Emergency rooms brace for Ebola panic

There’s just one confirmed case of an Ebola patient diagnosed in the U.S., but that hasn’t stopped fear of the disease from reaching our shores. And soon U.S. emergency rooms are likely to be filled with fearful patients.

A Pew survey found this week that 32 percent of Americans are very worried or somewhat worried that they or a family member will contract Ebola.

“The nation is frightened and people are frightened of Ebola,” Health and Human Resources Secretary Sylvia Mathews Burwell said Thursday. “They’re frightened because it has a very high mortality rate. They’re frightened because they need to learn what the facts are of that disease.”

There have been at least 5,000 Ebola false alarms in the week since Thomas Eric Duncan was diagnosed in Dallas on Sept. 30, as Forbes points out. In past outbreaks, people made a lot of unnecessary trips to the emergency room amid heightened fears.

Initial reports of the swine flu pandemic in April 2009 were soon followed by worried parents flocking to the emergency rooms even in communities where the disease hadn’t yet appeared, according to a 2010 study in the American Journal of Emergency Medicine. Fear of swine flu alone drove up pediatric visits to the ER by 20 percent in a week of heightened news reports but no evidence of the disease, according to the study of 18 emergency departments. Study author William McDonnell said this phenomenon was similar to the experience around head injuries following Natasha Richardson’s death, and the sarin gas attacks on the Tokyo subway in 1995.

“Our ‘flu fear’ study suggests that people indeed will be visiting emergency departments based on their fears of Ebola, regardless of whether they actually have any real risk,” McDonnell said. “EDs should prepare for this.”

Anecdotally, some members of the American College of Emergency Physicians said they have seen early signs of Ebola fears in their hospitals, and others are bracing for broader panic that could change as flu season hits and the outbreak drags on.

One ER doctor in Denver, Eric Lavonas, said there was no Ebola panic yet. In the Bronx, ER doctor Dan Murphy said several patients came in on Tuesday fearing they were infected. Sudip Bose, an ER physician working in Chicago and Texas, said he’s seen an increase in visits after an inbound flight scare in Dallas this week. Hamad Husainy, an ER physician in Alabama, said two people who were recently hired as “scribes” to document patient visits quit those jobs because they feared being exposed to Ebola.

New York-based physician Bob Glatter said he thinks people are still being reasonable about the extremely low risk of contracting the disease in the U.S. However, he thinks Ebola fears may start to pick up after Duncan’s death on Wednesday and with flu season rapidly approaching.

John Casey, an emergency physician from Ohio, said he doesn’t think Ebola will drive up ER visits like swine flu did five years ago. There’s no specific treatment for Ebola, while tamiflu was a potential treatment for swine flu. Further, there’s greater awareness of Ebola — and a social stigma that comes with it.

“There is such a heightened awareness of Ebola right now, with a long observation window, that I don’t think people would come forward and pose that concern unless it was REALLY a concern,” he wrote.

The challenge for public health officials is two-fold. They don’t want to inspire undue panic and put unnecessary stress on the health-care system. At the same time, though, they don’t want to discourage legitimate potential cases of the disease from coming forward.

“As long as Ebola continues to spread in Africa, we can’t make the risk zero here,” Tom Frieden, director of the Centers for Disease Control and Prevention, said Wednesday. “We wish we could.”

The somewhat good news is that the fear level is still lower than previous recent outbreaks, including bird flu in November 2005 (38 percent) and swine flu in August 2009 (45 percent), according to Pew.

But swine flu, or H1N1, was far more pervasive in the United States. The CDC estimates there were between 43 million and 89 million cases, resulting in 274,000 hospitalizations and 12,600 deaths between April 2009 and April 2010.

Talk to us

More in Local News

FILE - Former President Donald J. Trump watches the NCAA Wrestling Championships, Saturday, March 18, 2023, in Tulsa, Okla. (AP Photo/Sue Ogrocki, File)
Lawyer: Trump indicted, 1st ex-president charged with crime

Former president Donald Trump has been indicted on charges in New York regarding payments made during the 2016 presidential campaign to silence claims of an extramarital sexual encounter.

Jeanette Westover poses for a photo at her home in Snohomish, Washington on Tuesday, March 28, 2023. (Annie Barker / The Herald)
Tenant: Housing Hope ignored meth contamination at Snohomish apartment

Jeanette Westover says meth contamination far exceeding state limits gave her seizures and kidney infections.

Logo for news use featuring the municipality of Snohomish in Snohomish County, Washington. 220118
Police investigating cause of fatal 3-vehicle crash on Highway 9

The man, 61, crossed the center line in Snohomish on Monday and crashed into the truck, the sheriff’s office said.

Logo for news use featuring the municipality of Snohomish in Snohomish County, Washington. 220118
1 dead, 1 in hospital after 3-vehicle crash on Highway 9

A concrete pumping truck and two sedans crashed Monday afternoon, closing the highway near Bickford Avenue.

Moses Malachi Brewer appears in court for sentencing Friday, March 24, 2023, at Snohomish County Superior Court in Everett, Washington. (Ryan Berry / The Herald)
Man sentenced to 18 years for 2019 shooting in Everett

Moses Brewer, 23, shot four people in an Everett apartment, which left one victim paralyzed on his right side.

Logo for news use, for stories regarding Washington state government — Olympia, the Legislature and state agencies. No caption necessary. 20220331
Health care spending continues to outpace inflation, driven by prices

Can state efforts curb 6.7% growth per year in overall health care spending?

NO CAPTION NECESSARY: Logo for the Cornfield Report by Jerry Cornfield. 20200112
A buffet of budgets, a bunch of whales and a request for your miles

It’s Day 78. Here’s what’s happening in the 2023 session of the Washington Legislature

Erinn Dearth and Dan Beckmann will perform 7 p.m. at The Historic Everett Theater, on Friday, April 14, 2023. Their "Letters From Home" show features music from the soundtracks of WWII, Vietnam and more. (Photo provided)
USO-style variety show to make stop at Historic Everett Theatre

The cast of “Letters from Home” hopes to reach veterans, active military members and their families.

Jack Yoke, 5, runs through the Roozengaarde tulip fields on Tuesday, April 27, 2021 in Mount Vernon, Wash. This is the final week to head out to Mount Vernon to enjoy the of the Skagit Valley Tulip Festival which ends on May 2nd.(Olivia Vanni / The Herald)
Tulip Festival brings spectacular traffic jams, blooms to Skagit Valley

Thousands will visit the annual flower fest that kicks off Saturday and runs through April. Here are some tips.

Most Read