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Oct 26, 2014 11:54 PM

Cuomo outlines NY policy for Ebola quarantine

The Associated Press

NEW YORK (AP) Gov. Andrew Cuomo on Sunday night fleshed out guidelines for the mandatory, 21-day quarantining of medical workers returning from West Africa that he and New Jersey Gov. Chris Christie ordered two days earlier, bringing the state closer in line with federal protocols.

He detailed the state's protocols at a nighttime news conference with New York City's mayor after the Obama administration said it expressed concerns to Cuomo and Christie about their states' mandatory Ebola quarantines. The announcement also comes amid sharp criticism of the treatment of a nurse returning from Sierrra Leone who was forcibly quarantined is a New Jersey hospital isolation unit even though she said had no symptoms and tested negative for Ebola.

Under the outlined New York 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.

Cuomo had criticized Dr. Craig Spencer, who tested positive for Ebola on Thursday, 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.

Meanwhile, Kaci Hickox, the first nurse forcibly quarantined in New Jersey under the state's new policy, said in a telephone interview with CNN that her isolation at a hospital was "inhumane," adding: "We have to be very careful about letting politicians make health decisions."

Saying the federal health guidelines are inadequate, Cuomo and Christie announced a mandatory quarantine program Friday for medical workers and other arriving airline passengers who have had contact with Ebola victims in West Africa, either in their homes or in medical facilities, and Illinois soon followed suit. Twenty-one days is the incubation period for Ebola.

On Sunday night, Christie 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.

The Obama administration considers the policy in New York and New Jersey "not grounded in science" and conveyed its concerns to Christie and Cuomo, a senior administration official told The Associated Press earlier Sunday. The official wasn't authorized to comment by name and insisted on anonymity.

"The best way to protect us is to stop the epidemic in Africa, and we need those health care workers, so we do not want to put them in a position where it makes it very, very uncomfortable for them to even volunteer to go," said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

Fauci made the rounds on five major Sunday morning talk shows to argue that policy should be driven by science and that science says people with the virus are not contagious until symptoms appear. And even then, infection requires direct contact with bodily fluids.

He said that close monitoring of medical workers for symptoms is sufficient, and warned that forcibly separating them from others, or quarantining them, for three weeks could cripple the fight against the outbreak in West Africa an argument that humanitarian medical organizations have also made.

"If we don't have our people volunteering to go over there, then you're going to have other countries that are not going to do it and then the epidemic will continue to roar," Fauci said.

Christie, who is traveling the country as head of the Republican Governors Association and is expected to run for the Republican nomination for president in 2016, said he was not worried that quarantining might discourage volunteers.

Earlier this month, four members of a family in Texas that Ebola victim Thomas Eric Duncan stayed with before he died were confined to their home under armed guard after failing to comply with a request not to leave their apartment. Also, 75 Dallas hospital workers were asked to sign legally binding documents in which they agreed not go to public places or use mass transit.

The New York-area quarantine measures were announced after Spencer returned to New York City from treating Ebola victims in Guinea for Doctors Without Borders and was admitted to Bellevue Hospital Center last Thursday to be treated for Ebola. In the week after his return, he rode the subway, went bowling and ate at a restaurant.

Hospital officials 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.

Hickox, the quarantined nurse who just returned from Sierra Leone, said she had no symptoms at all and tested negative for Ebola in a preliminary evaluation.

"It's just a slippery slope, not a sound public health decision," she said of the quarantine policy. "I want to be treated with compassion and humanity, and don't feel I've been treated that way."

Hickox has access to a computer, her cellphone, magazines and newspapers and has been allowed to have takeout food, New Jersey Health Department officials said.

New York City Mayor Bill de Blasio called Hickox a "returning hero" and charged that she was "treated with disrespect," as if she done something wrong, when she was put into quarantine. He said that she was interrogated repeatedly and things were not explained well to her.

Samantha Power, the U.S. ambassador to the United Nations who is on a trip to West Africa, said returning U.S. health care workers should be "treated like conquering heroes and not stigmatized for the tremendous work that they have done."

In other developments, President Barack Obama met Sunday with his Ebola response team, including "Ebola czar" Ron Klain and other public health and national security officials. According to a statement released by the White House, Obama said any measures concerning returning health care workers "should be crafted so as not to unnecessarily discourage those workers from serving."

Florida Gov. Rick Scott ordered twice-daily monitoring for 21 days of anyone returning from the Ebola-stricken areas.

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.

Fauci appeared on "Fox News Sunday," ABC's "This Week, NBC's "Meet the Press," CBS' "Face the Nation" and CNN's "State of the Union." Christie was interviewed on Fox and Power spoke to NBC.


Associated Press writers Bruce Shipkowski in Trenton, N.J., Josh Lederman and Thomas Strong in Washington, and Verena Dobnik in New York contributed to this report.


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