Washtenaw County Public Health (WCPH) is working with Michigan Dept of Community Health (MDCH) and Centers for Disease Control and Prevention (CDC) to actively monitor individuals with recent travel from Ebola-affected countries. Currently, these counties include Liberia, Guinea and Sierra Leone. Public Health will actively monitor the recent traveler for the 21 days after departure from the affected country. As of today, WCPH is actively monitoring one low risk traveler who is asymptomatic.
WCPH is following the Traveler Evaluation and Monitoring (TEAM) protocol recently developed for MDCH and Local Health Departments to conduct active monitoring and follow-up for travelers returning from Ebola-affected countries. Stated in this protocol, Michigan state and local authorities will require travelers to report the following information twice daily:
· Presence or absence of other Ebola symptoms such as headache, joint and muscle aches, weakness, diarrhea, vomiting, stomach pain, lack of appetite, or abnormal bleeding
· If they intend to move during the monitoring period
In the event a traveler does not report in, state or local public health officials will take immediate steps to locate the individual to ensure that active monitoring continues on a twice daily basis.
Actions for clinicians:
· Assess all clients for recent travel (within 21 days) from the affected countries.
· If they have a positive travel history, assess for symptoms. If they have symptoms, isolate patient and call MDCH at (517) 335-8165 regarding next steps.
· If asymptomatic with a positive travel history, ask the individual if they are being monitored by the Health Department. If yes, no further action needed. If they are not being monitored, please call MDCH at (517) 335-8165.
Feel free to call us here at WCPH at (734) 544-6700 if you have questions.
CDC guidance for active monitoring of travelers and individuals exposed to Ebola:
MDCH guidance and resources on Ebola: http://www.michigan.gov/ebola