Ebola kills, but it may be immunizing others at the same time

HOMELAND SECURITY NEWS WIRE                                         Oct. 22, 2014

Two Ebola researchers suggest that as Ebola continues to spread in West Africa, it may be silently immunizing large numbers of people who never fall ill or infect others, yet become protected from future infection. If such immunity is confirmed, it would have significant ramifications on projections of how widespread the disease will be and could help determine strategies that health workers use to contain the disease, according to a letter published last week in The Lancet medical journal.   http://download.thelancet.com/flatcontentassets/pdfs/PIIS0140673614618390.pdf?id=aaadpDXSyNZVP5Qg76oKu

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U.S. tightens Ebola monitoring for West African visitors

NEW YORK -- U.S. health officials imposed fresh constraints on Wednesday on people entering the country from three countries at the center of West Africa's Ebola epidemic, mandating that they report their temperature daily and stay in touch with health authorities.

U.S. Coast Guard Health Technician Nathan Wallenmeyer (L) and Customs Border Protection (CBP) Supervisor Sam Ko conduct prescreening measures on a passenger arriving from Sierra Leone at O’Hare International Airport's Terminal 5 in Chicago, in this handout picture taken October 16, 2014.

The move announced by the U.S. Centers for Disease Control and Prevention (CDC) marked the latest precautions put in place by the U.S. government to stop the spread of the virus, but stopped short of a ban on travelers from Liberia, Sierra Leone and Guinea as demanded by some lawmakers.

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EBOLA RESPONSE ROAD MAP SITUATION REPORT

 

                                                                            22, October, 2014

WHO's  new report says the number of confirmed,suspected and probable Ebola cases has reached 9936 with 4877 deaths confirmed.

See full Report and graphs

http://apps.who.int/iris/bitstream/10665/137091/1/roadmapsitrep22Oct2014_eng.pdf?ua=1

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Ebola Outbreak Erodes Recent Advances in West Africa

NEW YORK TIMES                                 Oct. 22, 2014

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Ebola Study Projects Spread of Virus on Overseas Flights

A study projects up to three Ebola-infected people could be on overseas flights each month from the three most-affected African countries. WSJ's Gautam Naik reports. Photo: Getty

CLICK HERE - The Lancet - Assessment of the potential for international dissemination of Ebola virus via commercial air travel during the 2014 west African outbreak

wsj.com - by Gautam Naik - Oct. 20, 2014

Up to three Ebola-infected people could embark on overseas flights every month from the three most-affected African countries, according to a new study that projected travel patterns based on infection rates and recent flight schedules.

The findings, published Monday in the journal Lancet, suggest that Ebola cases could be spread overseas by unwitting travelers from the worst-hit countries—Guinea, Liberia and Sierra Leone.

The World Health Organization has estimated that, by early December, there could be as many as 10,000 new cases a week in west Africa.

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Neighboring countries shore up anti-Ebola defenses

DEUTSCHE  WELLE                                                                             Oct. 21, 1914

 By Philipp Sandner and Ibrahima Bah

West African countries that have escaped the Ebola outbreak intend to stay free of it by preparing for the worst. It is a strategy that can work as events in Senegal and Nigeria have shown. 

Mali, Senegal, Ivory Coast and Guinea-Bissau are countries that border on the epicenter of the Ebola epidemic that encompasses Guinea, Liberia and Sierra Leone. All these nations wish to protect themselves.

A health worker takes the temperature of man entering Mali from Guinea

One of the more obvious measures is to screen people entering the country. "We are using thermal imaging cameras to detect people at airports and borders who are running a temperature," said Malian physician Adamas Daou. He works at Mali's National Action Center for the fight against Ebola. Medical personnel are also on duty urging Malians to practice good personal hygiene. "This includes washing their hands in chlorinated water" Daou said.

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Spanish Nurse Infected With Ebola Is Declared Free of Disease

SPANISH NURSE AND NBC CAMERMAN CLEARED OF VIRUS, DALLAS NURSE  PAM'S ' CONDITION UPGRADED TO GOOD. (Three stories)

Freelance TV cameraman Ashoka Mukpo is shown in Liberia in this August photograph. He was declared free of Ebola on Tuesday after undergoing treatment at a hospital in Nebraska.(Photo: Philip Marcelo, AP)

 

NEW YORK TIMES                            Oct. 21, 2014

MADRID — The Spanish auxiliary nurse who was the first person known to have contracted the Ebola virus outside of Africa was declared cured of the disease on Tuesday, after a second test for the virus in recent days came back negative, according to officials at the hospital where she has been treated since Oct. 7.

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Ebola vaccine trials could start in Africa in January

UPDATE: Drugmakers to join forces to make millions of Ebola vaccine doses

REUTERS                                                                     Oct 22, 2014

By Ben Hirschler

LONDON -- Leading drugmakers plan to work together to speed up the development of an Ebola vaccine and hope to produce millions of doses for use next year.

U.S. firm Johnson & Johnson said on Wednesday that it aims to produce at least 1 million doses of its two-step vaccine next year and has already discussed collaboration with Britain's GlaxoSmithKline, which is working on a rival vaccine.

The economics of an Ebola vaccine are still unclear but drug companies with an eye on their reputations are under pressure to respond to the major international health crisis now ravaging one of the poorest corners of Africa.

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As Ebola patients vanish in Liberia’s health system, survivors go on a desperate search

WASHINGTON POST                           OCT. 21, 2014
BY  Kevin Sieff

MONROVIA ...many people who have simply vanished as Ebola tears through the city.

Ebola ravaged this capital so quickly that some patients passed through an already broken medical system with hardly any paper trail. Others were admitted to one clinic and transferred to another without notice. Hundreds were cremated long before their families were notified that they had died.

The world has heard about the deaths. Ebola has claimed 2,500 lives in this country, most of them in Monrovia. But the epidemic has also left in its trail another form of grief and anguish for those whose friends and relatives are missing. About 30 percent of Ebola victims survive. That’s the number many here obsess over — it is just high enough to offer hope and to fuel uncertainty.

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Fighting Ebola, and the Mud

NEW YORK TIMES                         Oct. 21, 2014

Op-ed in Today's New York Times by Karen Huster, a nurse working in Liberia for Last Mile Health says that Liberia’s dysfunctional transportation system is standing in the way of fighting the Ebola epidemic and suggests some solutions
 

"Patients have died on grueling journeys to treatment units. Blood samples have sat waiting for days, eventually becoming invalid....

 "The best solution is removing the need to travel altogether by building more easily accessible treatment centers all over the country, where patients with confirmed or suspected cases of Ebola can be housed and treated. The United States military is building these structures, but it is taking time. Nimbler nongovernmental organizations must also step in. Save the Children has already done so and is also building smaller community care centers — sort of homes away from home, where families can continue to care for their sick loved ones safely removed from the community. A makeshift center with tents instead of permanent structures could be set up within a week.

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Ebola crisis: Worst-hit African nations get key supplies

BBC                                                                                   Oct. 20, 2014

Vital supplies and resources to tackle Ebola are beginning to arrive in the three worst-hit West African countries, Ghana's President John Mahama has said.

Mr Mahama, who heads the regional bloc Ecowas, also told the BBC that treatment centres were being set up in Guinea, Liberia and Sierra Leone. But he called for proper co-ordination between agencies to avoid duplication.


Red Cross workers are among those fighting the outbreak in Sierra Leone

Mr Mahama told the BBC that the World Food Programme was airlifting humanitarian aid to Liberia, Sierra Leone and Guinea.

"Vehicles, motorcycles and other means of transport are going in there. There's more protective clothing being provided," he said.

"But there's no need for us to duplicate each other and have more treatment centres when we do not have volunteers and health workers to treat the people in the treatment centres.

Read full story

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Rwanda to screen U.S. visitors for Ebola

USA TODAY                                  Oct. 21, 2014
By Doug Stanglin

The East African nation of Rwanda is requiring all visitors from the United States and Spain to self-monitor, fill out an extensive questionnaire and report their medical condition for the first 21 days of their visits because of the Ebola cases that have surfaced in the two Western countries.

Coincidentally or not, the new screening follows an embarrassing uproar in a New Jersey school over the imminent enrollment of two Rwanda children that initially prompted their parents to keep them at home for 21 days.

The U.S. and Spain have both recorded deaths from Ebola. In Dallas, a Liberian national died of the virus two weeks ago and two nurses who treated him tested positive for the virus. At least two Spanish missionaries died in Spain after contracting the disease in West Africa. One Spanish nurse also tested positive for the virus.

Rwanda,  located about 2,600 miles east of Liberia, the closest of the three West African countries with the Ebola outbreak...  has reported no cases of the virus.

The dust-up in New Jersey involving two Rwanda children took a new turn Monday with an apology by the superintendent of the Maple Shade School District in Burlington County.

Read full story

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DHS requires West Africa travelers to arrive at five airports

USA TODAY                                                                                     Oct. 21, 2914By Bart Jansen

WASHINGTON — The Department of Homeland Security announced Tuesday that all travelers from Ebola outbreak countries in West Africa will be funneled through one of five U.S. airports with enhanced screening starting Wednesday.

                                                                       (Photo: Melissa Maraj, AP)

Customs and Border Protection within the department began enhanced screening — checking the traveler's temperature and asking about possible exposure to Ebola — at New York's John F. Kennedy International Airport on Oct. 11.

Enhanced screening for travelers from Liberia, Sierra Leone and Guinea was expanded Oct. 16 to Washington's Dulles, Chicago's O'Hare, New Jersey's Newark and Atlanta's Hartsfield-Jackson international airports.

Those airports were supposed to screen 94% of the average 150 people per day arriving from the three countries. But lawmakers from other states asked for enhanced screening at their airports, too.

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Ebola Cases Rise Sharply in Western Sierra Leone

FREEOWN, SIERRA LEONE ---After emerging months ago in eastern Sierra Leone, Ebola is now hitting the western edges of the country where the capital is located with dozens of people falling sick each day, the government said Tuesday. So many people are dying that removing bodies is reportedly a problem.

Forty-nine confirmed cases of Ebola emerged in just one day, Monday, in two Ebola zones in and around the capital, the National Ebola Response Center, or NERC, said. Lawmaker Claude Kamanda who represents a western area said more than 20 deaths are being reported daily.

Authorities say the uncontrolled movement of people from the interior to Waterloo which is the gateway to Freetown, the capital, has fueled the increase of Ebola cases in the west. There is a strong feeling that people are violating the quarantines elsewhere and coming to Freetown through Waterloo.

See full story

http://abcnews.go.com/International/wireStory/ebola-cases-rise-sharply-western-sierra-leone-26339140?singlePage=true

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Donations for Ebola Relief Are Slow to Gain Speed

NEW YORK TIMES

“Have you had any email solicitations?” asked Patrick M. Rooney, associate dean at the Indiana University Lilly Family School of Philanthropy. “If there had been an earthquake or tsunami, my question would be who had solicited you and how many times? Americans aren’t giving because they haven’t really been asked.”

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