Disease

UPDATE WITH DETAILS OF MARYLAND AND VIRGINIA MONITORING  (Scroll down)

ROUNDUP OF DEVELOPMENTS IN THE QUARANTINE  DISPUTE
NEW YORK TIMES                        Oct. 28, 2014

By SABRINA TAVERNISE, MICHAEL D. SHEAR and HELENE COOPER

The federal government on Monday tried to take charge of an increasingly acrimonious national debate over how to treat people in contact with Ebola patients by announcing guidelines that stopped short of tough measures in New York and New Jersey and were carefully devised, officials said, not to harm the effort to recruit badly needed medical workers to West Africa.

WASHINGTON--The  Centers for Disease Control and Prevention leader Dr. Tom Frieden announced changes to the U.S. response to Ebola and the guidance federal agencies are giving to state and local governments.

The new protocol stops short of the mandatory 21-day quarantines that some states have begun requiring. Instead, Frieden said, it relies on individual assessment and close monitoring. He also detailed several categories of risk among both airline passengers and the medical volunteers who he said have been doing "heroic work" in West Africa.

"High risk" individuals, Frieden said, include those who have cared for an Ebola patient and were accidentally poked by a needle or lacked protective gear. Those people, Frieden said, should isolate themselves in their homes and avoid all forms of mass transit and large gatherings.

ROLL CALL                                     Oct. 27, 20144
By Melanie Zanona

Although Congress has publicly fretted over the threat of infectious disease pandemics, there have been few legislative attempts in the last two decades to address such health emergencies, leaving lawmakers with a limited set of policy options as they try to contain the Ebola outbreak.

Measures targeting deadly diseases have been largely crafted through the prism of bioterrorism threats, as opposed to naturally occurring outbreaks, such as swine flu and severe acute respiratory syndrome, or SARS.

“After 9/11 and the anthrax scares, there was starting to be a lot of attention and money being pumped into public health emergency preparedness and response, but by 2008, there started to be a downturn,” said Seth Foldy, associate professor of family and community medicine at the Medical College of Wisconsin and former Milwaukee health commissioner. “It bumped up again after H1N1, but then the funding slide began to kick in. There hasn’t been much sustained and strategic attention on the issue.”

Read complete story

Discussion of the legal and civil liberties issues involved in quarantines

NEW YORK TIMES                                  Oct. 27, 2014

By BENJAMIN WEISER and J. DAVID GOODMAN

It was nearly 100 years ago that an influenza pandemic led to sweeping quarantines in American cities, and it was more than two decades ago that patients in New York were forced into isolation after an outbreak of tuberculosis.

In modern America, public health actions of such gravity are remarkably rare. So the decisions by New York and New Jersey on Friday to quarantine some travelers returning from the Ebola zone in West Africa have taken public officials into unfamiliar legal and medical territory...