Kenyan high court suspends plan for US Ebola quarantine facility in Kenya

A Kenyan high court has ordered the temporary suspension of plans for the United States to set up an Ebola quarantine facility in the country.

High Court Judge Patricia Nyaundi said in her orders late on Thursday that Kenya was also not allowed to admit anyone exposed to or infected by Ebola under the planned agreement with the United States, until a case challenging the deal was heard and determined.

On Thursday, the White House said the US was setting up a facility in Kenya to quarantine US citizens who had been exposed to Ebola, and would not bring them home if they develop symptoms, but instead send them to a third country.

Kenya rights group Katiba Institute went to court on Thursday to challenge the plan.

"The secretive, unilateral establishment of an Ebola quarantine facility raises grave constitutional concerns regarding the rights to life, health, fair administrative action, public participation, and parliamentary oversight," the rights group said.

The next hearing for the case will be on June 2, Nyaundi said in her order.

The World Health Organisation this month declared the Bundibugyo strain ​of Ebola, for which there is no approved vaccine or treatment, an emergency of international concern, and cases are rising sharply. More than 900 suspected cases and more than 200 suspected deaths have ​been reported so far.

US QUARANTINE FACILITY 

The US facility, located at Laikipia Air Base in Nanyuki, Kenya, is for high-risk Americans who have been exposed to the virus but are still asymptomatic, senior Trump administration officials said on a call with reporters.

The US intends to provide $13.5 million toward Kenya's Ebola preparedness effort, the State Department said in a statement, adding that Secretary of State Marco Rubio spoke with Kenyan President William Ruto about the outbreak on Thursday.

"The United States' highest priority remains protecting the health and security of the American people by working to prevent the Ebola outbreak from reaching our shores," it said.

The facility will be equipped to provide more advanced care and support for US citizens who develop symptoms until they are evacuated, the officials told reporters. They will then be taken to third countries, not the US.

"They will then be evacuated out to a tertiary facility. The CDC is working with the Department of State to identify where that facility or facilities might be," one official said.

The US Ebola response has been focused on keeping cases out of the country. ​Rubio said on Wednesday that "we cannot and will not allow any cases of Ebola to enter the United States".

KEEPING EBOLA OUT

The US Centers for Disease Control and Prevention last week imposed temporary travel bans on people who have been in the DRC, Uganda, or South Sudan, including green card holders, who are typically exempt from such bans.

It is also screening Americans traveling from those countries at three US airports.

The strategy, which the Trump administration says aims to contain Ebola to the outbreak region, ​is a departure from the 2014 Ebola outbreak when the US treated patients in some of its 13 specialised infectious ⁠disease centers.

Trump at the time publicly criticised then-President Barack Obama for allowing patients into the country.

Patients will be transported elsewhere because it is faster, and to protect Americans at home, the officials said on Thursday. They denied the decision was politically motivated.

"We want to make sure that Americans on the ground there quickly and efficiently get the care they need," said one official. "But beyond that, the administration is also working ... to ensure that Americans here in the United States don't contract the disease."

The facility, approved by the Kenyan government, will become operational on Friday with a 50-bed unit, the officials said. They said there were plans to add two biocontainment units, each capable of holding two patients, and three isolation units, each capable of holding four patients.

MEDICAL TEAMS DEPLOY

Officers from the US Public Health Service will be providing care at the facility, the officials said, and will be able to use monoclonal antibody treatments and Gilead's antiviral remdesivir on patients before they are evacuated.

Over 30, including some involved in the 2014 response, have trained in Washington for three days and left for Kenya on Wednesday night, the officials said. More will be trained this weekend before leaving for the facility next week.

The officials did not say how much it cost to set up and maintain the facility. The British government is interested in accessing the facility as well, they said.

Public health experts said patients would be better off in high-containment ​infectious disease centers in the US or Germany rather than in a newly built location in Kenya, and that preventing patients from entering the country would disincentivise doctors from volunteering for the effort.

Last week, a US citizen who was treating patients in the DRC as a medical missionary was confirmed to have contracted ‌Ebola and ⁠moved to Germany for treatment along with five others who were exposed. A seventh person was taken to the Czech Republic.

The Washington Post, citing five people familiar with the US Ebola response, reported last week that the White House resisted allowing him to return to the US, delaying his evacuation and care.