[stem-ebola] Four Patients Admitted Friday in MD/VA/DC w/ flu-like illne

[vruslan@xxxxxxxxxxxxxx]

Patient DC-1:

Patient "DC-1" admitted to Howard University Hospital in Washington, DC 
on Friday Oct 3rd -- Recent travel history to Nigeria.  Possible 
EVD-like symptoms. Ebola test results pending / not yet performed;  
Howard University president Wayne Frederick states on Friday patient is 
"low-risk".  Patient admitted overnight & in isolation; possibly in 
quarantine; stable condition.

"Howard officials would not say Friday if [an Ebola] blood test will be 
conducted on the patient."

Patient MD-1:

Patient "MD-1" admitted to Shady Grove Adventist in Rockville, MD on 
Friday Oct 3rd -- Recent travel history to West Africa.  Flu-like 
symptoms.  Positive test result for Malaria.  Ebola testing status 
unknown -- reports are conflicting. (Some state Ebola testing not 
performed; Other suggest Ebola test results are negative). "Our medical 
team has determined that the patient has malaria and does not have 
Ebola". (Shady Grove Adventist Hospital -- Friday Evening). Patient 
admitted overnight & in isolation; "showing signs of improvement over 
past 24 hours".  Malaria probable.

"No Ebola blood tests have been performed in Maryland, Dr. David Blythe, 
state epidemiologist, said Thursday."

Patient VA-1 and VA-2:

Two additional patients ("VA-1" & "VA-2") admitted in unknown location 
in Virginia;  Patient VA-1 from Northwest Virginia; Patient VA-2 from 
Eastern Virginia.  Both met CDC Ebola criteria (Recent travel history to 
W Africa & Flu-like illness).  According to CBS6 WTVR, relaying 
statement from Virginia DOH, "All tests 'to date' have been negative".  
Unclear whether the two VA patients actually lab-tested for Ebola yet 
(via ELISA / RT-PCR). Conflicting reports on test results; "Preliminary 
results negative" (Friday evening, per VA DOH -- testing methodology 
unknown).  Both VA-1 and VA-2 admitted & in isolation as of Friday 11PM 
EST, but not under quarantine.  Conditions unknown. Pending further 
information.

Notes:

CDC, DC Dept of Health, and MD DHMH have been notified regarding 
patients DC-1 and MD-1.  CDC and VA DOH notified regarding patients VA-1 
and VA-2.

Per CDC:  "Ebola virus is detected in blood only after the onset of 
symptoms, usually fever.  [Ebola Virus] may take up to 3 days after 
symptoms appear for the virus to reach detectable levels. Virus is 
generally detectable by real-time RT-PCR from 3-10 days after symptoms 
appear."

http://www.cdc.gov/vhf/ebola/hcp/interim-guidance-specimen-collection-submission-patients-suspected-infection-ebola.html

Sources:

Patients MD-1 and DC-1:

http://thehill.com/policy/healthcare/219693-reports-howard-university-treating-possible-ebola-patient

http://www.washingtonpost.com/news/to-your-health/wp/2014/10/03/d-c-hospital-evaluating-patient-who-has-ebola-like-symptoms/

http://www.baltimoresun.com/health/bs-hs-howard-university-ebola-20141003,0,2472058.story

http://www.wjla.com/articles/2014/10/possible-ebola-patient-in-isolation-at-d-c-s-howard-university-hospital-107754.html

http://www.wbaltv.com/health/possible-ebola-case-present-in-maryland/28393780

http://www.nbcwashington.com/news/local/Patient-With-Ebola-Like-Symptoms-Being-Treated-at-Howard-University-Hospital-278025181.html

http://www.wusa9.com/story/news/local/rockville/2014/10/03/shady-grove-patient/16656121/

Patients VA-1 and VA-2:

http://wtvr.com/2014/10/03/two-virginia-patients-tested-for-ebola/

http://www.nbc12.com/story/26700701/2-va-patients-tested-for-ebola-tests-likely-negative

http://www.nbcwashington.com/news/local/Patient-With-Ebola-Like-Symptoms-Being-Treated-at-Howard-University-Hospital-278025181.html