ABC News reports that a Dallas health care worker who handled clinical specimens from Ebola-infected Thomas Duncan is on a Caribbean cruise aboard the Carnival Magic.

The cruise line says that the female worker is allegedly being "self-quarantined" and is being monitored for signs of infection. She apparently has no symptoms yet. 

She departed on a cruise ship from Galveston, Texas, on October 12th was out of the country before being notified of active monitoring required by the Centers for Disease Control and Prevention (CDC). She works at the Texas Health Presbyterian Hospital, which treated Mr. Duncan (who died) where nurses Carnival MagicNina Pham and Amber Vinson tested positive for Ebola.

The hospital is being roundly criticized for having sloppy and irresponsible procedures to respond to an Ebola patient.

Carnival released a statement, saying:

"We are in close contact with the CDC and at this time it has been determined that the appropriate course of action is to simply keep the guest in isolation on board." 

But there is a dispute whether Carnival had any choice but to keep the worker on the cruise ship. 

Belize (the port of call yesterday) banned the passenger and her traveling partner from entering the country. The ship has already stopped in Mahogany Bay, Honduras on Wednesday and is scheduled to sail on to Cozumel. 

A newspaper in Belize contains dramatic information indicating that the Prime Minister in Belize denied entry into Belize for the "stricken U.S. nationals to be air lifted to the U.S.A. for treatment." 

A news reporter in Belize quotes on her Facebook page an official source in Belize that after talks were concluded between Belize and the US State Department officials, Belize will not be permitting access of the Dallas hospital worker into the country to fly back to the states. 

So it seems unlikely that this case simply involves a situation where the woman is simply "self quarantining" as Carnival suggests. It appears more likely that efforts were unsuccessfully made to get her off of the cruise ship. 

Carnival Cruise EbolaThe cruise lines need to institute a protocol where they simply ask all passengers whether they have worked around an Ebola patient in the last three weeks. The cruise lines should prohibit them from cruising and refund their cruise fare. 

I have written about Ebola and the safety of the cruising public issue last week: Ebola on the High Seas: Should Cruise Passengers Worry About Becoming Infected?

Update: Carnival sent me a statement this morning which you can read here.  Meanwhile, Mexico bars the cruise ship from disembarking passengers.  Over two weeks ago, I was tweeting and asking why the Cruise Line International Association (CLIA) had not issued Ebola-specific protocols. 

ABC News reports that the reaction on the Carnival cruise ships ranges from passengers being completely unfazed sitting by the pool to others being panicked and crying. The news accounts includes a photograph taken by cruise passenger Jeremy Malone who "saw 30 to 40 crew members with buckets of disinfectant who were lined up on along his hallway as they prepared to clean the ship . . . " It looks like these poor crew members not in protective suits were completely unprepared if this was really Ebola.

Carnival Cruise Ebola Scare

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Update: Cruise Industry is Completely Unprepared for Ebola Outbreak

Photo Credit: Wikipedia / Thomas Doerfer Creative Commons 3.0 (top); Jeremy Malone via ABC News (bottom)