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The mission of the Global Health Working Group is to explore and improve current and emerging states of health and human security worldwide.

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This Working Group is focused on exploring current and emerging states of health and human security worldwide.
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U.S. quarantines 'chilling' Ebola fight in West Africa: MSF

 REUTERS                                                                                     Oct. 30, 2014

(Reuters) - Mandatory quarantines ordered by some U.S. states for doctors and nurses returning from West Africa's Ebola outbreak are creating a "chilling effect" on aid work there, the humanitarian aid group Doctors Without Borders said on Thursday.

A Doctors Without Borders health worker takes off his protective gear under the surveillance of a colleague at a treatment facility for Ebola victims in Monrovia September 29, 2014. Credit: Reuters/James Giahyue

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In New York, Protections Offered for Medical Workers Joining Ebola Fight

NEW YORK TIMES                                                                     Oct. 30, 2014
By and

New York officials announced on Thursday that they would offer employee protection and financial guarantees for health care workers joining the fight against the Ebola outbreak in three West African nations.

The announcement was an effort to alleviate concerns that the state’s mandatory quarantine policy could deter desperately needed workers from traveling overseas.

Under the new protections, modeled after the rights granted military reservists, workers could not suffer any pay cuts or demotions for serving in Africa, and the state would make up any lost income if they had to be quarantined when they returned.

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The Ebola questions

Scientists know a lot about the virus that causes Ebola — but there are many puzzles that they have yet to solve.

NATURE SCIENCE International Weekly Journal of Science                                   Oct. 29, 2014

By Erika Check Hayden

Scientists know a lot about the virus that causes Ebola — but there are many puzzles that they have yet to solve.

An Ebola virus particle from the 2014 outbreak.

To much of the world, the virus behind the devastating Ebola outbreak in Africa seems to have stormed out of nowhere. But Leslie Lobel thinks we should have seen it coming.

In 2012, Lobel and a team of researchers spent six months in Uganda studying the Ebola virus and related viruses. Over the course of their stay, these pathogens caused at least four separate outbreaks of disease in central Africa, affecting more than 100 people. To Lobel, a virologist at Ben-Gurion University of the Negev in Beer-Sheva, Israel, the outbreaks felt like the small tremors that can precede a major earthquake. “We all said, something is going on here; something big is going to happen,” he says.

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Genes Influence How Mice React to Ebola, Study Says In ‘Significant Advance’

NEW YORK TIMES                        Oct. 30, 2014

By Gina Kolata

Some people exposed to the Ebola virus quickly sicken and die. Others become gravely ill but recover, while still others only react mildly or are thought to be resistant to the virus. Now researchers working with mice have found that these laboratory animals, too, can have a range of responses to Ebola, and that in mice, the responses are determined by differences in genes.

Researchers at the University of Washington have been studying the Ebola virus in mice, and have found that the effects of the virus may be determined by genes.Video and photo by University of Washington.

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Most Ebola Patients in the U.S. Survive. Half in Africa Die. Why Are We Letting This Happen?

THE NEW REPUBLIC                                                                      Oct. 29, 2014
ByJonathan Cohen
.... “An Ebola diagnosis need not be a death sentence,” Paul Farmer, an infectious disease specialist at Harvard, wrote in an influential essay for the London Review of Books. “If patients are promptly diagnosed and receive aggressive supportive care—including fluid resuscitation, electrolyte replacement and blood products—the great majority, as many as 90 percent should survive.”

The survival rate in West Africa has been a lot lower than 90 percent...

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Clinical Illness and Outcomes in Patients with Ebola in Sierra Leone

NEW ENGLAND JOURNAL OF MEDICINE

A study and analayisis of patients in Siere Leone suspected of Ebola infections, tested between May 25 and June 18, 2014
Read full report

http://www.nejm.org/doi/full/10.1056/NEJMoa1411680#t=articleTop

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Ebola outbreak: UK aid ship docks in Sierra Leone

The Argus arrives with supplies and medical personnel to assist Serra Leone

 BBC                                                              Oct. 30, 2010

By AndrewHarding

FREETOWN, Sierra Leone--  A British Navy support ship ship has arrived in Sierra Leone to help deal with the deadly Ebola outbreak in the West African country.

Royal Fleet Auxiliary Argus is carrying food, medical equipment, three helicipeters and 32 pick-up trucks, to help keep hard-pressed Ebola treatment centres going.

Doctors, nurses and military personnel are also on board.

The BBC's Africa correspondent Andrew Harding said it would act as an offshore base for the aid effort. and described it as an "important moment".

Read complete story

http://www.bbc.com/news/uk-29836657

 
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Dozens Of Volunteers Have Come Back Safe From Ebola Hot Zone

NBC NEWS                                   Oct. 30, 2014
By Maggie Fox and Stacey Naggiar

Close to 50 volunteers have come back safe and well from the Ebola hot zone in West Africa, aid agencies tell NBC News, even as states debate whether to force such workers into quarantine.

                                                                                    Denmark / U.S. CBP via Reuters file

A look at the numbers from groups such as Doctors Without Borders and the International Medical Corps shows just about 150 people have gone to help fight the epidemic in Liberia, Sierra Leone and Guinea. Of them, 47 have returned symptom-free.

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Lack of federal authority makes fashioning coherent national Ebola policy difficult

Discussion of conflicting quarantine guidelines

HOMELAND SECURITY NEWSWIRE                     Oct. 30, 1014
Earlier this week, the Centers for Disease Control and Prevention(CDC) issued new guidelines on how states should deal with travelers from Ebola-stricken regions, but a lack of federal authority to mandate such guidelines has led to conflicting strategies, varying from state to state, which includes mandatory at-home quarantine for some travelers. Under current U.S. law, the states have the authority to issue quarantine or isolation policies, and they also control the enforcement of these policies within their territories.

Read complete article
http://www.homelandsecuritynewswire.com/dr20141030-lack-of-federal-authority-makes-fashioning-coherent-national-ebola-policy-difficult

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Home> Health Ebola: Danger in Sierra Leone, Progress in Liberia

UPDATE WITH TEXT OF LATEST WHO REPORT

http://apps.who.int/iris/bitstream/10665/137376/1/roadmapsitrep_29Oct2014_eng.pdf

 

ASSOCIATED PRESS                                                                      Oct. 30, 2014
By CLARENCE ROY-MACAULAY and JONATHAN PAYE-LAYLEH

FREETOWN, Sierra Leone --Liberia is making some progress in containing the Ebola outbreak while Sierra Leone is "in a crisis situation which is going to get worse," the top anti-Ebola officials in the two countries said.

The people of both countries must redouble efforts to stop the disease, which has infected more than 13,000 people and killed nearly 5,000, the officials said. Their assessments underscore that Ebola remains a constant threat until the outbreak is wiped out. It can appear to be on the wane, only to re-emerge in the same place or balloon elsewhere if people don't avoid touching Ebola patients or the bodies of those who succumb to the disease.

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