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Who decides on Ebola quarantines,Parajumpers Pjs Anorak BearWASHINGTON (AP) For Americans wondering why President Barack Obama hasn’t forced all states to follow a single, national rule for isolating potential Ebola patients,Nike Air Max Leopard 6.5, the White House has a quick retort: Talk to the Founding Fathers.A hodgepodge of state policies, some of which directly contradict Obama’s recommendations,Nike Air Max 1 Safari 2009, has sowed confusion about what’s really needed to stop Ebola from spreading in the United States. While public health advocates denounce state quarantines as draconian and scientifically baseless,Moncler Jakke Kbh, anxious citizens in non quarantine states are asking whether they’re at greater risk because their governors and the president have adopted a lesser level of caution.”I guess you can take that up with James Madison,Napapijri Dame Støvler,” said White House spokesman Josh Earnest, referring to the fourth president and key drafter of the Constitution,Nike Air Max Thea 2013, when asked why there was no binding federal policy. On Monday, the Centers for Disease Control and Prevention did just that.For the first time, the CDC recommended 21 days of isolation and travel restrictions for people at highest risk for Ebola a nurse stuck by a needle while treating an Ebola patient in Guinea, for example even if they have no symptoms.But the recommendations are just that: recommendations.States are still free to go above and beyond the CDC guidelines. And if states were to opt to be more lenient, there’s next to nothing Obama could do to force their hand.Case in point: An order issued Friday by New Jersey,Canada Goose Jakker Dame, like one in New York,North Face Vinterjakker Til Børn, requires three week quarantines for anyone who treated Ebola patients in West Africa not just those deemed high risk because of a needle stick or failure to use proper protective gear. But under the new federal guidelines,Moncler Quilted Nylon Vest, those lower risk workers merely must have their temperatures monitored twice a day.Legal experts say New York and New Jersey could be on shaky legal ground. To justify infringing on an individual’s civil liberties, like freedom of movement,Air Max Hyperfuse Stealth, states face a high bar to prove their orders are based on science and epidemiology. Courts also like to see that states are acting as narrowly as possible rather than in broad strokes, such as lumping together everyone who treated Ebola patients even if they’re healthy.”We have not seen for decades and decades the state or federal government say a whole category is going to be subjected to quarantines,Nike Free 5.0 Betrue,” said David Fidler, who teaches international and public health law at Indiana University. history. Almost always,Napapijri Jakke Pris, they have been limited to diseases that are airborne and easy to catch. Public health experts say Ebola is neither. cities closed schools and imposed strict quarantines. New York considered quarantining tuberculosis patients in the 1990s,Nike Free 4.0 V2 Tongue, and isolated some who wouldn’t comply with treatment.But as any school nurse can tell you, TB and the flu can be passed from person to person by sneezing or coughing, while Ebola requires direct contact with an infected person’s bodily fluids.Obama and top federal officials have echoed aid groups like Doctors Without Borders in warning that mandatory quarantines will dissuade doctors and nurses from volunteering to fight Ebola in West Africa, therefore making it harder to stop the disease at its source.But others warn of another risk to public confidence here at home: If Obama insists people without Ebola symptoms aren’t contagious while states are quarantining those same people, whom should people believe?”What several of these governors are doing is giving very confusing and mixed messages to the public,Michael Kors Bags In London,” said Lawrence Gostin,Hvite Nike Free Sko, who heads the national and global health law program at Georgetown University. “It’s an inherent problem in our federalist system. We are designed as 51 plus governments. They can speak with different voices.”

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