Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • 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
KevinMD
  • 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
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

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
…

Tagged as: Infectious Disease

< 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

  • Leadership in action: How a broken pager fixed a hospital

    Ronald L. Lindsay, MD
  • Profits before patients: the hidden cost of U.S. health care

    Dr. Shantanu Rai
  • Why maintenance of certification varies widely: a system in crisis

    Brian Hudes, MD
  • AI governance in health care: Why physicians must lead the design

    Tod Stillson, MD
  • Surgical practice efficiency: How to fix a broken system

    Paul Toomey, MD
  • Future of AI in medicine: Will algorithms replace doctors?

    Patrick Hudson, MD
  • Most Popular

  • Past Week

    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • Beyond Flexner: Why we must rethink medical training reform

      Ravi Agarwala, MD | Education
    • The “ethical canary”: How moral injury signals systemic failure

      Courtney Markham-Abedi, MD | Conditions
    • Learning from patients: How a physician gained strength and resilience

      Samantha Fernandes, MD | Physician
    • Early screening saves limbs from silent vascular disease [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
  • Recent Posts

    • Community cooperatives offer a solution to the affordable health care crisis [PODCAST]

      The Podcast by KevinMD | Podcast
    • The vascular surgeon shortage: Why amputations are rising

      Daniel Torrent, MD | Conditions
    • The shadow ledger: Uncovering the financial cost of nursing turnover

      Kristen Cline, BSN, RN | Conditions
    • Leadership in action: How a broken pager fixed a hospital

      Ronald L. Lindsay, MD | Physician
    • Profits before patients: the hidden cost of U.S. health care

      Dr. Shantanu Rai | Physician
    • Why maintenance of certification varies widely: a system in crisis

      Brian Hudes, MD | Physician

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

    • Single-payer health care vs. market-based solutions: an economic reality check

      Allan Dobzyniak, MD | Policy
    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • Beyond Flexner: Why we must rethink medical training reform

      Ravi Agarwala, MD | Education
    • The “ethical canary”: How moral injury signals systemic failure

      Courtney Markham-Abedi, MD | Conditions
    • Learning from patients: How a physician gained strength and resilience

      Samantha Fernandes, MD | Physician
    • Early screening saves limbs from silent vascular disease [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
  • Recent Posts

    • Community cooperatives offer a solution to the affordable health care crisis [PODCAST]

      The Podcast by KevinMD | Podcast
    • The vascular surgeon shortage: Why amputations are rising

      Daniel Torrent, MD | Conditions
    • The shadow ledger: Uncovering the financial cost of nursing turnover

      Kristen Cline, BSN, RN | Conditions
    • Leadership in action: How a broken pager fixed a hospital

      Ronald L. Lindsay, MD | Physician
    • Profits before patients: the hidden cost of U.S. health care

      Dr. Shantanu Rai | Physician
    • Why maintenance of certification varies widely: a system in crisis

      Brian Hudes, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • 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...