I think that everyone concerned bears some responsibility for this situation. First Duncan, for flying after his exposure, next the hospital for being woefully unprepared, the city and state authorities for seemingly planning on the fly, and the CDC for not having a mechanism for assessing preparedness of health facilities before any Ebola case got here, at the very least since the first patients were transported back from Liberia.
Health personnel and the public are not free of responsibility either: thousands of people dying from a disease - some literally breathing their last breath on the roadsides - and we just live life as usual, concerned with our busy lives and trivial pursuits. How could we ALL not be familiar now with the “whole body” protective gear and dressing/undressing rituals being used in Liberia? A major disaster happens and we all are stuck to the TV - what happened with Ebola? Is there a level of disengagement that we are now paying for?
The nurses union spokespeople got angry when it seemed nurses were being blamed, but where was the union to ensure that *before *any cases occurred, their members had the same level of protection that the WHO and MSF is facilitating for Liberian nurses? Where were the city’s disaster preparedness personnel and what were they doing before the need for decontamination of homes and waste disposal arose?
Ebola has been raging for MONTHS in a country where people travel to and from everyday, at the very least, there should have been preparation for the inevitable spread of this disease. It’s all well and good for the media to bash the CDC, but their own personnel have witnessed (and some have actually experienced) standard protective procedures and their use, so why no investigative reporting on what protection is or is not being made available here? Now some are asking for a czar? One czar! Whatever happened to planning, collaboration and personal responsibility?
Overconfidence and lack of preparation… An “F” to just about everyone who could have helped make the Ebola response a success. But now there is at least the hope that we’ll have learned what is lacking.