Ebola time­line

Modern Healthcare - - NEWS -

DEC. 28, 2013 A child dies in Guinea from the first re­ported case of Ebola.

MARCH 2014 About 122 Ebola cases are re­ported in Guinea, Sierra Leone and Liberia.

JULY 20 Nige­ria re­ports its first prob­a­ble case of Ebola in La­gos.

AUG. 2 Dr. Kent Brantly ar­rives at Emory Univer­sity Hos­pi­tal in At­lanta from Liberia for treat­ment. Col­league Nancy Write­bol ar­rives at Emory two days later for treat­ment.

AUG. 12 ZMapp man­u­fac­turer runs out of its avail­able sup­ply of the drug.

AUG. 19 Write­bol re­leased. Brantly re­leased two days later. Both re­ceived ex­per­i­men­tal drug ZMapp.

SEPT. 5 Dr. Rick Sacra ar­rives at Ne­braska Med­i­cal Cen­ter from Liberia for treat­ment.

SEPT. 9 Fourth U.S. aid worker ar­rives at Emory from Sierra Leone for treat­ment.

SEPT. 25 Sacra re­leased after re­ceiv­ing ex­per­i­men­tal drug TKM-Ebola, plus blood trans­fu­sions from Brantly.

Liberian cit­i­zen Thomas Eric Dun­can vis­its the emer­gency depart­ment at Texas Health Pres­by­te­rian Hos­pi­tal Dal­las. He is re­leased quickly de­spite telling clin­i­cal staff he just came from West Africa and ex­hibit­ing symp­toms con­sis­tent with Ebola. Hos­pi­tal of­fi­cials say his travel his­tory wasn’t prop­erly passed along be­cause of a prob­lem with its elec­tronic health records.

SEPT. 28 Dun­can ad­mit­ted to Texas Health Pres­by­te­rian Hos­pi­tal Dal­las after be­ing trans­ported by am­bu­lance and is placed in iso­la­tion.

SEPT. 30 The Cen­ters for Dis­ease Con­trol and Preven­tion con­firms Dun­can has Ebola, re­sult­ing in ac­tive trac­ing of 48 in­di­vid­u­als who had come into con­tact with him prior to his ad­mis­sion. The CDC sends an in­fec­tion-con­trol team to Dal­las to as­sist.

OCT. 3 Texas Health Re­sources re­tracts state­ment that EHR flaw led to Dun­can be­ing sent home.

OCT. 6 U.S. jour­nal­ist Ashoka Mukpo re­turns from Liberia for treat­ment, is trans­ported to Ne­braska Med­i­cal Cen­ter.

OCT. 8 Dun­can dies.>

OCT. 10 A Delta Air­lines flight is quar­an­tined in Las Ve­gas after a child pas­sen­ger who had trav­eled in Gabon be­comes ill. An all-clear is given after it’s de­ter­mined the boy’s ill­ness did not meet Ebola cri­te­ria. Sev­eral sim­i­lar false alarms oc­cur over the next week.

OCT. 12 A man com­plain­ing of Ebola-like symp­toms and re­port­ing re­cent travel to Liberia comes to Har­vard Van­guard Med­i­cal As­so­ciates in sub­ur­ban Bos­ton and is trans­ported to Beth Is­rael Dea­coness Med­i­cal Cen­ter. Tests come back neg­a­tive for Ebola.

Nurse Nina Pham, who treated Dun­can at the Dal­las hos­pi­tal, tests pos­i­tive for Ebola. Pham’s con­tacts are mon­i­tored. Hos­pi­tal of­fi­cials aren’t sure how she con­tracted the virus when she had ap­par­ently fol­lowed safety pro­to­cols.

OCT. 14 Pham gets a plasma trans­fu­sion from Brantly.

Na­tional Nurses United is­sues a state­ment from nurses at Texas Health Pres­by­te­rian Hos­pi­tal Dal­las al­leg­ing a lack of pro­to­cols and proper equip­ment dur­ing and fol­low­ing Dun­can’s treat­ment.

CDC an­nounces cre­ation of an Ebola re­sponse team to de­ploy to any site where an Ebola case is con­firmed. CDC Di­rec­tor Dr. Thomas Frieden ac­knowl­edges flaws in the CDC’s re­sponse to the Dun­can case and prom­ises to re-eval­u­ate CDC safety pro­to­cols.

Fed­eral of­fi­cials float pos­si­bil­ity of des­ig­nat­ing spe­cific hos­pi­tals to treat Ebola pa­tients.

OCT. 15 Nurse Am­ber Vin­son, who treated Dun­can and was be­ing mon­i­tored by the CDC, is di­ag­nosed with Ebola. Frieden says a “breach of pro­to­col” led to Vin­son and Pham be­ing in­fected. She is trans­ported to Emory for treat­ment.

CDC re­ports Vin­son flew on Fron­tier Air­lines from Dal­las-Fort Worth to Cleve­land on Oct. 13 even though she was be­ing mon­i­tored and wasn’t sup­posed to travel. One-hun­dred and thirty-two pas­sen­gers are no­ti­fied.

CDC and World Health Or­ga­ni­za­tion re­port a to­tal of 9,000 Ebola cases in Africa, with an es­ti­mated 4,500 deaths.

OCT. 16 Con­gres­sional panel grills Frieden and Texas Health Re­sources’ chief clin­i­cal of­fi­cer over their fail­ure to con­tain the virus.

Mem­bers of Congress press for ap­point­ment of an Ebola “czar” and to block travel to the U.S. from the most af­fected West African coun­tries.

Pres­i­dent Barack Obama holds news con­fer­ence on Ebola. Though he says he’s not “philo­soph­i­cally op­posed” to a travel ban, he says it could be coun­ter­pro­duc­tive.

Pham trans­ferred to the Na­tional In­sti­tutes of Health Clin­i­cal Cen­ter in Bethesda, Md.

OCT. 17 Obama ap­points Vice Pres­i­dent Joe Bi­den’s for­mer chief of staff Ron Klain as Ebola czar.

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