Situation Report

Ebola "caught us by surprise," the chairwoman of the 53-nation African Union, Nkosazana Dlamini-Zuma, said this week at a meeting with the U.N. secretary-general and the World Bank president in Ethiopia.

"With the wisdom of hindsight, our responses at all levels - continental, global and national - were slow, and often knee-jerk reactions that did not always help," she said.

She is a medical doctor from South Africa, where mining magnate Patrice Motsepe Tuesday announced he has donated $1 million to the fight against Ebola in Guinea, where the outbreak started.

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http://abcnews.go.com/Health/wireStory/africans-worst-responders-ebola-crisis-26596929

THE GUARDIAN                                                                                Oct. 28, 2014
By Sarah Boseley

West Africa, now in the throes of a calamitous Ebola epidemic, missed out on significant health investment over the past decade or more because it had low rates of HIV, a detailed survey of the changing health of Africa and Asia reveals.

The US ambassador to the UN, Samantha Power (centre), visits an ebola emergency response centre in Freetown, Sierra Leone. Healthcare in west Africa now has the world’s attention. Photograph: Reuters

A major project called Indepth, which has looked at the causes of death of more than 110,000 people in 13 countries shows that health improved generally in those given substantial international aid to try to turn around the HIV and Aids epidemic. But west Africa, with severe poverty and low healthcare standards but relatively little HIV, did not benefit.

In a study for the New England Journal of Medicine, a team of experts had traced the disease to the village in Guéckédou, in southeastern Guinea, by reviewing hospital documents and speaking to those involved.

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WASHINGTON--The  Centers for Disease Control and Prevention leader Dr. Tom Frieden announced changes to the U.S. response to Ebola and the guidance federal agencies are giving to state and local governments.

The new protocol stops short of the mandatory 21-day quarantines that some states have begun requiring. Instead, Frieden said, it relies on individual assessment and close monitoring. He also detailed several categories of risk among both airline passengers and the medical volunteers who he said have been doing "heroic work" in West Africa.

"High risk" individuals, Frieden said, include those who have cared for an Ebola patient and were accidentally poked by a needle or lacked protective gear. Those people, Frieden said, should isolate themselves in their homes and avoid all forms of mass transit and large gatherings.