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Ebola, Hospital Isolation and You

In the unlikely event you’re ever a patient in a U.S. hospital that’s treating someone with Ebola, you’d probably be concerned about contagion. Infection prevention experts say most facilities — using isolation precautions, proper sanitation and trained health care providers with access to protective gear — are equipped to prevent the spread of the lethal virus.

On Tuesday, the Centers for Disease Control and Prevention confirmed that the first patient to be diagnosed with the Ebola virus while in the U.S. is being treated in a Dallas hospital. But unlike the two U.S. hospitals — Emory University Hospital and Nebraska Medical Center — which have already admitted four Ebola patients who became ill while working with infected people in West Africa, Texas Health Presbyterian Hospital doesn’t have a specialized isolation unit. That scenario could happen elsewhere — and hospitals across the country are putting plans into place. (On Thursday, it was reported that a hospital in Hawaii has put a patient in isolation for symptoms that could be consistent with Ebola, although no diagnosis had been made.)

[Read: First U.S. Ebola Case Diagnosed in the U.S. Hits Texas Hospital .]

When a Patient Has Ebola

Rathel “Skip” Nolan, director of infectious diseases at the University of Mississippi School of Medicine and medical director of infection prevention at the University of Mississippi Medical Center, says it’s unlikely “but certainly not impossible” that his hospital would see Ebola patients. But if a patient were suspected of being infected, he says, staff would be ready.

“The patient would be put into gown, glove and mask isolation, and we would have designated volunteers to care for the person. We’d be using face shields, impervious gowns and double-gloving with examination gloves,” Nolan says, adding that it’s expected the CDC would “very quickly” provide additional help. “Everybody’s been trained in isolation protocols — that’s part of being a doctor or being a nurse.” But with Ebola, he says, the infection prevention department would seek volunteers to manage the patient “and there will be somebody there at the door to make sure that people are doing things appropriately.”

[Read: Stressed About Ebola? How and Why to Calm Down .]

Infection Concerns

The biggest concern is a needle stick or exposure to blood or body fluids, Nolan says. Ebola patients often “have problems with blood clotting, so in later stages of the disease they can have a lot of bleeding and a lot of oozing of fluid, and it’s exposures to those fluids that are worrisome as well as needle-stick exposures.”

What if you were placed with a hospital roommate who was afterward found to be Ebola-positive? “As a patient, it could be concerning if you had been a roommate. I don’t see how you wouldn’t be [concerned],” Nolan says. “It would also depend on how much direct contact you had with that individual. We don’t have double rooms, and many hospitals have gone over to single patient rooms. [Infection control is] one of the reasons.”

Ebola patients should be in a single room with a private bathroom, and with the door kept closed. While it’s not believed to be an airborne virus, certain procedures should ideally be performed in special negative-air pressure rooms, according to the CDC. Most hospitals already have those in place, Nolan says, for care of tuberculosis patients.

As a patient, if you have any questions or concerns about infection control measures, don’t hesitate to bring those up with hospital staff members.

[Read: 4 Things You Need to Know About Ebola .]

Before Isolation Starts: Gray Area

The window between a patient walking into a clinic or emergency room with flu-like symptoms and the point where Ebola is first suspected could be worrisome for health care providers. “I think that’s the biggest thing we’re concerned about in dealing with Ebola patients,” Nolan says “It does put health care providers at risk.” He says that at least in large cities, emergency rooms “are now asking everyone who comes in if they have a potential exposure to Ebola. That would be in travels from West Africa or being around someone who has returned from West Africa.” Awareness is heightened, he adds, with more screening going on.

There shouldn’t be much danger to people sharing a waiting room with patients later diagnosed with Ebola, Nolan says: “You have to have direct contact with bodily fluids — it would be unlikely that a patient would have contact with the bodily fluids of another patient.”

Dallas health officials who are now monitoring a range of people potentially connected to the new Ebola case. “They’re doing that because it’s good public health practice,” Nolan says.”They want to cast as wide a net as is necessary.” Even if they’re being overly cautious, he says that’s better than not being cautious enough.

Public Health Response

Infection control expert Timothy Landers, an assistant professor at the College of Nursing at The Ohio State University, says most people “think you need a big, fancy hazmat suit” to take care of Ebola patients, “but the [World Health Organization] is really just recommending contact and droplet precautions.”

Public health preparation for endemic, new and emerging conditions — including Ebola — is multipronged, Landers says. “It’s educational; there’s definitely some infrastructure, there’s some training, purchasing of supplies. The federal government has a huge stockpile of gowns and masks in the event that there’s some new avian influenza or some virus that mutates,” he adds. “The goal from the public health perspective is that we would have these interventions that are ready to go — that we could drop on top of a particular outbreak.”

[Read: When You’re Put in Hospital Isolation .]

Resources in Place

Nolan says he expects most U.S. Ebola cases will likely occur in major metropolitan areas with larger expatriate populations and more people traveling back and forth to West Africa. And if cases occur, his expectation is that there won’t be much spread of the disease. “Spread is due to lack of resources and lack of public health infrastructure,” Nolan says, “and we have the resources and the public health infrastructure to stop its spread.” In this country, he says, “If we do see transmission of cases, it’s going to be few and far between.”

While early symptoms of Ebola are “nonspecific,” it starts off as a flu-like illness, with nausea and vomiting. Nolan says people who have these symptoms and have recently visited affected areas of West Africa — including Guinea, Liberia, Sierra Leone and Nigeria — or had contact with someone who’s recently returned should be on the alert and seek treatment.

Nolan wants people to keep disease risk in perspective. “We’ve seen one case in the U.S. and we will probably see more,” he says. “Automobile accidents, gun violence — all those things kill dozens of people every day, and to date we have seen zero deaths from Ebola in the U.S.”

[Read: How to Survive Your Hospital Stay .]

More from U.S. News

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What Parents Need to Know About Enterovirus

10 Reasons to See a Physician Assistant

Ebola, Hospital Isolation and You originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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