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New England researchers help shape the fight on Ebola

THE BOSTON GLOBE                                  Nov. 3, 2014

By Carolyn Y. Johnson

Northeastern University researchers use computers to simulate 20 million virtual Ebola outbreaks each week. Yale scientists are building three models that project the spread of the deadly disease. And a team at Boston Children’s Hospital is combing through data to gauge whether medical interventions are working.

....  they are providing a constant stream of evidence that is beginning to reveal the weak spots of the epidemic. For example, scientists’ models are beginning to identify basic patterns of who is being infected and when and how Ebola is being spread, which could help identify the most meaningful ways to intervene.

...According to their model, isolating three-quarters of the patients within the first four days that they show symptoms would help eliminate the disease.

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http://www.bostonglobe.com/metro/2014/11/02/ebola-disease-modelers-new-england-help-predict-future-spread-best-strategies/LZHSEGlInJs6SflLWW0yaP/story.html

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Nigerian-virologist-delivers-scathing-analysis-africas-response-ebola

SCIENCE INSIDER                                         Nov. 3, 2014

By Kai Kupferschmidt

VIENNA—After Oyewale Tomori finished his talk on Ebola here at the International Meeting on Emerging Diseases and Surveillance, there was stunned silence. Tomori, the president of the Nigerian Academy of Science, used his plenary to deliver a scathing critique of how African countries have handled the threat of Ebola and how corruption is hampering efforts to improve health. Aid money often simply disappears, Tomori charged, "and we are left underdeveloped, totally and completely unprepared to tackle emerging pathogens."

"Ebola is Africa's problem," says Oyewale Tomori.

 

Trained as a veterinarian, Tomori was the World Health Organization’s (WHO's) regional virologist for the African region in 1995 during the Ebola outbreak in Kikwit in the Democratic Republic of the Congo (DRC).

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WHO says currently no Ebola cases in Mali, 39 contacts sought

REUTERS                                         Nov. 3, 2014
By Tom Miles

GENEVA- Thirty-nine people who traveled on buses with a toddler who died from Ebola in Mali are still being sought for checks, although the country is believed to be free of the disease, the World Health Organization said on Monday.

A health worker checks the temperature of a baby entering Mali from Guinea at the border in Kouremale, October 2, 2014. Credit: Reuters/Joe Penney

A WHO spokeswoman said 108 contacts were being followed up, including 33 health workers, but epidemiologists believe those who have not been traced are at low risk, as they are unlikely to have had physical contact with the sick two-year-old.

The girl's five-year-old sister had a fever but was suffering from malaria, not Ebola, tests showed. Other family members are under observation in the same hospital and doing well, with no fever or other symptoms, the WHO said.

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Home> Health 'Post-Ebola Syndrome' Persists After Virus Is Cured, Doctor Says

ABC NEWS                                       Nov. 3, 2014
By via Good Morning America

West Africans fortunate to survive Ebola may go on to develop what's being called "post-Ebola syndrome," characterized by vision loss and long-term poor health, a doctor told a World health Organization.

People stand in the "red zone" where they are being treated for Ebola at the Bong County Ebola Treatment Unit in Monrovia, Liberia, Oct. 28, 2014.

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Hospital Records Are Adapting to Flag Ebola

A New Application Matches Patient’s Travel and Family History With Medical Symptoms

WALL STREET JOURNAL                         Nov. 3, 2014
By Melina Beck

A month ago, Massachusetts General Hospital in Boston had no way to flag in its electronic medical records if an incoming patient had been to West Africa and had symptoms suggesting Ebola.

Now it does. Five days after the first U.S. case was confirmed in Texas, the hospital deployed a new Ebola application made by QPID Health Inc. that automatically matches a patient’s travel and family history with medical symptoms. If Ebola is suspected, the application flashes a blinking “Q” to alert hospital personnel.

Dr. Garry Choy, who helped design Mass General’s QPID system. Dominick Reuter

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Researchers Study Ebola Link to Gene in Rare Disease

WALL STREET JOURNAL                             Nov 3, 2014

By Amy Dockser Marcus

In the search for answers about Ebola, researchers are starting to look at an unexpected group of people: parents of children who have the rare but fatal genetic disease Niemann-Pick Type C.

Blood and tissue samples from Hugh and Chris Hempel of Reno, Nev., whose children have a rare disease, may help in ongoing Ebola research. Hempel family

The intersection between research in Ebola and NPC disease was surprising, and came after two scientific papers were published in 2011 demonstrating that a protein made by the same gene related to NPC disease is essential for Ebola infection.

Ebola uses the so-called NPC1 protein made by the gene to get into the cell and replicate the virus.

Now, research suggests that the gene that causes NPC disease may also offer protection against Ebola.

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http://online.wsj.com/articles/researchers-study-ebola-link-to-gene-in-rare-disease-1414965218

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Ebola: Are cases levelling off?

BBC                                                                                  Nov. 1, 2014

By James Gallagher Health editor, BBC News website

LONDON--There is growing - but certainly guarded - talk within the World Health Organization that the overall number of new cases is levelling off.

...Dr Christopher Dye, the director of strategy in the office of the director general at the World Health Organization, has the challenge of predicting the spread of Ebola.

"Things clearly have changed with respect to the trajectory of the epidemic," he told the BBC News website....

Dr Dye added: "When we look at the total epidemic now, with the best information we have got available I would guardedly say that the case incidence per week is not going to get larger than it is at the moment, so around 1,000 cases per week.

"We know there's under-reporting so we have to emphasise caution, but broadly we're out of this big epidemic growth phase seen in August and September."

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http://www.bbc.com/news/health-29847058

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Can a U.S. military Ebola treatment center slow Ebola in one hard-hit city?

WASHINGTON POST                                Nov. 3, 2014
By Kevin Sieff

GANTA, LIBERIA  --
The U.S. is erecting a new Ebola treatment center, slated to be ­finished later this month and manned by newly imported doctors. Just the sight of American helicopters flying over Ganta, a city of about 50,000, has lifted hopes here.

...a modern treatment center won’t be enough to eliminate Ebola in a place where the outbreak ­appears to rise and fall every few weeks and where victims sometimes disappear into remote communities with the disease. The question is whether those victims can be persuaded to use the new facility once it is built, preventing the spread of the disease in some of the country’s most vulnerable ­areas.
http://www.washingtonpost.com/world/africa/can-a-us-military-ebola-treatment-center-slow-ebola-in-one-hard-hit-city/2014/11/01/afb7b058-60fd-11e4-9f3a-7e28799e0549_story.html

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Ebola-carrying bats may be heroes as well as villains

REUTERS                                                                                  NOV. 2, 014

By Ben Hirschler

LONDON - Bats are living up to their frightening reputation in the world's worst Ebola outbreak as prime suspects for spreading the deadly virus to humans, but scientists believe they may also shed valuable light on fighting infection.

Fruit bats are seen for sale at a food market in Brazzavile, Republic of Congo, in this file photograph dated December 15, 2005. REUTERS/Jiro Ose/Files

Bats can carry more than 100 different viruses, including Ebola, rabies and severe acute respiratory syndrome (SARS), without becoming sick themselves.

While that makes them a fearsome reservoir of disease, especially in the forests of Africa where they migrate vast distances, it also opens the intriguing possibility that scientists might learn their trick in keeping killers like Ebola at bay.

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What We Don’t Know About Ebola

Overview of what still needs to be learned about the Ebola virus

Research studies have suggested at least three potential paths through which the Ebola virus can invade tissues. Credit Photograph by the C.D.C. via Getty Images

THE NEW YORKER                                      Nov. 1, 2014

By

...there are still serious gaps in what we know about the biology of Ebola, and that ignorance inhibits us from preventing future outbreaks and reducing death rates that still exceed seventy per cent. We don’t know enough about the biology of Ebola to bring the outbreak under full control, or to neutralize the virus once the outbreak is contained. Between on-the-ground efforts and advances in science, we need a balanced approach.

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