Health officials in 12 states and the District of Columbia have designated 35 hospitals as Ebola treatment centers, with more hospitals expected to be added to the list in the coming weeks, according to a news release.
Hospitals with Ebola treatment centers are staffed, equipped and have been assessed to have current capabilities, training and resources to care for patients with Ebola, while minimizing risk to healthcare workers. As long as Ebola is spreading in West Africa, we must prepare for the possibility of additional cases in the United States, CDC Director Tom Frieden, MD, MPH, said in the release. We are implementing and constantly strengthening multiple levels of protection, including increasing the number of hospitals that have the training and capabilities to manage the complex care of an Ebola patient. These hospitals have worked hard to rigorously assess their capabilities and train their staff.
Each hospital with an Ebola treatment center has been assessed on-site by a CDC Rapid Ebola Preparedness team. As of Dec. 1, the CDC had conducted REP team assessments in more than 50 hospitals in 15 states and Washington, D.C., according to the release.
More than 80% of returning travelers from Ebola-stricken countries live within 200 miles of an Ebola treatment center, according to the release. The priority areas are jurisdictions served by the five international airports screening returning travelers for Ebola, cities with high proportion of returning travelers from West Africa, and cities with large populations of individuals from West Africa.
According to the release, the CDC has worked with state and local health officials to implement an active monitoring program for travelers returning from affected countries in West Africa. Each traveler, upon entry into the U.S., is provided with a CARE (Check and Report Ebola) kit including a thermometer, temperature log, contact information with the state health department and a wallet card with important information. Since inception of the program, more than 3,000 travelers have been monitored to check daily for fever or other symptoms.
The CDC also is working with state and local public health officials to identify Ebola assessment hospitals, which are the point of referral for those individuals being actively monitored and who develop symptoms compatible with Ebola such as fever. These hospitals evaluate and care for someone who is having the first symptoms of Ebola for up to 96 hours; initiate and coordinate testing for Ebola and for other diseases alternative diagnoses; and either rule out Ebola or transfer the individual to an Ebola treatment center, according to the release.
An assessment hospital would care for a patient who might have Ebola only during the time before a confirmed diagnosis is made until it then transfers the patient to an Ebola treatment center.
So far, 15 states have plans in place to evaluate persons under investigation and for providing care for up to 96 hours while testing can be arranged. CDC also released guidance for states and hospitals to use as they identify Ebola assessment hospitals. According to the release, the CDC has educated nearly 150,000 healthcare workers about Ebola patient care and safety via webinars, and trained more than 525,000 via online clinical resources. CDC continues to conduct infection control training.
The CDC is now supporting 42 state and local laboratories throughout the county to perform rapid Ebola testing. Four months ago only CDC and the U.S. Armed Forces laboratory could test for Ebola, according to the release.
The 35 hospitals with Ebola treatment centers to date are:
Kaiser Oakland Medical Center, Oakland, Calif.
Kaiser South Sacramento Medical Center, Sacramento, Calif.
University of California Davis Medical Center, Sacramento, Calif.
University of California San Francisco Medical Center, San Francisco
Emory University Hospital, Atlanta
Ann & Robert H. Lurie Children’s Hospital of Chicago
Northwestern Memorial Hospital, Chicago
Rush University Medical Center, Chicago
University of Chicago Medical Center, Chicago
Johns Hopkins Hospital, Baltimore
University of Maryland Medical Center, Baltimore
National Institutes of Health Clinical Center, Bethesda, Md.
Allina Healths Unity Hospital, Fridley, Minn.
Children’s Hospitals and Clinics of Minnesota Saint Paul (Minn.) Campus
Mayo Clinic Hospital, Rochester, Minn.
University of Minnesota Medical Center, Minneapolis, Minn.
Nebraska Medical Center, Omaha, Neb.
North Shore-LIJ Health System/Glen Cove Hospital, Glen Cove, N.Y.
Montefiore Health System, New York City
New York-Presbyterian/Allen Hospital, New York City
NYC Health and Hospitals Corporation/HHC Bellevue Hospital Center, New York City
The Mount Sinai Hospital, New York City
Robert Wood Johnson University Hospital, New Brunswick, N.J.
Children’s Hospital of Philadelphia
Hospital of the University of Pennsylvania, Philadelphia
University of Texas Medical Branch at Galveston (Texas)
Methodist Hospital System in collaboration with Parkland Hospital System and the University of Texas Southwestern Medical Center, Richardson, Texas
University of Virginia Medical Center, Charlottesville, Va.
Virginia Commonwealth University Medical Center, Richmond, Va.
Children’s Hospital of Wisconsin, Milwaukee
Froedtert & the Medical College of Wisconsin Froedtert Hospital, Milwaukee
UW Health University of Wisconsin Hospital, Madison, and the American Family Children’s Hospital, Madison, Wis.
MedStar Washington Hospital Center, Washington, D.C.
Children’s National Medical Center, Washington, D.C.
George Washington University Hospital, Washington, D.C.