Public health risk ‘extremely low’
A health worker who was diagnosed with Ebola after returning to Scotland from Sierra Leone is now being treated an isolation unit in London’s specialist Royal Free Hospital. Her condition is described as ‘stable’.
The health worker travelled back to Glasgow via Casablanca and London Heathrow. Passengers on those flights are now being traced but public health officials say the risk to the public is ‘very low’.
When the confirmed case of Ebola was diagnosed in Glasgow last night, NHS Scotland infectious diseases procedures were put into effect – the patient was isolated and received treatment in the specialist Brownlee Unit for Infectious Diseases at Gartnavel Hospital before her transfer to London early this morning.
The patient is a health care worker who was helping to combat the disease in west Africa. She returned to Scotland from Sierra Leone late on Sunday night. She left Sierra Leone on 28 December and was a passenger on flight AT596 from Freetown to Casablanca, flight AT0800 from Casablanca to London, and transferred at Heathrow to flight BA1478 for onward travel to Glasgow.
The patient was admitted to hospital early yesterday morning after feeling unwell and was placed into isolation at 7.50am. All possible contacts with the patient are now being investigated and anyone deemed to be at risk will be contacted and closely monitored. However, having been diagnosed in the very early stages of the illness, the risk to others is considered extremely low.
First Minister Nicola Sturgeon chaired a meeting of the Scottish Government Resilience Committee (SGoRR) last night to ensure all necessary steps are being taken, and also spoke to Prime Minister David Cameron – according to UK and Scottish protocol for anyone diagnosed with Ebola, the patient will be transferred to the high level isolation unit in the Royal Free hospital, London, as soon as possible. This is where the facilities, staff and systems are in place to ensure the best quality and safest care.
While public health experts have emphasised that the risks are negligible, a telephone helpline has been set up for anyone who was on the Heathrow to Glasgow flight on Sunday.
The number is: 08000 858531
First Minister Nicola Sturgeon told a press conference last night: “Our first thoughts at this time must be with the patient diagnosed with Ebola and their friends and family. I wish them a speedy recovery.
“Scotland has been preparing for this possibility from the beginning of the outbreak in West Africa and I am confident that we are well prepared.
“We have the robust procedures in place to identify cases rapidly. Our health service also has the expertise and facilities to ensure that confirmed Ebola cases such as this are contained and isolated effectively minimising any potential spread of the disease.
“Scotland’s NHS has proved it is well able to cope with infectious diseases in the past, such as swine flu, and I am confident we will be able to respond effectively again.”
The risk of infection to other passengers on the flights is considered extremely low. However, as a precaution, Public Health England is arranging for all passengers and crew on the flight from Casablanca to Heathrow to be provided with health information and will be contacting and following up those passengers who were sitting near the affected passenger on these flights. Health Protection Scotland is carrying out a similar exercise for the passengers on the Heathrow to Glasgow flight.
Ebola is transmitted by direct contact with the bodily fluids, such as blood, vomit or faeces, of an infected person while they are symptomatic. Therefore, the risk of Ebola being passed from an individual before they developed symptoms is extremely low.
As before, the advice is that if anyone is worried about symptoms (such as fever, chills, muscle aches, headache, nausea, vomiting, diarrhoea, sore throat or rash) within 21 days of coming back from Guinea, Liberia or Sierra Leone, they should stay at home and immediately telephone 111 or 999 and explain they believe they have come into contact with someone with Ebola.
Professor Dame Sally Davies, England’s Chief Medical Officer, said: “Our thoughts are with this individual who, along with other NHS and public health colleagues, has been doing a fantastic job saving lives.
“The UK and Scottish governments and English and Scottish health authorities are working together to make sure that this individual receives the best possible care. UK hospitals have a proven track record of dealing with imported infectious diseases.
“It is important to be reassured that although a case has been identified, the overall the risk to the public continues to be low.
We have robust, well-developed and well-tested NHS systems for managing unusual infectious diseases when they arise, supported by a wide range of experts. The UK system was prepared, and reacted as planned, when this case of Ebola was identified.
Professor Paul Cosford, Director for Health Protection and Medical Director at PHE, said: “For Ebola to be transmitted from one person to another contact with blood or other body fluids is needed. The individual involved did not experience any symptoms consistent with the transmission of Ebola, and as such, the risk that this infection will have been passed from the affected individual to others is extremely unlikely.
“However as a precaution, PHE is following up all those in the vicinity of the passenger on the flight to the UK to ensure anyone who feels unwell undergoes a medical assessment rapidly. Our colleagues at Health Protection Scotland are carrying out a similar exercise for the passengers on the Heathrow to Glasgow flight.
Professor Sir Bruce Keogh, NHS England’s Medical Director, said:
“The NHS is prepared. The Royal Free hospital has an international standard infectious diseases team with experience treating dangerous diseases including Ebola. Staff who treat these patients have volunteered in the same way as those working in West Africa – testament to their dedication and professionalism.”
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