Mishandling of U.S. Ebola patient prompts CDC alert to hospitals

Texas patient not being isolated could result in federal investigation

DALLAS — A Texas emergency room’s mishandling of the country’s first Ebola patient prompted the CDC to issue a nationwide alert to all hospitals updating them of how to appropriately respond to possible cases of the deadly disease.

“It’s a teachable moment, as we say,” Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention, said during a Thursday press conference.

The latest guidance includes a poster with quick rules for evaluating returned travelers and a checklist.

The move comes nearly a week after Thomas Eric Duncan showed up at Texas Health Presbyterian Hospital with what officials described as fever and abdominal pain. Duncan, who had just moved to Dallas from West Africa, reportedly told hospital workers that he was recently in Liberia, one of the hardest hit areas of the deadly Ebola crisis.

A police car drives past the entrance to the Texas Health Presbyterian Hospital in Dallas. (AP Photo/LM Otero)
A police car drives past the entrance to the Texas Health Presbyterian Hospital in Dallas. (AP Photo/LM Otero)

Investigators in Texas are trying to track down some 100 people who might have been in recent contact with Duncan. A dozen of them are already under quarantine or being monitored for Ebola symptoms.

Federal guidelines published in August advised someone in Duncan’s condition and who was known to be in West Africa to be placed in isolation and tested for Ebola. Instead, Duncan was given a prescription for antibiotics and sent home.

“Unfortunately connections weren’t made related to travel history and symptoms, and the individuals caring for this individual did not think about the possibility of Ebola,” said Dr. David Lakey, commissioner of the Texas Department of State Health Services. “Across the United States people don’t take the travel history as seriously as they need to.”

In an email to Yahoo News, Presbyterian hospital declined to answer specific questions about an alleged communication breakdow between staffers. Spokesperson Candace White previously said in a statement that Duncan’s condition “did not warrant admission. He was not exhibiting symptoms specific to Ebola.”

Lakey said hospital administrators have promised health authorities answers.

“They are looking at the records so they can identify what each individual knew and how that happened,” Lakey said. “I don’t have that final analysis right now.”

[Related: How the CDC uses contact tracing to stop Ebola's spread]

Duncan left the emergency room early last Friday and went to a nearby apartment where he had been living with several family members since arriving in Texas on Sept. 20. By Sunday, his condition had worsened and an ambulance was called to make the milelong trip back to Texas Health Presbyterian. He was immediately placed in strict isolation. As of Thursday morning, Duncan was in serious condition, according to hospital officials.

Frieden said the CDC is investigating a NBC News report that Duncan’s nephew personally called the federal agency to complain about a “mistake that was made.”

“I feared other people might also get infected if he wasn't taken care of,” Josephus Weeks told NBC News. “So I called them to ask them why is it a patient that might be suspected of this disease was not getting appropriate care.”

Said Frieden: “We’ll review our call logs to see if that’s there.”

A government agency with regulatory oversight over federally funded hospitals said Thursday it is also monitoring how the mishap with Presbyterian hospital plays out.

The Centers for Medicare & Medicaid Services can investigate whether the hospital conducted an improper examination for infections and other illness under the Emergency Medical Treatment & Labor Act.

“At this point, the immediate focus is on managing the situation with this specific patient,” David Wright, deputy regional administrator for the agency’s Dallas office, said in an email. “We need to let things settle down before determining what, if any, actions we may take.”


Jason Sickles is a writer for Yahoo. Have a story tip? Email him at jsickles@yahoo-inc.com. Follow him on Twitter (@jasonsickles).