By: Dominic Baker, Grace Brown,

Noah Smith, and Marshall Watts

Huntington,
Indiana Ebola Plan
 Signs and Symptoms/Transmission/Risk of Exposure
Symptoms
You normally will not show symptoms until you are contagious.
Some of the symptoms of Ebola are: fever, muscle pain, weakness, vomiting, sore
throat, stomach pain, and lack of appetite
The places you will get the most pain are chest, joints, abdomens.
You will also get the chills, fever, loss of appetite, dehydration, or sweating.
People that recover from Ebola infection develop antibodies that last for 10 years
One risk people could have is developing different disease along with Ebola
Hemorrhagic Fever (EHF)
You also will cough up blood, eye redness, headache, mental confusion, red spots on
When Ebola gets worse your body bleeds
Abrupt fever
Diarrhea
 Prevention/Diagnosis/Treatment/Current Research
Developments

Prevention
Wash hands with a soap or alcohol-based hand sanitizer.
Avoid contact with blood or any other body fluids and avoid bedding, needles, etc.
Citations- https://www.cdc.gov/vhf/ebola/prevention/index.html

Treatment
Providing intravenous fluids (IV) and balancing electrolytes (body salts).
Maintaining oxygen status and blood pressure. You should treat other infections if they
occur.
There are vaccines for the treatment but doctors haven't really proven it would work yet.
Recovery from Ebola depends on good supportive care and the patients immune
response.
Citations- https://www.cdc.gov/vhf/ebola/treatment/index.html
 Diagnosis
Hard to diagnosis early on because symptoms resemble other diseases
If the doctors suspect you might have ebola they can do a blood test to identify the virus
Ebola can only be detected in blood only after onset of symptoms
It can take up to three days after symptoms start for the virus to reach detectable levels.
Citations- https://www.cdc.gov/vhf/ebola/diagnosis

Current Research Developments

The WHO has helped countries develop Preparedness plans.
The US is working on 5 ebola vaccines.
They have also Developed counter measures and have made experiments to
understand how Ebola virus causes illness in animals and in humans as well as applied
research to develop diagnostics, vaccines, and therapeutics.
Profectus has a rVSV vaccine that is being developed by BARDA and DOD.
Newlink/Merck is developing the rVSV vaccine developed by PHAC.
GSK is commercializing the ChAd3 vaccine that was developed by NIH/VRC
Citations- https://ec.europa.eu/research/health/pdf/ebola_research_overview.pdf

Quarantine protocols/Disposal of Remains/Laboratory testing

requirements
Laboratory Testing Requirements
Level 4 Biosafety Lab
Trained Pathologist
A sample of the virus
Space suits and Gloves
Filtered air
Decontamination shower
No Eating, drinking, smoking, handling contact lenses, applying cosmetics, and storing
food for human consumption whilst handling the agent
Decontamination of their materials

Quarantine Protocols
Quarantine is used to separate or restrict the movement of persons.
 In nigeria the authorities opened an observation unit, the observation unit had eight beds
in one large room, with four shared bathrooms.
An environmental health officer was stationed at the facility to disinfect the bathrooms
after each use to minimize the potential for transmission between residents if one were
to become infectious
Doctors will check clinical signs and symptoms for Ebola three times daily by medical
team.
Patients who have been exposed to ebola will be placed in the Huntington airport
The different hangers will represent the amount of symptoms being exhibited
The areas will be separated by plastic used for the tents

Disposal of Remains
The dead bodies are cremated in the area of the quarantine zone (Behind the
Huntington Airport)
They are excepted from the U.S. Department of Transportations Hazardous Materials
Regulations
Cant open the body bag
Cant embalm bodies
You can cremate the remains- Cremated remains are no longer infectious and can be
handled and provided to the family using normal procedures

Time Period
New symptoms appear 2 to 21 days after of exposure of ebola, but the average is 8 to
10 days.
You can have Ebola for 3 weeks before noticing that you have it.
You need to seek medical attention if you believe you are contaminated. If you wait
too long, you can risk death.
.

Communication with the Public (best practices during

epidemic)/non-pharmaceutical interventions
Communication
Means of communication to the public would be newspaper, radio, and news channels
on T.V.
Only give the public enough to be aware of the epidemic but not enough to cause chaos
Tell the community about the early symptoms of the virus
Tell about evacuation protocol
- Evacuation Protocol is to warn people about the symptoms, and the virus
- Tell the people to contact emergency response teams if they are exhibiting
any symptoms
 -If anyone in their family shows symptoms, proceed with caution and disinfect
everything
-Warn citizens to stay away from the Huntington Airport

Symptoms
Abrupt fever
Muscle Aches
Fatigue
Redden Eyes
Vomiting

Non-Pharmaceutical Interventions
In areas that ebola is very present schools and businesses will be cleaned thoroughly
every day.
One specific funeral home will used for all ebola patients
Provide counseling for those who have lost loved ones to Ebola
Plan to make the patients as comfortable as possible

Preparing for Ebola/Personal Protective

Equipment/Cleaning and Disinfecting

Preparing for Ebola:

Healthcare
Workers must wear appropriate personal protective equipment (PPE) when conducting
cleaning and decontamination activities.
It is easier to put on gear than it is to take off. Make sure to wash your gear very closely
to not contaminate yourself with a virus.
 Public health surveillance and safely coordinate with healthcare facilities and their
conditions and emergency management
Assess the readiness for Ebola within hospitals, inpatient, and outpatient facilities.

Emergency Public Warning

Plan for risk communication for staff and public on general information and the risks to
the public and how it transmits.

Public Health Care Laboratory Testing

Ensure clinical laboratories have safety protocols and procedures. Including proper use
of PPE.

Personal Protective Equipment

In order to interact with infected patients, without contracting the virus/disease, people would
need the following:
Tychem/Hazard suits
Rubber boots
Disposable shoe covering
Double gloving
Respirator

Cleaning and Disinfecting

3.5% liquid Bleach:
- 6 parts water + 1 part household bleach = STRONG chlorine water
- Clean and disinfect (thoroughly) EVERYTHING that is or has been inside of a level 4 biosafety
lab

Public Individuals Involved/Roles and

Responsibilities/Public Safety and Awareness/Timeline for
dealing with the epidemic

People involved
Volunteers, Firefighters, Police, EMT, DNR, CDC, Teachers, Professional Doctors
offices, Pharmacies and Hospitals.
Roles and Responsibilities
Police (Police Chief - Chad Hacker)
 Firefighters (Fire Marshal-Tim Albertson) - Keep the citizens under control and calls.
Army Corps of Engineers- Take train carts create a perimeter (Bring in troops).
Doctors- (Manuel Martinez, MD) To keep those who are sick under quarantine.
Volunteers- (Love Inc.) Food prep

Timeline/ Awareness :
Ones who are sick need to be addressed.
Ones who are sick need to be put under quarantine.
Ones who were in contact with people who are sick, need to be put in a facility
preventing getting sick.
Find bigger facility for those who are sick to stay in.
Have 24 hour surveillance on the infected patients.