Saturday, October 25, 2014

After Negative Ebola Test, Quarantined Nurse Criticizes Treatment at Newark ... - New York Times

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A nurse who had worked with Ebola patients in West Africa was placed under quarantine at University Hospital shortly after she landed in Newark Liberty International Airport on Friday. Credit Robert Stolarik for The New York Times

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A nurse who tested negative for the Ebola virus but remained under a 21-day quarantine in a Newark hospital on Saturday is angry and frustrated with how she was treated when she returned to the United States from West Africa.


A first-person account by the nurse, Kaci Hickox, of what happened when she landed at Newark Liberty International Airport about 1 p.m. Friday was published on Saturday on the website of The Dallas Morning News.


Ms. Hickox said that four hours after she landed at the airport, her fever registered 101 degrees when it was taken with a forehead scanner by a “smug"-looking female officer in a quarantine section. The above-normal reading, she said, was because she was upset and her face was flush with anxiety over being detained with no reason given. When her temperature was taken later with an oral thermometer at University Hospital in Newark, it registered a normal 98.6 degrees, Ms. Hickox said on the website.



She said that during the six hours she spent at the airport she was given only a granola bar and was questioned by a procession of people, some who identified themselves, others who didn’t. “No one seemed to be in charge,” she said. “No one would tell me what was going on or what would happen to me.”


“I wondered what I had done wrong,” she said on the web site.


Ms. Hickox had become the first person to fall under the mandatory 21-day quarantine announced late Friday afternoon by Gov. Andrew M. Cuomo of New York and Gov. Chris Christie of New Jersey.


The governors ordered quarantines for all people entering the country through Newark Liberty and Kennedy Airports if they had direct contact with Ebola patients in Guinea, Liberia and Sierra Leone, even if they showed no symptoms of infection upon arrival. The World Health Organization reported on Saturday that there are more than 10,000 suspected or confirmed cases in those three countries.


Ms. Hickox’s mother, Karen Hickox, said her daughter called her Saturday morning, crying in frustration at being held in a tent at the hospital without being told when she could leave.


“She’s lived in Burma, Sudan, Uganda and Nigeria, and she’s worked for Doctors Without Borders many times,” Ms. Hickox said in a telephone interview Saturday from her home outside Dallas. “I think the frustration is that she went and did her good deed and her passion and her serving spirit, and she comes back to America and I just don’t feel they were very welcoming.”


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“She felt like you would treat a dog better than she’s been treated,” the mother said.


A hospital spokeswoman, Stacie Newton, said Ms. Hickox was in one of four treatment areas, where she was in isolation.


The states’ new quarantine policy goes further than recommendations from the Centers for Disease Control and Prevention, which calls for self-monitoring but not isolation. The C.D.C., however, said the states had the right to impose such a policy.


Governments have broad powers to order quarantine when the public health is at stake, though individuals being quarantined also have a right to object and go to court to prove they are not a threat, said Norman Siegel, a civil liberties lawyer in New York and the former executive director of the New York Civil Liberties Union.


Quarantine orders have been upheld, for instance, in New York City, for people with tuberculosis who were not complying with their medication regimens.


“It does present serious civil liberties questions,” Mr. Siegel said on Saturday. “Historically, we’ve had these kinds of issues occur previously, and the courts then resolved the individual liberty issue against the larger concerns of the public’s health concerns. So it then becomes a factual issue, the fact that she tested negative.”


The quarantine policy was announced a day after a doctor who had treated Ebola patients in Guinea became the first person found to have the virus in New York City. The doctor, Craig Spencer, 33, remained in isolation at Bellevue Hospital Center in Manhattan on Saturday.


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