.
.
This document is available at this web address
https://sites.google.com/site/ebolavirusresearchguide/ebola-
virus-united-states-selected-state-government-websites
OR
http://tinyurl.com/n3xk9le
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Ebola Virus. United States. Selected State Government Websites
Ebola Virus Information Page FROM California. Department of Public
Health
Background
Information on Reporting of Suspect Ebola Patients
Laboratory Testing
Specimen Handling, Packaging and Shipping
Infection Control
Community Mitigation
Other Available Guidances and Tools
LINK COLLECTIONS
General Information
Specimen Collection, Testing and Shipping Guidelines
Information for Specific Groups
Forms
Information for Health Care Workers
http://cdph.ca.gov/programs/cder/Pages/Ebola.aspx
Other Available Guidances and Tools
The CDC poster Sequence for putting on and removing Personal Protective
Equipment, available at: http://www.cdc.gov/vhf/ebola/pdf/ppe-poster.pdf.
This updated poster emphasizes guidance to perform hand hygiene between
steps if hands become contaminated and immediately after removing all PPE.
There are multiple acceptable sequences and methods for removing PPE.
Regardless of the sequence or method used, the important principles are
that the most contaminated items are removed first, and that the person
removing PPE does not contaminate themselves or others during the process.
If two pairs of gloves are used, the most contaminated outer gloves can be
removed first and the inner gloves last, in order to limit additional
contamination of remaining PPE during removal. Performing hand hygiene
between steps, and especially prior to removal of a mask or respirator,
can help prevent contaminating ones eyes and/or mucous membranes while
removing the mask or respirator. Healthcare personnel should familiarize
themselves and practice methods of donning and removal of any PPE used, in
advance of the time when PPE will be needed.
Availability of PPE supplies, hand hygiene, and appropriate waste
containers at the point needed can be facilitated by placing any suspect
EVD patient in a room with an anteroom. An anteroom is particularly
helpful if airborne isolation is implemented and respirators must be
removed after leaving the patient room and closing the door. If a room
with an anteroom is unavailable, a suspect EVD patient can be placed in a
room that is spatially separated from other occupied patient rooms in a
low traffic area (e.g., at the end of a hallway), with a designated area
for hand hygiene and waste containers outside the room and separate from
other patient care areas.
CDC Interim Guidance for Environmental Infection Control in Hospitals for
Ebola Virus, available at:
http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html.
Although the role of the environment in transmission of Ebola virus has
not been established, in this guidance CDC recommends higher levels of
precaution to reduce the potential risk posed by contaminated surfaces in
the patient care environment given the apparent low infectious dose,
potential of high virus titers in the blood of ill patients, and disease
severity. Disinfection products with higher potency than what is normally
required for an enveloped virus such as Ebola are therefore now
recommended. Such products include Environmental Protection
Agency-registered hospital disinfectants with a label claim for a
non-enveloped virus (e.g., norovirus, rotavirus, adenovirus, poliovirus),
and would also include bleach solution. In addition, the new guidance
recommends that porous surfaces that cannot be made single use (e.g.,
carpeting, upholstered furniture and curtains) should be avoided in rooms
of suspect EVD patients, and that potentially contaminated textiles (e.g.
linens, non-fluid-impermeable pillows or mattresses, and privacy curtains)
be discarded as regulated medical waste.
CDC Interim Guidance for Emergency Medical Services (EMS) Systems and
9-1-1 Public Safety Answering Points (PSAPs) for Management of Patients
with Known or Suspected Ebola Virus Disease in the United States,
available at
http://www.cdc.gov/vhf/ebola/hcp/interim-guidance-emergency-medical-services-
systems-911-public-safety-answering-points-management-patients-known-suspected-united-states.html.
This CDC guidance recommends PSAPs question callers about risk factors and
signs and symptoms of Ebola when risk of Ebola is elevated in their
community (e.g., in the event that patients with confirmed Ebola are
identified in the area). Please note that the risk of Ebola in California
communities is not elevated, but Ebola infections might occur in persons
in California who recently traveled to West Africa where an Ebola outbreak
is occurring. PSAPs should therefore:
Question all callers who report fever (with or without additional symptoms
of severe headache, muscle pain, vomiting, diarrhea, abdominal pain, or
unexplained bleeding) regarding history of travel during the 21 days prior
to onset of fever to a region where an Ebola outbreak is occurring.
Question all callers reporting fever and travel history consistent with
potential Ebola exposure regarding contact with blood or body fluids of a
person with known or suspected Ebola.
CDC also recommends PSAPs alert first responders and EMS personnel prior
to arrival on scene regarding any person with possible Ebola. If
responding at an airport or other port of entry to the United States, the
PSAP should notify the CDC Quarantine Station for the port of entry.
Contact information for CDC Quarantine Stations can be accessed at the
following link:
http://www.cdc.gov/quarantine/quarantinestationcontactlistfull.html.
In addition to CDC recommendations for PPE to be used by EMS personnel
responding to a call regarding a person with possible Ebola, EMS personnel
may opt to wear a N95 respirator (or equivalent) if the patient is
vomiting or having copious diarrhea or bleeding, particularly if occurring
in an enclosed and less controlled environment (e.g., moving vehicle). The
CDC guidance outlines additional recommendations for EMS transfer of
patients with suspected Ebola to healthcare facilities, including
inter-facility transport considerations
Guidance for Safe Handling of Human Remains of Ebola Patients in U. S.
Hospitals and Mortuaries, available at
http://www.cdc.gov/vhf/ebola/hcp/guidance-safe-handling-human-remains-ebola-patients-us-hospitals-mortuaries.html.
http://cdph.ca.gov/programs/cder/Documents/Ebola%20Flyer%20-%20IMM%201144%20(8.14).pdf
.
North Carolina. NCDHHS Ebola Information. North Carolina Department of
Health and Human Services
About Ebola Virus Disease
Ebola Updates from the CDC
Information for the Public
Symptoms of Ebola
To protect yourself from Ebola
Information for Providers
Physicians are required to contact their local health department or the
state Communicable Disease Branch
(919-733-3419) as soon as Ebola or any other hemorrhagic fever virus
infection is reasonably suspected.
FAQs
Has the North Carolina Division of Public Health (NC DPH) been preparing
for a patient with Ebola to arrive in our state?
Yes, the NC DPH has been working closely with public health partners and
healthcare providers statewide since July to prepare for the possibility
of Ebola virus infections in North Carolina.
How are public health departments, healthcare providers and other partners
preparing?
Extensive guidance has been provided by the CDC and the NC DPH to health
departments, healthcare providers, hospitals and laboratories on
evaluation of patients with recent international travel and on management
of suspected cases. These partners are continuing to work together to
develop plans to ensure that an Ebola patient can be safely managed in
their communities. The most current guidance can be found here
http://epi.publichealth.nc.gov/cd/diseases/hemorrhagic.html.
What else is the NC DPH doing?
We are actively monitoring for cases using a variety of methods, including
real time surveillance of hospital emergency department visits and a
network of hospital-based Public Health Epidemiologists in the state's
largest hospital systems.
Are first responders prepared to assist an Ebola patient?
Yes, the NC DPH is working with the Office of Emergency Medical Services
to assist local EMS agencies with triage and treatment protocols for
potential Ebola patients.
What will happen if a hospital or healthcare provider thinks someone has
Ebola?
Local health departments and the NC DPH are available 24 hours a day, 7
days a week for consultation for healthcare providers with concerns about
Ebola or other communicable diseases. If Ebola is suspected by a
healthcare provider, the NC DPH will work with the healthcare facility and
the local health department to evaluate and safely manage the patient.
Where will testing for Ebola be done? The State Laboratory of Public
Health (SLPH) has successfully established the capability to rapidly
detect Ebola infection. The SLPH can provide technical consultation to
clinical laboratories on specimen collection, transport, and safety
procedures while evaluating patients with recent international travel.
What will the NC DPH do if we do have a case of Ebola in North Carolina?
If a case occurred in North Carolina, state and local public health
professionals would rapidly identify everyone who was potentially exposed
and take immediate measures to prevent further spread. Our public health
professionals have extensive training and experience with this type of
investigation and response.
Press Releases
Additional Information
Contact
Communicable Disease Branch
Telephone: (919) 733-3419
(main number; 24 hours)
Website: North Carolina Communicable Disease Branch
http://epi.publichealth.nc.gov/cd/contact.html
Media Inquiries
Telephone: (919) 855-4840
Email: [log in to unmask]
http://www.ncdhhs.gov/ebola/
.
Michigan Ebola Virus Information FROM Michigan Emerging Diseases
Issues
The 2014 Ebola epidemic is the largest in history, affecting multiple
countries in West Africa. Although the risk of an Ebola outbreak in the
United States is very low, federal, state, and local partners are
preparing and taking precautions to prevent this from happening. Below is
a compilation of Ebola guidance documents and resources for the community,
first responders, healthcare providers, and laboratories. Residents
seeking general information about Ebola and associated symptoms should
check the Communities tab below. Anyone with recent travel to West Africa
and who may be showing symptoms should contact their physician for
instructions.
http://www.michigan.gov/emergingdiseases/0,4579,7-186-69879---,00.html
For a daily update list of Ebola resources from the Centers for Disease
Control (CDC), check the "What's New" section of the CDC website. For
current information about the ongoing outbreak and complete information
for specific groups, visit the CDC's Ebola website at
http://www.cdc.gov/vhf/ebola/.
.
New York City Department of Health and Hygiene. Ebola
Now that someone in the U.S. has been diagnosed with Ebola, am I at a
higher risk?
No. The only way to get infected with Ebola is to directly come into
contact with an infected persons blood or body fluid. The nations top
health experts are continuing to monitor the outbreak, including the
recent situation in Dallas, and are working with health care providers,
hospitals and others to make sure that everyone is prepared to handle
another case of Ebola if it were to occur in the U.S.
What are the symptoms of Ebola?
The disease usually starts with an abrupt fever, possibly with headache
and joint and muscle aches. Other symptoms may include:
Nausea
Weakness
Diarrhea
Vomiting
Stomach pain
Lack of appetite
Some patients may also experience:
Rash
Red eyes
Hiccups
Cough
Sore throat
Chest pain
Problems breathing
Problems swallowing
Bleeding inside and outside the body
When do symptoms first appear?
Symptoms usually appear eight to 10 days after exposure but may appear
anywhere from two to 21 days after exposure.
How serious is Ebola?
The severity of the disease varies, but over 50% of patients with Ebola
have died during past outbreaks. Researchers do not fully understand why
some people who become sick with Ebola recover while others do not.
How is Ebola treated?
There is no known effective medication for Ebola infection. Treatment
focuses on supportive care and may require intensive care unit support.
There is no vaccine for Ebola.
Can Ebola infection be prevented?
Measures to stop the disease from spreading include
Quickly identifying people who might be infected with Ebola virus
Following infection control guidelines in health care facilities (i.e.
sterilizing medical equipment and wearing appropriate personal protective
equipment )
Isolating Ebola patients from contact with uninfected people.
http://www.nyc.gov/html/doh/html/diseases/ebola.shtml
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Ebola Frequently Asked Questions FROM Virginia Department of Health (VDH)
Questions
What is Ebola Virus Disease?
What is VDH doing to protect the public?
What are the symptoms of Ebola?
How soon after exposure do symptoms usually occur?
Symptoms may appear anywhere from 2 to 21 days after exposure to Ebola,
but the average is 8 to 10 days.
How is Ebola spread?
Can Ebola be spread by insects?
Can the Ebola virus mutate and become airborne?
Can Ebola be transmitted by contact with contaminated surfaces or objects?
Can you get Ebola from pets?
How long can Ebola live outside the body?
How do I know if I have been exposed to Ebola?
What countries/areas* have been affected by the Ebola outbreak in West
Africa?
What should I do if I traveled to one of the affected areas and think may
have been exposed to Ebola?
What if I get sick after I come back from an area with an Ebola outbreak?
BEFORE you go to the doctors office or emergency room, call ahead and tell
your doctor about your
recent travel to West Africa or contact with a person who was sick with
Ebola and your symptoms.
Calling before visiting the doctor will help the medical staff care for
you and protect other people who
may be in the doctors office or emergency room. When traveling to get
medical care, limit your contact
with other people. This includes avoiding public transportation.
What is close contact?
Can someone with Ebola spread the virus if they dont have symptoms of
illness?
Can my local hospital care for a patient with Ebola?
Is there a cure for Ebola?
Is Ebola guidance available for airline staff?
Am I at risk if I am on a flight with a person who has Ebola?
Is Ebola guidance available for emergency responders?
Should I be concerned about Ebola coming to Virginia?
What is happening at airports in the United States to prevent Ebola?
What is being done in Virginia to prevent the spread of Ebola?
Where did the Ebola virus come from?
If I have to travel to an area affected by the Ebola outbreak, how do I
protect myself while I am there?
http://www.vdh.state.va.us/epidemiology/ebola/index.htm
The Virginia Department of Health Office of Emergency Medical Services
also has information
on Ebola on its website:
http://www.vdh.virginia.gov/OEMS/EO/Ebola.htm
Now that someone in the U.S. has been diagnosed with Ebola, am I at a
higher risk?
.
Ebola Virus Disease (EVD) FROM Virginia Department of Health
Algorithm for evaluating returning travelers for EVD New
Sequence for putting on Personal Protective Equipment (PPE) New
Memo from Department of Health and Human Services - Healthcare Resources
for Suspected Cases of Ebola Virus Disease
Ebola Information for EMS Providers - Information provided by the Office
of Emergency Medical Services
Interim Guidance for Emergency Medical Services (EMS) Systems and 9-1-1
Public Safety Answering Points
(PSAPs) for Management of Patients with Known or Suspected Ebola Virus
Disease in the United States
Detailed Emergency Medical Services (EMS) Checklist for Ebola Preparedness
(ASPR and CDC guidance)
Guidance on Air Medical Transport for Patients with Ebola Virus Disease
(CDC)
Commissioner to the EMS Community - Ebola Virus Update - October 3, 2014
http://www.vdh.virginia.gov/OEMS/EO/Ebola.htm
.
Get the Facts About Ebola FROM Massachusetts. Department of Health and
Human Services
How DPH Is Responding to Ebola in the U.S.
DPH Guidance for Clinicians
DPH Guidance for Clinicians
General Information About Ebola Virus
http://www.mass.gov/eohhs/gov/departments/dph/programs/emergency-prep/threats/biological/ebola-virus.html
.
Ebola FROM Colorado. Department of Public Health and Environment
https://www.colorado.gov/pacific/cdphe/ebola
.
Governor Cuomo Outlines Ebola Preparedness Plan for New York State
Department of Health
Port Authority
Metropolitan Transportation Authority
Public Safety
Commissioners Order
Training for Health Care Workers
http://www.governor.ny.gov/press/10162014-ebola-preparedness-plan
.
Ebola Virus Disease FROM Wisconsin Department of Health Services
Information for Health Professionals
Since the Ebola virus outbreak began in Africa, DHS has been assisting
health care partners by providing guidelines for monitoring individuals
returning from affected West African countries, and ensuring that all
providers are ready with the appropriate infection control protocols and
required precautions for managing an Ebola patient. DHS will continue to
provide the latest information on this page:
Prevention of Ebola Virus Disease (EVD) Transmission in Healthcare
Settings (slides) (PDF, 961 KB) (October 14, 2014)
EVD testing in Wisconsin - Wisconsin State Laboratory of Hygiene
Interim guidance for Wisconsin clinicians on possible EVD among travelers
from West Africa P-00812 (PDF, 68 KB)
Quick guide - Infection control measures for patients hospitalized with
suspected EVD P-00812A (PDF, 72 KB)
Response to travelers returning from West Africa - guidance for local
health department
CDC - Interim guidance: EMS services and 9-1-1 PSAPs: Management of
patients in the US - CDC (Updated October 1, 2014)
CDC - Algorithm for evaluating returned travelers for EVD (PDF, 838 KB)
(Updated October 1, 2014)
CDC - Checklist for patients being evaluated for EVD (PDF, 117 KB)
(Updated October 1, 2014)
CDC - Basic information for providers - EVD information for clinician in
U.S. health care settings
CDC - Detailed hospital checklist for Ebola preparedness
Created by the US Department of Health and Human Services and partner
agencies.
This is a valuable resource for ensuring your facilities are able to
safely manage patients with suspected or confirmed EVD.
CDC - HAN (Health Alert Network) INFOService messages Subscribe to
directly receive alerts as they are issued.
CDC - How U.S. clinical laboratories can safely manage specimens from
persons under investigation for EVD
CDC - Infection prevention and control recommendations for hospitalized
patients with known or suspected Ebola in U.S. hospitals - full guidance
CDC - Interim guidance for specimen collection, transport, testing and
submission for patients suspected with EVD
http://www.dhs.wisconsin.gov/Communicable/DiseasePages/ebola.htm
.
Ebola Virus DiseaseEbola Virus FROM The Ohio Department of Health
http://www.odh.ohio.gov/en/odhprograms/dis/orbitdis/ebola/Ebola
.
Tennessee Department of Health Information on Ebola. Ebola Virus
Disease
http://health.state.tn.us/Ceds/ebola.htm
.
Ebola Virus Disease FROM Kansas Department of Public Health and
Environment
http://www.kdheks.gov/ebola/
.
Ebola Virus Disease FROM Florida
http://www.floridahealth.gov/%5C/diseases-and-conditions/ebola/index.html
.
Ebola Virus FROM Utah. Department of Health. Bureau of Epidemiology
http://health.utah.gov/epi/diseases/ebola/
.
GOVERNOR OMALLEY [MARYLAND] UPDATES PUBLIC ON EBOLA PREPARATIONS
BALTIMORE, MD (October 17, 2014) Governor Martin OMalley led a team of
hospital and other health officials to update the public on the Marylands
efforts to protect its communities against infectious diseases, including
the Ebola virus.
To date, there have been no cases of Ebola diagnosed in Maryland.
We are not taking this situation lightly, said Governor OMalley. We are
working together across agencies, with our federal and local government
and community partners, and with Maryland hospital officials to prepare
aggressively so that we can keep Marylanders safe.
At the briefing, Maryland officials reviewed preparations, guidance, and
training for the emergency management system, medical offices, emergency
departments, and inpatient facilities. Hospital officials from Johns
Hopkins and the University of Maryland provided updates on efforts
underway throughout their institutions.
We must support the safety of front line healthcare workers as we prepare
for a possible new case of Ebola virus infection, said Dr. Joshua M.
Sharfstein, Secretary of Marylands Department of Health and Mental Hygiene
(DHMH).
In September, Secretary Sharfstein issued an order requiring communication
and coordination between healthcare providers and the health departments
on all suspected cases of Ebola. DHMH has one of 13 labs authorized by the
U.S. Centers for Disease Control and Prevention to test for Ebola.
Maryland also receives detailed data from Emergency Departments and
absenteeism data from its schools to continually monitor trends in health.
The Maryland Emergency Management Agency (MEMA) is coordinating the States
overall Ebola response. MEMA has established a virtual joint information
center so information and guidance can be shared across state agencies
including Transportation, Corrections, and State Police. Governor O'Malley
brought various agencies together to conduct a tabletop exercise in
August, and MEMA is convening regular meetings to review the latest
information and plan for a wide range of possible scenarios. Earlier this
week, Governor O'Malley, DHMH officials, the Maryland Secretary of State,
and representatives from various congressional offices met with leaders of
the African diaspora community to discuss solutions, including efficient
information-sharing and efforts to combat the disease in Africa.
DHMH has launched a website devoted to Ebola at
http://dhmh.maryland.gov/ebola and DHMH
Secretary Sharfstein has written all state employees with basic
information about the virus.
http://dhmh.maryland.gov/newsroom1/Pages/GOVERNOR-O%E2%80%99MALLEY-UPDATES-PUBLIC-ON-EBOLA-PREPARATIONS.aspx
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Ebola Update Texas. Office of the Governor
http://governor.state.tx.us/highlight/ebola-update/
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Texas Gov. Perry Calls for Travel Ban Due to Ebola
"Texas Gov. Rick Perry has joined calls for an air travel ban from
countries hit the hardest by Ebola.
Perry said Friday that air travel is how Ebola crosses borders and that's
how it arrived in Texas,
so an air travel ban is the right policy."
ABC News Associated Press (AP)
http://abcnews.go.com/US/wireStory/texas-gov-perry-calls-travel-ban-due-ebola-26274099
.
Rick Perry's Ebola Test. The Texas Governor and Ebola FROM Politico
"At first, Perry seemed to have everything under control. When a man in
Dallas was diagnosed with the deadly virus, Perry held an Oct. 1 news
conference, assuring the public that there are few places in the world
better equipped to meet the challenges posed by this case. When more
people were quarantined, he launched a task force and told Texans to rest
assured our system is working as it should.
But then he left Sunday for a long-planned 7-day trip designed to burnish
his foreign policy credentials. During his absence, two more cases of
Ebola were confirmed, both of them involving Texas nurses who had dealt
with the first patient.
The governor cut his trip short and rushed home on Thursday, only to
encounter criticism for leaving in the first place; Democrats charged that
he was more focused on looking presidential overseas than on fixing a big
problem at home. And even some Republicans say Perry, who has been trying
for months to rehabilitate his image in the wake of his disastrous 2012
campaign, may have missed an important moment."
http://www.politico.com/story/2014/10/rick-perry-ebola-112004.html
.
Ebola Preparedness in Louisiana FROM Louisiana. Department of Health
and Hospitals
http://www.dhh.state.la.us/index.cfm/page/1974
.
Indiana State Department of Health. Ebola Virus Disease (EVD) -
Information
General Public
Healthcare Coalitions
State and Local Public Health Officials
Emergency Medical Services (EMS)
Healthcare Providers
Laboratories
Airports and Airlines
Webcast
Ebola Virus Disease - October 9, 2014
Other Websites
http://www.in.gov/isdh/26447.htm
.
Ebola. Washington State Department of Health
http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/Ebola
.
Ebola Virus Disease FROM New Hampshire Department of Health and Human
Services
http://www.dhhs.state.nh.us/dphs/cdcs/ebola/index.htm
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.
WEBBIB1415
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
[log in to unmask]
http://workface.com/e/daviddillard
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Bushell, R. & Sheldon, P. (eds),
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Wellness Tourism: Bibliographic and Webliographic Essay
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