Kaiser Permanente is an American integrated managed care consortium headquartered in Oakland, California. Founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield, the organization was initially established to provide medical services at Kaiser's shipyards, steel mills and other facilities, before being opened to the general public. Kaiser Permanente operates as a consortium comprising three distinct but interdependent entities: the Kaiser Foundation Health Plan (KFHP) and its regional subsidiaries, Kaiser Foundation Hospitals, and the regional Permanente Medical Groups. As of 2024, Kaiser Permanente serves eight states as well as the District of Columbia and is the largest managed care organization in the United States.
The 2013–2016 epidemic of Ebola virus disease, centered in West Africa, was the most widespread outbreak of the disease in history. It caused major loss of life and socioeconomic disruption in the region, mainly in Guinea, Liberia and Sierra Leone. The first cases were recorded in Guinea in December 2013; the disease spread to neighbouring Liberia and Sierra Leone, with minor outbreaks occurring in Nigeria and Mali. Secondary infections of medical workers occurred in the United States and Spain. Isolated cases were recorded in Senegal, the United Kingdom and Italy. The number of cases peaked in October 2014 and then began to decline gradually, following the commitment of substantial international resources.
An Ebola virus epidemic in Sierra Leone occurred in 2014, along with the neighbouring countries of Guinea and Liberia. At the time it was discovered, it was thought that Ebola virus was not endemic to Sierra Leone or to the West African region and that the epidemic represented the first time the virus was discovered there. However, US researchers pointed to lab samples used for Lassa fever testing to suggest that Ebola had been in Sierra Leone as early as 2006.
An epidemic of Ebola virus disease occurred in Liberia from 2014 to 2016, along with the neighbouring countries of Guinea and Sierra Leone. The first cases of virus were reported by late March 2014. The Ebola virus, a biosafety level four pathogen, is an RNA virus discovered in 1976.
Four laboratory-confirmed cases of Ebola virus disease occurred in the United States in 2014. Eleven cases were reported, including these four cases and seven cases medically evacuated from other countries. The first was reported in September 2014. Nine of the people contracted the disease outside the US and traveled into the country, either as regular airline passengers or as medical evacuees; of those nine, two died. Two people contracted Ebola in the United States. Both were nurses who treated an Ebola patient; both recovered.
Thomas Eric Duncan was a Liberian citizen who became the first Ebola patient diagnosed in the United States on September 30, 2014.
Operation United Assistance was a 2014 United States military mission to help combat the Ebola virus epidemic in West Africa, including the part of the epidemic occurring in Liberia. The 101st Airborne Division headquarters was responsible for leading the mission.
Salomé Karwah was a Liberian nurse who was named co-Person of the Year by Time magazine in 2014 for her efforts to combat the West African Ebola virus epidemic. She appeared on the cover of Time in December 2014 with other health care workers and colleagues working to end the epidemic. Karwah survived ebola herself, before returning to work with Médecins Sans Frontières to help other patients afflicted with the disease. The actions of Karwah and other health care professionals are believed to have saved lives of thousands. However, two years later, Karwah died from complications of childbirth; her widower suggested that this might have been due to the widespread, mistaken belief that ebola survivors can still transmit the virus. Even before the ebola outbreak, Liberia had one of the highest rates of maternal mortality in the world.
The Doctors’ Association UK (DAUK) is a professional association for doctors in the United Kingdom. The association was formed by junior doctors led by Samantha Batt-Rawden in January 2018 in response to the Bawa-Garba case.
The landscape of shortages changed dramatically over the course of the COVID-19 pandemic. Initially, extreme shortages emerged in the equipment needed to protect healthcare workers, diagnostic testing, equipment and staffing to provide care to seriously ill patients, and basic consumer goods disrupted by panic buying. Many commercial and governmental operations curtailed or suspended operations, leading to shortages across "non-essential" services. For example, many health care providers stopped providing some surgeries, screenings, and oncology treatments. In some cases, governmental decision making created shortages, such as when the CDC prohibited the use of any diagnostic test other than the one it created. One response was to improvise around shortages, producing supplies ranging from cloth masks to diagnostic tests to ventilators in home workshops, university laboratories, and rapidly repurposed factories.
Colleen S. Kraft is an infectious disease physician, associate professor in the Department of Pathology and Laboratory Medicine, and the director of the Clinical Virology Research Laboratory at Emory University School of Medicine. In 2014, she led Emory University Hospital's effort to treat and care for Ebola virus disease patients and is currently working to address the COVID-19 pandemic in Georgia. She currently serves on Georgia's COVID-19 task force.
Medical gowns are hospital gowns worn by medical professionals as personal protective equipment (PPE) in order to provide a barrier between patient and professional. Whereas patient gowns are flimsy often with exposed backs and arms, PPE gowns, as seen below in the cardiac surgeon photograph, cover most of the exposed skin surfaces of the professional medics.
The COVID-19 pandemic has impacted hospitals around the world. Many hospitals have scaled back or postponed non-emergency care. This has medical consequences for the people served by the hospitals, and it has financial consequences for the hospitals. Health and social systems across the globe are struggling to cope. The situation is especially challenging in humanitarian, fragile and low-income country contexts, where health and social systems are already weak. Health facilities in many places are closing or limiting services. Services to provide sexual and reproductive health care risk being sidelined, which will lead to higher maternal mortality and morbidity. The pandemic also resulted in the imposition of COVID-19 vaccine mandates in places such as California and New York for all public workers, including hospital staff.
The COVID-19 pandemic has impacted healthcare workers physically and psychologically. Healthcare workers are more vulnerable to COVID-19 infection than the general population due to frequent contact with positive COVID-19 patients. Healthcare workers have been required to work under stressful conditions without proper protective equipment, and make difficult decisions involving ethical implications. Health and social systems across the globe are struggling to cope. The situation is especially challenging in humanitarian, fragile and low-income country contexts, where health and social systems are already weak. Services to provide sexual and reproductive health care risk being sidelined, which will lead to higher maternal mortality and morbidity.
In response to the COVID-19 pandemic in the United Kingdom, the British government decided in March 2020 to rapidly place contracts and recruit a number of individuals. Shortages of personal protective equipment (PPE) were a particular political issue for the second Johnson ministry. This led to the awarding of a number of contracts without a competitive tendering process, and friends of political figures and people who had made political donations were quickly given contracts.
John J. Lowe is an American infectious disease scientist, assistant vice chancellor for health security and director of the Global Center for Health Security at University of Nebraska Medical Center. He is professor and chair in the Department of Environmental, Agricultural and Occupational Health at University of Nebraska Medical Center College of Public Health. In 2014, he led Nebraska Medicine hospital’s effort to treat and care for Ebola virus disease patients and led the University of Nebraska Medical Center’s coronavirus disease 2019 response efforts.
Dr Samantha Batt-Rawden is a British intensive care and pre-hospital doctor.
Mary Beth Heffernan is a Los Angeles-based artist working in photography, sculpture, installation and social practice art. Her work focuses on the body and its relationship with images and language.
The impact of the COVID-19 pandemic on hospitals became severe for some hospital systems of the United States in the spring of 2020, a few months after the COVID-19 pandemic began. Some had started to run out of beds, along with having shortages of nurses and doctors. By November 2020, with 13 million cases so far, hospitals throughout the country had been overwhelmed with record numbers of COVID-19 patients. Nursing students had to fill in on an emergency basis, and field hospitals were set up to handle the overflow.
The United Kingdom's response to the COVID-19 pandemic consists of various measures by the healthcare community, the British and devolved governments, the military and the research sector.
