CDC’s Disease Detectives Respond to the 2014 Ebola Outbreak

Ute, a CDC laboratory specialist, works on viruses like Ebola.

cdc.gov - August 18, 2014

The Most Important Test in West Africa

When a person in West Africa suddenly has a fever, how do you know whether it’s Ebola or something else?  When an Ebola patient gets better, how do you know when that person is no longer infectious to others?

To get answers to both questions, you need a laboratory equipped with state of the art equipment. To get those urgently needed answers quickly, that lab ideally would be located close to an Ebola treatment center.

It sounds difficult to build such a safe, sophisticated lab in a major city – and seems nearly impossible in the remote parts of Africa where Ebola outbreaks occur – but CDC has done it for other outbreaks and is doing it now in West Africa.  CDC mobile labs equipped with real-time polymerase chain reaction (RT-PCR) equipment already are being set up next to West African Ebola treatment centers.

And Ute, a CDC expert, heads up the teams going with them.  When she’s not traveling to remote regions of the world, she’s at CDC headquarters in Atlanta working to speed diagnosis of the world’s worst viruses.

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Nigeria trains 800 volunteers to fight Ebola

Ebola was first reported to reach Nigeria after an infected Liberian man arrived in the country's airport [AP]aljazeera.com - 16 Aug 2014 18:20

Move follows appeal to make up for shortage of medical personnel due to doctors' strike over pay.

Nigeria has said it has trained 800 volunteers to battle Ebola as fears rose that the worst-ever outbreak of the deadly disease could spread across Africa's most populous nation.  Authorities in the capital Lagos last week appealed for volunteers to make up for a shortage of medical personnel because of a six-week nationwide doctors' strike over pay.

http://www.aljazeera.com/news/africa/2014/08/nigeria-trains-800-volunteers-fight-ebola-2014816164320740296.html

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Suffering and song in Sierra Leone's Ebola 'hot zone'

(Carl De Souza, AFP)08/16/2014 14:47 GMT - by Frankie TAGGART

KAILAHUN, August 16, 2014 (AFP) - Virologists call it the "hot zone" -- nature's version of a nuclear ground zero, the centre of an onslaught by one of the most deadly biological agents ever known to humankind.

Kailahun, a poor but resourceful trading post like any other in Sierra Leone until a few short months ago, has found itself at the epicentre of the worst-ever outbreak of the feared Ebola virus.

No one gets in and no one leaves the eastern districts of Kailahun and neighbouring Kenema without special government dispensation, as part of an emergency quarantine.

"You cannot mess about here: this virus will kill you. One mistake, one wrong move, and you're dead -- that's it," a senior aid worker in Kailahun tells AFP.

The death toll from an Ebola outbreak that began at the start of the year stands at 1,145 in four afflicted west African countries: Guinea, Sierra Leone, Liberia and Nigeria.

Kailahun, the traditional home of around 30,000 mainly Mende tribespeople, and Kenema account for the lion's share of Sierra Leone's 810 cases and 384 deaths.

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Ebola fears rise in Liberia after hospital looted

By Jonathan Paye-Layleh, Associated Press AUGUST 17, 2014

Liberian officials fear Ebola could soon spread through the capital's largest slum after residents raided a quarantine center for suspected patients and took items including bloody sheets and mattresses.

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With Aid Doctors Gone, Ebola Fight Grows Harder

      

A Liberian health worker spoke with families in a classroom now used as an Ebola isolation ward on Friday in Monrovia, Liberia. People suspected of contracting the Ebola virus are being brought to the center, a closed primary school, while larger facilities are being built to house the surging number of patients. John Moore/Getty Images

nytimes.com - by Sheri Fink -August 16, 2014

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Conflicting Scenarios Exercise

I have been proposing that, rather than trying to foresee the future, we consider accepting and conducting further research on a much more fundamental, all-encompassing and long-term-resilient approach to our built environment.  I have been proposing that such an elemental approach should be structural adaptivity.  I believe that our world must and will give maximum adaptivity to the basic elements of our built environment to adjust to and meet our needs for the unpredictable, rapidly changing world over the next 50-100 years. 

 

 

In working on this, I conducted an Exercise.  I experimented with a number of different future conditions, or scenarios, that I think are quite possible.  The first two that drew my strongest concern were the conflicting scenarios of: (1) how planners might address our urban areas after global warming has abated – and the problem is continuous hot weather and more storms – as opposed to (2) how planners are now addressing the need to stop or slow down global warming.  I also experimented with additional scenarios that I do not think we are able to, presently, forecast accurately.  Most of them, however, I believe will surface eventually, in one way or another, and cause huge problems.

 

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CDC Fighting Ebola at Home and Abroad: Staff Deployed to W Africa, Enhanced Surveillance, Testing, and Guidance in US

cdc.gov - August 13, 2014

More than 50 CDC experts battling Ebola in Africa

Hundreds of public health professionals working 24/7 in support

The Centers for Disease Control and Prevention now has more than 50 disease detectives and other highly trained experts battling Ebola on the ground in West Africa – successfully deploying in less than two weeks the surge of help it promised within 30 days.

CDC’s Emergency Operations Center is also at its highest level of alert.  This means more than 350 CDC U.S. staff are working on logistics, communications, analytics, management, and other support functions to support the response 24/7.

“We are fulfilling our promise to the people of West Africa, Americans, and the world, that CDC would quickly ramp up its efforts to help bring the worst Ebola outbreak in history under control,” said CDC Director Tom Frieden, M.D., M.P.H.  “We know how to stop Ebola.  It won’t be easy or fast, but working together with our U.S. and international partners and country leadership, together we are doing it.”

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Resilience on the Fly: Christchurch’s SCIRT Offers a Model for Rebuilding After a Disaster

submitted by Samuel Bendett

homelandsecuritynewswire.com - by David Killick - August 15, 2014

You do not see it, but you certainly know when it is not there: infrastructure, the miles of underground pipes carrying drinking water, stormwater and wastewater, utilities such as gas and electricity, and fiber-optics and communications cables that spread likes veins and arteries under the streets of a city.

That calamity hit Christchurch, New Zealand, in a series of earthquakes that devastated the city in 2010 and 2011.

The organization created to manage Christchurch’s infrastructure rebuild – it is called SCIRT, for Stronger Christchurch Infrastructure Rebuild Team— has a vital role, and it has become something of a global model for how to put the guts of a city back together again quickly and efficiently after a disaster.

(READ COMPLETE ARTICLE)

SCIRT - http://strongerchristchurch.govt.nz/

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Melting Glaciers are Caused by Man-Made Global Warming, Study Shows

      

Scientists rule out natural causes for rapid melting

CLICK HERE - STUDY - Attribution of global glacier mass loss to anthropogenic and natural causes

independent.co.uk - by Steve Connor - August 14, 2014

The dramatic melting of the world’s mountain glaciers – from the Alps to the Himalayas – is mostly the result of man-made global warming rather than natural variability in the climate, a study has found. . .

. . . An assessment of about 200,000 glaciers in the world, some of which have been monitored since the mid 19th century, has found that about two thirds of the current rate of glacial melting is due to human influences on the climate.

Scientists found that while much of the melting a century or more ago was most probably due to natural variability in the climate, it is now primarily caused by anthropogenic global warming resulting from industrial greenhouse gases.

(READ COMPLETE ARTICLE)

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Ebola Virus: For Want of Gloves, Doctors Die

In a school building used to quarantine Ebola patients in Monrovia, Liberia, Umu Fambulle stands over her infected husband after he fell. Getty Images

By Drew Hinshaw - Aug. 16, 2014 2:43 a.m. ET

Health Workers Believe Ebola's Toll on Staff Could Be Mitigated With More Basic Hospital Supplies

SERGEANT KOLLIE TOWN, Liberia—Rubber gloves were nearly as scarce as doctors in this part of rural Liberia, so Melvin Korkor would swaddle his hands in plastic grocery bags to deliver babies.

His staff didn't bother even with those when a woman in her 30s stopped by complaining of a headache. Five nurses, a lab technician—then a local woman who was helping out—cared for her with their bare hands.

Within weeks, all of them died. The woman with a headache, they learned too late, had Ebola.

http://online.wsj.com/articles/ebola-doctors-with-no-rubber-gloves-1408142137

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WHO: Evidence Shows Ebola Crisis Vastly Underestimated

                                         

who.int - August 14, 2014

cnn.com by Faith Karimi - August 15, 2014

(CNN) -- The magnitude of the Ebola crisis in West Africa is "vastly" underestimated, the World Health Organization warned this week, as the death toll steadily climbed. . .

. . . "The outbreak is expected to continue for some time," the WHO said in a statement Thursday. "Staff at the outbreak sites see evidence that the numbers of reported cases and deaths vastly underestimate the magnitude of the outbreak."

(READ COMPLETE ARTICLE)

CLICK HERE - WHO Ebola news - Statement - August 14, 2014

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Mapping Ebola outbreak

More than 1,000 people have died, with Sierra Leona, Guinea and Liberia worst-affected and two deaths in Nigeria, Africa's most populous country.

The World Health Organization (WHO) has declared an International Public Health Emergency.

 

Ebola outbreak

Map: Ebola outbreak in West Africa

 

Researchers from the New England Journal of Medicine have traced the outbreak to a two-year-old girl, who died on 6 December 2013 in a small village in south-eastern Guinea.

 

Cumulative death toll

The WHO has published updates on the spread of the virus in each of the countries affected.

Graphic: Cumulative death toll for the 2014 outbreak

 

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MSF estimates 6 months to contain Ebola epidemic

It will take about six months to bring under control the Ebola epidemic, the head of Doctors Without Borders (Medecins Sans  Frontieres) said on Friday, saying the outbreak in West Africa felt like "wartime, is moving, advancing."

"Over the next six months we should get the upper hand on the epidemic, this is my gut feeling," said Joanne Liu, international president of Doctors Without Borders, adding more experts were needed on the ground. "We need people with a hands-on operational mindset," to combat the outbreak."

Liu said she had conveyed those messages to the WHO and "that I think the wake-up call was too late in calling it a public health emergency of international concern."

"I think we have a common understanding on it now," Liu said. "Now we have to find out how that is translated into concrete action in the field ... a statement will save lives only if followed up on the ground."

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They survived Ebola. Now they are shunned.

August 13

Melvin Korkor thought the hardest fight had already been won.

Weeks after contracting Ebola — most likely from a sick patient — Korkor, a Liberian doctor, was able to walk out of a treatment center in Lofa with a clean bill of health, according to Voice of America.

He was one of the lucky ones to survive the deadly disease.

But since leaving the hospital, Korkor has been fighting another difficult battle: Overcoming Ebola-survivor stigma — which, he told a Liberian radio station, "is worse than the fever."

http://www.washingtonpost.com/news/to-your-health/wp/2014/08/13/they-survived-ebola-now-they-are-shunned/

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U.S. Orders Departure of Eligible Family Members from Sierra Leone

Department of State SealPress Statement

Marie Harf
Deputy Department Spokesperson, Office of the Spokesperson
Washington, DC
August 14, 2014
 
At the recommendation of the U.S. Embassy in Sierra Leone, the State Department today ordered the departure from Freetown of all eligible family members (EFMs) not employed by post. The Embassy recommended this step out of an abundance of caution, following the determination by the Department’s Medical Office that there is a lack of options for routine health care services at major medical facilities due to the Ebola outbreak.

http://www.state.gov/r/pa/prs/ps/2014/230613.htm

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