Monday, October 27, 2014

New York gov Cuomo loosens Ebola quarantine restrictions after criticism


New York Gov. Andrew Cuomo announced late Sunday that he had loosened some of the restrictions in a mandatory 21-day Ebola quarantine that he had ordered along with New Jersey Gov. Chris Christie this past Friday. 
Under the revised guidelines, medical professionals who have had contact with Ebola patients will be quarantined at home and receive twice-daily monitoring if they have no symptoms. Family members will be allowed to stay, and friends may visit with the approval of health officials. The state will also pay for any lost compensation, if they are not paid by a volunteer organization.
The new guidelines come after White House officials and health experts strongly criticized the mandatory quarantine, which was put in place in response to the infection of a New York City doctor, Craig Spencer. Cuomo had originally criticized Dr. Spencer for not obeying a 21-day voluntary quarantine. But on Sunday, he called the health care workers "heroes" and said his administration would encourage more medical workers to volunteer to fight Ebola.
The mandatory quarantine came in for more criticism after a Maine nurse returning from Sierra Leone criticized her treatment as the first person to be quarantined under New Jersey's new policy, saying that she was treated "like a criminal." Kaci Hickox has tested negative for Ebola in a preliminary evaluation. 
Hickox has access to a computer, her cellphone, magazines and newspapers and has been allowed to have takeout food, New Jersey Health Department officials told The Associated Press.
New York City Mayor Bill de Blasio called Hickox a "returning hero" and charged that she was "treated with disrespect" when she was put into quarantine. He said that she was interrogated repeatedly and things were not explained well to her.
Christie issued a statement Sunday that also stressed that home confinement would be used for New Jersey residents and others when possible.
"The protocol is clear that a New Jersey resident with no symptoms, but who has come into contact with someone with Ebola, such as a health care provider, would be subject to a mandatory quarantine order and quarantined at home. Non-residents would be transported to their homes if feasible and, if not, quarantined in New Jersey," said a statement from Christie spokesman Kevin Roberts.
Earlier Sunday the White House expressed concern about what it called the "unintended consequences" of the mandatory quarantine, telling Fox News that the Obama administration is working on new federal guidelines on returning health-care workers exposed to Ebola, realizing the concern among Americans about a potential outbreak on U.S. soil.
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said early Sunday that the 21-day quarantines originally imposed in Florida, Illinois, New Jersey, and New York can have the "unintended consequence" of discouraging health care workers from volunteering, particularly in the West African countries, where an estimated 4,500 people have so far this year died from Ebola.
"We do not want to put them in a position where it makes it very, very uncomfortable for them to even volunteer," he told “Fox News Sunday."
Christie told Fox News that he has “great respect” for Fauci but defended his decision to impose the quarantine, saying he has an obligation to protect residents amid Centers for Disease Control guidelines that remain a “moving target.”
"Imagine that you're the person in charge of public health for people of a large, densely populated state … and these protocols continue to move and change,” Christie said. “It was my conclusion we need to do this to protect the public health of people of New Jersey. (New York) Governor Cuomo agreed. And now, (Chicago) Mayor Emanuel agrees. And I think the CDC eventually will come around to our point of view on this."
Officials at New York City's Bellevue Hospital Center said Sunday that Spencer was in serious but stable condition, was looking better than he did the day before, and tolerated a plasma treatment well.
The World Health Organization said more than 10,000 people have been infected with Ebola in the outbreak that came to light last March, and nearly half of them have died, mostly in Guinea, Sierra Leone and Liberia.

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