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New York, New Jersey to Quarantine All Travelers With Ebola Contacts
Move follows diagnosis of a New York City doctor, but many experts say rule is excessive
By Dennis Thompson
SATURDAY, Oct. 25, 2014 (HealthDay News) -- On Friday, the governors of New York and New Jersey announced strict new quarantine measures for anyone returning via Kennedy and Newark Liberty airports who may have had contacts with Ebola patients in Guinea, Liberia or Sierra Leona.
The measures, which exceed current federal guidelines, mean that people who had such contacts would be tested and kept in quarantine for 21 days, the longest known length of incubation of the Ebola virus.
The rules were announced Friday by New York governor Andrew Cuomo and New Jersey governor Chris Christie, the New York Times reported.
The move came a day after Dr. Craig Spencer, a New York City doctor who recently returned from West Africa, tested positive for Ebola. He is currently in stable condition at Bellevue Hospital, feeling well enough to talk on his cellphone and even do some yoga in his hospital room on Friday, the Times reported.
Spencer had been working with the medical aid agency Doctors Without Borders, helping to treat Ebola patients in Guinea, one of three West African countries hit hard by the disease.
On Saturday, New Jersey officials say that nurse Kaci Hickox, who had been working with Ebola patients in Sierra Leone and returned via Newark Liberty airport, had tested negative for the Ebola virus. However, under the new rules she will still be held under quarantine for the next 21 days, the Times said.
In an article published Saturday in the Dallas Morning News, Hickox described her experience at Newark Liberty, which she called "a frenzy of disorganization, fear and, most frightening, quarantine."
"We need more health care workers to help fight the epidemic in West Africa," she said. "The U.S. must treat returning health care workers with dignity and humanity."
Cuomo and Christie defended the new quarantine measures, which exceed those recommended by many infectious disease experts, including the U.S. Centers for Disease Control and Prevention. ""A voluntary Ebola quarantine is not enough," Cuomo said. "This is too serious a public health situation."
But others agree with Hickox that such rules might deter health care personnel from joining the fight against Ebola in West Africa, where staff are desperately needed. According to the Times, the United Nation's emergency Ebola mission says that over 19,000 medical staff are needed by Dec. 1 to fight the widening crisis, but numbers of new doctors, nurses and paramedics in the region remain far too low.
According to Times, Spencer, 33, had returned to New York City from Guinea on Oct. 14, and by 11 a.m. on Thursday morning he had developed a 100.3-degree fever. He immediately alerted Doctors Without Borders. Emergency medical workers in full personal protective gear transported him from his Manhattan apartment to an isolation unit at Bellevue Hospital.
Three people he was in contact with in recent days, including two friends and Spencer's fiancee, have been placed in isolation, the Times reported.
On Tuesday, Spencer visited the High Line elevated park in Manhattan and ate at the Meatball Shop in the city's West Village. On Wednesday, he traveled on two subway lines from Manhattan into the Williamsburg section of Brooklyn, visited a bowling alley there and then took a taxi back to Manhattan.
According to the Times, the taxi driver had no direct contact with Spencer and is not considered to be at risk.
Speaking Thursday night at a press conference at Bellevue, Mayor Bill de Blasio stressed that "being on the same subway car or living near a person with Ebola does not in itself put someone at risk."
Out of an abundance of caution, however, the Brooklyn bowling alley has been closed temporarily while health workers visit it, and Spencer's home has been sealed off, the Times said.
According to the Times, Spencer is a fellow of international emergency medicine at NewYork-Presbyterian Hospital/Columbia University Medical Center, and an instructor in clinical medicine at Columbia University.
New York City health commissioner Dr. Mary Bassett said Spencer followed all proper protocols upon his return to New York City and should be praised for the work he did in Guinea. "There's this young guy who went over there, really doing the right thing, the courageous thing, and he handled himself really well," she said. "I don't want anyone portraying him as reckless," the Times reported.
In a Twitter post, she also expressed concern that the new measures would be counterproductive in the international fight against the West Africa Ebola crisis, which now exceeds 10,000 cases and has claimed more than 4,900 lives. "People who go and volunteer, we have to look at how the new quarantine policy would impact them," Bassett said.
But there was also some good news on the Ebola front. Both of the two nurses who fell ill with Ebola at a Dallas hospital have now been declared free of the virus. Nina Pham, 26, left the U.S. National Institutes of Health Clinical Center in Bethesda, Md., Friday and met with President Barack Obama at the White House before returning home.
And Amber Vinson, 29, has been declared Ebola-free after being cared for at Emory University Hospital in Atlanta. She will also return home soon, according to media reports.
Both nurses contracted Ebola after caring for Thomas Eric Duncan, a Liberian national who was the first case of Ebola diagnosed in the United States. Duncan died of the disease at Texas Health Presbyterian Hospital on Oct. 8.
For more on Ebola, visit the World Health Organization.
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