October 20, 2014

Harvard University Issues Ebola Travel Restrictions for Its Students, Faculty and Staff



Dr. J. Soka Moses, left, in the Ebola treatment unit he runs at JFK hospital in Monrovia, Liberia. Dr. Moses is the Ebola unit's only doctor. 
Patrick McGroarty for The Wall Street Journal

See, Harvard University can pay attention to the real world. Does Harvard University have the authority to dictate who can travel where? State commissioner of Health can isolate residents without any legal process. Does Harvard share that state constitutional authority? Great to learn that Harvard University Health Services is "training staff so that they can properly respond and recognize the disease." Will the Medical School and School of Public Health train its students and faculty? Currently some doctors at U.S. hospitals refuse to examine suspected ebola infected patients. They send nurses to make the examinations. Then there are the American trained Liberian doctors, including the President of Liberia's son who stays in the United States and refuses to travel to Liberia. Does than mean that American doctors should do what they refuse to do? See e.g., Wall Street Journal, "Many Liberian Doctors—Including President’s Son—Are Staying Away," By Patrick McGroarty, Oct. 20, 2014



[From article]

Harvard affiliates wishing to travel on University business to the countries most affected by Ebola must now obtain the approval of University Provost Alan M. Garber ’76 and their respective School dean, according to a new set of guidelines the University disseminated on Friday.
Unrelated to that approval process, the new policy also mandates that any Harvard affiliate returning from Sierra Leone, Guinea, and Liberia must complete a medical screening with Harvard University Health Services before arriving on campus. Travelers could also be asked to stay away from campus for 21 days, the length of the virus’s incubation period.
The guidelines, outlined in an email from Garber and UHS Director Paul J. Barreira, expand on those detailed in August that asked for Harvard students, faculty, and staff to avoid nonessential travel to the three countries.
In an interview Friday, University President Drew G. Faust added that UHS is also undertaking a set of planning exercises to prepare for a case of Ebola at the University, training staff so that they can properly respond and recognize the disease.

http://www.thecrimson.com/article/2014/10/20/harvard-tightens-travel-restrictions/

Harvard Tightens Travel Restrictions as Ebola Outbreak Worsens
Affiliates Wishing To Travel to West Africa Must Now Obtain Provost’s Approval
By Amna H. Hashmi
Harvard CRIMSON STAFF WRITER
October 20, 2014
UPDATED: October 20, 2014, at 2:45 a.m.

* * *

[From article]
President Ellen Johnson Sirleaf on Sunday said “the whole world has a stake” in preventing an unfolding catastrophe in Liberia, calling on nations to provide more medical experts and supplies to confront the exploding Ebola epidemic. But illustrating the difficulties of heeding that call, her own son, a physician, has stayed in the U.S., saying he can do more for his country there than at home.
“It is the duty of all of us as global citizens to send a message that we will not leave millions of West Africans to fend for themselves,” Mrs. Sirleaf said. In line with that message, the president in late August fired state officials who refused to come home from abroad to help Liberia battle Ebola.
At that time, however, her son, Dr. James Adama Sirleaf, was returning to his family in Georgia, after deciding to pull his medical training group out of his homeland because of mounting risks to doctors there. 
[. . .]
Officials and physicians here say far more Liberian doctors are in the U.S. and other countries than in the country of their birth, and that their absence is complicating efforts to curb what has become a global health crisis.
Even before Ebola, there were only about 170 Liberian doctors in the country, and colleagues say many of them weren't actively practicing. At least four of them have since died of the virus. That shortage has prompted repeated pleas from the Liberian government for more foreign doctors to join the fight.
Foreign governments, including the U.S., have begun to respond, in part to prevent a tide of new Ebola infections from entering their own countries. The U.S. has sent 400 of the up to 4,000 military personnel it will deploy to build 17 Ebola treatment units, the first of which is scheduled to open this month. The U.S. Centers for Disease Control and Prevention has 40 staff members on the ground. Doctors Without Borders, a nonprofit at the forefront of the response, has more than 100 foreign staff members working in Liberia.
 [. . .]
In its latest tally, the World Health Organization said Friday that Ebola has killed almost 2,500 people in Liberia—more than half the global death toll so far. The WHO has warned that Ebola could be infecting 10,000 people a week by December if it spreads into larger West African nations, such as Ivory Coast. 
[. . .]
Until the 1970s, Liberia was a middle-income country with 3,000 medical doctors. Aspiring physicians from across West Africa trained at JFK, the country’s top hospital. But a coup in 1980 set off two decades of civil war that tore Liberia and its health infrastructure apart.


http://online.wsj.com/articles/many-liberian-doctorsincluding-presidents-sonare-staying-away-1413758509



Many Liberian Doctors—Including President’s Son—Are Staying Away
As President of Ebola-Ravaged Country Pleads for Foreign Helpers, Her Physician Son Sends Aid from U.S.
By Patrick McGroarty
Updated Oct. 20, 2014 2:18 p.m. ET

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