The debate over travel restrictions on persons arriving from the Ebola ravaged region in West Africa shifted this week to posturing over the effectiveness and legality of varying state-level quarantine requirements. Last weekend’s imbroglio over initial strict quarantine rules in New York and New Jersey shifted to less stringent home-based quarantines and monitoring protocols in other states. The Centers for Disease Control and Prevention offered new monitoring guidelines, which helped states to minimize quarantine rules
A nurse, returning from assisting with West Africa relief efforts and originally interred in a New Jersey hospital, was released to travel to Maine. However, the dispute over the legality of Maine’s home-based quarantine has escalated into a current battle between the nurse and the state’s governor and health officials.
Anxiety over Ebola cases in the United States now festers as the current influx of returning volunteers wait out a 21-day waiting period for the possible incubation of the Ebola virus. Also, planning for possible new domestic Ebola cases is haunted by an Associated Press report that the U.S. health care system, especially smaller hospitals, are poorly prepared to handle even localized Ebola cases.
Meanwhile, Secretary of Defense Chuck Hagel this week finalized orders for a 21-day post-mission quarantine of returning military personnel currently serving in West Africa. The White House this week parried questions about the difference between an enforced quarantine for U.S. troops but not for returning civilian health care workers.
Congress is busy preparing for next week’s general election and the next congressional hearing on Ebola, originally scheduled for next week, was delayed until Nov. 12. Witnesses scheduled to testify are Health and Human Services Secretary Sylvia Mathews Burwell and Centers for Disease Control and Prevention Director Tom Frieden. However, the newly appointed Ebola response czar, Ron Klain, is not currently slated to appear before the panel. Separately, various bipartisan pairs of lawmakers are plotting a legislative strategy to press for increased Ebola and other medical research funding.