American Journal of Infection Control
August 2015 Volume 43, Issue 8, p785-904, e39-e46
http://www.ajicjournal.org/current

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The Ebola transmission paradox
Michael Klompas, MD, MPH, Deborah S. Yokoe, MD, MPH
Published Online: June 11, 2015
DOI: http://dx.doi.org/10.1016/j.ajic.2015.05.006
Abstract
Understanding Ebola’s transmission dynamics is indispensable to arrest its spread and to protect health care workers and community members. The observed dynamic, however, is confusing. Some signals suggest the disease is highly transmissible, whereas others suggest it is not. The disease course of Thomas Duncan, the Liberian national admitted to Presbyterian Hospital in Dallas, Texas, exemplifies the paradox.

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Ebola virus disease: What clinicians in the United States need to know
William A. Fischer II, MD, Timothy M. Uyeki, MD, MPH, MPP, Robert V. Tauxe, MD, MPH
Published Online: June 24, 2015
DOI: http://dx.doi.org/10.1016/j.ajic.2015.05.005
Abstract
In March 2014 the World Health Organization was notified of an outbreak of Ebola virus disease (EVD) in the forest region of Guinea. As of May 2015, the outbreak had become the most devastating EVD epidemic in history with more than 27,000 cases and more than 11,000 deaths. The introduction of EVD into noncontiguous countries, including the United States, from infected travelers highlights the importance of preparedness of all health care providers. Early identification and rapid isolation of patients suspected with EVD is critical to limiting the spread of Ebola virus. Additionally, enhanced understanding of EVD case definitions, clinical presentation, treatment procedures, and infection control strategies will improve the ability of health care workers to provide safe care for patients with EVD.