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A doctor’s mistaken Ebola test: ‘We were celebrating. . . . Then everything fell apart’

WASHINGTON POST                                                                                          Nov. 17, 2014

By Kevin Sieff

...The doctors who tended to him in Freetown appeared to be unaware that an early Ebola test — taken within the first three days of the illness — is often inconclusive. In a country where information about the disease continues to move slowly, it was another potentially tragic mistake.

In many cases, a negative test at that stage means nothing because “there aren’t enough copies of the virus in the blood for the test to pick up,” said Ermias Belay, the head of the CDC’s Ebola response team in Sierra Leone.

But M’Briwa and others treated the test as definitive, even though Salia remained feverish and weak. The first results were delivered by a team of Chinese lab technicians who had opened a nearby hospital. (The technicians declined Sunday to speak about Salia’s case.)...

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http://www.washingtonpost.com/world/a-doctors-mistaken-ebola-test-we-were-celebrating--then-everything-fell-apart/2014/11/16/946a84da-6dd5-11e4-a2c2-478179fd0489_story.html

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U.S. was ill-equipped to handle Ebola rescues, State Dept. contract reveals

      

For now, the world has to rely on a small, Georgia-based flight company for Ebola evacuations. (AP)

Life-saving gear needed to fly sick patients was in storage as epidemic grew

news.yahoo.com - by Jason Sickles - November 11, 2014

The air ambulance operation tasked with rescuing U.S. Ebola victims from West Africa was initially slowed by bureaucratic bungling and is now at risk of being overburdened as thousands of American troops deploy to fight the deadly disease.

Yahoo News has learned the U.S. government spent millions last decade to develop and build two of the world’s only isolation chambers for flying contagious patients — but as the epidemic raged in West Africa this summer and American aid workers there needed evacuating, the medical inventions were packed away in a small-town Georgia warehouse.

The troubling lack of preparedness by federal agencies forced the State Department to put up $4.9 million as part of a rushed contract to employ a commercial aviator to safely evacuate Ebola-infected Americans from West Africa.

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Economic consequences of Ebola The ignorance epidemic

THE ECONOMIST                                                                                                        Nov. 14, 2014

NAIROBI -- Safari tents remain zipped, hotel pools are empty, game guides idle among lions and elephants. Tour operators across Africa are reporting the biggest drop in business in living memory. A specialist travel agency, SafariBookings.com, says a survey of 500 operators in September showed a fall in bookings of between 20% and 70%. Since then the trend has accelerated, especially in Botswana, Kenya, South Africa and Tanzania. Several American and European agents have stopped offering African tours for the time being.

The reason is the outbreak of the Ebola virus in west Africa, which has killed more than 5,000 people. The epidemic is taking place far from the big safari destinations in eastern and southern Africa—as far or farther than the homes of many European tourists (see map). There are more air links from west Africa to Europe than to the rest of the continent, whose airlines have in any case largely suspended flights.

Moreover Ebola is hardly the biggest killer disease in Africa (AIDS and malaria are bigger). Yet, in the mind of many visitors, all of Africa is a single country.

One despairing tour operator calls it an “epidemic of ignorance”.

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For a Liberian Family, Ebola Turns Loving Care Into Deadly Risk

In-depth report on the tragedy of how Ebola has destroyed families, partly as a result of members trying to care for each other.

NEW YORK TIMES                                                                                                   Nov. 14, 2014

By

"...This destruction of families is the central tragedy of the epidemic. On a continent with many weak states, the extended family is Africa’s most important institution by far.

"That is especially true in the nations ravaged by the disease — Liberia, Sierra Leone and Guinea — three of Africa’s poorest and most fragile countries. Ebola’s effects on the region, in undermining the very institution that has kept its societies together, could be long-term and far-reaching...."
 
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Liberia to end Ebola state of emergency

Sirleaf said her country would not become complacent after the gains made in fight against Ebola [Getty Images]14 Nov 2014 07:54 aljazeera.com

President Sirleaf says while country has made progress against virus, more still needs to be done to end the epidemic.

Liberia's President Ellen Johnson Sirleaf said that she would not seek an extension to a state of emergency imposed in August over Ebola.

Her announcement on Thursday is a sign of progress in the fight against the disease, which has killed more than 2,800 people in Liberia since breaking out in West Africa in March.

http://www.aljazeera.com/news/africa/2014/11/liberia-end-ebola-state-emergency-201411145555126551.html

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Ebola and the Lost Children of Sierra Leone

NEW YORK TIMES OP-ED                                                                                                          Nov. 13, 2014

By Chernor Bah,  a former refugee from the civil war in Sierra Leone, is a youth advocate for the Global Partnership for Education and a co-founder of A World at School.

Arriving at Port Loko, one of the largest towns in the north of Sierra Leone, is like reaching a country under siege. In the face of Ebola, the 500,000 inhabitants of this district have been sealed off from the world, stigmatized like a cellblock of criminals, and left largely to fend for themselves. Even to bring them food and schoolbooks, you need a government pass. And they are not alone. Counting other districts under quarantine, more than a third of the nation cannot move freely.

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The economics of Ebola

HOMELAND SECURITY NEWS WIRE                                                                                             Nov. 13, 2014
By Catherine de Fontenay
Economists are being called upon to estimate the costs of the Ebola epidemic to West Africa and elsewhere. Economists, however, should also play a part in estimating the likelihood of the disease spreading. Economics is the study of incentives, and many biological models of the spread of the disease may be underestimating the impact of individual incentives.

 Based on cost-benefit analysis, the potential costs of Ebola spreading are extremely high and the risks may be much higher than they are currently portrayed. Voters and donors should support greater efforts to end Ebola in West Africa. As International Monetary Fund director Christine Lagarde says, “real action” is needed to counter the outbreak. Without such action Ebola places the global economy at risk.

...If Ebola spreads throughout West Africa, the cost could rise to US$32.6 billion by the end of 2015.
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http://www.homelandsecuritynewswire.com/dr20141113-the-economics-of-ebola

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For Ebola, don't forget lessons from the AIDS epidemic

THE HILL                                                          Nov. 12, 2014
Commentary by Claire Pomeroy, M.D., M.B.A, President of the Albert and Mary Lasker Foundation.

...Without a commitment by Congress to fund basic medical research, the lives of millions are put at risk, along with the nation’s economic and national security. Outbreaks of deadly viruses – including AIDS or Ebola – have shown us the costs of not remaining vigilant.

  So how much funding is enough? It’s time for us to have that national conversation once again. We do not know what the superbugs of tomorrow will look like. But we do know that novel pathogens will emerge or existing ones will mutate, and that as global travel and migration inexorably increase, disease knows no border. It is time for us to stop chasing at AIDS and Ebola from behind, and take stock of our capacity to commit.

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Epidemics of Confusion

Like AIDS before it, Ebola Isn't explained clearly by officials

People shun the infected and their contacts; some demand quarantines. Conspiracy theorists contend the virus escaped from government laboratories.

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Why mobile data to prevent Ebola has not yet been released

THE ECONOMIST                                                                                Nov.9, 2014

The number of new cases of Ebola in west Africa is decreasing, suggesting that quickly-enacted emergency precautions have so far been successful. Yet there is a valuable tool that epidemiologists would like to use to track the disease and help stamp it out: data from mobile phones.

These "call data records" identify where the device is and has been, along with its proximity to other devices, among other things. It lets experts infer, with empirical data and in real-time, where people are, and how many, and where they are probably headed. Yet despite talks among researchers, phone companies, governments—and even UN agencies and the GSMA, the mobile-industry’s trade association—the records have not yet been released. Why not?

It is not for a lack of utility. A bevvy of cases already underscore the data’s usefulness.....

If the data are so helpful, why are they not used? Several factors are to blame....

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