DALLAS (AP) — A Dallas nurse who
caught Ebola while treating a Liberian patient who died of the disease
has received a plasma transfusion donated by a doctor who beat the
virus.
Ebola has
killed more than 4,000 people in an outbreak the World Health
Organization has called "the most severe, acute health emergency seen in
modern times." Federal health officials say they are ramping up
training for medical workers who deal with the infected.
Nurse
Nina Pham was among about 70 staff members at Texas Health Presbyterian
Hospital who cared for Thomas Eric Duncan, according to medical
records. They drew his blood, put tubes down his throat and wiped up his
diarrhea. They analyzed his urine and wiped saliva from his lips, even
after he had lost consciousness.
The 26-year-old nurse was in his room often, from the day he was placed in intensive care until the day before he died.
Pham
and other health care workers wore protective gear, including gowns,
gloves, masks and face shields — and sometimes full-body suits — when
caring for Duncan, but Pham became the first person to contract the
disease within the United States. Duncan died on Wednesday.
On
Monday night, members of the church that Pham's family attends held a
special Mass for her in Fort Worth. Rev. Jim Khoi, of the Our Lady of
Fatima Church, said Pham's mother told him the nurse had received a
transfusion that could save her life.
"Her mom says that she got
the blood from the gentleman, a very good guy. I don't know his name but
he's very devoted and a very good guy from somewhere," Khoi said.
Jeremy
Blume, a spokesman for the nonprofit medical mission group Samaritan's
Purse, confirmed that the plasma donation came from Kent Brantly, the
first American to return to the U.S. from Liberia to be treated for
Ebola. Brantly received an experimental treatment and fought off the
virus, and has donated blood for transfusions for three others,
including Pham.
"He's a doctor. That's what he's there to do. That's his heart," Blume said.
Brantly said in a recent speech that he also offered his blood for Duncan, but that their blood types didn't match.
Khoi
said Pham's mother assured him the nurse was comfortable and "doing
well," and that the two women had been able to talk via Skype.
Pham
had been monitoring her own temperature and went to the hospital Friday
night with a low fever. She was in isolation and in stable condition,
health officials said.
Since
she tested positive for the disease, public-health authorities have
intensified their monitoring of other hospital workers who cared for
Duncan.
Centers for Disease
Control and Prevention Director Tom Frieden said he would not be
surprised if more fall ill because Ebola patients become more contagious
as the disease progresses.
Pham's
name appears frequently throughout the hundreds of pages of medical
records provided to The Associated Press by Duncan's family. They show
she was in his room Oct. 7, the day before he died.
Her notes describe nurses
going in and out of Duncan's room wearing protective gear to treat him
and to mop the floor with bleach.
She also notes how she and other nurses ensured Duncan's "privacy and comfort," and provided "emotional support."
Frieden
has said a breach of protocol led to the nurse's infection, but
officials are not sure what went wrong. Pham has not been able to point
to any specific breach.
The
CDC is monitoring all hospital workers who treated Duncan and planned to
"double down" on training and outreach on how to safely treat Ebola
patients, Frieden said. He could not provide a number of health care
workers under surveillance.
Health
officials have relied on a "self-monitoring" system when it comes to
U.S. health care workers who care for isolated Ebola patients. They
expect workers to report any potential exposures to the virus and watch
themselves for symptoms.
Besides
the workers, health officials continue to track 48 people who were in
contact with Duncan before he was admitted to the hospital and placed in
isolation. They are monitoring one person the nurse was in contact with
while she was in an infectious state.
None has exhibited symptoms, Frieden said.
Among
the things the CDC will investigate is how the workers took off
protective gear, because removing it incorrectly can lead to
contamination. Investigators will also look at dialysis and intubation —
the insertion of a breathing tube in a patient's airway. Both
procedures have the potential to spread the virus.
Duncan,
who arrived in the U.S. from Liberia Sept. 20, first sought medical
care for fever and abdominal pain Sept. 25. He told a nurse he had
traveled from Africa, but he was sent home. He returned Sept. 28 and was
placed in isolation because of suspected Ebola.
Officials
said there was a dog in the nurse's apartment that has been removed to
an undisclosed location for monitoring and care. They do not believe the
pet shows any signs of Ebola. A dog belonging to an infected Spanish
nurse was euthanized, drawing thousands of complaints.
Ebola
has killed more than 4,000 people, mostly in the West African countries
of Liberia, Sierra Leone and Guinea, according to WHO figures published
last week.
___
Schmall
reported from Fort Worth, Texas. Associated Press writers Mike Stobbe
in New York, Martha Mendoza and Maud Beelman in Dallas and Tammy Webber
in Chicago also contributed to this report.
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