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Ebola Virus: Planning and Protecting

Ebola History

• Ebola Virus was first identified in 1976 near the Ebola River

in the Democratic Republic of the Congo

• Ebola is known to have

several animal hosts in

which it can survive in

Africa

• Outbreaks have

sporadically

been identified

in Africa

since that time

Current Situation

What Does Ebola Look Like?

How Do I Stay Away From Ebola?

How the Virus Spreads

• Blood

• Body Fluids such as o Urine

o Saliva

o Sweat

o Feces

o Vomit

o Breast Milk

• Broken Skin

• Mucus Membranes

such as o Eyes

o Nose

o Mouth

How the Virus Spreads

Contact is the Key…

• The likelihood of contracting Ebola is extremely low unless

a person has direct unprotected contact with the blood or

body fluids (like urine, saliva, feces, vomit, sweat, and

semen) of a person who is sick with Ebola.

United States Cases

Texas

• On September 30, 2014 a gentleman who had traveled to Texas from Western Africa was diagnosed with Ebola

• Local Public Health Officials identify all close contacts of patient for further monitoring for 21 days

• Texas patient dies on October 8, 2014

Health Care Workers

• On October 10, 2014 a nurse

who had cared for the patient

reported low grade fever and

was referred for further testing

• Subsequent testing by labs in

Texas and by CDC confirm

Ebola

Ohio Connection

Ohio

• On October 15 the Summit

County Health District is

notified that an individual

who had cared for the initial

patient from West Africa who

died had traveled by air to

Cleveland and then on to

Summit County has been

diagnosed with Ebola

• Summit County begins to

contact people known to have

contact with this individual

Pre 9-11 Management of Health Events

• Complicated by involvement of many different federal agencies

• States had a similar web of agencies to manage disasters o Each agency had its own form of an incident management system

• Interfaces between federal agencies, between states and across states were inconsistent

• Interfaces between local agencies were almost nonexistent

Now zzzzz

State Level

• There is a state alerting system for health departments that has been in place since 9/11

• Health departments are tested on a regular basis to see that we are able to respond to these alerts periodically on 24/7 basis

• On that day that the health departments were notified via this 24/7 alerting system

FEMA

FBI

DoD DoT

DoE

EPA

USDA

AIT NRL

PHHS

USAMRIID DHHS

ATSDR

NMRI

NIH

CDC

SBCCOM C/B-RRT

?

DHS

Pre 9-11 Government Response

to a Disaster

Local Plans

• All local health departments work with their medical

partners and EMA (Emergency Management Agency) to

create local response plans to address health related

situations

Behind the Scenes

• On a national basis there are various alerting symptoms

local health departments are tied into that notify the local

health departments of disease situations

Controlling at its Source

What We Are Up Against…

What Is Public Health Doing?

• Coordinating all information going to the

public

• Coordinating with Hospitals to investigate

who has been exposed and whether

quarantine or isolation of contacts is

required.

• Use “Contact Tracing” to determine how

far out the disease may spread. This

should start before the case is

“confirmed”

What Can I Do to Protect Myself?

• Follow healthy habits o Get plenty of sleep

o Exercise

o Drink plenty of fluids

o Eat healthy food

• Take everyday precautions o Wash your hands often with soap and water or an alcohol-based hand rub.

o Avoid touching your eyes, nose, or mouth

o Cover your nose and mouth with a tissue when you cough or sneeze. Throw

the tissue in the trash after you use it.

• Get your flu shot

• Keep up with the news

Where to Get

Credible Information

Facebook

Local Web Pages

Ohio Department of Health

CDC

Phones

• Call your local health department when you have questions

Influenza Seasonal Flu

Influenza • Most people who get the flu usually recover in one to two

weeks, but the flu can be deadly.

• An estimated 200,000 people are hospitalized with the flu

each year in the U.S.

• On average, it is estimated that there are more

than 20,000 flu related deaths.

• Protect yourself – get your FLU SHOT!

Williams County Health District