title: Response to importation of a case of Ebola virus disease--Ohio, October 2014.
abstract: On September 30, 2014, the Texas Department of State Health Services reported a case of Ebola virus disease (Ebola) diagnosed in Dallas, Texas, and confirmed by CDC, the first case of Ebola diagnosed in the United States. The patient (patient 1) had traveled from Liberia, a country which, along with Sierra Leone and Guinea, is currently experiencing the largest recorded Ebola outbreak. A nurse (patient 2) who provided hospital bedside care to patient 1 in Texas visited an emergency department (ED) with fever and was diagnosed with laboratory-confirmed Ebola on October 11, and a second nurse (patient 3) who also provided hospital bedside care visited an ED with fever and rash on October 14 and was diagnosed with laboratory-confirmed Ebola on October 15. Patient 3 visited Ohio during October 10-13, traveling by commercial airline between Dallas, Texas, and Cleveland, Ohio. Based on the medical history and clinical and laboratory findings on October 14, the date of illness onset was uncertain; therefore, CDC, in collaboration with state and local partners, included the period October 10-13 as being part of the potentially infectious period, out of an abundance of caution to ensure all potential contacts were monitored. On October 15, the Ohio Department of Health requested CDC assistance to identify and monitor contacts of patient 3, assess the risk for disease transmission, provide infection control recommendations, and assess and guide regional health care system preparedness. The description of this contact investigation and hospital assessment is provided to help other states in planning for similar events.
authors.forename: Carolyn L
authors.initials: CL
authors.lastname: McCarty
authors.forename: Colin
authors.initials: C
authors.lastname: Basler
authors.forename: Mateusz
authors.initials: M
authors.lastname: Karwowski
authors.forename: Marguerite
authors.initials: M
authors.lastname: Erme
authors.forename: Gene
authors.initials: G
authors.lastname: Nixon
authors.forename: Chris
authors.initials: C
authors.lastname: Kippes
authors.forename: Terry
authors.initials: T
authors.lastname: Allan
authors.forename: Toinette
authors.initials: T
authors.lastname: Parrilla
authors.forename: Mary
authors.initials: M
authors.lastname: DiOrio
authors.forename: Sietske
authors.initials: S
authors.lastname: de Fijter
authors.forename: Nimalie D
authors.initials: ND
authors.lastname: Stone
authors.forename: David A
authors.initials: DA
authors.lastname: Yost
authors.forename: Susan A
authors.initials: SA
authors.lastname: Lippold
authors.forename: Joanna J
authors.initials: JJ
authors.lastname: Regan
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Honein
authors.forename: Barbara
authors.initials: B
authors.lastname: Knust
authors.forename: Christopher
authors.initials: C
authors.lastname: Braden
mesh_terms: D016358:Contact Tracing; D004196:Disease Outbreaks / Q000517:prevention & control*; D005260:Female; D019142:Hemorrhagic Fever, Ebola / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D009820:Ohio / Q000453:epidemiology; D011159:Population Surveillance; D013781:Texas / Q000453:epidemiology; D014195:Travel