{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:41:52Z","timestamp":1776213712613,"version":"3.50.1"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X22000435_as1\"><jats:title>Objective:<\/jats:title><jats:p>In response to the 2014\u20132016 West Africa Ebola virus disease (EVD) epidemic, the Centers for Disease Control and Prevention (CDC) designated 56 US hospitals as Ebola treatment centers (ETCs) with high-level isolation capabilities. We sought to determine the ongoing sustainability of ETCs and to identify how ETC capabilities have affected hospital, local, and regional coronavirus disease 2019 (COVID-19) readiness and response.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000435_as2\"><jats:title>Design:<\/jats:title><jats:p>An electronic survey included both qualitative and quantitative questions and was structured into 2 sections: operational sustainability and role in the COVID-19 response.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000435_as3\"><jats:title>Setting and participants:<\/jats:title><jats:p>The survey was distributed to site representatives from the 56 originally designated ETCs, and 37 (66%) responded.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000435_as4\"><jats:title>Methods:<\/jats:title><jats:p>Data were coded and analyzed using descriptive statistics.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000435_as5\"><jats:title>Results:<\/jats:title><jats:p>Of the 37 responding ETCs, 33 (89%) reported that they were still operating, and 4 had decommissioned. ETCs that maintain high-level isolation capabilities incurred a mean of $234,367 in expenses per year. All but 1 ETC reported that existing capabilities (eg, trained staff, infrastructure) before COVID-19 positively affected their hospital, local, and regional COVID-19 readiness and response (eg, ETC trained staff, donated supplies, and shared developed protocols).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X22000435_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>Existing high-level isolation capabilities and expertise developed following the 2014\u20132016 EVD epidemic were leveraged by ETCs to assist hospital-wide readiness for COVID-19 and to support responses by other local and regional hospitals However, ETCs face continued challenges in sustaining those capabilities for high-consequence infectious diseases.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2022.43","type":"journal-article","created":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T08:59:59Z","timestamp":1645520399000},"page":"643-650","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["The utility and sustainability of US Ebola treatment centers during the coronavirus disease 2019 (COVID-19) pandemic"],"prefix":"10.1017","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3686-1198","authenticated-orcid":false,"given":"Jocelyn J.","family":"Herstein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9664-6476","authenticated-orcid":false,"given":"Paul D.","family":"Biddinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6041-5166","authenticated-orcid":false,"given":"Shawn G.","family":"Gibbs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela L.","family":"Hewlett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6866-6779","authenticated-orcid":false,"given":"Aurora B.","family":"Le","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1699-6055","authenticated-orcid":false,"given":"Michelle M.","family":"Schwedhelm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"Lowe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,2,22]]},"reference":[{"key":"S0899823X22000435_ref17","unstructured":"17. COVID-19 nursing home data. Centers for Medicare and Medicaid Services (CMS) website https:\/\/data.cms.gov\/covid-19\/covid-19-nursing-home-data. Accessed August 1, 2021."},{"key":"S0899823X22000435_ref10","unstructured":"10. The National Special Pathogens System (NSPS) of care. National Emerging Special Pathogens Training and Education Center (NETEC) website. https:\/\/netec.org\/nsps\/. 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Interim guidance for US hospital preparedness for patients under investigation (PUIs) or with confirmed Ebola virus disease (EVD): a framework for a tiered approach. Centers for Disease Control and Prevention website. http:\/\/www.cdc.gov\/vhf\/ebola\/healthcare-us\/preparing\/hospitals.html. Accessed June 20, 2021."},{"key":"S0899823X22000435_ref9","first-page":"14","article-title":"A rapidly evolving response to COVID-19","volume":"84","author":"Johnson","year":"2020","journal-title":"ASA Monitor"},{"key":"S0899823X22000435_ref5","doi-asserted-by":"publisher","DOI":"10.3201\/eid2605.191245"},{"key":"S0899823X22000435_ref19","unstructured":"19. Popescu, S. A Canary in a COVID Coal Mine: Building Better Health-C are Biopreparedness Policy World Med Health Policy 2020. doi: 10.1002\/wmh3.353. Published August 7, 2020. 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Accessed June 20, 2021."}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X22000435","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T09:03:02Z","timestamp":1681290182000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X22000435\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,22]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["S0899823X22000435"],"URL":"https:\/\/doi.org\/10.1017\/ice.2022.43","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,22]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. 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