RoseAnn DeMoro, head of National Nurses United, is warning that hospitals in the U.S. “are not ready to confront” Ebola. But Thomas Frieden, MD, director of the Centers for Disease Control and Prevention insists they are. The string of errors in Dallas shows that the neither the CDC nor the local hospital was ready for the first American case of Ebola. New York and other cities can learn from what went wrong.
On September 25, Thomas Eric Duncan, a Liberian with an undiagnosed case of Ebola, went to the emergency room at Texas Health Presbyterian Hospital in Dallas. The medical team overlooked his recent arrival from Ebola-infested West Africa and discharged him with antibiotics. That was the first of several mistakes that have put at least 48 Dallas-area residents at enough risk of contracting Ebola that they’re being monitored twice daily, and in some cases quarantined.
Hospital officials initially blamed the electronic medical records system, instead of admitting staff had made an error. That allows deadly mistakes to be repeated.
After Duncan was discharged, his condition worsened, and two days later, as he huddled in a blanket, with vomiting, diarrhea, and reddened eyes, his girlfriend’s daughter called 911. But Dallas wasn’t screening 911 calls for Ebola, something that New York City is already doing.
When the ambulance arrived, paramedics got their first warning, thanks to the daughter, that Duncan had arrived from West Africa and could have a virus. So they grabbed masks and gloves before helping Duncan, who was vomiting profusely, into the ambulance.
Those paramedics are now being monitored for symptoms.