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Nursing Assistant in Spain Contracts Ebola

Associated Press
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Woman had taken care of dying priest

MADRID (AP) — Three more people were under quarantine Tuesday for possible Ebola at a Madrid hospital after a Spanish nursing assistant became infected there, authorities said. More than 50 others were being monitored as experts pressed to figure out why Spain’s anti-infection practices failed.

Health authorities were investigating how the nursing assistant, part of a special team that cared for a Spanish priest who died of Ebola last month, became infected. She was the first case of Ebola being transmitted outside of West Africa, where a months-long outbreak has killed at least 3,500 people and sparked social unrest.

Her case highlighted the dangers health care workers face while caring for Ebola patients — more than 370 health care workers in the hardest-hit countries of Liberia, Guinea and Sierra Leone have died.

Dr. William Schaffner, an infectious disease expert at Vanderbilt University, said her case shows that health workers can be at risk not only in West Africa but in the sophisticated medical centers in Europe and the United States.

The virus that causes Ebola spreads through direct contact with the bodily fluids of an infected person. Officials said the Spanish nursing assistant had changed a diaper for the priest and collected material from his room after he died. Dead Ebola victims are highly infectious and in West Africa their bodies are collected by workers in hazmat outfits.

Meanwhile, a Norwegian doctor infected with Ebola while working in Sierra Leone arrived back in Norway on Tuesday for treatment. Officials gave no details about her condition but said she was in an isolation ward at Oslo University Hospital.

News of the Ebola quarantines spooked investors Tuesday because Spain is one of Europe’s biggest tourist destinations. Shares of Spanish airline and hotel chain companies slumped as investors feared the Ebola case might scare away travelers.

The nursing assistant, reportedly in her 40s, was not identified to protect her privacy but union officials she had 14 years of experience and authorities said she had no children.

Jose Ramon Arribas, the chief of the Carlos III hospital’s infectious disease department where she was under quarantine, said she was being treated with blood plasma from an unidentified cured Ebola victim. The hospital also had an experimental anti-viral drug called Favioiravir available if needed, he said.

The nursing assistant’s husband has shown no signs of having the disease but was hospitalized as a precaution, said Dr. Francisco Arnalich, head of internal medicine at the Carlos III hospital. Health authorities identified her as a nurse Monday night but said Tuesday she was a nursing assistant.

A nurse who also treated the priest who died Sept. 25 was put into quarantine after experiencing diarrhea but she did not have a fever. And a Spanish engineer who arrived home after traveling to Nigeria was also under quarantine but his first test was negative for Ebola.

Public Health Director Mercedes Vinuesa told Parliament authorities were drawing up a list of people who may have had contact with the nursing assistant with Ebola.

By Tuesday, they had gotten in touch with 22 people — including relatives and personnel at the hospital in the Madrid suburb of Alcorcon where the nursing assistant went Monday with a fever. They were also monitoring 30 other members of the health care team that treated Manuel Garcia Viejo, the priest who returned from Sierra Leone and died from Ebola.

The Health Ministry’s chief coordinator for emergencies, Fernando Simon, told Cadena SER radio the nursingassistant with Ebola was in stable condition and her life was not in immediate danger. Health officials said she had no symptoms besides fever.

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