Updated Ebola guidelines

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The Centers for Disease Control and Prevention, along with a number of states, has issued new Ebola guidelines recently.

RISK LEVELS

• High risk: Person has been in direct contact with infected body fluids.
• Some risk: Includes health care workers returning from West Africa.
• Low risk: Includes health care workers with contact in U.S.-based Ebola cases.
• No risk: No contact with an Ebola-infected person.

CDC GUIDELINES FOR PEOPLE WITHOUT SYMPTOMS …

Risk level	Monitoring	Restrictions
High risk	A public health official observes the person at least once a day to review symptoms and check temperature. A same day follow-up can be done by phone.	Plans to work, travel, take public transportation or go to busy public places are discussed with a public health official. Plane, ship and long-distance bus or train trips not allowed.
Some risk	A public health official observes the person at least once a day to review symptoms and check temperature. A same-day follow-up can be done by phone.	Case-by-case assessment for permission to travel or participate in public activities.
Low risk	Some will require daily observation, with a same-day follow-up. Others will be under daily observation by a public health official and self-monitor symptoms for 21 days after last exposure.	No restrictions.
No risk	None required.	No restrictions.

… AND THOSE WITH SYMPTOMS

• All people in the high-, some- and low-risk categories: Must have a medical examination to make sure they don’t have Ebola. They will remain in hospital isolation until doctors and public health officials are certain Ebola is not a concern.
• No risk category: Might need to have a medical examination for other diseases.

NEW ILLINOIS GUIDELINES

Risk level	Monitoring	Restrictions
High risk	A mandatory 21-day home quarantine is issued.	Movement outside the home is not allowed, except for medical care.
Low risk	No quarantine. A person checks and reports temperature and other potential symptoms twice daily to a local public health official.	No travel restrictions.

IN OTHER STATES Travelers from Ebola-stricken countries with no symptoms

• Florida: An in-person assessment within 12 hours of arrival, and twice-daily, in-person temperature checks.
• Georgia: A high-risk person will be quarantined in a facility. Returning medical workers issued a 21-day monitoring order, and will be visually assessed.
• Maryland: No public transportation or mass gatherings for 21 days for low-risk returning medical workers.
• New Jersey: Mandatory quarantine for any individual — including any medical personnel returning to the U.S. — who had direct contact with an Ebola-infected individual.
• New York: A person who had contact with an Ebola-stricken person will be quarantined for 21 days at home with twice-daily check-ins from health care professionals.
• Pennsylvania: Actively monitored for 21 days.
• Virginia: Twice-daily temperature checks requested with daily calls from health officials.

Source: Centers for Disease Control and Prevention, Illinois Department of Public Health,
The Washington Post, the states

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