10/16/2014 THU 18:11 FAX 2143452029 THD 8th Floor HR 003/003 TEXAS DEPARTMENT OF STATE HEALTH SERVICES 13.0, Box 149347 Austin, Texas 1438886357111 DAVID L. LAKEY, MD. 1?800-?35-2989 COMMISSIONER Movement of Persons with Possible Exposure to Ebola Due to the current possible exposure of healthcare workers (HCWS) to Ebola and the need to closely monitorithose HCWS, the following measures should be communicated to the HCWs by the public health personnel who are monitoring the HCWS and these measures are to be taken: 1. No individual who entered the ?rst Ebola patient?s room can travel by commercial transportation until 21 days after that individuai?s last exposure. These individuals should not travel by commercial conveyances airplane, ship, longwdistance bus, or train). Local use of public transportation taxi, bus) by individuals should be discussed with the public health authority. 2. All HCW involved in the direct care of the ?rst Ebola patient must be monitored twice a day with one of the monitoring sessions being a face to face encounter. As part of that monitoring, each temperature will be checked twice a day; 3. No individual HCW who entered the first Ebola patient?s room can go to any location where members of the public congregate which includes but is not limited to, restaurants, grocery stores, theaters, or other places where the public may be in attendance or gather, throughout the entire 21 day time period that follows the individual?s last exposure. 4. All HCWs who provided direct care in the ?rst Ebola patient?s room will be given the opportunity to stay at Presbyterian Hospital on a non~admission status in order to facilitate monitoring; and 5. Any HCW that does not adhere to monitoring or any of these other measures may be subject to a co unicable disease control order. .94 0 (gram David L. Lakey, Date Commissioner I Department of State Health Services Presented to HCW by: Print name and title Signature Date Acknowledgement of Receipt by HCW Date An Equal Opportunity Empioyer and Provider