With the complex nature and seriousness of the outbreak, CDC has created interim guidance for monitoring people potentially exposed to Ebola and for evaluating their intended travel, including the application of movement restrictions when indicated. This interim guidance has been updated by establishing a “low (but not zero) risk” category; adding a “no identifiable risk” category; modifying the recommended public health actions in the high, some, and low (but not zero) risk categories; and adding recommendations for specific
groups and settings.
“Quarantine should be implemented on a case-by-case basis by state and local health officials and guided by the principle of utilizing the least restrictive measures necessary to protect the public’s health,” said Dr. Jeff Engel, CSTE Executive Director and infectious disease expert. “There’s a crucial responsibility of states to better serve their constituencies by following this important federal guidance.”
CSTE further recommends that Ebola exposure risk should be guided by an informed understanding of the routes of Ebola transmission and the exposure history of the person(s) in question, as determined by public health professionals. (via www.cste.org)
CSTE works to establish more effective relationships among state and other health agencies. It also provides technical advice and assistance to partner organizations and to federal public health agencies such as the Centers for Disease Control and Prevention (CDC)
The high toll of Ebola virus infections among healthcare workers providing direct care to Ebola patients in
countries with widespread transmission suggests that there are multiple potential sources of exposure to
Ebola virus in these countries, including unrecognized breaches in PPE, inadequate decontamination
procedures, and exposure in patient triage areas. Due to this higher risk, these healthcare workers are
classified in the some risk category, for which additional precautions are recommended upon their arrival in
the United States according to a CSTE report.
According to the CDC, on any given day, about one in 25 hospital patients have at least one HAI. In 2011, the most recent CDC numbers show, there were an estimated 722,000 HAIs in U.S. acute care hospitals. Close to 75,000 hospital patients with HAIs died during their hospitalizations. In addition, more than half of all HAIs occurred outside of the ICU, according to the CDC. Mr. Vecchione’s article entitled Data mining keeps HAIs from spreading sheds light on things to come as the Ebola outbreak forces everyone to re-examine the way the U.S. addresses potential treats like Ebola.
This link that addresses the topic being discussed around news media outlets: Summary of CDC Interim Guidance for Monitoring and Movement of People Exposed to Ebola Virus
Sources and Readings
Data mining keeps HAIs from spreading by Anthony Vecchione
Epidemiologic Risk Factors to Consider when Evaluating a Person for Exposure to Ebola V