Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Ebola: Is it time for travel restrictions?

Brian C. Joondeph, MD
Physician
October 3, 2014
Share
Tweet
Share

Should we be worried about Ebola? That’s the question on the minds of many Americans given the first documented case on U.S. soil. And now there is a second possible case, someone having contact with Thomas Duncan, the first U.S. case of Ebola.

Thomas Frieden, director of the Centers for Disease Control and Prevention reassures us, “I have no doubt that we’ll stop this in its tracks in the U.S.” President Obama also told us two weeks ago that “the chances of an Ebola outbreak here in the United States are extremely low.”

Tell that to the 100 Texans who had contact with Thomas Duncan and are now being monitored or held in isolation. Or to the panicked parents keeping their children home from school. Or to those living near Mr. Duncan. After showing disease symptoms, Mr. Duncan, “Was seen vomiting on the ground outside an apartment complex.” According to the CDC, “Under ideal conditions Ebola virus could remain active for up to six days.”

What’s more ideal than the streets and sewers of warm and humid Dallas, where the vomit was likely flushed?

As I wrote two months ago, the CDC has a history of downplaying risk, whether from anthrax or HIV/AIDS. So it’s no surprise that the natural inclination of Americans is to mistrust the promises of another agency. Don’t forget that there was, “not smidgen of corruption at the IRS” and that “if you like your doctor, you can keep your doctor.” The government and its mouthpieces frequently say what they think we the people want to hear, not what we need to hear.

Now I am not recommending panic, but how about some common sense precautions? Perhaps travel restrictions from endemic areas? Air France and British Airways have suspended flights to West Africa. Many African nations reacted to the Ebola outbreak, “by canceling flights and closing borders.” Unlike these countries acting proactively to protect its citizens, the White House is taking the opposite approach saying, “It will not impose travel restrictions or introduce new airport screenings to prevent additional cases of Ebola from entering the United States.”

Mr. Duncan presented himself to a Dallas hospital with low-grade fever and abdominal pain. Normally this would be called “the stomach flu” and the patient sent on his way with recommended fluids and rest. But Mr. Duncan told the hospital he traveled from Liberia. The alarm bells that should have been ringing were on silent mode and none of the hospital workers thought anything of his travel history. An easy mistake to make in a hospital that probably never thought it would see an Ebola patient. And Texas Health Presbyterian Hospital Dallas is not a mud hut hospital staffed with a shaman and a few witch doctors, it has earned top patient safety marks from the Leapfrog Group. Meaning that this could happen at virtually any U.S. hospital. All the more reason to stem the disease at its source via travel restrictions.

If we are not restricting travel from the hot zones in Western Africa, how about a quarantine? Once upon a time, when America was still just a collection of colonies, health officials in New York Harbor set up quarantines for immigrants, “To prevent the bringing in and spreading of infectious distempers.” Is it practical to quarantine a plane load of passengers? It is certainly more practical than panicking an entire city such as Dallas over the hundred or more people that may have come in contact with someone infected with an untreatable and fatal infection.

Then there is the southern border. A viral illness, Enterovirus D68, causing muscle weakening and paralysis in children is spreading across the country, at a time when our southern border is wide open. No travel restriction and no quarantine for those crossing into America from parts unknown, bringing infections unknown. Ebola is not all we have to worry about.

Despite being proven wrong time and time again, the government tells us, “Don’t worry, be happy.” How many cities need an Ebola infection before preventative measures are put into place? And by then will it be too late? Good question. As was one recently asked by President Obama: “So the question now is whether we will have the courage to act before it’s too late.”

Too bad he was talking about global warming and not Ebola.

Brian C. Joondeph is an ophthalmologist and can be reached on Twitter @retinaldoctor.  This article originally appeared in The Daily Caller.

Prev

Examining the safety of outpatient surgery centers

October 3, 2014 Kevin 2
…
Next

How to improve doctor-administrator relations

October 3, 2014 Kevin 24
…

ADVERTISEMENT

Tagged as: Infectious Disease

Post navigation

< Previous Post
Examining the safety of outpatient surgery centers
Next Post >
How to improve doctor-administrator relations

ADVERTISEMENT

More by Brian C. Joondeph, MD

  • Ophthalmology in the era of COVID-19

    Brian C. Joondeph, MD
  • An ophthalmologist analyzes Joe Biden’s red eye

    Brian C. Joondeph, MD
  • When medical science becomes fake news

    Brian C. Joondeph, MD

More in Physician

  • The gift we keep giving: How medicine demands everything—even our holidays

    Tomi Mitchell, MD
  • From burnout to balance: a neurosurgeon’s bold career redesign

    Jessie Mahoney, MD
  • Why working in Hawai’i health care isn’t all paradise

    Clayton Foster, MD
  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Why compassion—not credentials—defines great doctors

    Dr. Saad S. Alshohaib
  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • A world without vaccines: What history teaches us about public health

      Drew Remignanti, MD, MPH | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Recent Posts

    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds
    • The gift we keep giving: How medicine demands everything—even our holidays

      Tomi Mitchell, MD | Physician
    • The promise and perils of AI in health care: Why we need better testing standards

      Max Rollwage, PhD | Tech
    • From burnout to balance: a neurosurgeon’s bold career redesign

      Jessie Mahoney, MD | Physician
    • Healing the doctor-patient relationship by attacking administrative inefficiencies

      Allen Fredrickson | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • A world without vaccines: What history teaches us about public health

      Drew Remignanti, MD, MPH | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Recent Posts

    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds
    • The gift we keep giving: How medicine demands everything—even our holidays

      Tomi Mitchell, MD | Physician
    • The promise and perils of AI in health care: Why we need better testing standards

      Max Rollwage, PhD | Tech
    • From burnout to balance: a neurosurgeon’s bold career redesign

      Jessie Mahoney, MD | Physician
    • Healing the doctor-patient relationship by attacking administrative inefficiencies

      Allen Fredrickson | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Ebola: Is it time for travel restrictions?
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...