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PostPosted: Tue Dec 02, 2014 2:32 pm 

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
CDC has cited 35 US hospitals as Ebola treatment centers.


PostPosted: Tue Dec 02, 2014 2:33 pm 

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
Tuesday, December 2, 2014

35 U.S. hospitals designated as Ebola treatment centers
CDC trains and assesses Ebola hospital readiness in collaborative effort

An increasing number of U.S. hospitals are now equipped to treat patients with Ebola, giving nationwide health system Ebola readiness efforts a boost. According to the Centers for Disease Control and Prevention (CDC), state health officials have identified and designated 35 hospitals with Ebola treatment centers, with more expected in the coming weeks.

Hospitals with Ebola treatment centers have been designated by state health officials to serve as treatment facilities for Ebola patients based on a collaborative decision with local health authorities and the hospital administration.

Ebola treatment centers are staffed, equipped and have been assessed to have current capabilities, training and resources to provide the complex treatment necessary to care for a person with Ebola while minimizing risk to health care workers.

“We continue our efforts to strengthen domestic preparedness and hospital readiness. I am pleased to announce that 35 hospitals have been designated by state health officials as Ebola treatment centers that are prepared, trained, and ready to provide care for a patient with Ebola,” said Health and Human Services Secretary Sylvia M. Burwell.

More than 80 percent of returning travelers from Ebola-stricken countries live within 200 miles of an Ebola treatment center. During their active monitoring, state or local public health authorities communicate every day with potentially exposed individuals to check for symptoms and fever for the 21 day incubation period of the Ebola virus.

“As long as Ebola is spreading in West Africa, we must prepare for the possibility of additional cases in the United States,” said CDC Director Tom Frieden, M.D., M.P.H. “We are implementing and constantly strengthening multiple levels of protection, including increasing the number of hospitals that have the training and capabilities to manage the complex care of an Ebola patient. These hospitals have worked hard to rigorously assess their capabilities and train their staff.”

The additional facilities supplement the three national bio containment facilities at Emory University Hospital, Nebraska Medical Center, and the National Institutes of Health (NIH), which will continue to play a major role in our overall national treatment strategy, particularly for patients who are medically evacuated from overseas. Facilities will continue to be added in the next several weeks to further broaden geographic reach.

CDC also released guidance for states and hospitals to use as they identify and designate an Ebola treatment center. The guidance covers the range of capabilities hospitals need in order to provide comprehensive care for patients with Ebola. HHS, through the CDC and the Office of the Assistant Secretary of Preparedness and Response (ASPR), also provided technical assistance to health departments and hospitals.

Each hospital with an Ebola treatment center has been assessed on-site by a CDC Rapid Ebola Preparedness (REP) team. The CDC REP team is staffed with experts in all aspects of caring for a patient with Ebola, including staff training, infection control, personal protective equipment (PPE) use, and details such as handling and management of the trash from the patient’s room. As of December 1st, CDC has conducted REP team assessments in over 50 hospitals in 15 states and Washington, D.C.

Because of the active monitoring program of returning travelers from countries where Ebola is present, federal health officials have a clear sense of where travelers from affected countries in West Africa are going and where Ebola treatment centers are most likely to be needed. The priority areas are jurisdictions served by the five international airports screening returning travelers for Ebola, cities with high proportion of returning travelers from West Africa, and cities with large populations of individuals from West Africa.

The 35 hospitals with Ebola treatment centers to date are:

Kaiser Oakland Medical Center; Oakland, California
Kaiser South Sacramento Medical Center; Sacramento, California
University of California Davis Medical Center; Sacramento, California
University of California San Francisco Medical Center; San Francisco, California
Emory University Hospital; Atlanta, Georgia
Ann & Robert H. Lurie Children’s Hospital of Chicago; Chicago, Illinois
Northwestern Memorial Hospital; Chicago, Illinois
Rush University Medical Center; Chicago, Illinois
University of Chicago Medical Center; Chicago, Illinois
Johns Hopkins Hospital; Baltimore, Maryland
University of Maryland Medical Center; Baltimore, Maryland
National Institutes of Health Clinical Center; Bethesda, Maryland
Allina Health’s Unity Hospital; Fridley, Minnesota
Children’s Hospitals and Clinics of Minnesota; St. Paul, Minnesota
Mayo Clinic Hospital; Minneapolis, Minnesota
University of Minnesota Medical Center, West Bank Campus, Minneapolis;
Rochester, Minnesota

Nebraska Medicine; Omaha, Nebraska
North Shore System LIJ/Glen Cove Hospital; Glen Cove, New York
Montefiore Health System; New York City, New York
New York-Presbyterian/Allen Hospital; New York City, New York
NYC Health and Hospitals Corporation/HHC Bellevue Hospital Center; New York City, New York
Robert Wood Johnson University Hospital; New Brunswick, New Jersey
The Mount Sinai Hospital; New York City, New York
Children's Hospital of Philadelphia; Philadelphia, Pennsylvania
Hospital of the University of Pennsylvania; Philadelphia, Pennsylvania
University of Texas Medical Branch at Galveston; Galveston, Texas
Methodist Hospital System in collaboration with Parkland Hospital System and the University of Texas Southwestern Medical Center; Richardson, Texas
University of Virginia Medical Center; Charlottesville, Virginia
Virginia Commonwealth University Medical Center; Richmond, Virginia
Children’s Hospital of Wisconsin, Milwaukee; Milwaukee, Wisconsin
Froedtert & the Medical College of Wisconsin – Froedtert Hospital, Milwaukee; Milwaukee, Wisconsin
UW Health – University of Wisconsin Hospital, Madison, and the American Family Children’s Hospital, Madison; Madison, Wisconsin
MedStar Washington Hospital Center; Washington, DC
Children's National Medical Center; Washington DC
George Washington University Hospital; Washington DC

Active Monitoring program

CDC has worked with state and local health officials to implement an active monitoring program for travelers returning from affected countries in West Africa. Each traveler, on entry to the U.S., is provided with a CARE (Check and Report Ebola) kit including a thermometer, temperature log, contact information with the State health department, and wallet card with important information. Since inception of the program, more than 3,000 travelers have been monitored more than 30,000 times by state or local health departments to check daily for fever or other symptoms. In each case since implementation of the program, travelers who have experienced fever or other Ebola compatible symptoms have been connected with the health department through this process and safely transported to a facility that was ready to care for them using appropriate infection control.

Assessment hospitals -- careful bridge to hospitals with Ebola treatment centers

In addition to designated hospitals to treat Ebola patients, CDC has been working with state and local public health officials to identify Ebola assessment hospitals. Assessment hospitals are hospitals identified by state health officials, in collaboration with local health authorities and the hospital administration, as the point of referral for those individuals being actively monitored and who develop symptoms compatible with Ebola such as fever.

These hospitals have the capability to: evaluate and care for someone who is having the first symptoms of Ebola for up to 96 hours; initiate and coordinate testing for Ebola and for other diseases alternative diagnoses; and either rule out Ebola or transfer the individual to an Ebola treatment center, as needed.

An assessment hospital would only care for a patient who might have Ebola during the time before a confirmed diagnosis is made until it then transfers the patient to an Ebola treatment center.

While no states had such plans in September, 15 states that have the majority of the travelers now have plans in place to evaluate persons under investigation and for providing care for up to 96 hours while testing can be arranged. CDC also released guidance for states and hospitals to use as they identify Ebola assessment hospitals.

Keeping Americans safe

The designated hospitals add to U.S. Ebola readiness efforts. However, all health care workers at hospitals and other health care facilities should be trained and able to recognize symptoms, safely isolate a potential Ebola patient, and contact public health authorities for guidance on next steps for safely managing the patient. Since July, HHS, with leadership from CDC, has conducted and continue to conduct extensive outreach to the health care community, including hospitals, clinicians, healthcare unions, and medical and nursing provider associations.

CDC has educated nearly 150,000 healthcare workers via webinars, and trained more than 525,000 via online clinical resources, to assure that healthcare workers are trained and able to recognize and safely isolate a potential Ebola patient in the unlikely event that such a patient presents unexpectedly. CDC continues to conduct infection control training.

In addition, CDC Ebola Response Teams (CERT), made up of experts in epidemiology, infection control, laboratory, and communications stand ready to deploy to any hospital in the United States with probable Ebola cases.

CDC is now supporting 42 state and local laboratories throughout the county to perform rapid Ebola testing. Four months ago only CDC and the US Armed Forces laboratory could test for Ebola. These additional laboratories capable of diagnosing Ebola cut the time needed to rule out a person for Ebola or confirm a case and speed the patient’s transport and treatment in a specialized Ebola treatment center.

# # #

Like HHS on Facebook, follow HHS on Twitter @HHSgov, and sign up for HHS Email Updates
Follow HHS Secretary Sylvia Burwell on Twitter @SecBurwell


PostPosted: Wed Dec 03, 2014 4:19 am 

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
US designates 35 hospitals to treat Ebola patients
Bellevue Hospital Center in New York is one of 35 US hospitals designated to care for Ebola patients.

WASHINGTON — US officials have designated 35 hospitals around the country to care for Ebola patients, part of the Obama administration’s effort in the past two months to improve domestic preparedness to cope with the deadly virus that has ravaged West Africa.

The hospitals were chosen by state health officials and hospital executives and assessed by infection control teams from the Centers for Disease Control and Prevention to make sure they have adequate staff, equipment, training, and resources ‘‘to provide the extensive treatment necessary to care for an Ebola patient,’’ according to a senior administration official.

‘‘This is a big step forward in terms of domestic preparedness in terms of any Ebola cases that might arrive here,’’ said the official, who spoke on condition of anonymity because the list had not been made public. Located in key parts of the country, the hospitals are ‘‘within 200 miles of 80 percent of where returning travelers will wind up in the United States,’’ he said.

Nearly two dozen hospitals are located near the five international airports — John F. Kennedy in New York; Newark Liberty; Washington Dulles; O’Hare in Chicago; and Hartsfield-Jackson in Atlanta — that travelers from Guinea, Liberia, Sierra Leone, and Mali are required to use when arriving in the United States.

They include Bellevue Hospital Center in New York; Robert Wood Johnson University Hospital in New Brunswick, N.J.; Johns Hopkins in Baltimore; MedStar Washington Hospital Center in Washington, D.C.; Northwestern Memorial Hospital in Chicago; and Emory University Hospital in Atlanta.

Other hospitals are in communities where West African immigrants live, including Philadelphia, New Jersey, California, and Minnesota. They include Kaiser Oakland Medical Center in Oakland, Calif., and the Mayo Clinic in Minneapolis.

The 35 designated hospitals will have total treatment capacity of 53 beds.

Officials have run into reluctance from facilities worried about steep costs and unwanted attention.

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In trying to establish a network of hospitals, US officials have run into reluctance from facilities worried about steep costs, unwanted attention, and the possibility of scaring away other patients.

The reticence, although perhaps not surprising, complicates government efforts to ensure that the country can effectively treat people with Ebola and contain possible outbreaks.

Until October, only a few facilities in the United States with special biocontainment units, which are ideal for treating Ebola, were able to care for patients. And they could only handle two or three patients at a time. The case of Thomas Eric Duncan, the Liberian man who was initially misdiagnosed at a Dallas hospital and died Oct. 8, shows how easily a community hospital can stumble.

The Obama administration’s $6.2 billion emergency funding request for Ebola, which includes $154 million for hospital preparedness and support, envisions at least one designated facility in every state, and additional ones in New York, Washington D.C., Chicago, Los Angeles, and Puerto Rico.

The White House wants Congress to approve the request by Dec. 11, when current government funding runs out.

In addition to the 35 hospitals that have already been designated, officials want to establish at least another 20 facilities, the official said. When that can be done will depend on how quickly Congress approves the emergency request.

‘‘A combination of confidence and a sense of civic duty and medical prestige led these 35 to come forward and put their hands up,’’ the official said. In addition to being prepared to treat Ebola patients, the infection-control measures in place at these hospitals will improve overall resilience and is ‘‘a great investment in their ability to deal with dangerous and infectious diseases.’’

On an average day, there are a total of 50 to 70 travelers arriving from the affected countries at all five airports, officials have said. Ten people have been treated for Ebola in the United States, and federal officials say the number of future cases is likely to be extremely small — in large part because airport screening and follow-up monitoring allows health authorities to spot possible cases and refer them to hospitals for treatment.

Last week, NIH researchers announced the completion of an early-stage human trial for an Ebola vaccine, which is being developed in collaboration with European drug maker GlaxoSmithKline.

The results, which show that the vaccine triggered an immune response and did not cause harm in a small group of volunteers, paved the way for large-scale trials that could begin as soon as next month in West Africa.

http://www.bostonglobe.com/news/nation/ ... story.html?


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