The Ebola outbreak of 2014-2015 was notable for a number of important reasons: it was the largest outbreak in history, there were affected Americans (both overseas and domestically), and it was the catalyst for the development of new capabilities that could help transport infected or potentially infected people. One such capability is the Department of Defense’s Transportation Isolation System (TIS) that was featured in the March 15, 2019 issue of Global Biodefense

Another critical solution was the U.S. Coast Guard-developed Portable Isolation Unit (PIU), manufactured by ISOVAC Products and formerly known as the Operational Rescue Containment Apparatus (ORCA®). This was specifically designed to be used in situations involving a rotary-wing maritime evacuation and will allow infected (or potentially infected) patients to be transported without risk of contaminating the aircrew or aircraft.  Due to this mission, it was designed to be used with stokes litter and NATO litter, among others.  

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