CDC guidelines were weaker than those 15 years ago

caregivers when Thomas Eric Duncan became the first patient diagnosed with Ebola in this country.

Two Dallas nurses were infected with the deadly virus while treating Duncan at Texas Health Presbyterian Hospital Dallas, where he died in early October.

By that time, some specialized treatment centers were already handling Ebola cases with more stringent protocols. hospitals to use a set of guidelines issued in 2007, which infectious disease experts say were insufficient and outdated.

“The first time I saw the procedure actually saw what people were doing in terms of the handling of the patient himself, I was horrified,” said Dr. Joseph McCormick, an infectious disease specialist who has cared for African patients with Ebola as far back as the first known outbreak in 1976. “I thought, ‘Where did this come from?'”

The CDC maintains that the guidelines in place this summer were adequate when followed correctly. hospitals should have been able to handle a case of Ebola using the original guidance,” said agency spokeswoman Melissa Brower.

The CDC issued tougher guidelines in late October after the nurses were infected. It’s not known exactly how they contracted the virus.

Brower said the agency didn’t tighten its regulations because the previous recommendations were inadequate, but “to try to make it harder for health care workers to make a mistake while caring for Ebola patients.”

Disease experts learned in 1976 that Ebola spreads from person to person by direct contact with body fluids such as blood and the extensive diarrhea that patients can produce.

Ebola can enter the body through a puncture, a cut, or exposure to the eyes, nose or mouth. Health care workers not only need to wear clothing and gear that protects their bodies, but must also take off dirty gear safely.

A 1995 outbreak killed about 250 in Kikwit, Congo. When CDC experts arrived to help, 65 hospital workers were already infected. After protective gear was provided and the CDC and other organizations offered training, just one more health care worker became sick. She said she had inadvertently rubbed her eyes with soiled gloves.

The 1998 CDC guidelines, posted online and published in a manual, were written based on lessons learned in Kikwit. There were many detailed precautions to take, such as wearing gowns, masks and goggles.

Health care workers also were told to wear two pairs of gloves and shoe covers. Gloves should be disinfected during undressing, and a certain sequence was to be followed for putting on and taking off gear.

That sequence is critical, said Sean Kaufman, a biosafety expert. Some gear is more likely to have been exposed to the virus.

For example, outer gloves, more likely to be exposed to the virus, are taken off first because they are “dirty.” The face stays protected as long as possible and the “cleaner” inner gloves are taken off last.

Kaufman trained Emory University Hospital staff before their first two Ebola patients arrived cheap jerseys from Africa in August and provided safety expertise during their treatment. He said the 1998 manual’s undressing or “doffing” sequence is sound.

“Whoever did this doffing process understands containment of infectious disease,” he said.

But in 2005, the CDC published another set of guidelines. was available through another link. health care workers that would be issued by the CDC in 2007 based on the advice of a committee of infectious disease experts.

Dr. Jane Siegel, a UT Southwestern pediatrician who specializes in infectious disease, co chaired the committee. She said people who weighed in on a draft of the guidelines during the comment phase questioned “whether there was sufficient evidence to support the benefit of double gloving and leg covers.”

Dr. Peters was a virologist for the CDC during the Kikwit outbreak. He helped edit the manual that contains the 1998 guidelines.

“CDC knew, available from their website, was wholesale jerseys china a manual that has how to dress and how to undress and what to dress cheap nfl jerseys with,” said Peters, now a professor at the University of Texas Medical Branch Galveston. wholesale jerseys “, how to take them off, etc., etc., and if they had read this, they would have had a little different recommendations.”

Siegel said the committee did read the 1998 manual.

The committee also considered a 2002 medical journal article that Peters helped write, which recommended double gloves and leg and shoe covers. And it examined a 1995 CDC article that said leg and shoe covers “may be used.”

Those measures remained the same from 2007 until they were tweaked in August of this year: The CDC expanded its description of dangerous body fluids that would warrant more gear, saying double gloves and leg and shoe covers “might be required” in certain situations involving “copious amounts of blood, other body fluids, vomit or feces.”Articles Connexes:

Enhancing Capabilities, Empowering Lives


Samhita Social Ventures, in partnership with Ambuja Cement Foundation, DHFL (Dewan Housing Finance Corporation Limited), Godrej and the United Nations Development Program (UNDP) releases a report which maps the CSR trends in Skill development and Livelihoods of the 100 Indian companies with the largest CSR budgets on the BSE 500.

Demystifying the CSR law: FAQs by Nishith Desai Associates

nishithdesai FAQs

Nishith Desai Associates compiles brief answers to some of the most frequently asked questions about Section 135 of the Companies Act, 2013. The FAQs address concerns expressed by companies about various aspects of the CSR law, including aligning business objectives with CSR, the role of social enterprises and permitted activities under capacity building.

Transforming India: The CSR Opportunity


Samhita has developed a report, Transforming India: The CSR Opportunity with support from The Rockefeller Foundation. The report seeks to understand the influence of Section 135 of the Companies Act, 2013 (commonly referred to as the CSR law) on companies and other sector players.

Leveraging the CSR Opportunity in India – Philanthropreneurship


An article published by Samhita on the Philanthropreneurship forum, talks about how key stakeholders in the development sector can leverage the opportunity created by Section 135 of the Companies Act, 2013, commonly referred to as ‘the CSR law.’

The path to effectively scaling skill development programs


Every year, India adds about 12 million people to its workforce, out of which a paltry 3.1 million are trained or qualified. In order to close this gap in skills, Samhita takes a look at the five key lessons that companies need to learn to effectively scale up their programs in skill development.

Assessing impact of development initiatives: Things to remember


Samhita’s latest post on the Forbes India Business and Strategy blog examines the differences between outcomes and impact in order to help companies and their implementation partners develop a common understanding of impact measurement and what this means for CSR.

CSR in WASH: What are India’s top companies up to?

emailer banner4 copy

This report maps the CSR trends in Water, Sanitation and Hygiene (WASH) of the 100 companies with the largest CSR budgets on the BSE 500. It aims to understand major trends, highlight gaps and suggest potential solutions for companies who are implementing sanitation programs in line with the Swachh Bharat Mission (SBM).

How to successfully engage employees in corporate volunteering programs


In this article on the Forbes, Business & Strategy blog, Samhita looks at employee volunteering and how companies can successfully engage their employees and keep them happy and fulfilled while contributing to a good cause.

Samhita on Forbes India: The parody that is teacher education in India


In this article on the Forbes India blog, Samhita looks at gaps in the education system, the challenges that trainee teachers face and effective ways in which companies can invest in training teachers through their CSR initiatives.

Skilling the unskilled: Why should companies get involved? | Part I


The Skill India Mission launched by the Indian Government earlier this year aims to train 550 million people by 2022. With government-sponsored programs training only 3 out of the 12 million people entering the workforce every year, how do we close this gap? Companies can play a key role in the sector through CSR, public-private partnerships, apprenticeship models and other methods.