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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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Leading from behind the curve on Ebola

- September 15 2014 - washingtonpost.com

The nation of Liberia — founded by liberated American slaves with support from Henry Clay, Daniel Webster and James Monroe — is not unacquainted with suffering. Two civil wars in the period from 1989 to 2003 and decades of economic mismanagement caused an 80 percent decline in per capita GDP — perhaps worse than any country since World War II. Warlords reduced Liberia’s infrastructure to rubble. In the 15 years following 1991, there was no electricity in the country except for private generators.

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Situation Report Overview by the Associated Press

 

Bulk of promised global aid has yet to materialize on the ground

 The Associated Press Posted: Sep 28,  Updated: Sep 28, 2014 1:10 PM ET

  Doctors are in short supply. So are beds for patients. Six months after the Ebola outbreak emerged for the first time in an unprepared West Africa and eventually became the worst-ever outbreak, the gap between what has been sent by other countries and private groups and what is needed is huge.

Even as countries try to marshal more resources, those needs threaten to become much greater, and possibly even insurmountable....

Beds are filling up as fast as clinics can be built. Ambulance sirens blare through standstill traffic. Often, there is nowhere to take the sick except to "holding centres" where they await a bed at an Ebola treatment facility.

The virus has killed almost 3,000 people and infected more than 6,200 in Liberia, Sierra Leone, Guinea, Nigeria and Senegal.

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Woman Saves Three Relatives from Ebola

      

Her trash bag protection method is being taught to others in West Africa who can't get personal protective equipment.
John Bonifield / CNN

cnn.com - by Elizabeth Cohen - September 26, 2014

. . . imagine how 22-year-old Fatu Kekula felt nursing her entire family through Ebola. . .

. . . Three out of her four patients survived. . .

. . . Fatu, who's in her final year of nursing school, invented her own equipment. International aid workers heard about Fatu's "trash bag method" and are now teaching it to other West Africans who can't get into hospitals and don't have protective gear of their own.

(READ COMPLETE ARTICLE)

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U.S. Chamber of Commerce Foundation - Ebola Outbreak Coordination Conference Call

                    

uschamberfoundation.org

Event: Corporate Citizenship Center - Ebola Outbreak Coordination Conference Call
Friday, September 26, 2014 - 2:00pm

The U.S. Chamber of Commerce Foundation Corporate Citizenship Center (CCC) hosted a conference call on Friday, September 26 at 2:00 p.m. Eastern Time to discuss the Ebola outbreak in West Africa.

Over the past six months, an Ebola outbreak has affected five countries in West Africa (Guinea, Liberia, Nigeria, Senegal, and Sierra Leone).  The current outbreak is unprecedented in scale and geographical reach: the present West Africa outbreak has a higher caseload than all other previous Ebola crises combined.  Worse yet, the United Nations reports that the outbreak continues to accelerate, with almost 40% of the total cases occurring in the past 21 days.

CCC’s Ebola coordination conference call will provide updated information on the humanitarian response and the efforts to contain the disease.  It will also detail ways that the business community can help.

CLICK HERE - Listen to the Call Archive

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Ebola: a Failure of International Collective Action

The Lancet, Volume 384, Issue 9949, Page 1181, 27 September 2014
doi:10.1016/S0140-6736(14)61606-8
 
Published Online: 10 September 2014
 
Mit Philips, Aine Markham

The Lancet Editorial (Aug 23, p 637)1 sums up the collective failure to respond in a manner that might have avoided or at least limited the scale of the present Ebola epidemic.

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Ebola Control Measures and Inadequate Responses

The Lancet, Volume 384, Issue 9949, Pages 1181 - 1182, 27 September 2014
doi:10.1016/S0140-6736(14)61346-5
 
Published Online: 10 September 2014
 
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