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Lessons From Ebola: Boosting National Preparedness for Pandemics

NEW ORLEANS—At the first day of the International Disaster Conference and Expo (IDCE), one of the primary topics of areas of concern for attendees and speakers alike was the risk of pandemics and infectious diseases. In a plenary session titled “Contagious Epidemic Responses: Lessons Learned,” Dr. Clinton Lacy, director of the Institute for Emergency Preparedness and Homeland Security at Rutgers, focused on the recent and ongoing Ebola outbreak.

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While only four people in the United States were diagnosed with Ebola, three of whom survived what was previously considered a death sentence, government and health officials cannot afford to ignore the crisis, Lacy warned.

“This outbreak is not just a cautionary tale, it is a warning,” Lacy said.

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“Ebola is our public health wakeup call.

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A slow start by the Centers for Disease Control, inadequate protective gear in healthcare facilities, and inadequate planning for screening quarantine and waste management were some of the key failings in national preparedness for Ebola. And all were clearly preventable. A significant amount has been done to improve preparedness, Lacy said, but there is still a significant amount yet to do as well.

Among the issues to be addressed, Lacy pointed to:

Lacy Pandemic Preparedness

Some of that improvement must come from the top. Funding has been cut for healthcare facilities nationwide, as has money for the Hospital Preparedness Program, operated by the CDC. Other solutions can be carried out at both a national level and among individual healthcare facilities, including:

Lacy Solutions

Ultimately, Lacy said, the concern is not about Ebola—it’s about the new and emerging diseases that could prove even more catastrophic. Dozens of diseases have been discovered emerging in nature, and we have no previous contact with them, meaning we have no immunity. Further, the risks of reemerging illnesses and synthetic bio threats that any graduate student or doctor of biology could make in a lab pose a significant danger that must be prepared for now.

“Public health infrastructure is like fire departments—you can’t just fund them when there are fires,” Lacy said.

Lloyd’s Underwrites Ebola Indemnity Coverage

A new class of insurance is now being offered to address the occupational hazards faced by healthcare workers and first responders who are in jeopardy of contracting blood-borne pathogens such as Ebola, HIV, Hepatitis B and Hepatitis C.

Underwritten by Lloyd’s of London and distributed by Specialty Insurance Advisors, Essential Professional Insurance Coverage (EPIC) is the first such indemnity coverage available to individuals, including administrators who check in patients, doctors and nurses treating patients and patrolmen and women responding to 911 calls. The coverage goes beyond workers compensation and disability insurance to protect these individuals, EPIC said.

According to the Occupational Safety and Hazards Association (OSHA), up to 800,000 needle sticks occur each year, of which 16,000 are likely to be contaminated with HIV. The risk of acquiring Hepatitis B or C from a needle stick is even higher than HIV.

EPIC President Richard Kosinski said in an online interview with Fox Business, “We provide the ability for a health care worker or law enforcement professional to buy very inexpensive coverage in the event they get infected with Ebola, HIV or Hepatitis B or C.

For a nominal amount of 9 per year they can get 0,000 of coverage if the worst case happens and they get infected with Ebola or some other type of blood pathogen.

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While the coverage has been available for more than a year, primarily through unions, to large health care hospitals and other institutions, “We have just announced the ability for an individual to buy a policy,” Kosinski said. Centinela Hospital Medical Center in Inglewood, California was one of the first hospitals in the United States to offer EPIC to its healthcare workers, and the first to add Ebola infection coverage, according to EPIC.

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The plan provides a safety net that can help defray some of the costs, Kosinski explained, adding that otherwise, “No one is going to pay the cost for the average health care worker to be flown by a private jet to a specific CDC facility to get Ebola care.”

How is it possible to write this coverage? “Because this is Lloyd’s of London, which has a 500 year history of writing specialty risks,” Kosinski said.

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“We understand the risk, how to price it correctly and how the claims will be paid out.”