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Wednesday, October 8, 2014

Ebola crisis leaves Dallas a city on edge

Leaders are urging calm, but Dallas is a city on edge as it approaches the first Ebola incubation deadline this week.
Health officials tried to present a unified front of both preparedness and reassurance.
Several residents of the neighborhood where the first U.S.-diagnosed case of Ebola was found told city officials they'd been sent home from work. Some community volunteers shunned a nearby after-school program. And the hospital at the epicenter of fear acknowledged for the first time that some patients were staying away.
"This is a very critical week," said Dr. David Lakey, the Texas health commissioner. "We're at a very sensitive period when a contact could develop symptoms. We're monitoring with extreme vigilance."
Public health officials are watching for any signs of Ebola's spread. Ten of the 48 people being monitored are confirmed to have had close contact with Thomas Eric Duncan, who was hospitalized in critical but stable condition. The federal Centers for Disease Control and Prevention says people infected by the virus can begin showing symptoms of Ebola 8 to 10 days after exposure. Duncan first sought care at a hospital emergency room on Sept. 25 and was admitted three days later.
Vickery Meadow, a crush of low-income apartment complexes just a short drive from some of Dallas's toniest neighborhoods, appeared calm on Tuesday. Women in traditional Muslim head coverings, mothers carrying children and workers headed to the bus stop walked along the road next to The Ivy apartments, where Duncan had stayed.
But some tensions have surfaced.
Dallas City Councilwoman Jennifer Staubach Gates said three residents of Vickery Meadow reported that their employers sent them away from work out of fear that they could be carrying the virus. Gates said Tuesday that she had contacted a lawyer to help those men.
The city has also enlisted doctors to explain Ebola to neighborhood residents and assure them that they are safe, Gates said. Vickery Meadow is home to thousands of immigrants from Afghanistan to Mexico, many of whom don't speak English.
Even Dallas County Judge Clay Jenkins had to assure residents that his presence in the apartment where Duncan stayed posed no risk to others, including students at a school attended by his daughter. Jenkins released two letters Tuesday night from state and federal health officials saying he "was not at risk and posed no risk to others through his interactions with the family."
"We can never forget that the enemy here is a virus," said Dr. Tom Frieden, director of the CDC. "The enemy is Ebola, not people, not countries, not communities — a virus."
Heart House, an after-school program serving the neighborhood, said about 20 volunteers had declined to come in for their shifts due to fear of the virus. Lenita Dunlap, director of Heart House, said the loss of volunteers made it harder to have enough adults to serve the 120 children in the program.
But Heart House remained open, with Dunlap and other staff watching Tuesday as dozens of children ran around a playground.
"We're standing strong," she said. "We believe in this community and we believe in the people here. And we have an incredible opportunity to serve."
Gustavo Villalobos stopped on his way to work at the nearby NorthPark Shopping Center. He said he felt assured by officials that his neighborhood was safe. But he noted that some at the high-end mall seemed nervous.
"People at the mall, if they hear someone coughing, they'll look at them weird" and recoil, he said.
Texas Health Presbyterian Hospital Dallas, which is treating Duncan, acknowledged that a small number of patients had changed or canceled appointments because of Ebola fears. But spokesman Wendell Watson said the number was insignificant and that the hospital was safe.
"They don't need to be terrified of this," Watson said.

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