Ebola virus cases in the United States: Difference between revisions

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A government official in Sierra Leone announced on November 13, that a doctor from Sierra Leone, a [[Permanent residency|permanent resident]] of the United States married to a U.S. citizen, would be transported to the Nebraska Medical Center for treatment for Ebola.<ref>{{cite news|url=http://www.cnn.com/2014/11/13/health/nebraska-ebola-patient/|title=Ebola patient from Sierra Leone heading to Nebraska|author=Elizabeth Cohen, Senior Medical Correspondent|date=November 14, 2014|work=CNN}}</ref><ref>{{cite news|url=http://www.cbsnews.com/news/ebola-outbreak-doctor-infected-in-sierra-leone-to-be-treated-in-omaha-nebraska/|title=Ebola outbreak: Doctor infected in Sierra Leone to be treated in Omaha, Nebraska|date=November 13, 2014|work=CBS News}}</ref> The doctor, identified later as Martin Salia, became symptomatic while in Sierra Leone. His initial Ebola test came back negative, but his symptoms persisted. He attempted to treat his symptoms, which included vomiting and diarrhea, believing he had malaria. A second test for Ebola came back positive. His family expressed concern that the delay in diagnosis might have impacted his recovery.<ref>{{cite news|url=https://www.washingtonpost.com/world/a-doctors-mistaken-ebola-test-we-were-celebrating--then-everything-fell-apart/2014/11/16/946a84da-6dd5-11e4-a2c2-478179fd0489_story.html|title=A doctor's mistaken Ebola test: 'We were celebrating.&nbsp;... Then everything fell apart'|newspaper=The Washington Post | first=Kevin|last=Sieff|date=November 17, 2014}}</ref> Salia arrived at [[Eppley Airfield]] in Omaha on November 15, and was transported to the Nebraska Medical Center. According to the team that assisted in the transport, he was critically ill and considered to be the sickest patient to be evacuated, but stable enough to fly.<ref>{{cite news|url=https://www.nytimes.com/2014/11/16/us/martin-salia-taken-to-nebraska-medical-center-for-ebola-treatment.html|title=Martin Salia, Surgeon With Ebola, Arrives in Nebraska From Sierra Leone|work=The New York Times|date=November 15, 2014|access-date=November 16, 2014}}</ref> On November 17, Salia died from the disease. Dr. Philip Smith, medical director of the biocontainment unit at Nebraska Medical Center, said Salia's disease was already "extremely advanced" by the time he arrived in Omaha. By then, Salia's kidneys had failed and he was in acute respiratory distress. Salia's treatment included a blood plasma transfusion from an Ebola survivor, as well as the experimental drug [[ZMapp]]. Salia had been working as a general surgeon in [[Freetown]], Sierra Leone when he fell ill. It was not clear when or where he had had contact with Ebola patients.<ref>{{cite news| url=https://www.nytimes.com/2014/11/18/us/martin-salia-omaha-ebola-dead.html | work=The New York Times | first1=Abby | last1=Goodnough | first2=Tommy | last2=Trenchard | title=Doctor Being Treated for Ebola in Omaha Dies | date=November 17, 2014}}</ref>
 
A U.S. clinician contracted Ebola while working in Port Loko, Sierra Leone. He collapsed in the hospital and colleagues who assisted him were monitored for exposure. He was diagnosed with Ebola on March 10, 2015, and medically evacuated to the National Institutes of Health in Bethesda, Maryland on March 13.<ref>[[Sheri Fink|Fink, Sheri]] (March 13, 2015). [https://www.nytimes.com/2015/03/14/world/africa/us-clinician-with-ebola-under-care-in-maryland.html "U.S. Clinician With Ebola Under Care in Maryland"], ''The New York Times''.</ref> His condition was downgraded from serious to critical on March 16.<ref>[https://www.washingtonpost.com/national/health-science/ebola-patient-at-nih-worsens-now-in-critical-conditon/2015/03/16/32b87f20-cbff-11e4-a2a7-9517a3a70506_story.html Doctors treating patient with Ebola at NIH downgrade condition to critical], ''The Washington Post'', Brady Dennis, March 16, 2015</ref> The ten exposed colleagues were flown back to the U.S., going into isolation near the Ebola-rated hospitals at Nebraska, Georgia, and Maryland.<ref>[http://edition.cnn.com/2015/03/16/health/cdc-americans-ebola/ Americans exposed to Ebola patient return from Africa for monitoring], Elizabeth Cohen, CNN, March 16, 2015</ref> On March 26, 2015, the NIH upgraded the medically evacuated health worker being treated in Bethesda from critical to serious. A further 16 volunteers were monitored for possible exposure.<ref>{{cite magazine|url=http://time.com/3760301/american-ebola-patient-improving/|title=American Patient With Ebola Has Condition Upgraded|date=March 26, 2015|magazine=Time|access-date=March 27, 2015|first=Alexandra|last=Sifferlin}}</ref> On April 9, 2015, the clinician was upgraded to good condition and discharged.<ref>{{Cite web|url=https://www.nih.gov/news-events/news-releases/patient-admitted-ebola-virus-disease-discharged-nih-clinical-center|title=Patient admitted with Ebola virus disease discharged from NIH Clinical Center|date=July 20, 2015|website=National Institutes of Health (NIH)}}</ref> He was treated by Dr. Anthony Fauci, who later said he was "the sickest person he had ever treated, who recovered." This patient wished to remain anonymous until late 2019, when he revealed his identity: Preston Gorman, a physician's assistant. <ref>{{cite web | url=https://www.advisory.com/daily-briefing/2020/01/29/ebola | title=He survived Ebola—but the worst was yet to come }}</ref><ref>{{cite web | url=https://www.aapa.org/news-central/2020/04/pa-diagnosed-with-ebola-suffers-trauma-after-long-isolation/ | title=PA Diagnosed with Ebola Suffers Trauma After Long Isolation | date=April 2020 }}</ref>
 
==Containment efforts==