When Thomas Eric Duncan died Wednesday of Ebola at Texas Health Presbyterian Hospital in Dallas, one of many questions that remained unanswered was why the hospital didn’t do more to diagnose and treat Duncan initially. On Sept. 25, Duncan walked into the hospital’s emergency room, was given antibiotics and sent home, according to coverage in the Los Angeles Times and elsewhere.
The question about what happened on Sept. 25 is important because Duncan could have infected many other individuals between when he was sent home on Sept. 25 and when he returned on Sept. 28 and was put into isolation. Writing in The New York Times, Manny Fernandez and Dave Philipps suggest that Duncan might still be alive if he had been admitted on Sept. 25.
After his death, Duncan’s fiancée, Louise Troh, and other African-Americans, questioned whether Duncan had received substandard care. Continue reading
Earlier today it was announced that Thomas Eric Duncan died in Dallas. Duncan, a Liberian national who contracted Ebola in Liberia, did not show symptoms on his journey to Dallas or immediately after his arrival. Various news outlets are reporting that travelers arriving in the United States from West Africa would have their temperatures taken and be asked to answer questionnaires ascertaining any possible exposure.
Given today’s events, it’s understandable that Internet speculation and media coverage have fanned the flames of public panic regarding Ebola. But reporters should be asking state and local epidemiologists if that panic is really justified.
Math can answer that question.
Some words are so familiar that it’s easy to assume you know what they mean – especially terms for a patient’s condition. Words such as “stable” and “critical” make it into health news all the time, but what do they really mean?
In light of the African Ebola epidemic, and the first diagnosis of Ebola on American soil, reporters should understand terms commonly used to describe a patient’s medical state or condition.
First, health writers should understand “vital signs” and what providers mean when they refer to vital signs as being normal. According to Medline Plus, “vital signs” include heart beat, breathing rate, temperature and blood pressure. Continue reading
What I’m reading about Ebola today:
“Possible second Ebola case in Dallas,” which may, of course, be related to “Experts question two-day delay in admitting Texas Ebola patient.” And now we learn that the “Ebola patient told hospital he had been to Liberia,” as well make use of a helpful interactive graphic on how contact tracing works. (Edited to add that last link.)
BioWorld Today has compiled a list of resources and stories about Ebola: “Special Report: The Push to Contain Ebola Virus.”
The World Health Organization has a page for Ebola situation assessments that it says will be updated Wednesday afternoon with information about a clinical trial of a vaccine. Continue reading
With today’s announcement of the first Ebola case to be diagnosed in the U.S., it’s worth brushing up on the facts about the virus to help your readers, viewers and listeners understand.
The Centers for Disease Control and Prevention is hosting a briefing at 5:30 p.m. ET about the case, diagnosed in a patient at Texas Health Presbyterian Hospital Dallas. Expected to speak during that briefing:
- Thomas Frieden, M.D., M.P.H, director, Centers for Disease Control and Prevention
- David Lakey, M.D., commissioner, Texas Department of State Health Services
- Edward Goodman, M.D., FACP, FIDSA, FSHEA, hospital epidemiologist, Texas Health Presbyterian Hospital Dallas
- Zachary Thompson, M.A., director, Dallas County Health and Human Services
And here are some resources to use in your reporting: Continue reading
Photo: Len BruzzeseCDC Director Tom Frieden briefs the 2013-14 AHCJ Regional Health Journalism fellows on Monday morning.
A nasty virus just landed on America’s doorstep.
Tom Frieden, M.D., M.P.H., director of the Centers for Disease Control and Prevention, confirmed the arrival of “chikungunya” fever in the Caribbean. Frieden made the announcement Monday while talking to a group of West-based AHCJ Regional Health Journalism Fellows at the CDC in Atlanta.
News of two confirmed cases in the island of St. Martin in the West Indies was reported Friday by The Daily Herald following a press conference by health officials in the region.
Named from the phrase “that which bends up” in Mozambique’s Kimakondan language because of its symptoms, chikungunya was first isolated from a Tanzanian patient in 1953, according to the CDC. Chikungunya exhibits symptoms similar to the dengue virus, including fever, rashes, headache, nausea and muscle pain. The virus is also transmitted through mosquitoes.
Until recently, cases of chikungunya were primarily seen in Africa and Asia. No cases have been reported in the United States, making the Caribbean cases the closest confirmation yet in terms of proximity. Continue reading