Houston Chronicle Sunday

CORONAVIRU­S ‘THREW US A CURVE’

Probe into Houston patients’ contacts leads to quarantine­s

- By Zach Despart STAFF WRITER Contacts continues on A25

An investigat­ion into who the eight known Houston-area coronaviru­s patients had contact with before they were aware they could be infected led to the quarantine of nearly a dozen health care workers Saturday.

The Houston-area patients were among 17 who returned around Feb. 20 from the same Nile River cruise in Egypt. About a week later, they learned a different person on the trip had contracted the new coronaviru­s, placing them at risk. Eight of those passengers —spread across Harris County, Fort Bend County and Houston — tested positive since Wednesday. The status of the other nine Houston-area people on the trip is unclear.

No additional cases were reported Saturday, as the health care officials continued their extensive contact investigat­ion, said Harris County Public Health spokeswoma­n

Elizabeth Perez.

“We start mapping out and indexing anyone they came into contact with during the incubation period. Who were you with this day and this day?” Perez said.

The county cannot yet estimate how many people may have inadverten­tly been exposed to coronaviru­s because of the Houston-area cases, Perez said. Harris County Public Health notified St. Cecilia Catholic Church in Hedwig Village that one of the eight patients attended an Ash Wednesday mass, and urged congregant­s who sat nearby to contact the health department.

The county has not determined the need to issue any similar warnings to other facilities patients may have visited, Perez said, but would do so if there was a clear risk to the public. She said health officials seek to balance the privacy of patients against the need to

keep the community safe.

“We don’t want individual­s who potentiall­y could be at risk or could be positive for coronaviru­s to be afraid their neighbors are going to find out, or worried about being alienated in the community,” Perez said.

Memorial Hermann announced Saturday the hospital system had asked 11 health care workers to self-quarantine for the next two weeks after learning that a patient who was treated for gastrointe­stinal pain had been on the cruise ship in Egypt and later tested positive for the new coronaviru­s.

Doctors at Memorial Hermann said that the patient hadn’t initially been screened for COVID-19 and the patient was released from a Memorial Hermann medical facility about a week ago. They declined to identify the location of the clinic or hospital, citing privacy concerns.

“The virus threw us a curve,” said Dr. David Callender, president and CEO of Memorial Hermann Health System.

At the time, Egypt wasn’t identified as a concern for travelers, and gastrointe­stinal symptoms such as diarrhea hadn’t yet been noted as a potential warning sign of the disease, hospital officials said at a press conference.

Eleven Memorial Hermann employees were potentiall­y exposed to the patient during the first visit at the medical facility, and three of those workers are showing “mild” symptoms, said Dr. Angela Shippy, chief medical and quality officer at Memorial Hermann.

All 11 workers have been tested for COVID-19. Officials expect to receive test results within 24 to 48 hours.

Fort Bend officials said Friday they had asked 10 people to selfquaran­tine who had come into contact with a patient there, while at Rice University 14 people who had interacted with a patient, a school employee, were under quarantine.

The eight local patients traveled on the German river cruiser M.S. A’Sara on the Egyptian river in late February. Three Maryland residents also were onboard and later contracted coronaviru­s, that state’s governor said Friday.

Egypt is not currently on the federal Centers for Disease Control’s restricted travel list. Egyptian health officials said the cases aboard the A’Sara were traced to a Taiwanese-American woman who traveled on the vessel in January, the New York Times reported.

Twelve crew members tested positive for coronaviru­s on Thursday and the ship was moved to a remote stretch of river to be disinfecte­d, the newspaper reported.

Mayor Sylvester Turner called for all Houston residents who have traveled internatio­nally to take precaution­s when they return home.

“Out of an abundance of caution, I encourage people who recently traveled internatio­nally to self-quarantine for 14 days. Also, if you have traveled or plan to travel internatio­nally, I advise you wait two weeks before visiting nursing homes or senior living facilities, as an added precaution. And, people who are sick need to always stay home to prevent infecting others,” he wrote on Facebook Saturday night.

 ?? John Tedesco / Staff ?? Dr. David Callender, president and CEO of Memorial Hermann Health System, Dr. Angela Shippy, chief medical and quality officer, and Dr. John Butler, infectious diseases expert, address public safety and privacy.
John Tedesco / Staff Dr. David Callender, president and CEO of Memorial Hermann Health System, Dr. Angela Shippy, chief medical and quality officer, and Dr. John Butler, infectious diseases expert, address public safety and privacy.
 ?? Staff file photo ?? Memorial Hermann Health System asked 11 health care workers to self-quarantine for the next two weeks.
Staff file photo Memorial Hermann Health System asked 11 health care workers to self-quarantine for the next two weeks.

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