Saturday, October 25, 2014

NYC Health: Ebola Patient Timeline


# 9249


Although the evidence strongly suggests that those infected with the Ebola virus are unlikely to transmit the virus in the early-symptomatic phase of their illness - the risks of transmission, while low, are probably not zero.  


While reassuring, much of our evidence for this is anecdotal, and the question of the variability of viral shedding that might occur among patients early in their illness probably deserves more scrutiny.


So the New York City public Health Department – while stressing that it is unlikely anyone was infected by this patient prior to his going into isolation - is making public a timeline of their index case’s public movements since his arrival on the 17th. 


Health Department Releases Ebola Patient Timeline

  • Patient is a 33-year-old male Medecins Sans Frontieres (Doctor Without Borders) medical doctor who last worked in Guinea on 10/12. While treating patients in Guinea, he always wore personal protective equipment (PPE), and there were no known breaches in protocol.
  • 10/14, the patient departed Guinea on a flight to Brussels. Patient reported no symptoms.
  • On 10/17, the patient boarded a flight to the U.S. on Brussels Airlines Flight SN0501. Patient reported no symptoms.
  • On 10/17, the patient arrived at JFK. The patient was screened at JFK and had no symptoms upon arrival.
  • On 10/21 at 7 AM, the patient reported fatigue and exhaustion. No fever, vomiting, diarrhea.

Ebola Patient Timeline

  • 10/14  Patient departed Guinea. Patient reported no symptoms.
  • 10/17 Patient boarded a flight to JFK on Brussels Airlines Flight SN0501. Patient reported no symptoms.
  • 10/21 Patient reported fatigue and exhaustion. Patient visited High Line and The Meatball Shop.
  • 10/22 Patient went running on Riverside Drive and Westside Highway and also visited The Gutter.
  • 10/23 Patient first reported a fever. He was immediately taken to Bellevue by FDNY EMS for testing.
    • Fatigue is a symptom of Ebola, but it is very unlikely that people he came into close contact with on 10/21 are at risk. Out of an abundance of caution, we are actively monitoring the health of these close contacts.
  • On 10/21, around 3:00 PM, the patient visited The Meatball Shop. The Meatball Shop is located at 64 Greenwich Avenue.
  • Spent 40 minutes at The Meatball Shop.
  • On 10/21, around 4:30 PM, the patient visited the High Line.
  • Walked on High Line and stopped at the Blue Bottle Coffee stand (10th Ave & W 16th St)
  • On 10/21, around 5:30 PM, the patient got off the High Line at 34th Street and took the 1 train to the 145th Street station.
  • On 10/22, around 1:00 PM, the patient went running along Riverside Drive and Westside Highway
  • On 10/22, around 2:00 PM, the patient went to pick up Community Supported Agriculture (CSA) farm share at 143rd St and Amsterdam Avenue (Corbin Hill Farm)
    • Patient picked up box and brought back to apartment
  • On 10/22, around 5:30 PM, the patient left for The Gutter bowling alley in Williamsburg, Brooklyn with two friends. For his arrival at Gutter, the patient took the A train at 145th Street and transferred at 14th Street and took the L train to Bedford Avenue.
  • On 10/22, around 8:30 PM, the patient left The Gutter. For his return trip, the patient used Uber as his means of transportation.
  • On 10/23, around 10:15AM, the patient first reported a fever. At this point, the patient called Medecins Sans Frontieres and the New York City Health Department. He was immediately taken to Bellevue by FDNY EMS.
  • The patient was tested for Ebola at the Health Department’s Public Health Lab. Test results are presumptive positive for Ebola. A confirmatory test will be conducted by the CDC; results will be available within the next 24 hours.

Additional Notes:

  • The patient’s three contacts are healthy and are being quarantined.
  • There is a difference between “quarantine” and “isolation.”

Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.

Isolation separates sick people with a contagious disease from people who are not sick.

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