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Ebola outbreak threatens peace, security, WHO chief says

GENEVA — The Ebola outbreak in West Africa is “unquestionably the most severe acute public health emergency in modern times,” Dr. Margaret Chan, the director general of the World Health Organization, said Monday.

Chan, who dealt with the 2009 avian flu pandemic and the SARS outbreaks of 2002-03, said the Ebola outbreak had progressed from a public health crisis to “a crisis for international peace and security.”

“I have never seen a health event threaten the very survival of societies and governments in already very poor countries,” she said in a statement delivered on her behalf to a conference in Manila, Philippines, and released by her office in Geneva. “I have never seen an infectious disease contribute so strongly to potential state failure.”

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WHO and Partners agree on a common approach to strengthen Ebola preparedness in unaffected countries

Brazzaville, 10 October 2014 - The World Health Organization (WHO) and partner organizations meeting in Brazzaville have agreed on a range of core actions to support countries unaffected by Ebola in strengthening their preparedness in the event of an outbreak.

Building on national and international existing preparedness efforts, a set of tools is being developed to help any country to intensify and accelerate their readiness.

One of these tools is a comprehensive checklist of core principles, standards, capacities and practices, which all countries should have or meet. The checklist can be used by countries to assess their level of preparedness, guide their efforts to strengthen themselves and to request assistance. Items on the checklist include infection prevention control, contact tracing, case management, surveillance, laboratory capacity, safe burial, public awareness and community engagement and national legislation and regulation to support country readiness.

“While we rightly focus on stopping the outbreak in affected countries, we should not forget that all other countries are at risk, albeit at varying levels”, said WHO Regional Director for Africa, Dr Luis Sambo.

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FIVE ITEMS ON EFFORTS TO IMPROVE TRAINING FOR HEALTH WORKERS

Scroll down for the stories and link to CDC check list

CDC TAKES NEW STEPS TO IMPROVE TRAINING FOR HOSPITAL WORKERS

NEW YORK TIMES                   Oct. 13, 2014
By Pam Belluck

The Centers for Disease Control and Prevention is taking new steps to help hospital workers protect themselves, providing more training and urging hospitals to run drills to practice dealing with potential Ebola patients.

In response to the news that a health care worker in Dallas had contracted Ebola, a spokeswoman said the agency would also issue more specific instructions and explanations for putting on and removing protective equipment and would urge nurses and doctors to enlist a co-worker or “buddy” to watch them do so....

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Ebola outbreak: Liberia health workers threaten to strike Monday

UPDATE  Liberia largely averts health worker strike that would have severely hampered Ebola response

ASSOCIATED PRESS            Updated: October 13, 2014 - 11:45 AM

By: JONATHAN PAYE-LAYLEH , Associated Press

MONROVIA, Liberia — Health workers reported for duty at Liberia's hospitals on Monday, largely defying calls for a strike that could have further hampered the country's ability to respond to the worst Ebola outbreak in history.

Nurses and other health workers — though not doctors — had threatened to strike if they did not receive the higher hazard pay they had been promised by the government. That would have made the already difficult care of Ebola patients even harder, since the bulk of the staff at clinics and hospitals is made of up of Liberia's nurses, physician assistants and community health workers.

"Considering the situation in which we find ourselves we don't think strike is the way forward," said Dr. Jerry Brown, head of ELWA2, a treatment center on the outskirts of Monrovia. "Because if we strike now, more and more patients will remain in the communities. And as more and more patients remain in the communities, there will be more new cases and there will be a setback."

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Obama orders CDC probe in 2nd Dallas Ebola case to move ‘as expeditiously as possible’

WASHINGTON POST

                                    October 12, 014 

President Obama received two briefings on the diagnosis of a second Ebola case in Dallas, according to White House officials, and Sen. John McCain (R-Ariz.) urged the president to appoint a "czar" to coordinate the administration's response to the disease.

Obama was briefed Sunday morning by Lisa Monaco, who serves as assistant to the president for homeland security and counterterrorism and is overseeing the interagency response to the disease. Later, according to White House officials, Obama also discussed the situation with Health and Human Services Secretary Sylvia Burwell.

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Liberia already had only a few dozen of its own doctors. Then came Ebola.

Detailed description of the impact of Ebola on Liberian health workers

THE WASHINGTON POST                            Oct. 12, 2014

By Kevin Sieff October 11 at 11:11 PM

MONROVIA, Liberia — They were among the only Liberians who could treat Ebola, and in a single morning, it felt as if they were being picked off one by one.

First, before dawn on Thursday, Ebola killed Dr. John Tata. Then, hours later, Dr. Thomas Scotland tested positive for the virus.

With only a few dozen Liberian physicians in a country facing the biggest Ebola outbreak in history, it was a crippling blow. One Ebola treatment center closed its doors. Several of its hygienists and clinicians quit. Others left their shifts early to weep quietly outside.

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Extra caution amid Ebola screening at NYC airport

USA  TODAY                    Oct. 12, 2014

Melanie Eversley and Marisol Bello,

NEW YORK — As federal officials at New York's Kennedy International Airport stepped up efforts to stop the spread of the deadly Ebola virus with extensive screening of passengers arriving from countries hit hardest by the outbreak, passengers and employees were taking their own precautions.

Maria Uruchimadecriollo cleans a bathroom JFK Terminal 4 international arrivals in Jamaica, NY. Uruchimadecriollo is wearing a mask that her husband bought for her yesterday, with the hope that it would keep her safe from the Ebola virus. This is the first day that the airport will begin screening passengers for Ebola coming in from the affected areas in Africa.(Photo: Jennifer S. Altman, for USA TODAY)

Agents with the Department of Homeland Security's Customs and Border Protection screened travelers from Guinea, Liberia and Sierra Leone, taking their temperature and observing them for other Ebola symptoms.

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Doctors Without Borders Evolves as It Forms the Vanguard in Ebola Fight

Detailed description of Médecins Sans Frontières struggle to counter Ebola

NEW YORK TIMES
By SHERI FINK, ADAM NOSSITER and JAMES KANTER.  OCT. 10, 2014

But it, too, has been overwhelmed by the scale of this disaster. In Sierra Leone, it has been strained by the caseload, though it was wary of a decision by other health and government officials on Friday to treat most patients at home because of a shortage of clinic beds. In Guinea the day before, it reported that its two treatment centers were stretched to the limit....

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The Problem With Ebola In The Media

MEDIA AND SOCIAL MEDIA      THREE PERSPECTIVES

FORBES                                       Oc. 11, 2014

By Alic G. Walton

The Ebola situation in West Africa is clearly not good. The death toll is rising, and people continue to become infected.....

But the reality is that for people in America and other places outside of West Africa, the risk is still quite low. Caution is important, obviously, and airports and hospitals are taking measures to screen people and protect the public.

 The real issue is a different one: Our fear of Ebola has become many times worse than the problem.

Read full story

http://www.forbes.com/sites/alicegwalton/2014/10/11/the-problem-with-ebola-in-the-media/

Mobile Phones, Social Media Aiding Ebola Fight

 U.S. NEWS AND WORLD REPORT         Oct. 20, 2014

By Tim Risen

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WHO: Ebola Death Toll Rises to More Than 4,000

ASSOCIATED PRESS                   Oct 10, 2014, 4:36 PM ET

MONROVIA -- Liberian lawmakers on Friday rejected a proposal to grant President Ellen Johnson Sirleaf the power to further restrict movement and public gatherings and to confiscate property in the fight against Ebola. One legislator said such a law would have turned Liberia into a police state.

The proposal's defeat came as the World Health Organization once again raised the death toll attributed to the Ebola outbreak. The Geneva-based U.N. agency said that 4,033 confirmed, probable or suspected Ebola deaths have now been recorded.

 

Liberians stage a protest yesterrday outside the National Assembly against the government not doing enough to fight Ebola virus in Monrovia, Liberia.  (AP Photo/Abbas Dulleh)

All but nine of them were in the three worst-affected countries, Liberia, Sierra Leone and Guinea. Eight of the rest were in Nigeria, with one patient dying in the United States....

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