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European Leaders Scramble to Upgrade Response to Ebola Crisis

NEW YORK TIMES

But, proud of its long record as the world’s biggest donor of humanitarian aid, Europe has since suffered a blow to its self-image of can-do generosity. Its own efforts to contain the lethal virus have been overshadowed  by President Obama’s announcement last month that he was sending  3,000 troops to West Africa to build hospitals and otherwise help in the fight against Ebola.

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Fear of Ebola could have “catastrophic” economic costs, World Bank predicts

Washington POst                                   Oct. 8, 2014
By Max Ehrenfreund

A report issued Wednesday by the World Bank forecasts that the total economic impact of Ebola could exceed $32 billion by the end of 2015 if the virus spreads from Liberia, Guinea and Sierra Leone to neighboring countries.

That single dollar amount doesn't fully convey the extraordinary human toll of a virus that kills four in five of its victims and could infect as many 1.4 million people by January. Yet the World Bank's estimate is a reminder that sickness and death are only part of what could be a developing regional crisis....

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West Africa: Companies Fill Gaps in Ebola Response

All Africa                                                                                    Oct. 7, 2014

New York dateline article by Tami Hultman contains a description of what some companies are doing to help counter the Ebola outbreak in West Africa.

 

 
                      ArceloMittal employee in Liberia
                                Photo: Tami Hultman/AllAfrica

The story described contacts  with various companies and said:

"The prompt corporate response is the result of a months-long preparatory process to coordinate actions that began with aggressive programs information and education programs. Since March, when the Ebola threat re-emerged in Guinea, Sierra Leone and Liberia, after a relatively small rural outbreak earlier in the year, companies with operations in the area had been preparing for an emerging crisis."

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John Kerry: World Must 'Step Up' Anti-Ebola Effort

Associated Press                                                         Oct. 8, 2010

By Mathew Lee

WASHINGTON (AP) — Secretary of State John Kerry made an urgent plea Wednesday for nations to step up their response to the outbreak of the deadly Ebola virus, saying more money, equipment and personnel are needed now.

        

In an impassioned appeal, Kerry said progress against the disease was being made, but far too slowly, and that the world is not where it needs to be in stemming Ebola's spread....

"We need people to step up now," he said. "Now is the time for action, not words. And frankly, there is not a moment to waste in this effort."

Speaking with British Foreign Secretary Philip Hammond, Kerry added that it is essential for airlines to keep flying to West Africa and for borders to remain open to allow for the movement of assistance and medical staff.

See Full Story

http://www.huffingtonpost.com/2014/10/08/john-kerry-ebola_n_5952798.html?utm_hp_ref=politics

Text of full remarks, with charts

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The Fight Against Ebola Is a Fight Against Inequality

Commentary by Jim Young Kim, President of the World Bank Group 
                                                              Oct. 6, 2014

As the spread of the Ebola virus in West Africa shows, the importance of reducing inequality could not be more clear. The battle against the virus is a fight on many fronts -- human lives and health foremost among them.

But the fight against Ebola is also a fight against inequality. The knowledge and infrastructure to treat the sick and contain the virus exists in high- and middle-income counties. However, over many years, we have failed to make these things accessible to low-income people in Guinea, Liberia, and Sierra Leone. So now thousands of people in these countries are dying because, in the lottery of birth, they were born in the wrong place.

See full article

http://www.huffingtonpost.com/jim-yong-kim/the-fight-against-ebola-i_b_5938716.html

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C-SPAN - Dr. Gavin Macgregor-Skinner - Western Africa Ebola Outbreak

c-span.org - October 4, 2014

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'In 1976 I Discovered Ebola - Now I Fear an Unimaginable Tragedy'

Professor Peter Piot, the Director of the London School of Hygiene and Tropical Medicine: ‘Around June it became clear to me there was something different about this outbreak. I began to get really worried’ Photograph: Leon Neal/AFP

theguardian.com - October 4, 2014
Rafaela von Bredow and Veronika Hackenbroch

. . . "it should be clear to all of us: This isn't just an epidemic any more. This is a humanitarian catastrophe. We don't just need care personnel, but also logistics experts, trucks, jeeps and foodstuffs. Such an epidemic can destabilise entire regions. I can only hope that we will be able to get it under control. I really never thought that it could get this bad" . . .

(READ COMPLETE ARTICLE)

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Medical Research: Ebola Therapy Protects Severely Ill Monkeys

nature.com

Thomas W. Geisbert

Nature 514, 41–43 (02 October 2014) doi:10.1038/nature13746 - Published online 29 August 2014

A blend of three monoclonal antibodies has completely protected monkeys against a lethal dose of Ebola virus. Unlike other post-infection therapies, the treatment works even at advanced stages of the disease. See Article p.47

http://www.nature.com/nature/journal/v514/n7520/full/nature13746.html

Reversion of advanced Ebola virus disease in nonhuman primates with ZMapp

Nature 514, 47–53 (02 October 2014) doi:10.1038/nature13777
Received 05 August 2014 - Accepted 21 August 2014 - Published online 29 August 2014

Abstract

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5 Reasons We May Never Know Ebola’s True Impact

A Medecins Sans Frontieres (MSF) worker is sprayed and disinfected as he leaves a high risk zone of MSF's Ebola isolation and treatment center in Monrovia, Liberia, Sept. 29, 2014. Jerome Delay—APImage:  A Medecins Sans Frontieres (MSF) worker is sprayed and disinfected as he leaves a high risk zone of MSF's Ebola isolation and treatment center in Monrovia, Liberia, Sept. 29, 2014. Jerome Delay—AP

time.com - September 30th, 2014 - Jack Linshi

The U.S. Centers for Disease Control and Prevention (CDC) published a report in mid-September estimating that if current trends in the Ebola outbreak continue without a ramped up effort, then Ebola cases in West Africa would double every 20 days. In that situation, Ebola cases could reach up 1.4 million by January.

Ebola Contact Found By Dallas Law EnforcementLiberians in Dallas Convey Hope Back HomeEn Route: NBC News Freelancer With Ebola Leaves Liberia for U.S. NBC NewsFound: Homeless Man Sought in Ebola Case Being Monitored NBC NewsLast Call! Oktoberfest Wraps After Three Weeks of Beer NBC News

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Ebola's shadow extends to would-be Mecca pilgrims

 

TWO ARTICLES ON EBOLA CONCERNS DURING THE HAJJ

 

Al Jazeera                              Oct 5, 2014

Millions of pilgrims from all corners of the world traveled to Saudi Arabia for the start of the hajj in the past week, but some West African Muslims will not be able to take part in the sacred journey this year because of public health fears surrounding the Ebola outbreak.

Saudi Arabia issued a travel ban on citizens of Liberia, Guinea and Sierra Leone as what it called a “precautionary measure,” saying the risk of Ebola infection is too high for travelers from those countries to be allowed entry now.

The Ebola-stricken countries each have sizable Muslim populations... Saudi authorities have turned down about 7,000 requests for hajj visas from the three countries because of Ebola concerns, according to the United Nations.

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Why We Won't Have An Ebola Cure Or Vaccine For Years

UPDATE with comments from interviw with CDC Director Tom Frieden.   Scroll below.

 

huffingtonpost.com - October 2nd, 2014 - Jeffery Young

The world has known about Ebola for almost 40 years, yet there's no cure or vaccine on the market.

That could change amid worldwide attention to the ongoing outbreak of the virus in West Africa, which has claimed more than 3,000 lives already, and the first diagnosis of a patient with the disease in the United States. But not for a few more years -- at least.

(VIEW COMPLETE ARTICLE)

 

Update: Comments by CDC Director on Sunday TV interview

http://www.nbcnews.com/storyline/ebola-virus-outbreak/cdc-director-tom-frieden-ebola-drug-pipeline-will-be-slow-n218666


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WHO Situation Report: Few Signs Ebola is Coming Under Control

WHO: Ebola Response Roadmap Situation Report
1 October 2014  OVERVIEW
The total number of probable, confirmed and suspected cases (see Annex 1) in the current outbreak of Ebola virus disease (EVD) in West Africa reported up to 28 September 2014 is 7178, with 3,338 deaths. Countries affected are Guinea, Liberia, Nigeria, Senegal and Sierra Leone.
Figure 1 shows the total number of confirmed and probable cases in the three high-transmission countries (Guinea, Liberia, and Sierra Leone) reported in each epidemiological week between 30 December 2013 (start of epidemiological week 1) and 28 September 2014 (end of epidemiological week 39). For the second week in a row the total number of reported new cases has fallen. It is clear, however, that EVD cases are under-reported from several key locations. Transmission remains persistent and widespread in Guinea, Liberia and Sierra Leone, with strong evidence of increasing case incidence in several districts. There are few signs yet that the EVD epidemic in West Africa is being brought under control.
Read Full Report (with graphs)http://apps.who.int/iris/bitstream/10665/135600/1/roadmapsitrep_1Oct2014_eng.pdf

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Ebola Outbreak: How the Virus Spread

by Jason M. Breslow , Chris Amico and Evan Wexler - pbs.org

Never before has the world seen an Ebola outbreak like the one currently spreading across Africa. Thousands have died, even more have become infected, and with no cure and limited resources at their disposal, health officials are struggling to keep up. From Patient Zero to today, here is a look back at how the outbreak became the worst on record.

http://www.pbs.org/wgbh/pages/frontline/health-science-technology/ebola-outbreak/map-how-the-ebola-outbreak-spread-through-africa/

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Vectors, Hosts, Fomites and Food….The challenge of controlling Ebola in West Africa

Vectors, Hosts, Fomites and Food….The challenge of controlling Ebola in West Africa

John T. Hoffman

Colonel, USA, Retired

Senior Research Fellow

National Center for Food Protection and Defense

University of Minnesota

September 29, 2014

Control of VHF Ebola in West Africa is complicated by the fact that we know so little as to the mechanisms for the spread of the disease other than direct contact with infected persons or their bodily fluids, which local wildlife and rodents actually serve as hosts for the virus and the actual survivability of viable Ebola virus on fomites.   Given these knowledge gaps, modeling the spread and control of the disease with any probability of being close to reality is unlikely.    Potentially, these gaps suggest that the current focus on treatment and traditional control protocols have be insufficient to stop the outbreak and produce an Ebola free West Africa. 

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Update: Ebola outbreak may be over in Nigeria and Senegal--CDC

Update

New York Times           Sept. 30, 2024

Lagos --With quick and coordinated action by some of its top doctors, Nigeria, Africa’s most populous country, appears to have contained its first Ebola outbreak, the United States Centers for Disease Control and Prevention said Tuesday.

As the epidemic rages out of control in three nations only a few hundred miles away, Nigeria is the only country to have beaten back an outbreak with the potential to harm many victims in a city with vast, teeming slums.

“For those who say it’s hopeless, this is an antidote — you can control Ebola,” said Dr. Thomas R. Frieden, director of the C.D.C.   ....

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