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U.S. to issue new Ebola care guidelines, watch lists to shrink

ROUNDUP OF DEVELOPMENTS SUNDAY

REUTERS                                     Oct 19, 2014

GALVESTON Texas --(Reuters) - The United States will issue strict new guidelines telling American health workers to cover their skin and hair when dealing with Ebola patients, a top health official said on Sunday, while some of the dozens of people being watched for possible exposure to the virus are expected to be cleared.

 

 A health care worker receives protocol on the proper removal of personal protection equipment from Centers for Disease Control and Prevention (CDC) instructors in preparation for the response to the current Ebola outbreak, during a CDC safety training course in Anniston, Alabama, October 6, 2014. Credit: Reuters/Tami Chappell

In Texas, a lab worker who spent much of a Caribbean holiday cruise in isolation tested negative for the deadly virus and left the Carnival Magic liner with other passengers after it docked at Galveston early on Sunday morning....

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Long Quest for Ebola Vaccine Slowed by Science, Ethics, Politics

An experimental Ebola vaccine has been developed by the U.S. National Institutes of Health and pharmaceutical company GlaxoSmithKline. Photograph by Steve Parsons, AP

Image: An experimental Ebola vaccine has been developed by the U.S. National Institutes of Health and pharmaceutical company GlaxoSmithKline. Photograph by Steve Parsons, AP

news.nationalgeographic.com - October 14th, 2014 - Karen Weintraub

Ebola vaccines are so effective in monkeys that macaques can be protected or rescued even if they're injected with a hundred times the lethal dose of the Ebola virus after vaccination. But no one knows for certain whether the vaccines will work in humans; the vaccines haven't yet been rigorously tested in people.

Just developing the vaccines to test in monkeys was a grueling, decades-long process that has killed scores of macaques since the 1990s.

(VIEW COMPLETE ARTICLE)

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NEJM - Ebola Virus Disease in West Africa — The First 9 Months of the Epidemic and Forward Projections

nejm.org - WHO Ebola Response Team

N Engl J Med 2014; 371:1481-1495 - October 16, 2014 - DOI: 10.1056/NEJMoa1411100

Conclusions

These data indicate that without drastic improvements in control measures, the numbers of cases of and deaths from EVD are expected to continue increasing from hundreds to thousands per week in the coming months.

(SEE COMPLETE NEJM ARTICLE HERE)

NEJM - Ebola Virus Disease in West Africa — The First 9 Months of the Epidemic and Forward Projections (15 page .PDF file)

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Ebola outbreak could be 'definitive humanitarian disaster of our generation', warns Oxfam

THE INDEPENDENT                                                  OCT. 18, 2014

LONDON ---Ebola is poised to become the “definitive humanitarian disaster of our generation", Oxfam has warned, with more troops, funding and medical aid urgently needed to tackle the outbreak.

In an "extremely rare" move, the charity is calling for military intervention to provide logistical support across West Africa.

It says the world has less than two months to counter the spread of the deadly virus, which means addressing a "crippling shortfall" in military personnel.

Oxfam’s call for more troops comes after UN chief Ban Ki-Moon criticised countries he said were able to provide financial support to the crisis for not doing so.
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Amid Assurances on Ebola, Obama Is Said to Seethe

NEW YORK TIMES                                                 Oct. 18, 2014

By and

WASHINGTON — Beneath the calming reassurance that President Obama has repeatedly offered during the Ebola crisis, there is a deepening frustration, even anger, with how the government has handled key elements of the response.

Those frustrations spilled over when Mr. Obama convened his top aides in the Cabinet room after canceling his schedule on Wednesday. Medical officials were providing information that later turned out to be wrong. Guidance to local health teams was not adequate. It was unclear which Ebola patients belonged in which threat categories.

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Canada to start shipping experimental Ebola vaccine on Monday

CANADIAN PRESS                                     Oct. 18, 2014

OTTAWA—The federal government says Canada will start shipping its experimental Ebola vaccine to the World Health Organization on Monday.

 

 A lab worker at the JC Wilt Infectious Diseases Research centre at Canada's National Microbiology Laboratory in Winnipeg, Manitoba. An experimental Ebola vaccine developed in Canada will be shipped to the World Health Organization in Geneva starting Monday.

The government says in a release the Public Health Agency of Canada is supplying the vaccine to the UN body in Geneva in its role as the international co-ordinating body for the Ebola outbreak in West Africa. It says Canada will ship 800 vials of its experimental vaccine in three separate shipments, as a precautionary measure.

The WHO will consult with its partners, including the health authorities from the affected countries, to determine how best to distribute and use the vaccine. For instance, it must take into account concerns about using an experimental vaccine in people.

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Obama warns against Ebola hysteria as cruise ship heads back to Texas. President rejects calls for west Africa travel ban . Cruise ship returns to Texas after passenger isolated

THE GUARDIAN                              Oct. 18, 2014

WASHINGTON- President Barack Obama on Saturday urged Americans not to succumb to hysteria about Ebola, even as he warned that addressing the deadly virus would require citizens, government leaders and the media to all pitch in.

in his weekly address, Obama also pushed back against calls for the US to institute a travel ban. Lawmakers have called it a commonsense step to prevent more people with Ebola from entering the US, but Obama said such a ban would only hamper aid efforts and screening measures.

“Trying to seal off an entire region of the world – if that were even possible – could actually make the situation worse,” the president said.

Growing US concern about Ebola and the three cases diagnosed so far in Dallas prompted Obama on Friday to tap a former top White House adviser to be his point person on Ebola. Striking a careful balance, Obama said there was no “outbreak” or “epidemic” of Ebola in the US, but said even one case was too many.

“This is a serious disease, but we can’t give in to hysteria or fear – because that only makes it harder to get people the accurate information they need,” Obama said. “We have to be guided by the science.”

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UN Ebola trust fund gets $100,000, almost $1 bln needed

REUTERS                                 Oct. 17,2014

By Michelle Nichols and Lesley Wroughton

UNITED NATIONS/WASHINGTON (Reuters) - A United Nations trust fund seeking nearly $1 billion for rapid, flexible funding of the most urgent needs to fight Ebola in West Africa has received a deposit of just $100,000 nearly a month after it was set up.

The U.N. Office for the Coordination of Humanitarian Affairs said on Sept. 16 that $988 million is needed to tackle the deadly hemorrhagic fever over the next six months. Since then $365 million has been committed to stop Ebola in Liberia, Sierra Leone and Guinea, which have been hit hardest by the epidemic.

Nearly all that money was donated directly to U.N. agencies and nonprofits working in West Africa with just $100,000 paid by Colombia into the trust fund set up by U.N. Secretary-General Ban Ki-moon, according to U.N. records.

Some diplomats and officials said many donors had made commitments to U.N. agencies before the trust fund was established. Others said donors were already overstretched and suggested they might be wary of how money put into the trust fund would be spent.

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Senegal is now Ebola-free, according to the WHO

THE WASHINGTON POST                  Oct. 17, 2014
By Abby Ohlheiser

The World Health Organization said on Friday that the Ebola outbreak in Senegal is officially over.

 

Senegalese border police check papers after an aircraft carrying U.N. humanitarian personnel landed near Dakar on Sept. 27. (Seyl Lou/AFP/Getty Images)

Senegal's first and only confirmed Ebola patient traveled to the country by road from Guinea in August, bringing the virus with him. Officials confirmed his Ebola diagnosis on Aug. 29. But samples from this index patient tested negative for Ebola on Sept. 5, "indicating that he had recovered from Ebola virus disease," the WHO said in a news release.

By Sept. 18, the patient was fully recovered and returned to Guinea.

According to the WHO, Senegal officials kept track of 74 close contacts of the patient -- people who were at risk of contracting Ebola themselves. None of those contacts showed symptoms or tested positive for the disease.

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Ebola: WHO lists 15 priority countries

WHO says it is focusing on 15 African countries to stop spread of disease, as EU reviews its screening policies.

 AL JAZEERA                                               Oct. 17, 2014

The World Health Organizaton  (WHO) has said it is focusing its attention on 15 countries to prevent the spread of Ebola, as the EU announced a review of its entry policies and the disease was reported in the last untouched area of Sierra Leone.

Dr Isabelle Nuttall, the WHO's global director, said on Thursday that cases were doubling every four weeks and that health officials were trying to prevent the disease spreading from Liberia, Sierra Leone and Guinea, the worst-hit nations, to neighbouring countries and those with a strong travel and trade relationship.

Focus countries
Ivory Coast, Guinea Bissau, Mali, Senegal, Benin, Burkina Faso, Cameroon, CAR, DR Congo, Gambia, Ghana, Mauritania, Nigeria, South Sudan and Togo.

 

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