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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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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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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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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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Rains complicate delivery of Ebola supplies in West Africa

 

Mon Sep 29, 2014 

WASHINGTON - The rainy season in West Africa is compounding difficulties in getting supplies delivered and new treatment centers built as donors rush to isolate people infected with the deadly Ebola virus and stop its rapid spread, U.S. officials said.

Nancy Powell, newly appointed as the U.S. State Department's envoy to coordinate its Ebola response, said the top priority is to isolate as many people as quickly as possible. But that faces significant logistical hurdles.

"Infrastructure challenges in the rainy season is one of the biggest difficulties. And you add the rain and getting materials out of the capital and it is very difficult," Powell said in a news briefing last week.

The July to September rainy season is coming toward its end, but October is known for heavy thunderstorms that can drench the region and turn roads to mud.

Eric Talbert, executive director of Emergency USA which has opened a 22-bed Ebola treatment center in Goderich, outside the capital of Freetown in Sierra Leone, said the downpours complicate getting supplies along unpaved single track roads that are washed out by the heavy rains..

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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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Doctor in Liberia reports some success in treating Ebola with an HIV drug

The Washington Post Follow-up to the original CNN report        Oct. 2, 2014

Since the original CNN interview, Logan has been in contact with Dr. Fauci. "I can't say it's a good idea or bad idea," Fauci told The Post this week. "It's one of those things where you're in a situation where you have no therapy, so you look for things that might be available."

Fauci said National Institutes of Health researchers have tested lamivudine's reaction to Ebola in test tubes. There was no response; but Fauci said researchers will adjust some levels and try it again "to see if there's even slight activity against Ebola."

If there is, he said, NIH would consider going to the trial stage.

It makes sense to consider lamivudine as a potential Ebola treatment: It belongs to a group of drugs known as nucleoside analogs, which interfere with the replication processes of certain viruses, Fauci explained.

See Washington Post report

http://www.washingtonpost.com/news/to-your-health/wp/2014/10/02/a-liberian-doctor-is-using-hiv-drugs-to-treat-ebola-victims-the-nih-is-intrigued/

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