Breaking: A second health care worker who provided care for Thomas Duncan at Texas Health Presbyterian Hospital has tested positive for Ebola (AP, Reuters)
In the News
- TX nurses: “Unsupported, unprepared, lied to”
- TX nurses: “Left to figure things out”
- CDC: “Ebola response team” in future
- Obama: “Progress and setbacks” in ISIS fight
- Has ISIS used chemical weapons against Kurds?
- Where did ISIS get chemical weapons?
- NYT: U.S. Govt tried to suppress intel about chem weapons in Iraq
- NYT: Govt kept quiet out of embarrassment
- Biden huddles to help long-term unemployed
- Obama won’t nominate AG until after midterms
- Anger in Hong Kong: Video of police beating protester
- Malala pleads for Nigerian abducted girls
- Halloween howls
Texas Nurses: “Unsupported, Unprepared, Lied To”
• Nurses at Texas Health Presbyterian Hospital in Dallas claimed during a conference call with reporters Tuesday that when Thomas Eric Duncan was brought into the hospital by ambulance (second trip) with Ebola-like symptoms, he was “left for several hours, not in isolation, in an area” where up to seven patients were (LAT, NYT, WaPo, Hill, CNN, Fox, me)
• A statement outlining a litany of damning assertions was read by Deborah Burger, co-president of National Nurses United. The nurses on the call were anonymous and didn’t speak. The union doesn’t represent the nurses, but has been vocal about what it says are hospitals’ failures to prepare for Ebola. Burger said all the nurses had been involved in Duncan’s care
• “Subsequently, a nurse supervisor arrived and demanded that he be moved to an isolation unit, yet faced stiff resistance from other hospital authorities,” they alleged. The union said the nurses “strongly feel unsupported, unprepared, lied to and deserted to handle their own situation.”
• Duncan’s lab samples were sent through the usual hospital tube system “without being specifically sealed and hand-delivered. The result is that the entire tube system … was potentially contaminated,” they said. There was no advanced preparedness on what to do with the patient. There was no protocol. There was no system, they alleged
• Graphic: How hospital workers are supposed to treat Ebola safely (NYT)
Nurses: Left to Figure Things Out
• The nurses were asked to call the infectious disease dept if they had questions, but that dept didn’t have answers either, the statement said. So the nurses essentially were left to figure things out on their own, the statement said. The statement said guidelines were constantly changing
• They figured things out as they dealt with “copious amounts” of highly contagious bodily fluids from the dying Duncan while they wore gloves with no wrist tape, flimsy gowns that didn’t cover their neck, and no surgical booties, the statement alleged
• “Hospital officials allowed nurses who interacted with Mr Duncan to then continue normal patient-care duties,” potentially exposing others, it said. There was no way to independently confirm the allegations, which are in sharp contrast to statements from hospital officials
• “Patient and employee safety is our greatest priority, and we take compliance very seriously,” the hospital said in a statement. “We have numerous measures in place to provide a safe working environment, including mandatory annual training and a 24-7 hotline and other mechanisms that allow for anonymous reporting.”
• With the death of another UN staffer Tuesday to the West African Ebola outbreak, the United Nations Staff Union put out a statement saying, “questions must be asked on whether adequate resources are in place to protect UN personnel and their families from this deadly disease.” (TRNS)
CDC: “Ebola Response Team”
• CDC Director Dr Tom Frieden said Tuesday that the CDC might have prevented nurse Nina Pham’s infection if it had responded more aggressively to Duncan’s case. CDC experts were in the hospital Tuesday watching workers as they donned and removed the protective gear required to treat Pham and as they moved in and out of her room
• The CDC also plans to launch an “Ebola response team” which will go to any hospital that reports an Ebola case. “I wish we had put a team like this on the ground the day the first patient was diagnosed,” Frieden said. “That might have prevented this infection. But we will do that from this day onward.” (LAT, WaPo, TRNS, NYT, CNN, Hill, Politico, Fox, AP, Reuters, me)
• Frieden said 76 other healthcare workers from the hospital were being monitored for possible Ebola symptoms. Also Tuesday, Duncan’s nephew, Josephus Weeks, wrote in a Dallas Morning News article that the hospital had provided his uncle with substandard care
• The World Health Organization predicted Tuesday that Ebola could lead to up to 10,000 new cases a week in Liberia, Sierra Leone and Guinea. In addition, about 70% of those who fall ill in the three countries are dying
• President Obama told a group of international military leaders Tuesday, “As I’ve said before, and I’m going to keep on repeating until we start seeing more progress, the world as a whole is not doing enough. There are a number of countries that have capacity that have not yet stepped up.”
• The Obama administration isn’t ruling out appointing a “czar” to lead the U.S. response to the Ebola virus. However, WH spox Josh Earnest on Tuesday indicated that Lisa Monaco, the president’s homeland security and counterterrorism adviser, may already fill that role (Hill, me)
Obama: “Progress and Setbacks” in ISIS Fight
• President Obama pointed to some “important successes” in the U.S.-led coalition against ISIS militants in Iraq and Syria as he met with military leaders from participating countries around the world on Tuesday, amid questions about the merits of his strategy (WSJ, TRNS, me)
• “There are going to be periods of progress and setbacks,” Obama said. “What we’re also fighting is ideological,” he said, adding that coalition countries will need to create economic opportunities and communicate an “alternative vision” for those who are being recruited by ISIS
• Col Steven Warren, a Pentagon spox, said military leaders from more than 20 countries were discussing the continuing campaign at Joint Base Andrews in MD. The meeting is meant to “align the unique capabilities” of the various countries contributing. The U.S. wouldn’t be formally asking any countries to increase their contributions
• The leaders discussed what more needs to be done in the air campaign against ISIS and, as a group, discussed what countries are best positioned to contribute additional resources, Col Warren said
• Col Warren acknowledged that ISIS fighters are making new gains in Anbar, but noted that the Iraqi military, with U.S. support, has taken territory from the militants, including the towns of Sinjar and Amirli, as well as the Mosul Dam. “This is the nature of warfare. There will be ebbs and flows across the battlefield for months,” Col Warren said (more ebbing than flowing…)
• President Obama will participate in a rare videoconference today with the leaders of the UK, France, Germany and Italy as he looks to build support for efforts to combat ISIS in Iraq and Syria and Ebola. They’ll also discuss Russia and Ukraine, the WH said (Hill, me)
Has ISIS Used Chemical Weapons Against Kurds in Kobane?
• As ISIS continues to battle Kurdish forces for control of Kobane, a town on the Syrian-Turkish border, graphic photographs have emerged (warning: graphic) of injured Kurdish fighters with blistering wounds and peeling skin (Buzzfeed, me)
• “The injuries in the photographs appear to be consistent to some sort of chemical burn,” said Jerry Smith, the former Head of Syria Operations at the Organization for the Prohibition of Chemical Weapons, and now head of the independent security consultancy, Ramehead
• The photos were first published by the Middle East Review of International Affairs (MERIA) Journal. Jonathan Spyer, editor of MERIA, wrote that Israeli chemical weapons experts reviewing the photographs believed that mustard was the most likely chemical agent used
• Spyer said he was given the photos by Kurdish sources about one month ago, and that they document an incident from 12 July. While Spyer’s sources speculated that mustard agent was used, other chemical weapons experts have argued that a different blistering agent may have been used – but still some sort of chemical burn
• Hamish de Bretton-Gordon, a British chemical weapons expert, said, “What we’ve seen in Syria, when the regime delivered sarin, they loaded it into rockets … and we’ve at least one case when ISIS militants were killed as they tried to load a rocket with chlorine and the rocket exploded killing 15 of them.”
Where Did ISIS Get Chemical Weapons?
• De Bretton-Gordon added that there were two likely possibilities by which ISIS would have gotten a chemical agent – from a secret chemical weapons stockpile kept by the Assad regime in Syria, and hidden from UN inspectors, or from a stockpile in Iraq left over from Saddam Hussein’s regime – see below (NYT today)
• Iraq’s ambassador to the UN, Mohamed Ali Alhakim, sent a letter to UN SecGen Ban Ki moon in July stating that ISIS had captured a former chemical weapons facility in the Iraqi town of Muthanna, northwest of Baghdad. The bunker, he said, had sarin-filled rockets, as well as “mustard-contaminated” artillery shells
• At the time, State Dept spox Jen Psaki disputed Alhakim’s account, saying that the two bunkers “don’t include intact chemical weapons … and would be very difficult, if not impossible, to safely use this for military purposes or, frankly, to move it.”
• Since then, however, U.S. officials have voiced concerns that ISIS has not only captured chemical weapons, but has deployed them, including in a chlorine gas attack on Iraqi soldiers
• “Everyone is paying attention to Kobane because it is the battle reporters can physically watch,” said a U.S. diplomat based in Jordan. “If ISIS used chemical weapons there
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