Biodun Iginla, BBC News

Biodun Iginla, BBC News

Friday, October 9, 2015

Scottish nurse Pauline Cafferkey treated for Ebola 'complication'

by Emily Straton and Biodun Iginla, BBC News, Glasgow

23 minutes ago

A Scottish nurse who contracted Ebola in Sierra Leone has been readmitted to an isolation unit in London following an "unusual late complication".
NHS Greater Glasgow and Clyde confirmed that the virus is present in Pauline Cafferkey but said it was left over from the original infection.
It is not thought to be contagious.
The 39-year-old, from Cambuslang, South Lanarkshire, has been flown back to an isolation unit at the Royal Free Hospital in London.
Ms Cafferkey spent almost a month in an isolation unit at the Royal Free Hospital at the beginning of the year after contracting the virus in December 2014.
NHS Greater Glasgow and Clyde said she had been admitted to the Queen Elizabeth University Hospital in Glasgow on Tuesday after feeling unwell and was treated in the infectious diseases unit.
She was transferred from Glasgow to the Royal Free Hospital in London in the early hours of the morning due to an unusual late complication in her illness.

Low risk

Dr Emilia Crighton, NHSGGC director of public health, said: "Pauline's condition is a complication of a previous infection with the Ebola virus.
"The risk to the public is very low. In line with normal procedures in cases such as this, we have identified a small number of close contacts of Pauline's that we will be following up as a precaution."
Media captionJane Dreaper reports as Ebola nurse Pauline Cafferkey is readmitted to hospital
There is not yet any information about Ms Cafferkey's condition, but government sources described her transfer to the specialist unit as a "highly precautionary process".
Ebola is passed on through bodily fluids. It is not transmitted through casual contact.
Last week Ms Cafferkey was in London receiving an award at the Pride of Britain ceremony.
Her award recognised the risks aid workers took with their own health.
There are not thought to be any concerns about contact she had with people at that event but health officials in Scotland are focusing on who she saw since her return home.

Critically ill

Ms Cafferkey spoke to BBC News about the difficulties she had encountered in her recovery.
She had experienced thyroid problems and her hair had fallen out.
Ms Cafferkey contracted Ebola while working as a volunteer with Save the Children at a treatment centre in Kerry Town, in Sierra Leone.
She was diagnosed on 29 December last year, after returning to Glasgow via London.
Image caption Ms Cafferkey contracted Ebola while working as a volunteer in Sierra Leone last year
Her temperature had been tested seven times before she flew from Heathrow to Glasgow and she was cleared to travel, before later falling ill.
She was placed in an isolation unit at Glasgow's Gartnavel Hospital after becoming feverish, before being transferred by a RAF Hercules plane to London on 30 December.
She was then transferred to the specialist isolation unit at the Royal Free.
After a few days Ms Cafferkey's condition began to deteriorate, with the hospital announcing she had become critically ill on 4 January.
After leaving hospital in January, Ms Cafferkey said she was "very happy to be alive" and was looking forward to returning to "normal life". She also said she had no plans to return to West Africa.
Asked if she wanted to return to Sierra Leone, she said: "I would have to think seriously about it. I am definitely going to give aid work a break for a while.
"I just want to go back to my normal job, my normal life and I think my family will be happy with that as well."

Ebola virus disease (EVD)

  • Symptoms include high fever, bleeding and central nervous system damage
  • Spread by body fluids, such as blood and saliva
  • Fatality rate can reach 90% - but current outbreak has mortality rate of about 55%
  • Incubation period is two to 21 days
  • There is no proven vaccine or cure
  • Supportive care such as rehydrating patients who have diarrhoea and vomiting can help recovery
  • Fruit bats, a delicacy for some West Africans, are considered to be virus's natural host

At the time, Dr Michael Jacobs, from the Royal Free's infectious diseases team, said Ms Cafferkey had now completely recovered and was "not infectious in any way".
He said Ms Cafferkey was treated with blood plasma from an Ebola survivor and an experimental treatment drug closely related drug to ZMapp, which UK nurse Will Pooley was treated with after he contracted Ebola.
Some survivors of the virus have had eye and joint problems, as well as ongoing fatigue.
The World Health Organisation admits not much is known about the long-term implications after having Ebola.
More than 11,000 people in West Africa died during this outbreak.
Last week there were no new cases for the first time since March 2014.
 
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