702800/in/photolist-36u1Y-fQENmN-a2k54V-a2k4di-fuTBNn-fv8VmC-fv8Vr5-aAJVmL-9XwVkc-9Zng3S-86ABEV-9z5yut-a5yBSs-gUUWm-bEhY1G-br6i7T-hEkThR-7fffPx-foVSaL-aAGbKz-c1TXUN-5txUFW-a5vAda-9w6Rby-8rCiUY-5ttuPi-9NBbVC-9NBaz7-9NBKoE-9NBPoY-9NyBcH-9NBSbf-9NBR5E-9NBeCo-86DJ8U-9NBnrw-9NytPn-86AyvH-9NBMx3-9NBddh-5txNjs-8K7gb8-8Kajgo-8KajEh-2itVUX-86Awkc-ockNaD-nT56zf-7MZnGe-7fjcXj\">\u003cimg class=\"size-large wp-image-22211\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/23702800_3537341e4e_o-640x326.jpg\" alt=\"UCSF is one of the five centers designated. (Niall Kennedy/Flickr)\" width=\"640\" height=\"326\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">UCSF is one of the five centers designated. (Niall Kennedy/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The five medical centers of the University of California \u003ca title=\"http://www.cdph.ca.gov/Pages/NR14-088.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR14-088.aspx\" target=\"_blank\">will serve as designated Ebola treatment centers\u003c/a> should a person in the state become ill from the virus.\u003c/p>\n\u003cp>While public health officials are calling on all hospitals in California to redouble preparations for screening and isolating patients at risk for Ebola, those who are confirmed to have the virus will be transferred to a UC medical center in San Francisco, Davis, Irvine, Los Angeles, or San Diego.\u003c/p>\n\u003cp>“As a public university, stepping up to a public health crisis, like a potential Ebola outbreak, is what we do,” says Brooke Converse, spokesperson for the UC Office of the President. “Our overall mission as the University of California is to serve Californians and serve the taxpayers and the public.”\u003c!--more-->\u003c/p>\n\u003cp>Dr. Josh Adler, chief medical officer at UCSF Medical Center, says it makes sense to consolidate care to a handful hospitals. It can take two to three weeks to recover from Ebola and requires an incredible amount of resources for hospitals to provide the rigorous level care and infection control that's needed.\u003c/p>\n\u003cp>“It's easier to imagine that happening well in a smaller number of places that have really focused on it, rather than every hospital being able to sustain that for weeks on end,” he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still, even with the geographic spread of the UC Medical Centers, there are still gaps in the state, like the Central Valley, that do not have a designated Ebola treatment center. Adler says it would be good to have a few more hospitals so that patients who may become ill would not have to travel so far to be transferred.\u003c/p>\n\u003cp>The California Hospital Association says it plans to release a list next week of additional hospitals that will be able to receive patients with a confirmed diagnosis. Earlier this week Kaiser Northern California said that any Ebola patients that present within its system \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/23/california-hospitals-prepare-for-ebola/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/23/california-hospitals-prepare-for-ebola/\" target=\"_blank\">will be treated at one of two of its hospitals\u003c/a> -- Kaiser Oakland or Kaiser South Sacramento.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>At present, there are no known or suspected cases of Ebola in California.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20235\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3.jpg\">\u003cimg class=\"size-large wp-image-20235\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-640x480.jpg\" alt=\"Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser's new hospital in Oakland is one of two sites that Kaiser has chosen to treat any Ebola patient that might present in its system. (Lisa Aliferis/KQED) \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hospitals in California are adapting to evolving guidelines from the Centers for Disease Control on how to best prepare for a possible Ebola patient. There are no known -- or suspected -- cases of the virus in California, but the infection of two nurses in Texas has hospitals here revamping their protocols.\u003c/p>\n\u003cp>Responsibility ultimately falls on each individual hospital to incorporate \u003ca title=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" href=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" target=\"_blank\">CDC guidelines\u003c/a> into its own Ebola response plan. The California Department of Public Health (CDPH) is providing guidance, but the state’s chief of communicable disease control, James Watt, says state help can only go so far.\u003c/p>\n\u003cp>“The reality is that every hospital situation is unique. The physical layout of the hospital is unique and needs to be taken into account. Also the equipment that (each) hospital has,” he said during a press briefing last week. “That's why it's really important for the training and the planning to be done at the facility level. That’s not something that can be one-size-fits-all.”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Consolidating Care at Specific Hospitals\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>For example, Kaiser Permanente has decided to focus its training efforts in particular areas. It wants to make sure health workers at all locations are trained to screen for Ebola. But it is doing its most intensive training at its Oakland and South Sacramento hospitals, the two sites it has designated to take any Ebola patient, should one occur within Kaiser's system.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Stephen Parodi, an infectious disease specialist and director of hospital operations for Kaiser Northern California, says any Kaiser patient that becomes ill from the virus would be transferred to one of these two hospitals.\u003c/p>\n\u003cp>“We have 21 hospitals in Northern California,” he says. “We feel it would be best to consolidate the care of these individuals, so that we can ensure that we’ve got highly skilled, competent, well-trained teams that can provide the care that’s required.”\u003c/p>\n\u003cp>Hospitals like San Francisco General are counting on the state to establish a similar system of designated hospitals for treating Ebola patients, suspected or actual. State public health officials say they are actively looking to identify a handful of California hospitals that can operate as official Ebola biocontainment facilities. That list is expected in the coming week or two.\u003c/p>\n\u003cp>“Everyone is eagerly waiting for a regional and statewide plan,” said Dr. Lisa Winston, who directs the inpatient service at SF General.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/173406956&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>She says that SF General could not be one of the designated sites because it has too many infrastructure limitations -- it's preparing for a big move in December. Also, SF General is the only Level 1 trauma center in San Francisco, and that raises other concerns. If its top staff were diverted to take care of an Ebola patient, Winston says, that would stress the system’s ability to care for people needing emergency care from gun shot wounds, car accidents, or other traumas.\u003c/p>\n\u003cp>“We just want to make sure we’ve thought about that ahead of time,” Winston said. “We need to make sure we have the capability to appropriately manage all emergency situations.”\u003c/p>\n\u003cp>She says they are incorporating these concerns into training exercises it is running this week and next to prepare staff for a possible Ebola case. But ultimately Winston says that SF General plans to rely on other hospitals to take over care of any patient that becomes very ill with the virus.\u003c/p>\n\u003cp>Other concerns are shared by hospitals throughout the state, like what to do with the medical waste that would be produced when caring for an Ebola patient. The CDC recommends burning it.\u003c/p>\n\u003cp>“But in California, we don’t have that option,” says Jan Emerson-Shea of the California Hospital Association. She says the state effectively prohibits burning medical waste.\u003c/p>\n\u003cp>“Keep in mind too that one of the big challenges is the volume that might be generated from a patient with Ebola. Because everything that person comes into contact with, from bed linens, mattresses, paper cups, dishes, all of that has to be disposed of,” she says.\u003c/p>\n\u003cp>That waste can total eight 55-gallon drums each day. Emerson-Shea says hospitals are talking with various state officials now to determine what they would do with all that waste.\u003c/p>\n\u003cp>\u003cstrong>Public Information is Key\u003c/strong>\u003c/p>\n\u003cp>The broader issue public health officials are grappling with is how to keep the public calm. Health officials say that Ebola presents no public health risk to Californians at this time. Yet community groups in Sacramento, Los Angeles, and Alameda county are complaining that West African immigrants are facing stigma from people who fear they present some kind of risk for Ebola –- even immigrants who haven’t returned home in more than a decade.\u003c/p>\n\u003cp>“We’re starting to hear stories that people are looking at West Africans strangely or trying to stay away,” says Dr. Muntu Davis, public health officer for Alameda County. “People are not letting people from West Africa into their house.”\u003c/p>\n\u003cp>He says the county is working to develop an outreach campaign to educate the community about Ebola and reduce unfounded fears.\u003c/p>\n\u003cp>Transmission is \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/22/ebola-is-not-that-contagious-and-10-other-quick-facts/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/22/ebola-is-not-that-contagious-and-10-other-quick-facts/\" target=\"_blank\">actually quite difficult \u003c/a>and only occurs if a person comes into contact with bodily fluids of another person who has symptoms of the virus: fever, vomiting, diarrhea. Someone who carries the virus but is not yet showing symptoms is not contagious, health officials stress.\u003c/p>\n\u003cp>Davis and other health officials say the best thing people can do to protect their health right now, is to get a flu shot.\u003c/p>\n\u003cp>“While it may not sound relevant, we have a coming flu season,” says Dr. Parodi of Kaiser, adding that more than 36,000 people die every year in the U.S. from influenza. “The most important thing you can do is get a flu shot. I can’t stress that enough.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>If you have further questions about Ebola, call the newly-established Ebola hotline at the California Department of Public Health: 855-421-5921. The line is open 8 a.m. to 5 p.m., Monday through Friday. \u003c/em>\u003c/p>\n\n",
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"description": "Hospitals in California are adapting to evolving guidelines from the Centers for Disease Control on how to best prepare for a possible Ebola patient. There are no known -- or suspected -- cases of the virus in California, but the infection of two nurses in Texas has hospitals here revamping their protocols. Responsibility ultimately falls",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20235\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3.jpg\">\u003cimg class=\"size-large wp-image-20235\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-640x480.jpg\" alt=\"Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser's new hospital in Oakland is one of two sites that Kaiser has chosen to treat any Ebola patient that might present in its system. (Lisa Aliferis/KQED) \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Hospitals in California are adapting to evolving guidelines from the Centers for Disease Control on how to best prepare for a possible Ebola patient. There are no known -- or suspected -- cases of the virus in California, but the infection of two nurses in Texas has hospitals here revamping their protocols.\u003c/p>\n\u003cp>Responsibility ultimately falls on each individual hospital to incorporate \u003ca title=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" href=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" target=\"_blank\">CDC guidelines\u003c/a> into its own Ebola response plan. The California Department of Public Health (CDPH) is providing guidance, but the state’s chief of communicable disease control, James Watt, says state help can only go so far.\u003c/p>\n\u003cp>“The reality is that every hospital situation is unique. The physical layout of the hospital is unique and needs to be taken into account. Also the equipment that (each) hospital has,” he said during a press briefing last week. “That's why it's really important for the training and the planning to be done at the facility level. That’s not something that can be one-size-fits-all.”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Consolidating Care at Specific Hospitals\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>For example, Kaiser Permanente has decided to focus its training efforts in particular areas. It wants to make sure health workers at all locations are trained to screen for Ebola. But it is doing its most intensive training at its Oakland and South Sacramento hospitals, the two sites it has designated to take any Ebola patient, should one occur within Kaiser's system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Stephen Parodi, an infectious disease specialist and director of hospital operations for Kaiser Northern California, says any Kaiser patient that becomes ill from the virus would be transferred to one of these two hospitals.\u003c/p>\n\u003cp>“We have 21 hospitals in Northern California,” he says. “We feel it would be best to consolidate the care of these individuals, so that we can ensure that we’ve got highly skilled, competent, well-trained teams that can provide the care that’s required.”\u003c/p>\n\u003cp>Hospitals like San Francisco General are counting on the state to establish a similar system of designated hospitals for treating Ebola patients, suspected or actual. State public health officials say they are actively looking to identify a handful of California hospitals that can operate as official Ebola biocontainment facilities. That list is expected in the coming week or two.\u003c/p>\n\u003cp>“Everyone is eagerly waiting for a regional and statewide plan,” said Dr. Lisa Winston, who directs the inpatient service at SF General.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/173406956&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>She says that SF General could not be one of the designated sites because it has too many infrastructure limitations -- it's preparing for a big move in December. Also, SF General is the only Level 1 trauma center in San Francisco, and that raises other concerns. If its top staff were diverted to take care of an Ebola patient, Winston says, that would stress the system’s ability to care for people needing emergency care from gun shot wounds, car accidents, or other traumas.\u003c/p>\n\u003cp>“We just want to make sure we’ve thought about that ahead of time,” Winston said. “We need to make sure we have the capability to appropriately manage all emergency situations.”\u003c/p>\n\u003cp>She says they are incorporating these concerns into training exercises it is running this week and next to prepare staff for a possible Ebola case. But ultimately Winston says that SF General plans to rely on other hospitals to take over care of any patient that becomes very ill with the virus.\u003c/p>\n\u003cp>Other concerns are shared by hospitals throughout the state, like what to do with the medical waste that would be produced when caring for an Ebola patient. The CDC recommends burning it.\u003c/p>\n\u003cp>“But in California, we don’t have that option,” says Jan Emerson-Shea of the California Hospital Association. She says the state effectively prohibits burning medical waste.\u003c/p>\n\u003cp>“Keep in mind too that one of the big challenges is the volume that might be generated from a patient with Ebola. Because everything that person comes into contact with, from bed linens, mattresses, paper cups, dishes, all of that has to be disposed of,” she says.\u003c/p>\n\u003cp>That waste can total eight 55-gallon drums each day. Emerson-Shea says hospitals are talking with various state officials now to determine what they would do with all that waste.\u003c/p>\n\u003cp>\u003cstrong>Public Information is Key\u003c/strong>\u003c/p>\n\u003cp>The broader issue public health officials are grappling with is how to keep the public calm. Health officials say that Ebola presents no public health risk to Californians at this time. Yet community groups in Sacramento, Los Angeles, and Alameda county are complaining that West African immigrants are facing stigma from people who fear they present some kind of risk for Ebola –- even immigrants who haven’t returned home in more than a decade.\u003c/p>\n\u003cp>“We’re starting to hear stories that people are looking at West Africans strangely or trying to stay away,” says Dr. Muntu Davis, public health officer for Alameda County. “People are not letting people from West Africa into their house.”\u003c/p>\n\u003cp>He says the county is working to develop an outreach campaign to educate the community about Ebola and reduce unfounded fears.\u003c/p>\n\u003cp>Transmission is \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/22/ebola-is-not-that-contagious-and-10-other-quick-facts/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/22/ebola-is-not-that-contagious-and-10-other-quick-facts/\" target=\"_blank\">actually quite difficult \u003c/a>and only occurs if a person comes into contact with bodily fluids of another person who has symptoms of the virus: fever, vomiting, diarrhea. Someone who carries the virus but is not yet showing symptoms is not contagious, health officials stress.\u003c/p>\n\u003cp>Davis and other health officials say the best thing people can do to protect their health right now, is to get a flu shot.\u003c/p>\n\u003cp>“While it may not sound relevant, we have a coming flu season,” says Dr. Parodi of Kaiser, adding that more than 36,000 people die every year in the U.S. from influenza. “The most important thing you can do is get a flu shot. I can’t stress that enough.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>If you have further questions about Ebola, call the newly-established Ebola hotline at the California Department of Public Health: 855-421-5921. The line is open 8 a.m. to 5 p.m., Monday through Friday. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Ebola Is Not That Contagious, and 10 Other Quick Facts",
"title": "Ebola Is Not That Contagious, and 10 Other Quick Facts",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_22179\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457205828-e1413999611876.jpg\">\u003cimg class=\"size-large wp-image-22179\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457205828-640x367.jpg\" alt=\"Two nurses at Texas Health Presbyterian Hospital in Dallas contracted Ebola from a patient they were treating, but 44 of 48 others who came in contact with the patient, including his fiancee, have completed their quarantine period and are cleared of the disease. The remaining four should complete their quarantine soon. (Mike Stone/Getty Images)\" width=\"640\" height=\"367\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Two nurses at Texas Health Presbyterian Hospital in Dallas contracted Ebola from a patient they were treating, but 44 of 48 others who came in contact with the patient, including his fiancee, have completed their quarantine period and are cleared of the disease. The remaining four should complete their quarantine soon. (Mike Stone/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alison Bruzek,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2014/10/22/356986015/quick-facts-about-ebola\" href=\"http://www.npr.org/blogs/health/2014/10/22/356986015/quick-facts-about-ebola\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Basic information about Ebola isn't as clear as it probably could be.\u003c/p>\n\u003cp>A\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/16/poll-more-than-half-of-americans-worry-about-ebola-outbreak-in-u-s/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/16/poll-more-than-half-of-americans-worry-about-ebola-outbreak-in-u-s/\" target=\"_blank\"> recent poll\u003c/a> by the Harvard School of Public Health, for instance, found that 38 percent of Americans are worried that Ebola will infect them or a family member in the next year, despite assurances that the U.S. will stop Ebola in its tracks.\u003c/p>\n\u003cp>We've put together a primer on what you need to know. We'll update it as new information develops.\u003c/p>\n\u003cp>\u003cstrong>1. It's Not That Contagious. Really.\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Each person who contracts the virus spreads it, on average, to one or two other people. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/02/ebola-may-be-deadly-but-its-not-that-contagious/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/02/ebola-may-be-deadly-but-its-not-that-contagious/\" target=\"_blank\">It's not as contagious\u003c/a> as HIV, SARS or measles.\u003c/p>\n\u003cp>\u003cstrong>2. Ebola Is Not Airborne...\u003c/strong>\u003c/p>\n\u003cp>Ebola is transmitted through bodily fluids, such as blood, sweat, saliva, breast milk, feces, urine and semen. However, infectious disease specialists say \u003ca title=\"http://www.npr.org/blogs/health/2014/10/17/356966590/why-wont-the-fear-of-airborne-ebola-go-away\" href=\"http://www.npr.org/blogs/health/2014/10/17/356966590/why-wont-the-fear-of-airborne-ebola-go-away\" target=\"_blank\">Ebola is not an airborne disease\u003c/a>, like the flu.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>3. … but It Can Be Dangerous\u003c/strong>\u003c/p>\n\u003cp>While Ebola's not the deadliest contagious disease (defined as the mortality rate for people who are diagnosed), outbreaks can have fatality rates up to 90 percent, according to the World Health Organization. The fatality rate for the current outbreak in West Africa is \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" target=\"_blank\">estimated to be\u003c/a> about 70 percent.\u003c/p>\n\u003cp>\u003cstrong>4. Health Officials Oppose A Travel Ban\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.nytimes.com/2014/10/18/business/experts-oppose-ebola-travel-ban-saying-it-would-cut-off-worst-hit-countries.html?_r=1\" href=\"http://www.nytimes.com/2014/10/18/business/experts-oppose-ebola-travel-ban-saying-it-would-cut-off-worst-hit-countries.html?_r=1\" target=\"_blank\">A travel ban\u003c/a>, health specialists say, would be difficult to impose and would cut off help to those countries in West Africa hit the hardest by the disease. Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention, said a ban would make it harder to track the travel itineraries of infected people. On Tuesday, Department of Homeland Security Secretary Jeh Johnson said travelers arriving from Sierra Leone, Guinea and Liberia must fly into one of five U.S. airports equipped for passenger screenings (see Fact 6).\u003c/p>\n\u003cp>\u003cstrong>5. We Can Help Stop Ebola By Asking People How They Feel...\u003c/strong>\u003c/p>\n\u003cp>The CDC's Epidemic Intelligence Service tracked down possible cases of Ebola \u003ca title=\"http://www.npr.org/blogs/health/2014/10/03/353530016/a-simple-question-can-stop-ebola-how-do-you-feel\" href=\"http://www.npr.org/blogs/health/2014/10/03/353530016/a-simple-question-can-stop-ebola-how-do-you-feel\" target=\"_blank\">by asking people\u003c/a> who came in contact with Thomas Eric Duncan how they felt and if they had a fever. The\u003ca title=\"http://www.who.int/mediacentre/factsheets/fs103/en/\" href=\"http://www.who.int/mediacentre/factsheets/fs103/en/\" target=\"_blank\"> first symptoms of Ebola \u003c/a>are a fever, fatigue, muscle pain, headache and sore throat, according to the World Health Organization.\u003c/p>\n\u003cp>\u003cstrong>6. … or Taking Their Temperature\u003c/strong>\u003c/p>\n\u003cp>Passengers flying from West Africa to Washington Dulles International, Atlanta's Hartsfield-Jackson, Newark Liberty International, Chicago's O'Hare and New York's John F. Kennedy International airport have their temperatures taken as part of Ebola screening. The \u003ca title=\"http://www.npr.org/blogs/health/2014/10/15/356398102/how-a-no-touch-thermometer-detects-a-fever\" href=\"http://www.npr.org/blogs/health/2014/10/15/356398102/how-a-no-touch-thermometer-detects-a-fever\" target=\"_blank\">no-touch thermometers\u003c/a> used in airport screenings aren't perfect, but they're one step in identifying patients who may need further testing.\u003c/p>\n\u003cp>\u003cstrong>7. The Sick Need To Stay Home\u003c/strong>\u003c/p>\n\u003cp>For people who have been in contact with someone who tested positive for Ebola,\u003ca title=\"http://www.npr.org/blogs/health/2014/10/03/353487190/heres-how-an-ebola-quarantine-works-in-the-united-states\" href=\"http://www.npr.org/blogs/health/2014/10/03/353487190/heres-how-an-ebola-quarantine-works-in-the-united-states\" target=\"_blank\"> a 21-day quarantine\u003c/a> (the virus' incubation period ranges from 2 to 21 days) can help stop the spread of infection. Nearly all of the people quarantined in Dallas because they had contact with Thomas Eric Duncan have passed the 21-day mark.\u003c/p>\n\u003cp>\u003cstrong>8. And Their Pets Need To Be Considered\u003c/strong>\u003c/p>\n\u003cp>Spanish health authorities \u003ca title=\"http://www.npr.org/blogs/goatsandsoda/2014/10/08/354582867/we-dont-know-a-lot-about-dogs-and-ebola-but-we-should\" href=\"http://www.npr.org/blogs/goatsandsoda/2014/10/08/354582867/we-dont-know-a-lot-about-dogs-and-ebola-but-we-should\" target=\"_blank\">euthanized the dog\u003c/a> of a nurse who was diagnosed with Ebola. We know the virus can live inside dogs because they produce antibodies against Ebola. But we don't know if dogs can transmit the virus to humans.\u003c/p>\n\u003cp>\u003cstrong>9. The U.S. Has Specialized Facilities For Patients\u003c/strong>\u003c/p>\n\u003cp>The Emory University Hospital has treated and successfully released three patients with Ebola, and the Nebraska Medical Center has treated and released two. These hospitals use \u003ca title=\"http://www.npr.org/blogs/thetwo-way/2014/10/06/354083214/why-ebola-patients-are-getting-treatment-in-nebraska\" href=\"http://www.npr.org/blogs/thetwo-way/2014/10/06/354083214/why-ebola-patients-are-getting-treatment-in-nebraska\" target=\"_blank\">biocontainment units \u003c/a>to protect hospital staff and other patients. Nina Pham, a nurse who treated Thomas Eric Duncan, was flown from Dallas to the National Institutes of Health Clinical Center in Bethesda, Md.\u003c/p>\n\u003cp>\u003cstrong>10. There Are Experimental Drugs, But They Need More Testing\u003c/strong>\u003c/p>\n\u003cp>Experimental drugs for Ebola are being developed, including \u003ca title=\"http://www.npr.org/blogs/health/2014/10/10/355184997/answering-your-questions-about-ebola-treatments-and-vaccines\" href=\"http://www.npr.org/blogs/health/2014/10/10/355184997/answering-your-questions-about-ebola-treatments-and-vaccines\" target=\"_blank\">ZMapp,\u003c/a> which is produced in genetically modified tobacco plants. The drug was used to treat Kent Brantly and Nancy Writebol earlier this year before the limited supply ran out. GlaxoSmithKline, Johnson & Johnson and NewLink Genetics are working on experimental Ebola vaccines.\u003c/p>\n\u003cp>\u003cstrong>11. If You're Healthy, You Can Still Take That Safari\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Ebola outbreak remains in West Africa, and countries other than those bordering Guinea, Liberia or Sierra Leone aren't considered to be at risk. The CDC \u003ca title=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" href=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" target=\"_blank\">does not recommend\u003c/a> that travelers avoid visiting other African countries. \"\u003cspan style=\"color: #000000\">Ebola is a very low risk for most travelers,\" CDC says on its \"\u003ca title=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" href=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" target=\"_blank\">Questions and Answers about Ebola\u003c/a>\" page.\u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22179\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457205828-e1413999611876.jpg\">\u003cimg class=\"size-large wp-image-22179\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457205828-640x367.jpg\" alt=\"Two nurses at Texas Health Presbyterian Hospital in Dallas contracted Ebola from a patient they were treating, but 44 of 48 others who came in contact with the patient, including his fiancee, have completed their quarantine period and are cleared of the disease. The remaining four should complete their quarantine soon. (Mike Stone/Getty Images)\" width=\"640\" height=\"367\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Two nurses at Texas Health Presbyterian Hospital in Dallas contracted Ebola from a patient they were treating, but 44 of 48 others who came in contact with the patient, including his fiancee, have completed their quarantine period and are cleared of the disease. The remaining four should complete their quarantine soon. (Mike Stone/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Alison Bruzek,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2014/10/22/356986015/quick-facts-about-ebola\" href=\"http://www.npr.org/blogs/health/2014/10/22/356986015/quick-facts-about-ebola\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Basic information about Ebola isn't as clear as it probably could be.\u003c/p>\n\u003cp>A\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/16/poll-more-than-half-of-americans-worry-about-ebola-outbreak-in-u-s/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/16/poll-more-than-half-of-americans-worry-about-ebola-outbreak-in-u-s/\" target=\"_blank\"> recent poll\u003c/a> by the Harvard School of Public Health, for instance, found that 38 percent of Americans are worried that Ebola will infect them or a family member in the next year, despite assurances that the U.S. will stop Ebola in its tracks.\u003c/p>\n\u003cp>We've put together a primer on what you need to know. We'll update it as new information develops.\u003c/p>\n\u003cp>\u003cstrong>1. It's Not That Contagious. Really.\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Each person who contracts the virus spreads it, on average, to one or two other people. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/02/ebola-may-be-deadly-but-its-not-that-contagious/\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/02/ebola-may-be-deadly-but-its-not-that-contagious/\" target=\"_blank\">It's not as contagious\u003c/a> as HIV, SARS or measles.\u003c/p>\n\u003cp>\u003cstrong>2. Ebola Is Not Airborne...\u003c/strong>\u003c/p>\n\u003cp>Ebola is transmitted through bodily fluids, such as blood, sweat, saliva, breast milk, feces, urine and semen. However, infectious disease specialists say \u003ca title=\"http://www.npr.org/blogs/health/2014/10/17/356966590/why-wont-the-fear-of-airborne-ebola-go-away\" href=\"http://www.npr.org/blogs/health/2014/10/17/356966590/why-wont-the-fear-of-airborne-ebola-go-away\" target=\"_blank\">Ebola is not an airborne disease\u003c/a>, like the flu.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>3. … but It Can Be Dangerous\u003c/strong>\u003c/p>\n\u003cp>While Ebola's not the deadliest contagious disease (defined as the mortality rate for people who are diagnosed), outbreaks can have fatality rates up to 90 percent, according to the World Health Organization. The fatality rate for the current outbreak in West Africa is \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" target=\"_blank\">estimated to be\u003c/a> about 70 percent.\u003c/p>\n\u003cp>\u003cstrong>4. Health Officials Oppose A Travel Ban\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.nytimes.com/2014/10/18/business/experts-oppose-ebola-travel-ban-saying-it-would-cut-off-worst-hit-countries.html?_r=1\" href=\"http://www.nytimes.com/2014/10/18/business/experts-oppose-ebola-travel-ban-saying-it-would-cut-off-worst-hit-countries.html?_r=1\" target=\"_blank\">A travel ban\u003c/a>, health specialists say, would be difficult to impose and would cut off help to those countries in West Africa hit the hardest by the disease. Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention, said a ban would make it harder to track the travel itineraries of infected people. On Tuesday, Department of Homeland Security Secretary Jeh Johnson said travelers arriving from Sierra Leone, Guinea and Liberia must fly into one of five U.S. airports equipped for passenger screenings (see Fact 6).\u003c/p>\n\u003cp>\u003cstrong>5. We Can Help Stop Ebola By Asking People How They Feel...\u003c/strong>\u003c/p>\n\u003cp>The CDC's Epidemic Intelligence Service tracked down possible cases of Ebola \u003ca title=\"http://www.npr.org/blogs/health/2014/10/03/353530016/a-simple-question-can-stop-ebola-how-do-you-feel\" href=\"http://www.npr.org/blogs/health/2014/10/03/353530016/a-simple-question-can-stop-ebola-how-do-you-feel\" target=\"_blank\">by asking people\u003c/a> who came in contact with Thomas Eric Duncan how they felt and if they had a fever. The\u003ca title=\"http://www.who.int/mediacentre/factsheets/fs103/en/\" href=\"http://www.who.int/mediacentre/factsheets/fs103/en/\" target=\"_blank\"> first symptoms of Ebola \u003c/a>are a fever, fatigue, muscle pain, headache and sore throat, according to the World Health Organization.\u003c/p>\n\u003cp>\u003cstrong>6. … or Taking Their Temperature\u003c/strong>\u003c/p>\n\u003cp>Passengers flying from West Africa to Washington Dulles International, Atlanta's Hartsfield-Jackson, Newark Liberty International, Chicago's O'Hare and New York's John F. Kennedy International airport have their temperatures taken as part of Ebola screening. The \u003ca title=\"http://www.npr.org/blogs/health/2014/10/15/356398102/how-a-no-touch-thermometer-detects-a-fever\" href=\"http://www.npr.org/blogs/health/2014/10/15/356398102/how-a-no-touch-thermometer-detects-a-fever\" target=\"_blank\">no-touch thermometers\u003c/a> used in airport screenings aren't perfect, but they're one step in identifying patients who may need further testing.\u003c/p>\n\u003cp>\u003cstrong>7. The Sick Need To Stay Home\u003c/strong>\u003c/p>\n\u003cp>For people who have been in contact with someone who tested positive for Ebola,\u003ca title=\"http://www.npr.org/blogs/health/2014/10/03/353487190/heres-how-an-ebola-quarantine-works-in-the-united-states\" href=\"http://www.npr.org/blogs/health/2014/10/03/353487190/heres-how-an-ebola-quarantine-works-in-the-united-states\" target=\"_blank\"> a 21-day quarantine\u003c/a> (the virus' incubation period ranges from 2 to 21 days) can help stop the spread of infection. Nearly all of the people quarantined in Dallas because they had contact with Thomas Eric Duncan have passed the 21-day mark.\u003c/p>\n\u003cp>\u003cstrong>8. And Their Pets Need To Be Considered\u003c/strong>\u003c/p>\n\u003cp>Spanish health authorities \u003ca title=\"http://www.npr.org/blogs/goatsandsoda/2014/10/08/354582867/we-dont-know-a-lot-about-dogs-and-ebola-but-we-should\" href=\"http://www.npr.org/blogs/goatsandsoda/2014/10/08/354582867/we-dont-know-a-lot-about-dogs-and-ebola-but-we-should\" target=\"_blank\">euthanized the dog\u003c/a> of a nurse who was diagnosed with Ebola. We know the virus can live inside dogs because they produce antibodies against Ebola. But we don't know if dogs can transmit the virus to humans.\u003c/p>\n\u003cp>\u003cstrong>9. The U.S. Has Specialized Facilities For Patients\u003c/strong>\u003c/p>\n\u003cp>The Emory University Hospital has treated and successfully released three patients with Ebola, and the Nebraska Medical Center has treated and released two. These hospitals use \u003ca title=\"http://www.npr.org/blogs/thetwo-way/2014/10/06/354083214/why-ebola-patients-are-getting-treatment-in-nebraska\" href=\"http://www.npr.org/blogs/thetwo-way/2014/10/06/354083214/why-ebola-patients-are-getting-treatment-in-nebraska\" target=\"_blank\">biocontainment units \u003c/a>to protect hospital staff and other patients. Nina Pham, a nurse who treated Thomas Eric Duncan, was flown from Dallas to the National Institutes of Health Clinical Center in Bethesda, Md.\u003c/p>\n\u003cp>\u003cstrong>10. There Are Experimental Drugs, But They Need More Testing\u003c/strong>\u003c/p>\n\u003cp>Experimental drugs for Ebola are being developed, including \u003ca title=\"http://www.npr.org/blogs/health/2014/10/10/355184997/answering-your-questions-about-ebola-treatments-and-vaccines\" href=\"http://www.npr.org/blogs/health/2014/10/10/355184997/answering-your-questions-about-ebola-treatments-and-vaccines\" target=\"_blank\">ZMapp,\u003c/a> which is produced in genetically modified tobacco plants. The drug was used to treat Kent Brantly and Nancy Writebol earlier this year before the limited supply ran out. GlaxoSmithKline, Johnson & Johnson and NewLink Genetics are working on experimental Ebola vaccines.\u003c/p>\n\u003cp>\u003cstrong>11. If You're Healthy, You Can Still Take That Safari\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Ebola outbreak remains in West Africa, and countries other than those bordering Guinea, Liberia or Sierra Leone aren't considered to be at risk. The CDC \u003ca title=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" href=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" target=\"_blank\">does not recommend\u003c/a> that travelers avoid visiting other African countries. \"\u003cspan style=\"color: #000000\">Ebola is a very low risk for most travelers,\" CDC says on its \"\u003ca title=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" href=\"http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/qa.html\" target=\"_blank\">Questions and Answers about Ebola\u003c/a>\" page.\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Gov. Brown Meets with Nurses Over Ebola Preparedness",
"title": "Gov. Brown Meets with Nurses Over Ebola Preparedness",
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"content": "\u003cfigure id=\"attachment_22155\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-e1413929297755.jpg\">\u003cimg class=\"size-large wp-image-22155\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-640x354.jpg\" alt=\"Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\" width=\"640\" height=\"354\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown met with top public health officials and nursing union leaders Tuesday to discuss efforts to prepare for Ebola. The meetings came on the heels of\u003ca title=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" href=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" target=\"_blank\"> new guidance\u003c/a> issued by the Centers for Disease Control and Prevention Monday night.\u003c/p>\n\u003cp>There are no known cases of Ebola in California. But after two nurses in Texas became infected after treating an Ebola patient there, the CDC is now recommending that hospitals provide better protective equipment for health workers, and hands-on training for how to put it on and take it off.\u003c/p>\n\u003cp>But the California Nurses Association (CNA) says the guidelines don't go far enough.\u003c!--more-->\u003c/p>\n\u003cp>Oakland nurse Katy Roemer says the CNA wants the governor to issue a mandate that forces hospitals to follow through with the training, and the CNA wants hospitals to provide protective suits that go beyond CDC guidelines.\u003c/p>\n\u003cp>\"We want full Hazmat suits,\" Roemer said in reference to hazardous materials suits, \"so that when we are in a room risking our lives taking care of these patients, that we are protected.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The governor's office did not respond to this request, but issued \u003ca title=\"http://gov.ca.gov/news.php?id=18759\" href=\"http://gov.ca.gov/news.php?id=18759\" target=\"_blank\">a statement\u003c/a> saying state officials are taking steps to ensure hospitals are prepared for Ebola.\u003c/p>\n\u003cp>The Sacramento Bee \u003ca title=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" target=\"_blank\">released a video\u003c/a> of a press conference where RoseAnn DeMoro, executive director of the National Nurses United/CNA, stated that \"none of the hospitals in California are prepared for Ebola.\"\u003c/p>\n\u003cdiv>\u003ca class=\"embedly-card\" href=\"http://youtu.be/qwH5dAM7MVc\">Nurses call California hospitals unprepared for Ebola\u003c/a>\u003c/div>\n\u003cp>The California Hospital Association rebutted the nurses and \u003ca title=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" href=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" target=\"_blank\">issued a statement\u003c/a> of its own, saying that California hospitals are prepared for Ebola.\u003c/p>\n\u003cp>Meanwhile, across the country, federal authorities are now routing all passengers traveling to the U.S. from West African countries affected by the Ebola virus through one of five airports.\u003c/p>\n\u003cp>None of those airports are in California. But the state’s busiest -- Los Angeles International Airport -- is taking precautions anyway.\u003c/p>\n\u003cp>L.A. County’s public health chief, Dr. Jeffrey Gunzenhauser, says his office will be working closely with the handful of U.S. airports now screening all passengers who arrive from Liberia, Sierra Leone and Guinea.\u003c/p>\n\u003cp>He says if any of those passengers are then headed to LAX, the Los Angeles County Department of Public Health will know about it. “If the last point of the travel is actually our city,” says Gunzenhauser, “this will really provide us a great opportunity to monitor the individuals who just traveled from West Africa to Los Angeles County.”\u003c/p>\n\u003cp>In Santa Clara County, health officials provided their third update to the Board of Supervisors. The officials say they’ve implemented Ebola screening at the emergency department of Valley Medical Center in San Jose and other health care settings.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Peter Jon Shuler and Steven Cuevas contributed to this report. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22155\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-e1413929297755.jpg\">\u003cimg class=\"size-large wp-image-22155\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-640x354.jpg\" alt=\"Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\" width=\"640\" height=\"354\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown met with top public health officials and nursing union leaders Tuesday to discuss efforts to prepare for Ebola. The meetings came on the heels of\u003ca title=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" href=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" target=\"_blank\"> new guidance\u003c/a> issued by the Centers for Disease Control and Prevention Monday night.\u003c/p>\n\u003cp>There are no known cases of Ebola in California. But after two nurses in Texas became infected after treating an Ebola patient there, the CDC is now recommending that hospitals provide better protective equipment for health workers, and hands-on training for how to put it on and take it off.\u003c/p>\n\u003cp>But the California Nurses Association (CNA) says the guidelines don't go far enough.\u003c!--more-->\u003c/p>\n\u003cp>Oakland nurse Katy Roemer says the CNA wants the governor to issue a mandate that forces hospitals to follow through with the training, and the CNA wants hospitals to provide protective suits that go beyond CDC guidelines.\u003c/p>\n\u003cp>\"We want full Hazmat suits,\" Roemer said in reference to hazardous materials suits, \"so that when we are in a room risking our lives taking care of these patients, that we are protected.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The governor's office did not respond to this request, but issued \u003ca title=\"http://gov.ca.gov/news.php?id=18759\" href=\"http://gov.ca.gov/news.php?id=18759\" target=\"_blank\">a statement\u003c/a> saying state officials are taking steps to ensure hospitals are prepared for Ebola.\u003c/p>\n\u003cp>The Sacramento Bee \u003ca title=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" target=\"_blank\">released a video\u003c/a> of a press conference where RoseAnn DeMoro, executive director of the National Nurses United/CNA, stated that \"none of the hospitals in California are prepared for Ebola.\"\u003c/p>\n\u003cdiv>\u003ca class=\"embedly-card\" href=\"http://youtu.be/qwH5dAM7MVc\">Nurses call California hospitals unprepared for Ebola\u003c/a>\u003c/div>\n\u003cp>The California Hospital Association rebutted the nurses and \u003ca title=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" href=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" target=\"_blank\">issued a statement\u003c/a> of its own, saying that California hospitals are prepared for Ebola.\u003c/p>\n\u003cp>Meanwhile, across the country, federal authorities are now routing all passengers traveling to the U.S. from West African countries affected by the Ebola virus through one of five airports.\u003c/p>\n\u003cp>None of those airports are in California. But the state’s busiest -- Los Angeles International Airport -- is taking precautions anyway.\u003c/p>\n\u003cp>L.A. County’s public health chief, Dr. Jeffrey Gunzenhauser, says his office will be working closely with the handful of U.S. airports now screening all passengers who arrive from Liberia, Sierra Leone and Guinea.\u003c/p>\n\u003cp>He says if any of those passengers are then headed to LAX, the Los Angeles County Department of Public Health will know about it. “If the last point of the travel is actually our city,” says Gunzenhauser, “this will really provide us a great opportunity to monitor the individuals who just traveled from West Africa to Los Angeles County.”\u003c/p>\n\u003cp>In Santa Clara County, health officials provided their third update to the Board of Supervisors. The officials say they’ve implemented Ebola screening at the emergency department of Valley Medical Center in San Jose and other health care settings.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Peter Jon Shuler and Steven Cuevas contributed to this report. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Poll: More Than Half of Americans Worry About Ebola Outbreak in U.S.",
"title": "Poll: More Than Half of Americans Worry About Ebola Outbreak in U.S.",
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"content": "\u003cfigure id=\"attachment_22102\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457255186-e1413484505507.jpg\">\u003cimg class=\"size-large wp-image-22102\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457255186-640x513.jpg\" alt=\"Texas Health Presbyterian Hospital in Dallas where two health care workers. Two nurses there have tested positive for Ebola. (Stewart F. House/Getty Images)\" width=\"640\" height=\"513\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Texas Health Presbyterian Hospital in Dallas where two health nurses have tested positive for Ebola. (Stewart F. House/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Scott Hensley,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2014/10/16/356652215/poll-majority-of-americans-worried-about-u-s-ebola-outbreak\" href=\"http://www.npr.org/blogs/health/2014/10/16/356652215/poll-majority-of-americans-worried-about-u-s-ebola-outbreak\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>A Harvard School of Public Health poll \u003ca title=\"http://www.hsph.harvard.edu/news/press-releases/poll-finds-most-believe-ebola-spread-by-multiple-routes/\" href=\"http://www.hsph.harvard.edu/news/press-releases/poll-finds-most-believe-ebola-spread-by-multiple-routes/\" target=\"_blank\">finds \u003c/a>that more than a third of Americans (38 percent) are worried that Ebola will infect them or a family member over the next year.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"\u003cspan style=\"color: #111111\">I think the public has received Ebola 101, but not Ebola 102.\"\u003c/span>\u003c/aside>\n\u003cp>Most (81 percent) believe Ebola can spread from someone who is sick and has symptoms. And that's correct.\u003c/p>\n\u003cp>Body fluids, such as blood, urine and feces, \u003ca title=\"http://www.cdc.gov/vhf/ebola/pdf/infographic.pdf\" href=\"http://www.cdc.gov/vhf/ebola/pdf/infographic.pdf\" target=\"_blank\">can carry the virus\u003c/a> from one person to another. And almost all the poll respondents (95 percent) agreed that direct contact with body fluids from a person with Ebola symptoms was likely to cause infection.\u003c/p>\n\u003cp>A large proportion (85 percent) of people believes the virus can be transmitted by a sneeze or cough. That's highly unlikely. \"Common sense and observation tell us that spread of the virus via coughing or sneezing is rare, if it happens at all,\" \u003ca title=\"http://www.who.int/mediacentre/news/ebola/06-october-2014/en/\" href=\"http://www.who.int/mediacentre/news/ebola/06-october-2014/en/\" target=\"_blank\">the World Health Organization says\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center, says there is no known case of Ebola being spread that way.\u003c/p>\n\u003cp>\"I think the public has received Ebola 101, but not Ebola 102,\" he said of the Harvard poll results on\u003ca title=\"http://www.npr.org/2014/10/15/356451168/poll-40-percent-of-americans-feel-at-risk-for-getting-ebola\" href=\"http://www.npr.org/2014/10/15/356451168/poll-40-percent-of-americans-feel-at-risk-for-getting-ebola\" target=\"_blank\"> Wednesday's \u003cem>All Things Considered\u003c/em>\u003c/a>\u003cem>.\u003c/em> \"Those kinds of subtleties actually are pretty hard to communicate.\"\u003c/p>\n\u003cp>The telephone poll of 1,004 adults was conducted October 8-12. Thomas Eric Duncan \u003ca title=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" href=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" target=\"_blank\">died in Dallas\u003c/a> the day the poll was put into the field. The death of the first person diagnosed with Ebola in the U.S. may have weighed on poll respondents.\u003c/p>\n\u003cp>More than half of them (52 percent) said they were worried about an Ebola outbreak in the U.S. within a year. When asked the same question in August, 39 percent of people polled said they were concerned about an Ebola outbreak here.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Spread of the virus via coughing or sneezing is rare, if it happens at all.\u003cspan style=\"color: #111111\">\"\u003c/span>\u003c/aside>\n\u003cp>While there have been setbacks already in dealing with Ebola in the U.S., public health officials say that the country can cope with the virus.\u003c/p>\n\u003cp>\"As we learn from the recent importation case in Dallas and subsequent transmissions, and continue the public health response there, we remain confident that Ebola is not a significant public health threat to the United States,\" CDC Director Dr. Thomas Frieden said in \u003ca title=\"http://docs.house.gov/meetings/IF/IF02/20141016/102718/HHRG-113-IF02-Wstate-FriedenT-20141016.pdf\" href=\"http://docs.house.gov/meetings/IF/IF02/20141016/102718/HHRG-113-IF02-Wstate-FriedenT-20141016.pdf\" target=\"_blank\">written testimony\u003c/a> submitted for a House oversight committee Thursday.\u003c/p>\n\u003cp>Ebola, he wrote, \"is not transmitted easily, and it does not spread from people who are not ill, and cultural norms that contribute to the spread of the disease in Africa – such as burial customs and inadequate public-health measures – are not a factor in the United States. We know Ebola can be stopped with rapid diagnosis, appropriate triage, and meticulous infection-control practices in American hospitals.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Americans appear confident that if they someone in their community gets sick with Ebola, they will receive good care. Some 80 percent said that someone infected with Ebola would survive an infection if they got prompt medical care.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22102\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457255186-e1413484505507.jpg\">\u003cimg class=\"size-large wp-image-22102\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/457255186-640x513.jpg\" alt=\"Texas Health Presbyterian Hospital in Dallas where two health care workers. Two nurses there have tested positive for Ebola. (Stewart F. House/Getty Images)\" width=\"640\" height=\"513\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Texas Health Presbyterian Hospital in Dallas where two health nurses have tested positive for Ebola. (Stewart F. House/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Scott Hensley,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2014/10/16/356652215/poll-majority-of-americans-worried-about-u-s-ebola-outbreak\" href=\"http://www.npr.org/blogs/health/2014/10/16/356652215/poll-majority-of-americans-worried-about-u-s-ebola-outbreak\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>A Harvard School of Public Health poll \u003ca title=\"http://www.hsph.harvard.edu/news/press-releases/poll-finds-most-believe-ebola-spread-by-multiple-routes/\" href=\"http://www.hsph.harvard.edu/news/press-releases/poll-finds-most-believe-ebola-spread-by-multiple-routes/\" target=\"_blank\">finds \u003c/a>that more than a third of Americans (38 percent) are worried that Ebola will infect them or a family member over the next year.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"\u003cspan style=\"color: #111111\">I think the public has received Ebola 101, but not Ebola 102.\"\u003c/span>\u003c/aside>\n\u003cp>Most (81 percent) believe Ebola can spread from someone who is sick and has symptoms. And that's correct.\u003c/p>\n\u003cp>Body fluids, such as blood, urine and feces, \u003ca title=\"http://www.cdc.gov/vhf/ebola/pdf/infographic.pdf\" href=\"http://www.cdc.gov/vhf/ebola/pdf/infographic.pdf\" target=\"_blank\">can carry the virus\u003c/a> from one person to another. And almost all the poll respondents (95 percent) agreed that direct contact with body fluids from a person with Ebola symptoms was likely to cause infection.\u003c/p>\n\u003cp>A large proportion (85 percent) of people believes the virus can be transmitted by a sneeze or cough. That's highly unlikely. \"Common sense and observation tell us that spread of the virus via coughing or sneezing is rare, if it happens at all,\" \u003ca title=\"http://www.who.int/mediacentre/news/ebola/06-october-2014/en/\" href=\"http://www.who.int/mediacentre/news/ebola/06-october-2014/en/\" target=\"_blank\">the World Health Organization says\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. William Schaffner, an infectious disease specialist at Vanderbilt University Medical Center, says there is no known case of Ebola being spread that way.\u003c/p>\n\u003cp>\"I think the public has received Ebola 101, but not Ebola 102,\" he said of the Harvard poll results on\u003ca title=\"http://www.npr.org/2014/10/15/356451168/poll-40-percent-of-americans-feel-at-risk-for-getting-ebola\" href=\"http://www.npr.org/2014/10/15/356451168/poll-40-percent-of-americans-feel-at-risk-for-getting-ebola\" target=\"_blank\"> Wednesday's \u003cem>All Things Considered\u003c/em>\u003c/a>\u003cem>.\u003c/em> \"Those kinds of subtleties actually are pretty hard to communicate.\"\u003c/p>\n\u003cp>The telephone poll of 1,004 adults was conducted October 8-12. Thomas Eric Duncan \u003ca title=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" href=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" target=\"_blank\">died in Dallas\u003c/a> the day the poll was put into the field. The death of the first person diagnosed with Ebola in the U.S. may have weighed on poll respondents.\u003c/p>\n\u003cp>More than half of them (52 percent) said they were worried about an Ebola outbreak in the U.S. within a year. When asked the same question in August, 39 percent of people polled said they were concerned about an Ebola outbreak here.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Spread of the virus via coughing or sneezing is rare, if it happens at all.\u003cspan style=\"color: #111111\">\"\u003c/span>\u003c/aside>\n\u003cp>While there have been setbacks already in dealing with Ebola in the U.S., public health officials say that the country can cope with the virus.\u003c/p>\n\u003cp>\"As we learn from the recent importation case in Dallas and subsequent transmissions, and continue the public health response there, we remain confident that Ebola is not a significant public health threat to the United States,\" CDC Director Dr. Thomas Frieden said in \u003ca title=\"http://docs.house.gov/meetings/IF/IF02/20141016/102718/HHRG-113-IF02-Wstate-FriedenT-20141016.pdf\" href=\"http://docs.house.gov/meetings/IF/IF02/20141016/102718/HHRG-113-IF02-Wstate-FriedenT-20141016.pdf\" target=\"_blank\">written testimony\u003c/a> submitted for a House oversight committee Thursday.\u003c/p>\n\u003cp>Ebola, he wrote, \"is not transmitted easily, and it does not spread from people who are not ill, and cultural norms that contribute to the spread of the disease in Africa – such as burial customs and inadequate public-health measures – are not a factor in the United States. We know Ebola can be stopped with rapid diagnosis, appropriate triage, and meticulous infection-control practices in American hospitals.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Americans appear confident that if they someone in their community gets sick with Ebola, they will receive good care. Some 80 percent said that someone infected with Ebola would survive an infection if they got prompt medical care.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Ebola Now an Issue in Nurses' Contract Bargaining",
"title": "Ebola Now an Issue in Nurses' Contract Bargaining",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_22048\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-e1413347219345.jpg\">\u003cimg class=\"wp-image-22048 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-640x498.jpg\" alt=\"(Centers for Disease Control via Getty Images)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Centers for Disease Control via Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses’ calls for better hospital preparation around Ebola have landed on the bargaining table. California’s powerful nurses’ union has been bargaining with Kaiser Permanente for months over a new contract, and is now adding to its list of demands better training, protection, and insurance coverage for nurses who may treat patients infected with Ebola.\u003c/p>\n\u003cp>Diane McClure, a nurse at Kaiser’s South Sacramento facility, says nurses still had no meaningful training more than a month after a patient was \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" target=\"_blank\">admitted to the hospital for a potential Ebola infection\u003c/a>, though he later tested negative for the virus.\u003c/p>\n\u003cp>“Kaiser felt all they had to do was pull up some CDC flyers and put them on the lunchroom tables or up in the bathrooms,” she says.\u003c!--more-->\u003c/p>\n\u003cp>Nurses want hands-on, interactive training with demonstrations and the opportunity to ask questions, says McClure, who is a member of the California Nurses Association and part of the bargaining team negotiating with Kaiser Permanente Northern California. They also want better protective gear, and better coverage if a nurse gets sick while caring for patients.\u003c/p>\n\u003cp>“We are asking in our contract negotiations for an extra insurance policy,” she says. “We’d like to have an extra supplemental coverage, specifically for Ebola, if we were to contract Ebola while we’re at work.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nurses’ medical costs are covered by workers’ compensation if they become ill while on the job, but the nurses want an additional life insurance-type policy added to their contract that would provide cash to their families if they were to become ill or die from Ebola, or another infectious disease.\u003c/p>\n\u003cp>Nurses say Kaiser has not yet responded to this particular contractual request in bargaining, and Kaiser declined to comment on this piece of the negotiation. But the hospital system says it did begin rolling out enhanced training this week, including a video that demonstrates the proper way to put on and take off protective suits, and “table top” and “simulation” exercises where nurses walk through scenarios of screening and caring for patients who may have Ebola.\u003c/p>\n\u003cp>“Patients arriving at any of our facilities or who dial our call centers are being screened for symptoms, a travel history, or contact with others who may be ill,” said Dr. Stephen Parodi, Kaiser’s infectious disease specialist, in a statement. “We will activate our emergency-preparedness plans if a person has a positive screening and an infectious disease specialist will be called into the case immediately.”\u003c/p>\n\u003cp>But the hospital continues to clash with nurses over protective gear. Kaiser says it is following \u003ca title=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" href=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" target=\"_blank\">guidelines \u003c/a>from the Centers for Disease Control and Prevention and providing Tyvek suits, surgical gowns, books, masks, and face shields at its medical centers.\u003c/p>\n\u003cp>“We don’t believe what the CDC has recommended is adequate,” McClure says.\u003c/p>\n\u003cp>Nurses want full-body hazardous material suits that they’ve seen health care workers at other hospitals and medical clean-up crews wearing on television, including the Dallas crew that picked up the bed linens from the apartment where Thomas Duncan, the Liberian man who died of Ebola, stayed while ill.\u003c/p>\n\u003cp>“They went in with full Hazmats,” McClure said, in reference to the suits. “We want the same high standard for health care workers that are directly dealing with patients who are very ill.”\u003c/p>\n\u003cp>The California Nurses’ Association and its partner National Nurses United have been actively involved in the national discussion on Ebola, hosting rallies and press conferences, particularly after a nurse in Dallas became ill with the virus. The union released results of a national survey that found 80 percent of nurses said their hospital had not communicated any policy regarding the potential admission of patients infected with Ebola.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC says it is now \u003ca title=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" href=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" target=\"_blank\">“rethinking” its guidelines for Ebola infection control\u003c/a>, and vowed on Tuesday to dispatch a specialized CDC response team to any hospital with a confirmed Ebola diagnosis.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22048\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-e1413347219345.jpg\">\u003cimg class=\"wp-image-22048 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-640x498.jpg\" alt=\"(Centers for Disease Control via Getty Images)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Centers for Disease Control via Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses’ calls for better hospital preparation around Ebola have landed on the bargaining table. California’s powerful nurses’ union has been bargaining with Kaiser Permanente for months over a new contract, and is now adding to its list of demands better training, protection, and insurance coverage for nurses who may treat patients infected with Ebola.\u003c/p>\n\u003cp>Diane McClure, a nurse at Kaiser’s South Sacramento facility, says nurses still had no meaningful training more than a month after a patient was \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" target=\"_blank\">admitted to the hospital for a potential Ebola infection\u003c/a>, though he later tested negative for the virus.\u003c/p>\n\u003cp>“Kaiser felt all they had to do was pull up some CDC flyers and put them on the lunchroom tables or up in the bathrooms,” she says.\u003c!--more-->\u003c/p>\n\u003cp>Nurses want hands-on, interactive training with demonstrations and the opportunity to ask questions, says McClure, who is a member of the California Nurses Association and part of the bargaining team negotiating with Kaiser Permanente Northern California. They also want better protective gear, and better coverage if a nurse gets sick while caring for patients.\u003c/p>\n\u003cp>“We are asking in our contract negotiations for an extra insurance policy,” she says. “We’d like to have an extra supplemental coverage, specifically for Ebola, if we were to contract Ebola while we’re at work.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nurses’ medical costs are covered by workers’ compensation if they become ill while on the job, but the nurses want an additional life insurance-type policy added to their contract that would provide cash to their families if they were to become ill or die from Ebola, or another infectious disease.\u003c/p>\n\u003cp>Nurses say Kaiser has not yet responded to this particular contractual request in bargaining, and Kaiser declined to comment on this piece of the negotiation. But the hospital system says it did begin rolling out enhanced training this week, including a video that demonstrates the proper way to put on and take off protective suits, and “table top” and “simulation” exercises where nurses walk through scenarios of screening and caring for patients who may have Ebola.\u003c/p>\n\u003cp>“Patients arriving at any of our facilities or who dial our call centers are being screened for symptoms, a travel history, or contact with others who may be ill,” said Dr. Stephen Parodi, Kaiser’s infectious disease specialist, in a statement. “We will activate our emergency-preparedness plans if a person has a positive screening and an infectious disease specialist will be called into the case immediately.”\u003c/p>\n\u003cp>But the hospital continues to clash with nurses over protective gear. Kaiser says it is following \u003ca title=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" href=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" target=\"_blank\">guidelines \u003c/a>from the Centers for Disease Control and Prevention and providing Tyvek suits, surgical gowns, books, masks, and face shields at its medical centers.\u003c/p>\n\u003cp>“We don’t believe what the CDC has recommended is adequate,” McClure says.\u003c/p>\n\u003cp>Nurses want full-body hazardous material suits that they’ve seen health care workers at other hospitals and medical clean-up crews wearing on television, including the Dallas crew that picked up the bed linens from the apartment where Thomas Duncan, the Liberian man who died of Ebola, stayed while ill.\u003c/p>\n\u003cp>“They went in with full Hazmats,” McClure said, in reference to the suits. “We want the same high standard for health care workers that are directly dealing with patients who are very ill.”\u003c/p>\n\u003cp>The California Nurses’ Association and its partner National Nurses United have been actively involved in the national discussion on Ebola, hosting rallies and press conferences, particularly after a nurse in Dallas became ill with the virus. The union released results of a national survey that found 80 percent of nurses said their hospital had not communicated any policy regarding the potential admission of patients infected with Ebola.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC says it is now \u003ca title=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" href=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" target=\"_blank\">“rethinking” its guidelines for Ebola infection control\u003c/a>, and vowed on Tuesday to dispatch a specialized CDC response team to any hospital with a confirmed Ebola diagnosis.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Ebola May Be Deadly, But It's Not That Contagious",
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"content": "\u003cfigure id=\"attachment_22141\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Screen-Shot-2014-10-20-at-4.40.44-PM-e1413848883963.png\">\u003cimg class=\"size-large wp-image-22141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Screen-Shot-2014-10-20-at-4.40.44-PM-640x284.png\" alt=\"(Adam Cole, NPR)\" width=\"640\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Adam Cole, NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Michaeleen Doucleff\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2014/10/02/352983774/no-seriously-how-contagious-is-ebola\" href=\"http://www.npr.org/blogs/health/2014/10/02/352983774/no-seriously-how-contagious-is-ebola\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Update on Oct. 8: The Ebola patient in Dallas, the first diagnosed with the virus in the U.S.\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" href=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" target=\"_blank\">has died\u003c/a>.\u003c/p>\n\u003cp>Holy moly! There's a case of Ebola in the U.S.!\u003c/p>\n\u003cp>That first reaction was understandable. There's no question the disease is scary. The World Health Organization now \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" target=\"_blank\">estimates\u003c/a> that the virus has killed about 70 percent of people infected in West Africa.\u003c/p>\n\u003cp>The Ebola case in Dallas is the first one diagnosed outside Africa, the Centers for Disease Control and Prevention said Tuesday. And the health care system in Texas didn't quarantine the man right away. He was sick with Ebola — and contagious — for four days before he was admitted to the hospital.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But when you look at health officials responding to the case in Dallas, they seem cool as cucumbers, despite the initial misstep.\u003c/p>\n\u003cp>\"I have no doubt that we will control this importation, or case, of Ebola so that it does not spread widely in this country,\" \u003ca title=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" href=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" target=\"_blank\">said the director of the CDC, Dr. Tom Frieden\u003c/a>.\u003c/p>\n\u003cp>Why is Frieden so sure this virus won't spread beyond a handful of cases?\u003c/p>\n\u003cp>It boils down to something called \"\u003ca title=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" href=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" target=\"_blank\">R0\u003c/a>.\"\u003c/p>\n\u003cp>The reproduction number, or \"R nought,\" is a mathematical term that tells you how contagious an infectious disease is. Specifically, it's the number of people who catch the disease from one sick person, on average, in an outbreak.*\u003c/p>\n\u003cp>Take, for example, measles. The virus is one of the most contagious diseases known to man. Its R0 sits around 18. That means each person with the measles spreads it to 18 people, on average, when nobody is vaccinated. (When everyone is vaccinated, the R0 drops to essentially zero for measles).\u003c/p>\n\u003cp>At the other end of the spectrum are viruses like HIV and hepatitis C. Their R0s tend to fall somewhere between 2 and 4. They're still big problems, but they spread much more slowly than the measles.\u003c/p>\n\u003cp>And that brings us back to Ebola. Despite its nasty reputation, the virus's R0 really isn't that impressive. It typically sits around 1.5 to 2.0.\u003c/p>\n\u003cp>Even in the current epidemic in West Africa, where the virus has been out of control, each person who has gotten sick has spread Ebola to only about two others, on average.\u003c/p>\n\u003cp>Why is that?\u003c/p>\n\u003cp>Many factors contribute to the R0, such as how long you're infectious** and how many virus particles are needed to make another person sick.\u003c/p>\n\u003cp>But in Ebola's case, the mode of transmission probably helps keep its R0 low. Ebola isn't spread through the air, like the measles or flu. It requires close contact with some bodily fluid, such as blood or vomit, containing the virus.\u003c/p>\n\u003cp>Now at this point, you're probably thinking, \"OK. But an R0 of 2 is nothing to brush off.\" You're right. R0 of 2 means one person infects two people, who then infect four people, then eight, 16, 32 — the numbers go up fast.\u003c/p>\n\u003cp>But that isn't likely to happen in a place with a good public health system, like the U.S. Why? Because people with Ebola aren't contagious until they show symptoms.\u003c/p>\n\u003cp>So to stop the chain of transmission, all health workers in Texas have to do is get the people possibly infected by the sick man into isolation before these people show signs of Ebola.\u003c/p>\n\u003cp>Then R0 drops to zero. And Texas is free of Ebola.\u003c/p>\n\u003cp>*We're talking the \"basic\" R0 here, for all you epidemiologists. So, the R0 that you get when everyone in the population is susceptible to the disease.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>**The R0 is integrated over the time that a person is infectious to others. For HIV, this could be years. But for Ebola, that time is only about a week. So even though they have similar R0s, Ebola's infections per unit of time is much higher than HIV's.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22141\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Screen-Shot-2014-10-20-at-4.40.44-PM-e1413848883963.png\">\u003cimg class=\"size-large wp-image-22141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Screen-Shot-2014-10-20-at-4.40.44-PM-640x284.png\" alt=\"(Adam Cole, NPR)\" width=\"640\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Adam Cole, NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Michaeleen Doucleff\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2014/10/02/352983774/no-seriously-how-contagious-is-ebola\" href=\"http://www.npr.org/blogs/health/2014/10/02/352983774/no-seriously-how-contagious-is-ebola\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Update on Oct. 8: The Ebola patient in Dallas, the first diagnosed with the virus in the U.S.\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" href=\"http://www.npr.org/blogs/thetwo-way/2014/10/08/354577799/dallas-ebola-patient-thomas-eric-duncan-dies-hospital-says\" target=\"_blank\">has died\u003c/a>.\u003c/p>\n\u003cp>Holy moly! There's a case of Ebola in the U.S.!\u003c/p>\n\u003cp>That first reaction was understandable. There's no question the disease is scary. The World Health Organization now \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1411100\" target=\"_blank\">estimates\u003c/a> that the virus has killed about 70 percent of people infected in West Africa.\u003c/p>\n\u003cp>The Ebola case in Dallas is the first one diagnosed outside Africa, the Centers for Disease Control and Prevention said Tuesday. And the health care system in Texas didn't quarantine the man right away. He was sick with Ebola — and contagious — for four days before he was admitted to the hospital.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But when you look at health officials responding to the case in Dallas, they seem cool as cucumbers, despite the initial misstep.\u003c/p>\n\u003cp>\"I have no doubt that we will control this importation, or case, of Ebola so that it does not spread widely in this country,\" \u003ca title=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" href=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" target=\"_blank\">said the director of the CDC, Dr. Tom Frieden\u003c/a>.\u003c/p>\n\u003cp>Why is Frieden so sure this virus won't spread beyond a handful of cases?\u003c/p>\n\u003cp>It boils down to something called \"\u003ca title=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" href=\"http://www.npr.org/blogs/health/2014/09/30/352815781/first-u-s-case-of-ebola-confirmed-in-dallas\" target=\"_blank\">R0\u003c/a>.\"\u003c/p>\n\u003cp>The reproduction number, or \"R nought,\" is a mathematical term that tells you how contagious an infectious disease is. Specifically, it's the number of people who catch the disease from one sick person, on average, in an outbreak.*\u003c/p>\n\u003cp>Take, for example, measles. The virus is one of the most contagious diseases known to man. Its R0 sits around 18. That means each person with the measles spreads it to 18 people, on average, when nobody is vaccinated. (When everyone is vaccinated, the R0 drops to essentially zero for measles).\u003c/p>\n\u003cp>At the other end of the spectrum are viruses like HIV and hepatitis C. Their R0s tend to fall somewhere between 2 and 4. They're still big problems, but they spread much more slowly than the measles.\u003c/p>\n\u003cp>And that brings us back to Ebola. Despite its nasty reputation, the virus's R0 really isn't that impressive. It typically sits around 1.5 to 2.0.\u003c/p>\n\u003cp>Even in the current epidemic in West Africa, where the virus has been out of control, each person who has gotten sick has spread Ebola to only about two others, on average.\u003c/p>\n\u003cp>Why is that?\u003c/p>\n\u003cp>Many factors contribute to the R0, such as how long you're infectious** and how many virus particles are needed to make another person sick.\u003c/p>\n\u003cp>But in Ebola's case, the mode of transmission probably helps keep its R0 low. Ebola isn't spread through the air, like the measles or flu. It requires close contact with some bodily fluid, such as blood or vomit, containing the virus.\u003c/p>\n\u003cp>Now at this point, you're probably thinking, \"OK. But an R0 of 2 is nothing to brush off.\" You're right. R0 of 2 means one person infects two people, who then infect four people, then eight, 16, 32 — the numbers go up fast.\u003c/p>\n\u003cp>But that isn't likely to happen in a place with a good public health system, like the U.S. Why? Because people with Ebola aren't contagious until they show symptoms.\u003c/p>\n\u003cp>So to stop the chain of transmission, all health workers in Texas have to do is get the people possibly infected by the sick man into isolation before these people show signs of Ebola.\u003c/p>\n\u003cp>Then R0 drops to zero. And Texas is free of Ebola.\u003c/p>\n\u003cp>*We're talking the \"basic\" R0 here, for all you epidemiologists. So, the R0 that you get when everyone in the population is susceptible to the disease.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>**The R0 is integrated over the time that a person is infectious to others. For HIV, this could be years. But for Ebola, that time is only about a week. So even though they have similar R0s, Ebola's infections per unit of time is much higher than HIV's.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-e1408556674718.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\"> patient admitted to a Kaiser hospital\u003c/a> in South Sacramento has tested negative for the Ebola virus, said Dr. Ron Chapman, director of the California Department of Public Health (CDPH) in a brief press conference Thursday evening.\u003c/p>\n\u003cp>Chapman said the results came in from the Centers for Disease Control and Prevention earlier in the day. Chapman, Kaiser officials and Sacramento County health officials refused to answer other questions about the patient, citing privacy laws.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">Earlier this week\u003c/a>, CDPH called the patient \"low risk\" and said the testing was occurring out of an \"abundance of caution.\" Chapman said CDPH and Kaiser made the determination that the patient was low risk by \u003ca href=\"http://www.cdc.gov/vhf/ebola/hcp/case-definition.html\" target=\"_blank\">following established CDC assessment tools\u003c/a>, available to any health care worker.\u003c/p>\n\u003cp>Chapman stressed that Ebola is \"a very difficult infection to spread.\" It does not spread through air, food or water. The virus can only be spread through direct physical contact with an infected person's bodily fluid, including blood and sweat.\u003c/p>\n\u003cp>There are no reported cases of Ebola in California. In West Africa, \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">the disease has killed 1,350 people\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"disqusTitle": "In Face of Ebola, California-Trained Doctor Treats Patients in Liberia",
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"content": "\u003cfigure id=\"attachment_20959\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-e1408646792307.jpg\">\u003cimg class=\"size-large wp-image-20959\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-640x424.jpg\" alt=\"Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola. (ZOOM DOSSO/AFP/Getty Images) \" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola in Liberia. A doctor trained in California traveled last week to staff a Monrovia hospital. (ZOOM DOSSO/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>While Californians worry about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">a single possible case of Ebola\u003c/a>, considered low risk, the hot spot for this outbreak remains in West Africa where \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">1,350 people have died\u003c/a>, and another 2,400 people are sick with the illness. But what happens to people who get sick with something that is not Ebola?\u003c/p>\n\u003cp>Dr. James Appel was trained in the Inland Empire, at the Loma Linda University School of Medicine. He's been working for Adventist Health International at hospitals in Chad for the last decade. Last week, Dr. Appel flew to Liberia to keep the doors open at \u003ca href=\"http://www.adventistdirectory.org/viewEntity.aspx?EntityID=13526\" target=\"_blank\">Cooper Adventist\u003c/a>, a small hospital in the capital, Monrovia, focusing on remaining available to patients with anything but Ebola. He \u003ca href=\"http://www.californiareport.org/archive/R201408210850/b\" target=\"_blank\">talked Thursday morning\u003c/a> with The California Report's Rachael Myrow.\u003c/p>\n\u003cp>Appel described Liberia as \"shutting down\" around him. \"There's a curfew that's been initiated. Many businesses are not open; all the schools are closed, government offices are closed,\" Appel told Myrow. \"So for example our hospital is not getting paid by the insurance companies, because insurance companies are closed. The whole economy is coming to a standstill.\"\u003c!--more-->\u003c/p>\n\u003cp>Appel said that people are starting to think there will be food shortages. There's a \"profound impact not just for those few patients effected by Ebola, but for the whole country,\" Appel said.\u003c/p>\n\u003cp>Many public hospitals in West Africa are closing their doors or refusing new patients, Myrow noted, and asked Appel why the General Conference of 7th Day Adventists wanted to keep Cooper Adventist open.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Cooper has a history of not wanting to shut down during crisis situations,\" Appel said, adding that it stayed open during the Liberia's civil war. \"Staff feels that they have a mission, and that is to provide care to the Liberian people when no one else will.\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/164131162&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"While Ebola is dramatically killing people in a way that catches the imagination,\" Appel said, still more people are dying from malaria or complications from emergency c-sections. \"With all hospitals shut down because of the Ebola crisis, the death toll would soon far surpass anything that Ebola could do, just due to other normally treatable diseases,\" Appel noted.\u003c/p>\n\u003cp>The hospital is old and run down, he said, a very small, three story structure on a \"tiny parcel of land in the heart of the city.\"\u003c/p>\n\u003cp>Cooper Adventists cannot treat Ebola patients because they do not have the isolation facilities necessary. Appel said they refer any suspected Ebola patients to a bigger hospital. \"Anyone suspicious at all, we send them where they can get better care and where we will not be putting our other patients at risk,\"Appel said, adding there is only one lab in the country that can run tests for Ebola. All blood samples go there.\u003c/p>\n\u003cp>Appel acknowledged his own fears in treating patients during the ongoing crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I can't say I’m not afraid,\" he said. \"In all my medical training, there's only one thing that's ever scared me and that's Ebola -- because it is so lethal and happens so quickly and there's no known treatment.\" But he quickly added that Ebola is not as contagious as people might think. The virus is not airborne. Transmission requires \"direct physical contract with (a patient's) bodily fluids. If normal universal precautions are taken and you're very careful about screening patients and keeping yourself protected with gowns and gloves and masks, there's actually a low likelihood of you getting it.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20959\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-e1408646792307.jpg\">\u003cimg class=\"size-large wp-image-20959\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/453874026-640x424.jpg\" alt=\"Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola. (ZOOM DOSSO/AFP/Getty Images) \" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shops remain closed in Monrovia's West Point slum as part of quarantine measures to contain the spread of Ebola in Liberia. A doctor trained in California traveled last week to staff a Monrovia hospital. (ZOOM DOSSO/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>While Californians worry about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/20/kaiser-sacramento-patient-being-tested-for-possible-exposure-to-ebola/\" target=\"_blank\">a single possible case of Ebola\u003c/a>, considered low risk, the hot spot for this outbreak remains in West Africa where \u003ca href=\"http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html\" target=\"_blank\">1,350 people have died\u003c/a>, and another 2,400 people are sick with the illness. But what happens to people who get sick with something that is not Ebola?\u003c/p>\n\u003cp>Dr. James Appel was trained in the Inland Empire, at the Loma Linda University School of Medicine. He's been working for Adventist Health International at hospitals in Chad for the last decade. Last week, Dr. Appel flew to Liberia to keep the doors open at \u003ca href=\"http://www.adventistdirectory.org/viewEntity.aspx?EntityID=13526\" target=\"_blank\">Cooper Adventist\u003c/a>, a small hospital in the capital, Monrovia, focusing on remaining available to patients with anything but Ebola. He \u003ca href=\"http://www.californiareport.org/archive/R201408210850/b\" target=\"_blank\">talked Thursday morning\u003c/a> with The California Report's Rachael Myrow.\u003c/p>\n\u003cp>Appel described Liberia as \"shutting down\" around him. \"There's a curfew that's been initiated. Many businesses are not open; all the schools are closed, government offices are closed,\" Appel told Myrow. \"So for example our hospital is not getting paid by the insurance companies, because insurance companies are closed. The whole economy is coming to a standstill.\"\u003c!--more-->\u003c/p>\n\u003cp>Appel said that people are starting to think there will be food shortages. There's a \"profound impact not just for those few patients effected by Ebola, but for the whole country,\" Appel said.\u003c/p>\n\u003cp>Many public hospitals in West Africa are closing their doors or refusing new patients, Myrow noted, and asked Appel why the General Conference of 7th Day Adventists wanted to keep Cooper Adventist open.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Cooper has a history of not wanting to shut down during crisis situations,\" Appel said, adding that it stayed open during the Liberia's civil war. \"Staff feels that they have a mission, and that is to provide care to the Liberian people when no one else will.\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/164131162&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\"While Ebola is dramatically killing people in a way that catches the imagination,\" Appel said, still more people are dying from malaria or complications from emergency c-sections. \"With all hospitals shut down because of the Ebola crisis, the death toll would soon far surpass anything that Ebola could do, just due to other normally treatable diseases,\" Appel noted.\u003c/p>\n\u003cp>The hospital is old and run down, he said, a very small, three story structure on a \"tiny parcel of land in the heart of the city.\"\u003c/p>\n\u003cp>Cooper Adventists cannot treat Ebola patients because they do not have the isolation facilities necessary. Appel said they refer any suspected Ebola patients to a bigger hospital. \"Anyone suspicious at all, we send them where they can get better care and where we will not be putting our other patients at risk,\"Appel said, adding there is only one lab in the country that can run tests for Ebola. All blood samples go there.\u003c/p>\n\u003cp>Appel acknowledged his own fears in treating patients during the ongoing crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I can't say I’m not afraid,\" he said. \"In all my medical training, there's only one thing that's ever scared me and that's Ebola -- because it is so lethal and happens so quickly and there's no known treatment.\" But he quickly added that Ebola is not as contagious as people might think. The virus is not airborne. Transmission requires \"direct physical contract with (a patient's) bodily fluids. If normal universal precautions are taken and you're very careful about screening patients and keeping yourself protected with gowns and gloves and masks, there's actually a low likelihood of you getting it.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
"link": "/californiareport",
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},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
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"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"rss": "https://feeds.megaphone.fm/KQINC2275451163"
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
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