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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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Working with Communities is the Key to Stopping Ebola

who.int - October 2014

When Dr Peter Clements arrived in Lofa County, Liberia eight weeks ago, from the WHO country office in Monrovia, 20-30 patients were arriving at the MSF hospital with Ebola-like symptoms every day. People living in the community were afraid, civil unrest was simmering, and an ambulance and health workers were being targeted

Although UN security advised him not to, Dr Clements traveled the 12 hours over dirt roads to the area nearest the Guinea border. Once there, he walked into the hostile communities and went straight to the chiefs.

“In many years, you have not fought with these people,” he said. “Now you attack them. They are not the enemy, Ebola is the enemy. If we don’t chase Ebola, it will kill us. You have to know Ebola to fight Ebola. Mobilize your people. Let’s get to know Ebola.”

Dr Clements said the key to working with a hostile community is listening first. So he patiently listened to the community to understand their fears, then he started to explain about the virus and how people become sick, and people can prevent themselves.

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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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Here's How Nigeria Beat Ebola

 

  MOTHER JONES                       Oct. 10, 2014

—By

LAGOS -- Nigeria's success in stopping the outbreak could have implications for other countries, including the United States. That's why the Centers for Disease Control and Prevention (CDC) dispatched a team to the country this week to learn what went right.

So how did local and international health authorities curb Ebola in Nigeria while infections have continued to rise dramatically in Liberia, Sierra Leone, and Guinea?

Read full article, with charts and posters

http://www.motherjones.com/politics/2014/10/nigeria-ebola-cdc

An Ebola warning at the Murtala Muhammed International Airport in Lagos

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The fight to save the last Ebola-free district in Sierra Leone

THE WASHINGTON POST                               OCT. 10, 2014

... The last region in Sierra Leone untouched by Ebola sits in the rugged, mountainous north, in a place called the Koinadugu district. It is a poor place, dependent on small farms and gold mines, the largest of the country’s 14 districts by land size and home to 265,000 residents. The district borders Guinea, where the current Ebola outbreak began and first spilled over into Sierra Leone. Koinadugu is surrounded by districts dealing with hundreds of Ebola cases.

But Koinadugu has kept the virus at bay.

Momoh Konte, shown at his office in Freetown,  returned to Sierra Leone from Washington to help his home district fight against Ebola. (Photo by Tanya Bindra for The Washington Post)

It is a remarkable feat, a source of pride for district residents, a source of hope for the entire struggling nation, and a curiosity to epidemiologists tracking the worst Ebola outbreak in history...

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