Britain has just two ‘ebola-proof’ hospital beds, The Mail on Sunday has learnt.
Official
guidance states that patients with the highly infectious disease –
which has no vaccine, no cure and kills up to 90 per cent of victims –
should be treated in specially built units that are biologically secure.
Yet
there is only one operational High Secure Infectious Diseases Unit
(HSIDU) in the UK, at the Royal Free Hospital in London. It has two
beds. A second, at the Royal Victoria Infirmary in Newcastle, is ‘being
redeveloped’ according to NHS England.
Just two beds: There is only one operational
High Secure Infectious Diseases Unit (HSIDU) in the UK, at the Royal
Free Hospital in London. It has an array of equipment to ensure the
patient did not pass on the killer virus
Should
Britain have more than two ebola patients at any one time, they will
have to be treated in less secure hospital side rooms.
Dr
Stephen Mepham, an infectious diseases consultant at the Royal Free,
said there
would be ‘no other option’ but to treat ebola patients in
standard isolation rooms.
He
said: ‘We think it is highly unlikely, but if we had more than two
patients we would have to treat them in our normal isolation facilities.
They are not to the same standard but we are confident we could prevent
spread.’
The
HSIDU, he said, had an array of equipment to ensure a patient did not
pass on the killer virus, including air-lock doors and ‘negative
pressure’ air flow to make sure nothing escapes from the unit.
The
patient is kept in a sealed plastic tent, with arm mouldings so doctors
and nurses can treat them without any physical contact. The tent is
burnt after use in dedicated incinerators.
Guidance
issued by the Department of Health and the Health and Safety Executive
in 2012 states that patients with confirmed viral haemorrhagic fever –
of which ebola is the most deadly type – ‘should be managed in an HSIDU’
to ‘eliminate or minimise the risk of transmission to health care
workers’.
America: The biologically secure unit in
Atlanta, where charity volunteer Dr Kent Brantly, 33, who contracted
the disease in Liberia, will be treated. Charity worker Nancy Writebol,
60, also contracted ebola while in the country
Liberia: Masked medics deal with the epidemic.
According to the latest figures from the World Health Organisation
(WHO), there have been 729 deaths from 1,329 confirmed cases of ebola in
this year's epidemic
It
warns that it can ‘spread readily within a hospital setting’, ‘has a
high case-fatality rate’, and ‘is difficult to recognise and detect
rapidly’.
An
NHS England spokesman said it was ‘hypothetical’ to talk about Britain
having more ebola cases than HSIDU beds, as there are no confirmed cases
in the country.
But
the situation can change rapidly. American charity volunteers Dr Kent
Brantly, 33, and Nancy Writebol, 60, have contracted the virus in
Liberia. Dr Brantly arrived back in the US yesterday to be treated at a
special secure unit in Atlanta, Georgia. For now, Ms Writebol remains in
Liberia.
Britain, like the US, has dozens of
volunteers on the ebola frontline in the West African countries of
Liberia, Sierra Leone and Guinea.
Liberian military police are deployed at the
burial site for victims of the Ebola virus in Johnsonville outside
Monrovia, where youths were staging a protest against being used to bury
the dead
According
to the latest figures from the World Health Organisation (WHO), there
have been 729 deaths from 1,329 confirmed cases of ebola in this year’s
epidemic, the largest number ever known.
On Friday, WHO director general Dr Margaret Chan said ebola was spreading ‘faster than our efforts to control it’.
The
Foreign Office refused to confirm if British citizens who contract the
virus abroad would be flown back for treatment, saying only: ‘Procedures
are in place but we are not going to speculate on what we would do in
any individual case.’
With up to 10,000 passengers flying into
UK airports every week on 30 direct flights from West Africa, Keith
Vaz, the Labour MP and chairman of the Home Affairs Select Committee,
said the country should not wait for its ‘first taste of ebola’ before
taking tough action.
Epidemic: The ebola virus, which has killed more
than 700 people so far. On Friday, WHO director general Dr Margaret
Chan said ebola was spreading 'faster than our efforts to control it'
He wants ministers to consider introducing fever-screening cameras at UK airports.
South
Africa, which has fewer direct flights from the region than the UK,
introduced infra-red thermal imaging cameras at two major airports in
April, in an early response to the ebola threat.
Last week Sierra Leone, Guinea, Ghana, and Nigeria said they would be introducing temperature screening at airports.
However
critics say the cameras pick up lots of ‘false positives’ – including
people with minor illnesses and those who are hot after a dash through
the airport.
Mr
Vaz said: ‘As far as I’m concerned any measures – including additional
screening – which are felt necessary to reassure the public should be
taken.
‘Prevention is always better than cure: we don’t want to have our first taste of ebola before taking action.’
A
spokesman for NHS England said: ‘There are currently no known cases of
ebola in the UK, but we are confident that we have robust arrangements
in place should that situation change.
‘The
Royal Free can routinely manage two ebola patients. There are
arrangements to increase this capacity quickly should this be required.
The new HSIDU at the Royal Victoria Infirmary at Newcastle is being
redeveloped, but the infectious diseases unit remains open and ready to
play a role.’
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