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Atlanta hospital deemed 1 of safest for Ebola care

RAY HENRY
Associated Press

ATLANTA (AP) — The Ebola virus has killed more than 700 people in Africa and could have catastrophic consequences if allowed to spread, world health officials say. So why would anyone allow infected Americans to come to Atlanta?

The answer, experts say, is because Emory University Hospital is one of the safest places in the world to treat someone with Ebola. There’s virtually no chance the virus can spread from the hospital’s super-secure isolation unit.

And another thing, they say: medical workers risking their lives overseas deserve the best treatment they can get.

Dr. Kent Brantly became the first person infected with Ebola to be brought to the United States from Africa. He arrived Saturday at one of the nation’s best hospitals. Fellow aid worker Nancy Writebol was expected to arrive in several days.

Dr. Thomas Frieden, director of the U.S. Centers for Disease Control and Prevention, told NBC on Sunday that Brantly’s condition seems to have improved and that it was encouraging to see Brantly walk out of the ambulance unassisted when he arrived at the hospital.

Frieden said he understands the public’s concerns about Ebola, and the public health role is to ensure that the infection is not spread.

“Ebola is very deadly. And it’s normal to be scared of deadly diseases,” he said.

Few of those nearest the hospital Saturday seemed concerned.

“I just think it’s a blessing that we can help possibly make the infected person’s life a little more tolerable,” said Ashley Wheeler, who was shopping just down the street on Saturday. “If I were that person I would want my country to help me the best way they could.”

Emory’s infectious diseases’ unit was created 12 years ago to handle doctors who get sick at the CDC. It is one of about four in the country equipped with everything necessary to test, treat and contain people exposed to very dangerous viruses.

In 2005, it handled patients with SARS, which unlike Ebola can spread when an infected person coughs or sneezes.

In fact, the nature of Ebola — which is spread by close contact with bodily fluids and blood — means that any modern hospital using standard, rigorous, infection-control measures should be able to handle it.

Still, Emory won’t be taking any chances.

“Nothing comes out of this unit until it is non-infectious,” said Dr. Bruce Ribner, who will be treating the patients. “The bottom line is: We have an inordinate amount of safety associated with the care of this patient. And we do not believe that any health care worker, any other patient or any visitor to our facility is in any way at risk of acquiring this infection.”

Ribner also said the patients deserve help.

“They have gone over on a humanitarian mission, they have become infected through medical care and we feel that we have the environment and expertise to safely care for these patients and offer them the maximum opportunity for recovery from these infections,” he said Friday.

Amber Brantly was heartened to see her husband climb out of the ambulance that met his plane at Dobbins Air Reserve Base outside Atlanta. He climbed out dressed head to toe in white protective clothing, and another person in an identical hazardous materials suit held both of his gloved hands as they walked gingerly inside.

“It was a relief to welcome Kent home today. I spoke with him, and he is glad to be back in the U.S.,” she said in a statement. “I am thankful to God for his safe transport and for giving him the strength to walk into the hospital.”

Inside the unit, patients are sealed off from anyone who doesn’t wear protective gear.

“Negative air pressure” means air flows in, but can’t escape until filters scrub any germs from patients. All laboratory testing is conducted within the unit, and workers are highly trained in infection control. Glass walls enable staff outside to safely observe patients, and there’s a vestibule where workers suit up before entering. Any gear is safely disposed of or decontaminated.

Family members will be kept at a distance for now, the doctors said. The unit “has a plate glass window and communication system, so they’ll be as close as 1-2 inches from each other,” Ribner said.

Dr. Jay Varkey, an infectious disease specialist who will be treating Brantly and Writebol, gave no word Saturday about their condition. Both have been described as critically ill after treating Ebola patients at a missionary hospital in Liberia, one of four West African countries hit by the largest outbreak of the virus in history.

There is no cure for the virus, which causes hemorrhagic fever that kills as many as 60-80 percent of the people it infects in Africa. There are experimental treatments, but the missionary hospital had only enough for one person, and Brantly insisted that Writebol receive it. His best hope in Africa was a transfusion of blood including antibodies from one of his patients, a 14-year-old boy who survived thanks to the doctor.

There was also only room on the plane for one patient at a time. Writebol will be next, following the same route to Emory in several days.

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Medical Writers Mike Stobbe and Marilynn Marchione reported from New York and Milwaukee. Video journalists Ron Harris and Alex Sanz in Atlanta contributed to this report.

Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. 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If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. 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