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| Second Texas health worker tests positive for Ebola | Second Texas health worker tests positive for Ebola |
| (7 months later) | |
| A second healthcare worker in the US state of Texas has tested positive for Ebola, health officials have said. | A second healthcare worker in the US state of Texas has tested positive for Ebola, health officials have said. |
| Both health workers treated Liberian man Thomas Eric Duncan, who died last week after becoming the first person diagnosed with Ebola in the US. | Both health workers treated Liberian man Thomas Eric Duncan, who died last week after becoming the first person diagnosed with Ebola in the US. |
| A senior Dallas official said there was a "real possibility" of further cases, and contingencies were being prepared. | A senior Dallas official said there was a "real possibility" of further cases, and contingencies were being prepared. |
| Meanwhile, the UN's Ebola mission chief says the world is falling behind in the race to contain the virus. | Meanwhile, the UN's Ebola mission chief says the world is falling behind in the race to contain the virus. |
| The World Health Organization (WHO) says 4,447 people have died from the outbreak, mainly in West Africa. | The World Health Organization (WHO) says 4,447 people have died from the outbreak, mainly in West Africa. |
| Sierra Leone, Liberia and Guinea have been hardest hit by the outbreak, which began in December 2013 but was confirmed in March. | Sierra Leone, Liberia and Guinea have been hardest hit by the outbreak, which began in December 2013 but was confirmed in March. |
| President Barack Obama is due to hold a video conference with British, French, German and Italian leaders to discuss the Ebola crisis later on Wednesday. | President Barack Obama is due to hold a video conference with British, French, German and Italian leaders to discuss the Ebola crisis later on Wednesday. |
| 'Not fearful' | 'Not fearful' |
| The identity of the second Texas health worker has not yet been revealed. | The identity of the second Texas health worker has not yet been revealed. |
| But Texas health officials said she was a woman who lived alone without pets. | But Texas health officials said she was a woman who lived alone without pets. |
| The disposition of the pets of people infected with Ebola has been a concern - the first woman infected in the US with Ebola had a dog, as did a nurse infected in a Spanish hospital. | The disposition of the pets of people infected with Ebola has been a concern - the first woman infected in the US with Ebola had a dog, as did a nurse infected in a Spanish hospital. |
| In Dallas, the second infected healthcare worker was placed in isolation within 90 minutes of reporting a fever. | In Dallas, the second infected healthcare worker was placed in isolation within 90 minutes of reporting a fever. |
| Daniel Varga, the chief clinical officer of hospital operator Texas Health Resources, told a joint news conference that she was involved in the care of Mr Duncan and was exposed to the virus some time during his treatment. | Daniel Varga, the chief clinical officer of hospital operator Texas Health Resources, told a joint news conference that she was involved in the care of Mr Duncan and was exposed to the virus some time during his treatment. |
| But Dallas County Judge Clay Jenkins said the authorities were preparing for more possible cases. | But Dallas County Judge Clay Jenkins said the authorities were preparing for more possible cases. |
| "We are preparing contingencies for more, and that is a very real possibility," he said. | "We are preparing contingencies for more, and that is a very real possibility," he said. |
| Dallas Mayor Mike Rawlings said it might take time to deal with the outbreak, but the authorities were "not fearful". | Dallas Mayor Mike Rawlings said it might take time to deal with the outbreak, but the authorities were "not fearful". |
| "We can only beat this moment by moment, person by person, detail by detail," he said at the news conference. | "We can only beat this moment by moment, person by person, detail by detail," he said at the news conference. |
| "It may get worse before it gets better, but it will get better." | "It may get worse before it gets better, but it will get better." |
| Last weekend, officials said nurse Nina Pham, 26, had been exposed to Ebola at Texas Health Presbyterian Hospital, where she was involved in Mr Duncan's care. | Last weekend, officials said nurse Nina Pham, 26, had been exposed to Ebola at Texas Health Presbyterian Hospital, where she was involved in Mr Duncan's care. |
| Doctors at the hospital said she was "doing well" on Tuesday. | Doctors at the hospital said she was "doing well" on Tuesday. |
| By James Gallagher, BBC health editor | By James Gallagher, BBC health editor |
| This is a reminder that Ebola is a dangerous threat even within some of the best hospitals in world. | This is a reminder that Ebola is a dangerous threat even within some of the best hospitals in world. |
| This is the second case of transmission in Texas, on top of the case in Spain. | This is the second case of transmission in Texas, on top of the case in Spain. |
| Protective gear should minimise the risk to health workers treating Ebola patients. | Protective gear should minimise the risk to health workers treating Ebola patients. |
| But worryingly there have been reports of staff not getting the correct equipment or the necessary training. | But worryingly there have been reports of staff not getting the correct equipment or the necessary training. |
| These isolated cases should not become an outbreak as authorities in both countries are monitoring those who came into contact with infected people. | These isolated cases should not become an outbreak as authorities in both countries are monitoring those who came into contact with infected people. |
| But each new case of transmission is asking the question - is enough being done to protect healthcare workers? | But each new case of transmission is asking the question - is enough being done to protect healthcare workers? |
| A total of 75 healthcare workers were being monitored for symptoms following the second diagnosed case linked to Duncan. | A total of 75 healthcare workers were being monitored for symptoms following the second diagnosed case linked to Duncan. |
| Mr Varga refused to comment on allegations from nurses at the Dallas hospital that health workers had been without adequate protective clothing for days during the outbreak. | Mr Varga refused to comment on allegations from nurses at the Dallas hospital that health workers had been without adequate protective clothing for days during the outbreak. |
| The nurses also said they had received little guidance on how to prevent the spread of the virus, that Duncan was not immediately isolated from other patients when he was admitted to the hospital a second time, and that medical waste was allowed to pile up at least once. | The nurses also said they had received little guidance on how to prevent the spread of the virus, that Duncan was not immediately isolated from other patients when he was admitted to the hospital a second time, and that medical waste was allowed to pile up at least once. |
| Ebola patients treated outside West Africa* | Ebola patients treated outside West Africa* |
| *In all but three cases the patient was infected with Ebola while in West Africa. Infection outside Africa has been restricted to health workers in Madrid and in Dallas. DR Congo has also reported a separate outbreak of an unrelated strain of Ebola. | |
| How not to catch Ebola: | How not to catch Ebola: |
| Ebola basics: What you need to know | Ebola basics: What you need to know |
| How Ebola attacks | How Ebola attacks |
| Ebola: Mapping the outbreak | Ebola: Mapping the outbreak |
| It comes after CDC chief Thomas Frieden said there had been a breach of protocol by health workers that led to Ms Pham's infection. | It comes after CDC chief Thomas Frieden said there had been a breach of protocol by health workers that led to Ms Pham's infection. |
| "The CDC is saying that protocols were breached, but the nurses are saying there were no protocols," the head of the national nurses union, Roseann DeMoro, told reporters on Tuesday. | "The CDC is saying that protocols were breached, but the nurses are saying there were no protocols," the head of the national nurses union, Roseann DeMoro, told reporters on Tuesday. |
| There have been 8,914 Ebola cases overall, including the fatal cases, and the WHO says it expects this number to top 9,000 by the end of the week. | There have been 8,914 Ebola cases overall, including the fatal cases, and the WHO says it expects this number to top 9,000 by the end of the week. |
| Anthony Banbury told a special session of the UN Security Council on Tuesday that if Ebola was not stopped now, the world would "face an entirely unprecedented situation for which we do not have a plan". | Anthony Banbury told a special session of the UN Security Council on Tuesday that if Ebola was not stopped now, the world would "face an entirely unprecedented situation for which we do not have a plan". |
| In other developments: | In other developments: |
| The WHO estimates its figures by taking the numbers of confirmed cases and multiplying them - from Guinea by 1.5, from Sierra Leone by 2 and from Liberia by 2.5 - to account for under-reporting. | The WHO estimates its figures by taking the numbers of confirmed cases and multiplying them - from Guinea by 1.5, from Sierra Leone by 2 and from Liberia by 2.5 - to account for under-reporting. |