EBOLA is back in Africa. Is ZIKA next? Are we prepared?

Lesson Learned from recent EBOLA and ZIKA episodes. We need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs). 1. There should not be an automatic default to just designating Ebola Centers as REVRCs although there is likely to be significant overlap. 2. REVRCs should be academic medical centers with respected, comprehensive infectious disease diagnostic/ treatment

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LESSONS LEARNED: TrumpRyanCare Obits

“Repeal and Replace” was a political play! After eight years of whining, “there was no there there”, no Republican plan! Following is a sequence of obituary snippets explaining what happened and why. Ryan: ObamaCare will be law for ‘foreseeable future’ “GOP leadership and the White House had spent weeks attempting to bring skeptical Republicans on

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All pregnant women with Zika diagnosed at community hospitals must be referred to academic medical centers for prenatal care!

Most pregnant women with Zika will eventually wind up at academic medical centers for prenatal care and delivery by a perinatologist, with newborn care provided by a comprehensive team of pediatrician sub-specialists including neonatologists and pediatric neurologists. The earlier during the pregnancy the better! Here’s why…..  Highlights from August’s Emergency Preparedness Coordinating Council Kevin Chason,

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Hospitals are developing their own Zika preparedness models. Compare the Central Florida and Johns Hopkins approaches! Which template makes more sense?

  To fight Zika, Central Florida hospitals and doctors ramp up patient education, surveillance  In the fight against the spread of Zika, local doctors and hospitals are ramping up education and surveillance in Central Florida to contain the spread of the virus. There is a heavy emphasis on patient education, while providers are on high

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With little gudiance about caring for Zika patients, hospitals are planning on their own

As many of you know I have been advocating (unsuccessfully) for the designation of Zika Regional Referral Centers (ZRRFs). Perhaps this article from STAT will convince policy makers that it is time to stage Zika hospital preparedness. With little known about Zika virus, hospitals scramble to stay ahead By Andrew Joseph  https://www.statnews.com/2016/08/17/hospitals-zika-virus-disease-birth-defects/ “The threat of

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