Health officials stepped up measures to contain the spread of Ebola in Spain, quarantining four people at a Madrid hospital where a nursing assistant became infected and persuading a court that the woman's dog must be put down.
One of the four people quarintined has tested negative for the disease. The female health worker, who had diarrhoea but no fever.
The first case of Ebola transmitted outside Africa, where a months-long outbreak has killed more than 3,400 people, is raising questions about how prepared wealthier countries really are.
Health workers are complaining they lack the training and equipment to handle the virus, and the all-important tourism industry is showing its anxiety.
As the disease moved to the doorsteps of the world’s largest economies, government leaders faced growing pressure to ramp up responses.
Spanish opposition parties called for the resignation of health minister Ana Mato, and the European Union demanded answers to what went wrong.
Medical officials in the United States, meanwhile, are retraining hospital staff and fine-tuning infection control procedures after the mishandling of a critically ill Liberian man in Texas, who might have exposed many others to the virus after being sent away by a hospital.
In Africa, the US military was preparing to open a 25-bed mobile hospital catering to health care workers with Ebola, before building a total of 17 promised 100-bed Ebola Treatment Units in Liberia.
The virus has taken an especially devastating toll on health care workers, sickening or killing more than 370 in the hardest-hit countries of Liberia, Guinea and Sierra Leone, where doctors and nurses were already in short supply.
Obama administration spokesman Josh Earnest said that more passenger screening measures would be announced “in the next couple of days,” even though the White House remains “confident in the screening measures that are currently in place”.
The nursing assistant in Madrid was part of a special team caring for a Spanish priest who died of Ebola last month after being evacuated from Sierra Leone.
The nursing assistant wore a hazmat suit both times she entered his room, officials said, and no records point to any accidental exposure to the virus, which spreads through direct contact with the bodily fluids of a sickened person.
The woman, who had been on holiday in the Madrid area after treating the priest, was diagnosed with Ebola yesterday after coming down with a fever, and was said to be stable tonight.
Her husband also was isolated as a precaution. Another quarantined nurse tested negative, but a man who travelled in Nigeria remained in isolation.
Madrid’s regional government also got a court order to euthanise and incinerate the nurse’s pet dog, Excalibur, against the couple’s objections, without even testing the animal. A government statement said “available scientific information” provides no guarantee that infected dogs can’t transmit the virus to humans.
Spanish authorities were also tracking down all the woman’s contacts, and put more than 50 other people under observation, including her relatives and fellow health care workers. “The priority now is to establish that there is no risk to anybody else,” emergency coordinator Fernando Simon said.
Even so, the potential repercussions of Ebola’s presence in Europe became clear, as shares of Spanish airline and hotel chain companies slumped in trading.
Spain is Europe’s biggest holiday destination after France, and investors were apparently spooked that the deadly virus could scare away travellers.
The infected woman, reportedly in her 40s and childless, was not identified to protect her privacy, but nursing union officials said she had 14 years’ experience. Spanish officials said she had collected material from the priest’s room after he died. Dead Ebola victims are highly infectious, and in West Africa their bodies are collected by workers in hazmat outfits.
The Madrid infection shows that even in countries with sophisticated medical procedures, frontline health care workers are at risk while caring for Ebola patients. Two dozen health workers protested outside a Madrid hospital today, where union representative Esther Quinones complained that they lack resources and training.
In the United States, health care providers are implementing many precautions — reviewing triage procedures, creating isolation units, and even sending actors with mock symptoms into New York City’s public hospital emergency rooms to test reactions.
“You never know when (an Ebola) patient’s going to walk in,” said Dr Debra Spicehandler, an infectious disease expert at Northern Westchester Hospital in Mount Kisco, New York. “Education is key to controlling this — education of the public and of health care workers.”
PA