linkA second health care worker at Texas Health Presbyterian Hospital who cared for Thomas Eric Duncan has tested positive for Ebola, health officials said Wednesday -- casting further doubt on the hospital's ability to handle Ebola and protect employees.
The worker reported a fever Tuesday and was immediately isolated, health department spokeswoman Carrie Williams said.
The preliminary Ebola test was done late Tuesday at the state public health laboratory in Austin, and the results came back around midnight. A second test will be conducted by the Centers for Disease Control and Prevention in Atlanta.
Mayor: 'Concerned' about Ebola spreading
Understanding Ebola protocols
Director: Nurse's infection 'unacceptable'
"Health officials have interviewed the latest patient to quickly identify any contacts or potential exposures, and those people will be monitored," the health department said.
But the pool of contacts could be small, since Ebola can only be transmitted when an infected person shows symptoms. Less than a day passed between the onset of the worker's symptoms and isolation at the hospital.
Official: Duncan should have been moved
An official close to the situation says that in hindsight, Duncan should have been transferred immediately to either Emory University Hospital in Atlanta or Nebraska Medical Center in Omaha.
Those hospitals are among only four in the country that have biocontainment units and have been preparing for years to treat a highly infectious disease like Ebola.
"If we knew then what we know now about this hospital's ability to safely care for these patients, then we would have transferred him to Emory or Nebraska," the official told CNN Senior Medical Correspondent Elizabeth Cohen.
"I think there are hospitals that are more than ready, but I think there are some that are not."
The second time
The latest infection marks the second-ever transmission of Ebola in the United States. Both stemmed from Texas Health Presbyterian Hospital.
Late last week, nurse Tina Pham tested positive for Ebola. She also took care of Duncan, the first person to be diagnosed with Ebola in the United States. Duncan died last week.
On Tuesday, Pham said she was doing well.
"I am blessed by the support of family and friends, and am blessed to be cared for by the best team of doctors and nurses in the world," she said.
Troubling allegations
Also Tuesday, National Nurses United made troubling allegations about the hospital, claiming "guidelines were constantly changing" and "there were no protocols" about how to deal with the deadly virus."
Dallas doctors try to calm Ebola fears
Dallas nurse's friend: She's selfless
This is the messy truth about Ebola
"The protocols that should have been in place in Dallas were not in place, and that those protocols are not in place anywhere in the United States as far as we can tell," NNU Executive Director RoseAnn DeMoro said. "We're deeply alarmed."
Nurses were told to wrap their necks with medical tape when equipment left their necks exposed; they felt unsupported and unprepared, and they received no hands-on training, union co-president Deborah Burger said.
A Texas Health Presbyterian spokesman did not respond to the specific allegations, but said patient and employee safety is the hospital's top priority.
Changing the protocol
The CDC is establishing an Ebola response team so that whenever there's a confirmed case anywhere in the country, "we will put a team on the ground within hours," Director Dr. Tom Frieden said.
Such a team, Frieden said, might have prevented Pham from contracting the disease.
Global epidemic
While the Texas hospital deals with its third Ebola patient, the situation in West Africa is getting increasingly dire.
More than 4,000 people have died from Ebola this year in Sierra Leone, Liberia and Guinea.
And it could be up to 10,000 new Ebola cases per week in Guinea, Liberia and Sierra Leone by the end of this year as the outbreak spreads, the World Health Organization warned Tuesday.
U.S. President Barack Obama says he'll reach out directly to heads of state to encourage other countries to do more to fight back.
"There are a number of countries that have capacity that have not yet stepped up," he said. "Those that have stepped up, all of us, are going to have to do more."
the first
.A health care worker in Dallas is the first person to become infected with the Ebola virus within the US. Reuters is among many outlets reporting that a nurse who treated an Ebola patient has now tested positive for the virus. That patient, Thomas Eric Duncan, contracted the virus in Liberia, but he travelled to the US while still asymptomatic. He was treated by the Texas Health Presbyterian Hospital before dying last week.
The newly diagnosed patient was one of the nurses involved in his treatment. According to the BBC, the nurse wore standard protective gear during the treatment: gown, gloves, respiratory mask, and face shield. Nevertheless, the individual began experiencing a low-grade fever and checked into the same hospital where he or she works; the patient has been kept in isolation since. Authorities are currently preventing anyone from entering the individual's apartment pending a decontamination.
Preliminary testing in Dallas indicates an Ebola infection; confirmatory tests from the Centers for Disease Control are pending.
At a news conference, Dan Varga of Texas Health Resource said that it wasn't clear what had gone wrong with the preventative measures to allow this individual to become infected. Health authorities are currently analyzing the care given to Duncan in an attempt to understand what might have happened.
Healthcare authorities continued to stress that the chances of infection are extremely low for anyone who has not had direct contact with an Ebola patient
link
