HIDDEN away on the 11th floor of one of London’s top hospitals is
Britain’s frontline in the fight against the dreaded Ebola disease.
Should the killer
virus strike in the UK, victims will be taken to the country’s only
high security isolation unit at the Royal Free Hospital in Hampstead.
Just
seven doctors specially trained in infectious diseases and a small team
of nurses are allowed to enter and the ward is sealed tight with
automatic door locks.
There are two “isolator” beds, each in a separate room, a space that would normally hold 20 beds.
Each
£25,000 bed is contained within an airtight tent that generates its own
air supply and includes built-in suits for the medical staff to wear
when attending to a patient. Whenever a bed is used it is destroyed
afterwards.
The ward also has its own laboratory
and three large “autoclaves”, similar to pressure cookers, which safely
dispose of all human waste in heat-sealed plastic bags.
The reason behind the unit is to protect health care workers from highly contagious infections such as Ebola. Everything is contained within the tent under negative pressure so the air is constantly added and removed
Dr Stephen
Mepham, an infectious disease specialist, allowed the Sunday Express a
glimpse of what would be Ground Zero in the event of an Ebola outbreak
in Britain.
He said: “The reason behind the unit is to protect health care workers from highly contagious infections such as Ebola.
“Everything is contained within the tent under negative pressure so the air is constantly added and removed.
“Outside the tent, the air flows through a series of filters and is deposited outside the hospital.
“Linked
to the unit is a dedicated laboratory. One of the big risks of viral
haemorrhagic fever [the group of illnesses to which Ebola belongs] is
that when samples go to different labs, if lab staff are not aware of
the potential risks they can become infected.
“The benefit of this laboratory is that it is small and self-contained and has all the essential pieces of equipment to hand.
“The
unit also has the ability to get rid of hospital waste. We have three
autoclaves on site which make safe hospital waste before it’s put into
the main waste stream of the hospital to be disposed of.”
The dedicated physicians and nurses are in a state of constant readiness.
So far four
people have been tested for Ebola in Britain during the latest outbreak
but all have been proven to be clear of the disease. In the event of a
positive test, however, the Royal Free unit would be placed into
lockdown.
Dr Mepham said: “The first call we’d
get would be from the Porton Down research facility in Wiltshire to say
that we have a positive case.
“There would then
be a very coordinated response to inform all of the operational sides to
the hospital, alerting all the nursing and medical staff.
“There is a time gap, on average eight hours, before we can expect anybody.
“Then
it’s about trying to arrange safe passage from the back of the
hospital, where the London Ambulance or Royal Air Force would arrive, up
the escalator and into the isolation unit.” The unit opened at the
Royal Free in 2006. So far only two patients have been treated there.
In
2008 a man contracted Lassa fever after visiting Africa and four years
later another man was treated for the first confirmed British case of
the African illness Crimean-Congo haemorrhagic fever. Both patients
died.
Senior nurse Oliver Carpenter said: “Lassa
fever is endemic to places like Sierra Leone and Nigeria where there is
a lot of traffic to the UK.
“Lassa fever,
however, is a level down from Ebola, with only a one per cent mortality
rate. Ebola has between 60 and 90 per cent mortality rate. That’s why we
need to be so vigilant.”
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