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Voices: Ebola establishes dictatorship in Sierra Leone

A JOURNALIST'S PERSONAL ACCOUNT OF HOW EBOLA HAS AFFECTED DAILY LIVES IN SIERRA LEONE

USA TODAY                                            Nov. 9, 2014.
By Alpha Kamara

FREETOWN, SIERRA LEONE — Since the Ebola outbreak began in May, Sierra Leone has become an authoritarian state. It's not one dominated by politicians, religious leaders, the army or the police – it's a dictatorship by virus. Ebola has taken over everyone's thoughts, actions, just about everything.

Sierra Leone health workers walk to pick up a 4-month old baby that died of Ebola in central Freetown, Sierra Leone. (Photo EPA)

This notion struck me as I washed my hands. Authorities have wisely set up hand-washing stations everywhere to prevent the spread of Ebola. The stations reinforce the new codes of behavior that dominate what was once an easygoing, multicultural country — avoiding handshakes, avoiding crowded spaces, avoiding family, avoiding friends.

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Ban Ki-moon: The Ebola fight is far from over

WASHINGTON POST  OP-ED                                                                                      Nov. 9, 2014

By Ban Ki-moon, Secretary-General of the United Nations.

The Ebola outbreak is moving into a new phase that, in many ways, requires even greater attention and action than it has to this point. In addition to fears about the reach of the unforgiving virus and the spread of unfounded global panic, another concern has been added to the list: declaring “mission accomplished” too soon.

The rate of new Ebola cases shows encouraging signs of slowing in some of the hardest-hit parts of Liberia, Guinea and Sierra Leone — and that’s good news. The full-scale international strategy to attack Ebola through safe burials, treatment facilities and community mobilization is paying dividends.

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Homebound Filipino troops from Liberia Ebola-free

ASSOCIATED PRESS                                        NOV. 9. 2014

 MANILA, Philippines — The Philippine military said Sunday that 108 of its peacekeepers have tested negative for Ebola in Liberia, but that they will still be shipped to a small island in Manila Bay when they fly home this week for 21 more days of quarantine....

The Philippines has decided to halt the deployment of its troops to the West African nation amid the deadly Ebola outbreak there, ending more than a decade of peacekeeping work under the United Nations.

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https://news.yahoo.com/homebound-filipinos-troops-liberia-ebola-free-055443426.html

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Morocco Insists on Delaying African Cup Over Ebola

ASSOCIATED PRESS                                   Nov. 8, 2014

REBAT-- Morocco is sticking to its demand to postpone the African Cup of Nations football tournament due to the outbreak of Ebola in West Africa, despite pressure from the Confederation of African Football.

A statement from the Ministry of Sports late Saturday said that because of the "spread of the deadly Ebola pandemic," Morocco was maintaining its call for delaying the tournament it is scheduled to host from Jan. 17-Feb. 8, to the following year.

The Confederation of African Football has repeatedly rejected calls to postpone the tournament and last Monday gave Morocco five days to agree to hold the tournament as scheduled or they would reassign it.

The body will meet again on Tuesday to make a final decision on whether the tournament will be delayed or assigned to another country.

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http://abcnews.go.com/Sports/wireStory/morocco-insists-delaying-african-cup-ebola-26781383

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Funding cuts hamper health agencies’ ability to prepare for, respond to Ebola

HOMELAND SECURITY NEWS WIRE                        Nov.7, 2014

Federal and state funds for local health agencies have been cut over the past few years, so when hospitals and municipal health agencies are asked proactively to respond to possible threats of Ebola, many question how they will fund such activities. Since 2008, at least 51,000 state and local public health jobs (roughly 20 percent), have been lost due to cuts in federal funding, according to a new survey by the Association of State and Territorial Health Officials (ASTHO). Next week, the Senate Committee on Appropriations will hold a hearingto consider additional funding to prepare for an Ebola outbreak.

“It’s critically important to have a sustainable infrastructure, tools and the necessary resources to effectively address all potential health threats to the public, not just Ebola,” said James Blumenstock, emergency preparedness officer for ASTHO. “Public health threats don’t come one at a time, especially this time of year.”

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Military names 5 U.S. bases for troop Ebola quarantines

ASSOCIATED PRESS                                              Nov. 7, 2014
WASHINGTON -- The top U.S. military officer has designated five U.S. bases where American troops would be housed and isolated for 21 days upon returning from Africa after serving in the Ebolaresponse mission, U.S. officials said Friday.

Army Gen. Martin Dempsey, the chairman of the Joint Chiefs of Staff, signed a plan that lists Fort Hood and Fort Bliss, Texas; Fort Bragg, North Carolina; Joint Base Lewis-McChord, Washington; and Joint Base Langley-Eustis, Virginia, as bases where troops would be quarantined.

The U.S. also will use two bases in Italy and Germany for returning troops based in that region....

The plan exempts military personnel who travel to Africa for short-term visits and have very limited contact with people there, such as military staff traveling with a senior official who only stops in the country for a day or two...

In a related announcement, U.S. Northern Command has decided to train 30 more medical support personnel who will be available to help U.S. hospitals with any future Ebola cases. The personnel will begin training in San Antonio, Texas, later this month and will supplement a 30-member team that has already been trained and is ready to respond.

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Guinea Is Seeing More Ebola Cases: Can The Trend Be Stopped?

NPR                                                                                                                                   Nov. 7, 2014

By Jason Beaubien
CONAKRY  Guinea-- In the current Ebola crisis, much of the focus has been on Liberia and Sierra Leone. But the virus also continues to spread in Guinea, where the first case in the current outbreak was identified in March.

Red Cross workers in Guinea carry the body of an Ebola victim to a cemetery full of fresh graves for others who have succumbed to the disease.

According to the latest figures from the World Health Organization, Guinea has had fewer cases than either Sierra Leone (4,759) or Liberia (6,525). WHO has recorded 1,731 Ebola cases and 1,041 deaths in Guinea. This, however, is just a few dozen fatalities fewer than in Sierra Leone. And despite the lower numbers in Guinea, some data suggest the outbreak is spreading faster there than in the neighboring countries.

Q&A with Marc Poncin, response coordinator for Doctors Without Borders in Conakry, Guinea:

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New study sheds light on the importance of supportive care for Ebola patients

                                                                     Nov. 6, 2014

...a WHO-coordinated retrospective study, published in the New England Journal of Medicine, provides evidence that supportive care, especially rehydration and correction of metabolic abnormalities, may contribute to patient survival.

The study analysed clinical data on 37 confirmed Ebola patients admitted for treatment at hospitals in Conakry, Guinea’s capital and most densely populated city.

The cases occurred during the first month of West Africa’s first outbreak of Ebola virus disease. Fourteen of the patients were heath care workers. The majority (12) acquired their infection in a health care setting.

The majority (65%) of patients were male, countering assumptions that women, who are more likely to provide home care for patients and prepare bodies for funerals and burials, are more frequently exposed and infected.

To replace fluids lost through severe diarrhoea, 36 patients (97%) received oral rehydration solution. Additional intravenous fluid resuscitation was given to 28 (76%) patients.

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Last Person Completes Ebola Monitoring in Texas

ABC NEWS                                                                                                            Nov 7, 2014

by  Sydney Ludkin 

DALLAS The final person in Texas being monitored for Ebola has passed the virus's 21-day incubation period, marking the end of the state's Ebola crisis.

None of the 177 people who had contact with the state's Ebola patients -- Liberian national Thomas Eric Duncan, the first person to be diagnosed with Ebola in the United States, and two of the Dallas nurses who cared for him, Nina Pham and Amber Vinson -- have contracted Ebola, state officials said. The list included health care workers, people who shared the same households as the Ebola patients and other community contacts.

"Hopefully, Americans will be relieved and fear will be eased," said Dr. Richard Besser, ABC News chief health and medical editor. "In Dallas, not even the people who lived with a very sick person with Ebola became ill."

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http://abcnews.go.com/Health/person-completes-ebola-monitoring-texas/story?id=26742640

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U.N. Ebola chief voices guarded optimism

ASSOCIATED PRESS                                   NOV. 7, 2014

UNITED NATIONS -- The U.N.'s Ebola chief said an extraordinary global response over the past month has made him hopeful the outbreak could end in 2015, though he cautioned that the fight to contain the disease is not even a quarter done.

"Until the last case of Ebola is under treatment, we have to stay on full alert," Dr. David Nabarro said Thursday in an interview with The Associated Press. "It's still bad."

Nabarro said a month ago that the number of Ebola cases was probably doubling every three-to-four weeks. He warned then that without a mass global mobilization, "the world will have to live with the Ebola virus forever" and that the response needed to be 20 times greater.

But in the past four weeks, the rate of Ebola infections seems to be slowing in some parts of West Africa, Nabarro said in the interview. In other hotspots, he said, it appears to be expanding the way it was a month ago.

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