title: Ebola virus disease in a humanitarian aid worker - New York City, October 2014.
abstract: In late October 2014, Ebola virus disease (Ebola) was diagnosed in a humanitarian aid worker who recently returned from West Africa to New York City (NYC). The NYC Department of Health and Mental Hygiene (DOHMH) actively monitored three close contacts of the patient and 114 health care personnel. No secondary cases of Ebola were detected. In collaboration with local and state partners, DOHMH had developed protocols to respond to such an event beginning in July 2014. These protocols included safely transporting a person at the first report of symptoms to a local hospital prepared to treat a patient with Ebola, laboratory testing for Ebola, and monitoring of contacts. In response to this single case of Ebola, initial health care worker active monitoring protocols needed modification to improve clarity about what types of exposure should be monitored. The response costs were high in both human resources and money: DOHMH alone spent $4.3 million. However, preparedness activities that include planning and practice in effectively monitoring the health of workers involved in Ebola patient care can help prevent transmission of Ebola.
authors.forename: Kari
authors.initials: K
authors.lastname: Yacisin
authors.forename: Sharon
authors.initials: S
authors.lastname: Balter
authors.forename: Annie
authors.initials: A
authors.lastname: Fine
authors.forename: Don
authors.initials: D
authors.lastname: Weiss
authors.forename: Joel
authors.initials: J
authors.lastname: Ackelsberg
authors.forename: David
authors.initials: D
authors.lastname: Prezant
authors.forename: Ross
authors.initials: R
authors.lastname: Wilson
authors.forename: David
authors.initials: D
authors.lastname: Starr
authors.forename: Jennifer
authors.initials: J
authors.lastname: Rakeman
authors.forename: Marisa
authors.initials: M
authors.lastname: Raphael
authors.forename: Celia
authors.initials: C
authors.lastname: Quinn
authors.forename: Amita
authors.initials: A
authors.lastname: Toprani
authors.forename: Nancy
authors.initials: N
authors.lastname: Clark
authors.forename: Nathan
authors.initials: N
authors.lastname: Link
authors.forename: Demetre
authors.initials: D
authors.lastname: Daskalakis
authors.forename: Aletha
authors.initials: A
authors.lastname: Maybank
authors.forename: Marcelle
authors.initials: M
authors.lastname: Layton
authors.forename: Jay K
authors.initials: JK
authors.lastname: Varma
mesh_terms: D000354:Africa, Western / Q000453:epidemiology; D000533:Altruism; D016358:Contact Tracing; D004196:Disease Outbreaks / Q000191:economics / Q000517:prevention & control*; D029043:Ebolavirus / Q000302:isolation & purification*; D006282:Health Personnel; D019142:Hemorrhagic Fever, Ebola / Q000191:economics / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology
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