Global Health Chronicles

Dr. Henry Wu

David J. Sencer CDC Museum, Global Health Chronicles

 

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0:00 - Introduction and summary of Ebola activities

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Partial Transcript: This is Sam Robson with the David J. Sencer CDC Museum.

Keywords: travel clinics; travelers; TravelWell

Subjects: Ebola virus disease; Emory University Hospital

2:06 - Youth and education through medical school

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Partial Transcript: We’re going to back up drastically now. Could you tell me when and where born?

Keywords: biochemistry; brain drain; clinicians; doctors; infectious disease; migration; parents; physicians; travel

Subjects: Harvard Medical School; Hawaii; University of Pennsylvania; Washington

6:24 - Residency and infectious disease fellowship/Early clinical experience

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Partial Transcript: What happens after med school?

Keywords: architecture; global health; HIV/AIDS; internal medicine; international; master of public health (MPH); public health; tropical medicine

Subjects: AIDS (Disease)--Africa; Botswana; Drexel University; Hahnemann University Hospital; Kenya; Merck & Co.; Uganda; University of Pennsylvania

13:01 - Epidemic Intelligence Service

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Partial Transcript: At that point, I decided to make a jump to public health and apply for the EIS [Epidemic Intelligence Service] program.

Keywords: alumni; developing world; E. Abrutyn; EIS; evaluation; immunization; infectious disease; K. Henning; M. Levinson; meningitis; mentors; N. Messonnier; NCIRD; numbers; public health; respiratory; response work; surveillance; vaccines; WHO

Subjects: Bill & Melinda Gates Foundation; Brazil; Epidemic Intelligence Service; Fundacao Oswaldo Cruz; Medecins sans frontieres (Association); National Center for Immunization and Respiratory Diseases (U.S.); World Health Organization

19:53 - Recruitment to Emory University travel center/The work of the travel center

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Partial Transcript: What happens after EIS?

Keywords: D. Stephens; developing world; funding; immunizations; money; P. Kozarsky; travel clinics; tropical medicine; vaccination; vaccines

Subjects: Emory University; Emory University Hospital; malaria

28:52 - Work in the years prior to the West African Ebola epidemic

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Partial Transcript: Previous to Ebola, were there any epidemics or anything where you saw a large volume of patients coming in, and screening them for that, and focusing on one specific thing?

Keywords: emergency preparedness; Middle East Respiratory Syndrome (MERS); personal protective equipment (PPE); planning; severe acute respiratory syndrome (SARS); travel clinics; TravelWell

Subjects: Ebola virus disease; SARS (Disease)

32:11 - Conversations as the Ebola epidemic grew

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Partial Transcript: How do things proceed as the Ebola epidemic gets out of hand?

Keywords: B. Ribner; Ebola patients; evacuations; guidelines; K. Brantly; personal protective equipment (PPE); persons under investigation (PUIs); recommendations; screening; Serious Communicable Disease Unit (SDCU); standard operating procedures (SOPs); symptoms; traveler screening

Subjects: Brantly, Kent; Ebola virus disease

36:10 - Work intensifies in wake of Dallas Ebola cases, October 2014/Pro

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Partial Transcript: So we started this, and everything shifted and took a major change in October, when the case in Dallas

Keywords: B. Ribner; CDC guidelines; donning and doffing; flu; hospital-acquired infections (HAIs); nosocomial infections; nurses; personal protective equipment (PPE); Serious Communicable Disease Unit (SDCU); T. Duncan; traveler screening; vaccines

Subjects: Influenza

40:54 - Procedures for screening patients for Ebola at TravelWell Clinic

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Partial Transcript: A little bit more about the procedure. The majority of the cases, we tried to see in our clinic when possible.

Keywords: B. Ribner; CDC guidelines; emergency departments; ERs; flu; J. Fairley; persons under investigation (PUIs); risk assessment; safety; Serious Communicable Disease Unit (SDCU); signs; standard operating procedures (SOPs); symptoms; testing; travel clinics; TravelWell

Subjects: Ebola virus disease; Influenza; malaria

48:00 - Testing patients for Ebola virus

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Partial Transcript: Actually, I should also mention, Ebola testing, we certainly had it available. Our lab in the Ebola treatment unit was doing it.

Keywords: economics; expenses; laboratories; laboratory work; labs; money; polymerase chain reaction (PCR); testing

Subjects: Ebola virus disease

49:55 - Volume of patients

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Partial Transcript: That was a very interesting time. And quite fortunate that, otherwise, our clinic was not too busy.

Keywords: flights; LPNs; nurses; preparation; safaris; safety; situational preparedness; staff; travel; vacations

Subjects: Africa

52:25 - Adjusting procedures to accommodate for the Ebola epidemic

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Partial Transcript: Early on, when we were figuring it out, there were times where we had to adjust our procedures because we didn’t

Keywords: billing; blood work; economics; fear; fog; funding; gaps; improvisation; insurance; intake; masks; money; out-of-pocket; personal protective equipment (PPE); pharmacies; toothpaste; transportation; travel; weather

60:22 - Screening some patients for Ebola without alarming others/Fear and stigma

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Partial Transcript: We also had another unexpected challenge in our freight elevator.

Keywords: concerns; elevators; fear; personal protective equipment (PPE); procedures; safety; standard operating procedures (SOPs); stigma; travel; visibility

Subjects: Emory University Hospital

68:34 - Lasting impact of procedures developed during the Ebola epidemic

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Partial Transcript: Since then, that mentality goes on. Even though the Ebola epidemic hasn’t had a flare-up for a while, MERS has been a problem, 2015, the large MERS outbreak in South Korea, in healthcare settings.

Keywords: emergency preparedness; legacy; lessons learned; Middle East respiratory syndrome (MERS); standard operating procedures (SOPs); travel

Subjects: Ebola virus disease

71:17 - Paying for additional costs during emergencies

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Partial Transcript: So I have the question, who does pay for all of this? Is it the state?

Keywords: economics; financial; funding; money

Subjects: Emory University Hospital

75:09 - Dealing with the stigma of Ebola

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Partial Transcript: I appreciate the description of this kind of new field, or emphasis on emergency medicine, that part of it

Keywords: CDC; communication; confidentiality; fear; hysteria; news media; privacy; stigma; stigmatization; travel clinics; traveler screening; TravelWell

Subjects: Centers for Disease Control and Prevention (U.S.); Emory University Hospital; Zika Virus

83:28 - Better serving travelers through emergency preparedness

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Partial Transcript: It sounded like you were saying that returning responders and people at risk would have a difficult time finding basic medical care elsewhere, besides your clinic.

Keywords: emergency preparedness; fear; gaps; screening; stigma; stigmatization; training

87:01 - Interactions with patients and personal connections made during Ebola

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Partial Transcript: Did you ever have patients coming in who were themselves concerned, they’re undergoing, like, flu symptoms?

Keywords: doctor-patient relationships

Subjects: anxiety; fear; Grady Memorial Hospital (Atlanta, Ga.); L. Edison; S. Ray

95:28 - Confidentiality and gaining patient consent while preventing infections

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Partial Transcript: One more thing. As I mentioned, the confidentiality issues.

Keywords: infection prevention and control (IPC); lessons learned; medical waste disposal