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105763

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what general advice and notice of suspect ships they give to port health authorities, customs, immigration and pilots who run the risk of coming into contact with infection on a ship which has recently visited West African ports where ebola is in evidence.
tabling member printed	Lord Berkeley
uin	HL2578
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Advice on the arrival of ships from affected countries is being provided from the Department for Transport to Public Health England (PHE). PHE working through its local centres and in conjunction with local authorities and port authorities is determining on a case by case basis the required approach to each ship’s arrival. Important considerations are transit time from port in affected country (anything over 21 days is outside the incubation period for Ebola) and an understanding of the potential exposure of the crew. Maritime Declarations of Health are required routinely from ships arriving in United Kingdom ports which provide advance assurance of the health status of their crews. Notwithstanding this, local public health professionals are available to make proportionate assessments of arriving ship’s crews in order to determine any risk to public health and as required, any further follow up actions.</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 12:14:53 answering member 2000 label Biography information for Earl Howe
tabling member	3526 label Biography information for Lord Berkeley

101726

registered interest
date	30/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the strain of the ebola virus responsible for the recent outbreak, and whether it is a novel mutated strain of the virus.
tabling member printed	Lord Moonie
uin	HL2535
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The current Ebola outbreak in West Africa is caused by Ebola Virus (EBOV) (formerly Zaire ebolavirus), first discovered in 1976. There is no evidence to suggest that the current strain of EBOV has a higher rate of transmissibility or an unusual level of pathogenicity compared with previous strains.</p><p> </p><p> </p><p> </p><p>The Department continues to work with colleagues across government to monitor and assess the risk posed to the United Kingdom by the current Ebola epidemic. The advice from the Chief Medical Officer is that the public health risk in the UK remains low, but this risk assessment is kept under regular review.</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 14:27:38 answering member 2000 label Biography information for Earl Howe
tabling member	621 label Biography information for Lord Moonie

101727

registered interest
date	30/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the likelihood of the aerosol transmission of the ebola virus.
tabling member printed	Lord Moonie
uin	HL2536
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Ebola is spread through body fluid secretions directly and as stated in the Advisory Committee on Dangerous Pathogens guidance, United Kingdom experts agree there is no circumstantial or epidemiological evidence of an aerosol transmission risk.</p><p> </p><p> </p><p> </p><p>The Public Health England document <em>Guidance Ebola: origins, reservoirs, transmission, guidelines</em> clarifies this in more detail:</p><p> </p><p> </p><p> </p><p>https://www.gov.uk/government/publications/ebola-origins-reservoirs-transmission-and-guidelines</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 14:29:35 answering member 2000 label Biography information for Earl Howe
tabling member	621 label Biography information for Lord Moonie

101728

registered interest
date	30/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether an independent audit has been carried out of the isolation procedures and practical skills of staff in National Health Service hospitals designated to treat any ebola patients.
tabling member printed	Lord Moonie
uin	HL2537
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>All National Health Service trusts and providers of independent healthcare and adult social care in England are required to comply with <em>The Health and Social Care Act 2008 Code of Practice for health and adult social care on the prevention and control of infections and related guidance </em>(2009). This includes standards around infection control provision. A copy is available at:</p><p> </p><p> </p><p> </p><p>https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216227/dh_123923.pdf</p><p> </p><p> </p><p> </p><p>The Care Quality Commission takes this code into account when making decisions about the registration of a provider.</p><p> </p><p> </p><p> </p><p>Those NHS trusts that have been designated as having specialist infection control facilities (Royal Free Hospital London, Newcastle Royal Victoria Infirmary, Royal Liverpool and Broadgreen University Hospital and Sheffield Teaching Hospital) are subject to additional checks. In line with the requirements set out under the Health and Safety at Work Act (1974), the designated person from Health and Safety Executive’s Biological Agents Unit Hazardous Installations has visited each of the units and continues to work closely with them.</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 14:29:02 answering member 2000 label Biography information for Earl Howe
tabling member	621 label Biography information for Lord Moonie

100595

registered interest
date	22/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the research report by the Keenan Research Centre at St Michael's Hospital in Toronto which estimates that three ebola carriers fly out of the most affected countries each month and that their preferred destination is London; and whether they have any plans to further increase ebola testing at airports.
tabling member printed	Lord Blencathra
uin	HL2332
answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>The report makes a number of assumptions, including that exit screening procedures were not in place in the major affected countries. Since the report was published in August exit screening in the three most affected countries is now in place.</p><p> </p><p> </p><p> </p><p>Screening is now in operation in Heathrow, Gatwick, Birmingham and Manchester airports and at St Pancras (Eurostar). The purpose of screening is to identify, and give advice to, passengers coming from high risk areas who will be spending time in the United Kingdom. This is to provide them with relevant advice on the nature of the virus, what to be aware of, and what action to take should they begin to display any symptoms.</p><p> </p> answering member printed Earl Howe question first answered 05/11/2014 15:52:37 answering member 2000 label Biography information for Earl Howe
tabling member	497 label Biography information for Lord Blencathra

100005

registered interest
date	20/10/2014
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what military personnel they are providing to contain the spread of ebola; and how many staffed and equipped field hospitals they have, if any.
tabling member printed	Lord Hylton
uin	HL2220
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>In response to the Ebola outbreak in West Africa, the UK has committed £205 million to contain, combat and ultimately defeat the disease in Sierra Leone. UK support will include the construction of six Ebola treatment centres across the country, providing 700 beds to treat 8,800 patients over the next six months.</p><p> </p><p> </p><p> </p><p>In support of this effort, the UK has deployed 750 military personnel to Sierra Leone. This will support the deployment of RFA Argus and three Merlin helicopters which will provide crucial transport support to medical teams and aid experts. It also includes military personnel to staff a WHO Ebola Training Facility training healthcare workers, logisticians and hygiene specialists; and support to a UK joint civilian-military command and control hub, which will provide the backbone of infrastructure, commodities, training and management needed to scale up the response in Sierra Leone.</p><p> </p> answering member printed Baroness Northover question first answered 03/11/2014 11:56:18 answering member 2539 label Biography information for Baroness Northover
tabling member	2018 label Biography information for Lord Hylton

99976

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, following the introduction of enhanced screening arrangements for ebola at the United Kingdom’s main ports of entry for people travelling from the affected regions, what advice they have received from the Chief Medical Inspector about arrangements at ports of entry for quarantining suspected ebola patients and for providing trained staff and equipment to move those patients to isolation units in hospitals.
tabling member printed	Lord Avebury
uin	HL2191
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Public Health England (PHE) is leading on arrangements for enhanced screening for Ebola which is being rolled out at Heathrow, Gatwick and St Pancras (Eurostar), and Birmingham and Manchester airports thereafter. This screening will be for passengers that Border Force officers identify as having travelled from Sierra Leone, Guinea and Liberia or for those passengers who identify themselves to staff.</p><p> </p><p> </p><p> </p><p>Screening is being implemented by PHE staff, who follow official protocols. PHE has issued guidance to its staff and for professionals across other sectors, about how to deal with a suspected case of Ebola. There are established and tested procedures for transporting patients with highly infectious diseases to hospitals when required.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:53:35 answering member 2000 label Biography information for Earl Howe
tabling member	1665 label Biography information for Lord Avebury

93674

registered interest
date	15/10/2014
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their assessment of the remarks of Dr Margaret Chan, Director General of the World Health Organisation, about the ebola outbreak; and what is their current assessment of the projected number of fatalities in West Africa.
tabling member printed	Lord Alton of Liverpool
uin	HL2103
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>We share the WHO’s concerns about the potential scale and global threat posed by the Ebola outbreak. According to the latest WHO data, there have been 4493 deaths from the Ebola outbreak in West Africa as of 12 October. The US Centre for Disease Control estimates that the number of cases in West Africa could reach 1.4 million by January 2015. In response to the outbreak, the UK is playing a leading role in the international response, and has committed £125 million to contain, control and ultimately defeat the disease in Sierra Leone.</p> answering member printed Baroness Northover question first answered 21/10/2014 16:34:09 answering member 2539 label Biography information for Baroness Northover
tabling member	738 label Biography information for Lord Alton of Liverpool

92409

registered interest
date	06/10/2014
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the reasons for the incidence of exposure to and infection by ebola among women.
tabling member printed	Baroness Kinnock of Holyhead
uin	HL1971
answer	answer is ministerial correction date of answer 20/10/2014 answer text <p>There is significant potential for women and girls to be more at risk as victims of the outbreak. Women are the primary health care providers for their families and communities, form the bulk of healthcare workers in hospitals as nurses and cleaners, and are often responsible for handling female bodies for burial which brings them into direct contact with the disease. In addition, given that pregnant women are more likely to have contact with health services, they experience greater exposure to infections in health facilities.</p><p> </p> answering member printed Baroness Northover question first answered 20/10/2014 16:30:29 answering member 2539 label Biography information for Baroness Northover
tabling member	3895 label Biography information for Baroness Kinnock of Holyhead

79794

registered interest
date	30/07/2014
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what consideration they have given to banning all flights from countries in Africa in which cases of the Ebola virus have occurred.
tabling member printed	Lord Blencathra
uin	HL1683
answer	answer is ministerial correction date of answer 04/08/2014 answer text <p>All avenues to restrict the virus entering the UK are under constant review. UK Airlines are constantly reviewing the Foreign &amp; Commonwealth Office’s travel advice when planning their services and ensuring that measures they take are consistent with Public Health England guidance.</p><p> </p><p>Currently, the Foreign &amp; Commonwealth Office and the World Health Organisation are not recommending travel restrictions to countries in Africa with cases of Ebola. UK airlines are not planning to stop services to these countries. However, airlines and the UK Government are constantly reviewing the situation.</p><p> </p><p>A ban on direct flights would not allow a country to avoid the spread of a virus altogether, as potentially infected passengers could travel via hubs in third countries.</p> answering member printed Baroness Kramer question first answered 04/08/2014 11:20:57 answering member 1557 label Biography information for Baroness Kramer
tabling member	497 label Biography information for Lord Blencathra