Jernigan Monitoring Transcript


Jernigan Monitoring Transcript


[We had] UNHAS, the UN Humanitarian [Air] Service, I think it's called, which is helicopters that the Russians would fly. They would fly around the country, picking up specimens and then dropping them off for testing in Bo. In Western Area, I think we had up to thirteen different laboratories. We set up systems for picking up specimens and shuttling them from the Ebola treatment units where they were collected to the laboratories where they were tested. We mapped that all out, identified the path by which a person in the community would be identified by a community monitor. The community monitors, there were two thousand of them, and they became a way of supporting the community which was out of work with a paid job to help find Ebola cases and to support the little jurisdictions with case detection. The community monitors would find them. They had a cell phone, they'd call the call center that would then prompt a district rep [representative]. These were out-of-work med students, so we were able to take those guys that were no longer able to go to school and put them to work as well, and they're clinicians. They would then go assess the patient, determine that they were a suspect case, fill out case report forms, and then manage them to getting to either a holding unit where they would get tested or an Ebola treatment unit, usually by calling an ambulance. CDC had purchased--Jesus, I don't know, forty? I don't remember how many ambulances total. I don't focus that much. Certainly that many motorcycles. We would provide motorcycles, cell phones. We would get the ambulances, all that stuff.

They would get to the holding unit, or the treatment unit; get their blood drawn; and then they'd have to wait there until the blood test would come back. The blood would then go by courier to a lab [laboratory]. The lab result would be called into the clinical team, and if it was positive, we would then figure out what treatment unit do they need to go to where we had beds. The people that were exposed to that case had to be registered, so we would have a team do that with contact tracing, and then they would be put in quarantine. For each family, we would provide oil, fish, rice, and some other stuff so that they could stay at home. And then the military and others would monitor them to make sure that they were staying in quarantine. So that's an enormous enterprise.


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