General Discussion
In reply to the discussion: Dallas Nurse Infected With Ebola to Be Transferred to NIH [View all]TorchTheWitch
(11,065 posts)The CDC's protocols for protective clothing did not meet the standard for a BSL-4 infected patient. It did not call for head to toe covering. It did not call for disinfection of the clothing before removal, disinfection of the bottoms of shoes or disinfection of floors, walls, etc. where infection could be tracked. It did not call for special training for the staff or practice getting in and out of the protective clothing. It did not call for supervision of the staff by experts in getting in and out of the protective clothing.
The hospital didn't even HAVE the protective clothing that is required to care for a BSL-4 infected patient, didn't HAVE the infrastructure, didn't HAVE trained and experienced staff to care for a BSL-4 infected patient. But it was the CDC who previously and erroneously told everyone that any hospital could safely care for a BSL-4 infected patient when they KNEW they could not. It was the CDC that approved the handling of Mr. Duncan's care at a hospital it KNEW was not prepared to do so. It left Mr. Duncan's care to this hospital with no guidance, monitoring or supervising what was going on, etc. Every other Ebola infected patient was sent to one of the four hospitals in the nation that has the infrastructure, equipment and trained and experienced staff to handle BSL-4 infected patients. Why wasn't Mr. Duncan?
The CDC is the nation's authority when it comes to infectious disease and how it is handled. The CDC made the decision that this regular hospital could safely handle Mr. Duncan's care when it could not, gave inadequate protocols for a BSL-4 infected patient and did not monitor or supervise what was happening during that care. The CDC's JOB is to provide appropriate protocols and guidelines concerning infectious disease, to make sure that hospitals communicate appropriate information and training to their staff, and monitor and supervise that care to safeguard against any possible mistakes. They are also the authority to make decisions concerning whether or not a patient requires specialized care and to remove them to the appropriate facility. The CDC did that with all the Americans that became infected with Ebola but for whatever idiotic reason did not for Mr. Duncan.
The CDC did not tell the hospital not to do high risk end of life procedures on the patient such as the dialysis and ventilation. They did not tell the hospital not to have so many people caring for Mr. Duncan and that those people should not care for any other patient. They did not examine the ICU where a makeshift ward was set up for his care to make sure there was negative air flow, separate suction receptacles, appropriate handling of waste or disinfection. They assured the hospital that Mr. Duncan could be safely cared for in their inappropriate facility, provided inadequate protocols for a BSL-4 infected patient, and paid no attention to what was happening during his care which we have since learned was monstrous.
Further, the CDC did not quarantine any of the workers who cared for Mr. Duncan after that care believing their inadequate PPE protocols were an Ebola brick wall. Those workers only had to self-monitor their own selves while continuing to live their lives as normal including continuing to go to work and handle patients. Caring for an infected patient is THE highest risk of exposure which is WHY such stringent measures are required to care for a BSL-4 infected patient. The CDC, however, decided that the workers' were at such low risk that they were not quarantined when the CDC has quarantined many other people that had FAR less exposure to infection.
Clearly, you don't know anything about what the CDC does or what it SHOULD be doing. They are THE authority of the NATION concerning infectious disease, it's correct handling and any necessary decisions that go along with that. EVERY state is subject to the CDC's authority. When the CDC says you need to lock down your hospital in Ohio for whatever reason for example, the state must do so. The CDC is also responsible for giving advise to the PRESIDENT on infectious disease matters to REQUIRE that XYZ needs to be done - the PRESIDENT is subject to the CDC's authority on such matters, and no president would be so stupid as to not follow whatever is needed according the CDC just as they wouldn't if the FDA said XYZ was necessary for whatever reason. We have all kinds of agencies in this country that are responsible for certain issues and report to and advise the government on what is needed, and the president, etc. takes that advice because those agencies are the experts... or they're supposed to be.
Sorry, but you have no idea what the scope of the CDC is nor it's level of authority.