Differences between Spain and the USA is a case of Ebola infection – The País.com (Spain)

Differences between Spain and the USA is a case of Ebola infection – The País.com (Spain)

The announcement of a new positive for the Ebola virus in the United States, which becomes the second infected outside the African continent, has quickly sparked comparisons estadounideneses reaction of authorities and the Spanish. The Prime Minister, Mariano Rajoy, has returned to defend the Spanish management and pointed out that in the USA has also been failures.

We compared the eight essential points of the crisis to make clear the action in each case.

DIFFERENCES IN CRISIS MANAGEMENT

	USA	SPAIN
1-activation protocol.	Possible infected, like all health care workers who had contact with the first patient Ebola temperature taken twice a day, call the hospital Friday night warning that has ” low fever. ” Since that call until it is entered in an isolation unit spend 90 minutes.	The information on the days prior to admission to the hospital Teresa Romero Carlos III remains weak and confused. It is known that on the 30th called the service occupational risk prevention of the hospital. He had a low-grade fever. The protocol stated that a case is suspected if fever exceeds 38.6 degrees. Nobody told him to go to Carlos III or to stay in casa.Según different stories, the prevention service returns to talk to her on 2 Nothing happens. On the morning of 6 calls to 112 have less than 38.6 degree fever, so the protocol is not active. An ambulance transfers to hospital Alcorcon.
2 transfer and isolation	The sick moves in her own car to the hospital. After learning that the preliminary results are positive for Ebola, on Saturday night, a specialized team proceeds hours to decontaminate and isolate the vehicle. He has also disinfected railings and all parking areas that might have touched the sick.	In the morning of the 6th, a doctor of 112 and an auxiliary come home from Teresa. She tells them what he does. The orders are clear: take her to the hospital in Alcorcón. Upon arrival to the emergency room, the doctor Juan Manuel Parra attends for 16 hours, some of them with a waterproof robe that falls short in the sleeves, double gloves, a hat and a mask. He learns by means of the auxiliary has tested positive for the virus. Hours after requesting a transfer to Carlos III, a special ambulance finally comes with well protected personnel. In Alcorcon, Teresa remains in an isolated box, but the hospital is not ready
3-Disinfection of housing	A specialized firefighters clean and decontaminated Dallas Saturday night during all open areas of the apartment complex where the second case of Ebola lived equipment. Police have been deployed in the complex.	The number 35 block of Pine Avenue in Alcorcon was decontaminated between Thursday night and early Friday. Too late for the neighbors, who did not understand how anyone cleaning common areas such as the elevator. The house itself had been cleaned on Wednesday, two days after he arrived at the hospital auxiliary Alcorcon with symptoms of Ebola suffer.
4.- Identification of contacts	After the first case of Ebola, Dallas CDC sent a team of 90 specialists, including including dozens of “detectives” in charge of tracking all possible contacts he’s sick. After the second known case of ebola, who belonged to the group of surveillance, the CDC sent additional personnel to the Texas town.	Public Health Services of the Ministry of Health conducted epidemiological surveys, in person or by telephone, the next circle the nurse who attended medical personnel, family and people with some kind of contact, including two employees of the salon in which Romero depilated. They asked personal, health and other data relevant to the investigation. It is unknown how long it took to have the list and give instructions.
5-Monitoring of contacts.	Some 48 people remain monitored in their homes following the first case of Ebola, following the protocol of the CDC. All are asintimáticos so far. The new patient was not part of that group. Furthermore it is considered that all the staff who looked after the first patient Ebola “has been exposed.”	The criteria has changed. At first, the instructions were the same as was given to the sick: take your temperature twice a day and try to stay at home. Professionals like Dr. Parra, who attended at the hospital in Alcorcón, insisted that they leave voluntarily isolated in the Carlos III. Now there are 15 contacts entered in the center. All were ultimately offered this possibility. No symptoms.
6.- Neighbours Property	Authorities say that during the night they “called each one of the gates” in the block affected to explain what happened and the steps being taken, so that the neighbors do not be surprised of deployed equipment housing and not feel fear .	The indignation of the neighbors of Teresa Romero and her husband has run parallel to panic about the lack of information. Many learned that her neighbor was infected when viewed on television. This despite the fact that the mayor of Alcorcón was present at the hospital for five hours when Romero remained in it. Subsequently, the City Council reported that the house has been “partitioned with plasterboard” for safety and tranquility of the neighbors.
7.- dog	Authorities Locals have reported that they believe that there is a pet in the apartment of the sick that apparently shows no signs of infection. Mayor Mike Rawlings says it has a “plan” of action however has not yet been revealed.	The public learned that Romero and her husband had a dog when he, that he was admitted for observation, launched a campaign on social networks and media to denounce the Madrid meant sacrificing the pet. After hours of uncertainty, the regional government said that it had decided to euthanize Excalibur.
8.- Media Inquiries	Since the first test results are known so that the press reports do not spend more than 12 hours. In Dallas media appear before the mayor, a county judge and head of the hospital. From Atlanta, also the director of the CDC, Thomas Frieden, addresses the press.	During the days of major media interest has not been a designated spokesperson and hoaxes and have spread false news without Health has denied it. In the first press conference the minister appeared, but transmitted a total lack of trust. Santamaría discredited Health last Friday taking command of the situation. Since then issued and parties appearing Health technicians, supporting press inquiries.