The most talked about in the news media these days is the diagnosis of Mr. Duncan, the first Ebola patient in the United States, and the fact that two nurses among the medical staff caring for him at Dallas Hospital in Texas have been hospitalized in isolation after contracting the Ebola virus. From the first time Mr. Duncan stepped into the emergency room at Dallas Hospital and was misdiagnosed and not kept in isolation, to the second time he was rushed to the hospital by ambulance in critical condition; from the time he became the first patient diagnosed with Ebola in the United States to his death; from the time two nurses on his caregivers were infected with Ebola, to the time there were questions about the CDC’s From the discovery that the second infected nurse had traveled by air to the discovery that a hospital lab worker was on a luxury cruise ship with more than 4,000 tourists bound for Belize. More health care workers at the Dallas hospital have also taken to the media, feeling that the hospital was rushed to respond when suddenly faced with a serious Ebola patient, that management was confused, that information was unclear, that health care workers were not well trained, that the personal protective equipment provided by the hospital was not safe enough, that the isolation ward facilities were not up to snuff, etc. …… This one news This news is astonishing and frightening, and also makes the American public, from President Barack Obama, to the CDC director, and the medical staff of major hospitals in the United States, experience a few ups and downs like a roller coaster. Reality is really more dramatic than Hollywood movies. This series of events has made the American public doubt whether the U.S. health care system is prepared to deal with the Ebola epidemic if it does break out in the U.S., and whether the CDC can play a leadership role. It is reasonable to say that the U.S. has the most advanced medical facilities and instruments in the world, first-rate medical personnel, and after the larger-scale global epidemics of Sars, swine flu, and avian flu in recent years, and at a time when the government is spending a lot of money and manpower to prepare for the possible use of biological weapons by terrorists …… one wonders how the U.S. How can the U.S. health care system still be so vulnerable? How could it have been so unprepared for the Ebola outbreak? That said, the Ebola virus is the highest risk group 4 pathogen, and Ebola infected patients not only have high mortality rates, but are also highly infectious. Critically ill Ebola patients carry a large amount of Ebola virus in their bodies, and in the late stages of the disease, patients may experience generalized bleeding, vomiting and diarrhea, and the blood, vomit and excrement are highly infectious. If the personal protective equipment of health care workers does not completely cover the whole body, and if health care workers do not have strict training on how to put on and take off these protective equipment, they may come into contact with the virus and be infected …… And the isolation wards (Patient Biocontainment units) also have to have many special devices. It should not only have negative pressure air isolation, with its own bathroom ward, with a variety of special medical testing and treatment equipment, but also to have a safe space for health care workers to put on and take off personal protective equipment, with its own isolation laboratory, with waste disposal disinfection equipment, and so on. Currently, only four hospitals in the United States have such high-risk isolation units (the National Institutes of Health in Maryland, the Nebraska Medical Center in Omaha, Emory University Hospital in Atlanta and St. Patrick Hospital in Missoula, Mont). If the Ebola outbreak in Africa is not contained, more patients will likely emerge on U.S. soil, and these high-risk isolation units will certainly not be enough for untrained and unprepared health care workers to handle the situation. These are alarm bells ringing for all levels of the U.S. government, the CDC and major medical centers. It also forces the United States to act up and down. Recently, Obama appointed Ron Klain as the “Ebola czar” and the Pentagon has assembled an Ebola response team that includes doctors, nurses, and trainers, and the CDC just last night updated its PPE regulations (which require full body coverage) and various Ebola-related policies. Every major medical center in the U.S. is also updating their isolation facilities, PPE, emergency room protocols for patients suspected of Ebola, and training for health care workers. Hopefully, the implementation of these measures will improve the U.S. healthcare system’s ability to respond to global outbreaks and bioterrorism attacks.