CENTER FOR INFECTIOUS DISEASE AND POLICY                                                                   Dec. 9, 2014          
By  Peter M. Sandman, PhD, and Jody Lanard, MD  

In contrast to the Ebola crisis in West Africa, which started in late 2013 and will last well into 2015 or longer, the US "Ebola crisis" was encapsulated in a single month, October 2014. But there may well be US Ebola cases to come, brought here by travelers or returning volunteers. And other emerging infectious diseases will surely reach the United States in the months and years ahead.

So now is a propitious time to harvest some crisis communication lessons from the brief US Ebola "crisis."

We're putting "crisis" in quotation marks because there was never an Ebola public health crisis in the United States, nor was there a significant threat of one. But there was a crisis of confidence, a period of several weeks during which many Americans came to see the official response to domestic Ebola as insufficiently cautious, competent, and candid—and therefore felt compelled to implement or demand additional responses of their own devising....

REPORTS Of RESEARCH ON TWO METHODS OF RAPID TESTING FOR EBOLA

(Two items, scroll down)

MEDICAL PRESS                                                                                     Dec. 8, 2014

Rutgers researcher David Alland, working with the California biotechnology company Cepheid, has received a grant of nearly $640,000 from the National Institutes of Health to develop a rapid test to diagnose Ebola as well as other viruses that can cause symptoms similar to Ebola.

Researchers will adapt this cartridge, now used worldwide for tuberculosis screenings, to collect and test samples from potential Ebola patients. Credit: John Emerson

Alland, a professor of medicine and associate dean for clinical research at Rutgers New Jersey Medical School and the principal investigator of the project, says health workers would be able to take the test to small villages and other remote locations where the spread of Ebola has been especially rampant and diagnose patients where they live...

NEW YORK TIMES    By Anemona Hartocollis                                                          NOV. 24, 2014

NEW YORK   ...since Kaci Hickox, a nurse, flew into Newark’s airport on Oct. 24 and was kept at a hospital for three days, no one else has been caught up in the quarantine dragnet at the New York and New Jersey airports.

The absence of quarantines is striking, not only because both governors emphatically defended the policy as a necessary precaution, but also because most people returning from Ebola-stricken countries arrive in the United States through Kennedy and Newark Liberty International Airports.

...New York and New Jersey officials say no one coming through the two airports since Ms. Hickox has reported direct contact with Ebola patients.

LOS ANGELES TIMES                                                                                        Nov.5, 2014
By Michael Muskal                                      
The number of people who are being actively monitored for Ebola in New York has tripled to 357 people, none of whom has displayed any symptoms, city health officials announced Wednesday.

The vast majority of those being monitored arrived in New York in the last 21 days from West Africa, the New York City Health and Hospitals Corporation said in a statement. Those under monitoring are being checked out of “an abundance of caution,” the statement said.

The latest announcement comes as Ohio said it was officially Ebola-free and Texas prepared to end its observation period for the last 27 healthcare workers. The Texas group will complete its 21-day monitoring period on Friday, according to state officials.

Read complete story
http://www.latimes.com/nation/nationnow/la-na-nn-ohio-ebola-free-monitoring-20141105-story.html

NEW YORK TIMES                        NOV. 1, 2014
By RICHARD PÉREZ-PEÑA
When public health leaders and government officials make the case against isolating more people returning from the Ebolahot zones in West Africa, or against imposing more travel restrictions from that region, time and again they cite science and experts. It isn’t working very well.

Many support the efforts of Gov. Paul R. LePage of Maine to isolate a nurse who treated Ebola patients in West Africa. Credit Craig Dilger for The New York Times

REUTERS
By Joe Page                              Oct. 31, 2014

(FORT PAGE, Maine)  Declaring Ebola fears in the United States "not entirely rational," a judge rejected Maine's bid for a quarantine on a nurse who treated victims of the disease in West Africa but tested negative for it, and instead imposed limited restrictions.

Nurse Kaci Hickox (L) joined by her boyfriend Ted Wilbur speak with the media outside of their home in Fort Kent, Maine October 31, 2014.Credit: Reuters/Joel Page

Nurse Kaci Hickox's challenge of the Maine quarantine became a key battleground for the dispute between officials in some U.S. states who have imposed strict quarantines on health workers returning from three Ebola-ravaged West African countries and the federal government, which opposes such measures.

Maine Governor Paul LePage said that while he was disappointed by the order from Charles LaVerdiere, the chief judge of Maine District Court, the New England state would abide by it.

Hickox, 33, said she was pleased with the ruling and said people need to "overcome the fear."

 REUTERS                                                                                     Oct. 30, 2014

By Jonathan Allen

(Reuters) - Mandatory quarantines ordered by some U.S. states for doctors and nurses returning from West Africa's Ebola outbreak are creating a "chilling effect" on aid work there, the humanitarian aid group Doctors Without Borders said on Thursday.

NEW YORK TIMES                                                                     Oct. 30, 2014
By MARC SANTORA and ANEMONA HARTOCOLLIS

New York officials announced on Thursday that they would offer employee protection and financial guarantees for health care workers joining the fight against the Ebola outbreak in three West African nations.

The announcement was an effort to alleviate concerns that the state’s mandatory quarantine policy could deter desperately needed workers from traveling overseas.

Under the new protections, modeled after the rights granted military reservists, workers could not suffer any pay cuts or demotions for serving in Africa, and the state would make up any lost income if they had to be quarantined when they returned.

NBC NEWS                                   Oct. 30, 2014
By Maggie Fox and Stacey Naggiar

Close to 50 volunteers have come back safe and well from the Ebola hot zone in West Africa, aid agencies tell NBC News, even as states debate whether to force such workers into quarantine.

                                                                                    Denmark / U.S. CBP via Reuters file

A look at the numbers from groups such as Doctors Without Borders and the International Medical Corps shows just about 150 people have gone to help fight the epidemic in Liberia, Sierra Leone and Guinea. Of them, 47 have returned symptom-free.

Discussion of conflicting quarantine guidelines

HOMELAND SECURITY NEWSWIRE                     Oct. 30, 1014
Earlier this week, the Centers for Disease Control and Prevention(CDC) issued new guidelines on how states should deal with travelers from Ebola-stricken regions, but a lack of federal authority to mandate such guidelines has led to conflicting strategies, varying from state to state, which includes mandatory at-home quarantine for some travelers. Under current U.S. law, the states have the authority to issue quarantine or isolation policies, and they also control the enforcement of these policies within their territories.

Read complete article
http://www.homelandsecuritynewswire.com/dr20141030-lack-of-federal-authority-makes-fashioning-coherent-national-ebola-policy-difficult

A young man, dressed in a biohazard costume, stands on the corner of 546 West 147th Street in New York City. Bryan Thomas/Getty Images

VOX                                                                       Oct. 29, 2014
By Julia Bellez
As Ebola fears wash over America, some state governors are turning to mandatory quarantines: locking up healthy workers returning from West Africa for 21 days, Ebola's incubation period. The policy in New Jersey made national headlines after it resulted in a nurse who had no Ebola symptoms — and had been fighting the disease in West Africa, no less — being isolated in a poorly heated tent with no running shower or toilet.

USA TODAY                                                                        OCT. 29, 2014
By Doug Staglin
Maine state police were stationed outside the home of Ebola nurse Kaci Hickox Wednesday as Gov. Paul LePage said he was seeking legal authority to force the "unwilling" health care workers to remain quarantined for 21 days.

The 33-year-old nurse, who has shown no symptoms of the deadly virus, arrived in Maine on Monday after being forcibly held in an isolation tent in New Jersey for three days under that state's strict new law for health care workers who have recently treated Ebola patients in West Africa.

Over Hickox's objections, Maine health officials insisted that she stay in her home in Fort Kent for 21 days until the incubation period for Ebola had passed.

"I don't plan on sticking to the guidelines," Hickox tells Today show's Matt Lauer. "I am not going to sit around and be bullied by politicians and forced to stay in my home when I am not a risk to the American public."

CNN                                             Oct. 28, 2014

By Greg Botelho, Jason Hanna and Ashley Fantz,

The release today of nurse Amber Vinson  from the Emory Unversity hospital in Atlanta hospital leaves a single person in the United States now battling Ebola, though MS Vinson and others -- including President Barack Obama -- stressed the fight against the deadly virus isn't over.

Dr. Craig Spencer is now the only person in the United States being treated for Ebola. The 33-year-old was admitted to Bellevue Hospital in New York City after developing a fever on Thursday, six days after returning to the United States and over a week after leaving Guinea, where he worked for Doctors Without Borders.

See complete story
http://www.cnn.com/2014/10/28/health/us-ebola/
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WASHINGTON POST   GRAPHICS 
                        
Seven people were treated and declared Ebola-free; one died.  Here is a look at the nine U.S. Ebola patients:

http://apps.washingtonpost.com/g/page/national/status-of-us-ebola-cases/1406/

WHITE HOUSE SUPPORTS CDC GUIDELINES FOR CIVILIANS, EXPLAINS DIFFERENT TREATMENT FOR U.S. TROOPS

NEW YORK TIMES                                                              Oct. 28, 2014
By MICHAEL D. SHEAR

WASHINGTON — President Obama on Tuesday said that new Ebola guidelines from the Centers for Disease Control and Prevention were “sensible, based in science” and would help keep Americans safe while not discouraging volunteers from traveling to West Africa to battle the disease at its source....

UPDATE WITH DETAILS OF MARYLAND AND VIRGINIA MONITORING  (Scroll down)

ROUNDUP OF DEVELOPMENTS IN THE QUARANTINE  DISPUTE
NEW YORK TIMES                        Oct. 28, 2014

By SABRINA TAVERNISE, MICHAEL D. SHEAR and HELENE COOPER

The federal government on Monday tried to take charge of an increasingly acrimonious national debate over how to treat people in contact with Ebola patients by announcing guidelines that stopped short of tough measures in New York and New Jersey and were carefully devised, officials said, not to harm the effort to recruit badly needed medical workers to West Africa.