ASSOCIATED PRESS                                                                                                        Dec. 2, 2014 

BETHESDA, Maryland  — Declaring the "fight is nowhere close to being over," President Barack Obama on Tuesday heralded strides in the effort to confront Ebola in West Africa and in protecting the U.S. against the spread of the deadly virus. He said squelching the disease remains an urgent priority even if the American public's attention has shifted elsewhere.

"We cannot let down our guard, even for minute," Obama said. "We can't just fight this epidemic, we have to extinguish it."

Obama spoke after touring the National Institutes of Health in Washington's Maryland suburbs where he witnessed advances in Ebola-fighting research. He highlighted the NIH's progress in developing an Ebola vaccine, calling the initial results "exciting" while cautioning that there are "no guarantees" about the vaccine's ultimate success.

NIH researchers last week reported that the first safety study of a vaccine candidate found no serious side effects, and that it triggered signs of immune protection in 20 volunteers. U.S. health officials are planning much larger studies in West Africa to try to determine if the shots really work...

IRIN                                                              Dec. 1, 2014

DAKAR--It is next to impossible to avoid physical contact in an overcrowded prison. In Sierra Leone, heavily congested jails and a worsening Ebola outbreak make a potentially lethal combination. So how do you keep inmates safe?

                          Decongesting prisons in Sierra Leone to lower Ebola threat.Photo: Hannah McNeish/IRIN

Some of the safeguards against the virus are: A 21-day quarantine for fresh detainees before joining the old timers; training prison health workers and inmate leaders on Ebola prevention; and providing health and safety education and equipment.

Such measures, and others, have so far helped keep the virus out of Sierra Leone’s 17 prisons and three juvenile offenders’ homes, said Mambu Feika, head of NGO Prison Watch Sierra Leone (PWSL), which is spearheading a three-month programme to prevent Ebola transmission in prisons.

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WASHINGTON POST-- By Lena H. Sun                                                                                         Dec. 2, 2014

WASHINGTON --U.S. officials have designated 35 hospitals around the country to care for Ebola patients, part of the Obama administration’s effort in the past two months to improve domestic preparedness to cope with the deadly virus that has ravaged West Africa.

A nurse walks down a hallway alongside a patient care room in a new custom-built bio-containment unit for potential Ebola cases at Mount Sinai Hospital, in New York. (John Minchillo/AP)

 The hospitals were chosen by state health officials and hospital executives and assessed by infection control teams from the Centers for Disease Control and Prevention to make sure they have adequate staff, equipment, training and resources “to provide the extensive treatment necessary to care for an Ebola patient,” according to a senior administration official.

World Bank Meanwhile lowers growth forecasts.

(See link below to World Bank Report)

ASSOCIATED PRESS                                                                                               Dec. 2, 2014
By JONATHAN PAYE-LAYLEH and SARAH DiLORENZO

MONROVIA, Liberia (AP) — The international response to Ebola is still too slow and piecemeal, Doctors Without Borders warned Tuesday, as officials said the disease is crippling the economies of the three West African countries hardest hit....

"Foreign governments have focused primarily on financing or building Ebola case management structures, leaving staffing them up to national authorities, local health care staff and NGOs (non-government organizations) which do not have the expertise required to do so," said the group, which is a primary provider of treatment in the outbreak, said in a statement Tuesday.

It reiterated its call for countries with biological-disaster response teams to deploy them.

CNN    BY Laura Smith-Spark                                                                                                   Dec. 2, 2014
Spain is officially clear of Ebola, the World Health Organization declared Tuesday, after no new cases were reported since a nurse's assistant who contracted the virus there tested negative for it.

Spanish nurse Teresa Romero after being discharged from hospital on November 5, 2014 in Madrid, Spain

Since then, 42 days have passed -- double the maximum known incubation period for the virus -- without another case, allowing Spain to be declared free of Ebola.

Spanish authorities had been monitoring 87 people who came into contact with healthcare worker Teresa Romero Ramos, 15 of whom were considered high-risk and were quarantined at a Madrid hospital, WHO said.

Another 145 hospital employees who helped care for Romero during her month-long stay at the Carlos III Hospital were also monitored.

NEW YORK TIMES  By Sheri Fink and  Somini Sengupta                                                       Dec. 2, 1014

GENEVA — The World Health Organization expressed doubt on Monday about achieving important United Nations benchmarks in battling Ebola, saying the year-end goals of isolating and treating all patients and safely burying all the dead would be major challenges.

REUTERS  -- By Roberta Rampton                                                                      Dec. 2, 2014

WASHINGTON --President Barack Obama on Tuesday will press Congress to approve $6.18 billion in emergency funding to help fight the Ebola outbreak in West Africa and prepare U.S. hospitals to handle future cases.

Most of the request is aimed at the immediate response to the disease at home and abroad. But the package also includes $1.5 billion in contingency funds - money that could become a target if lawmakers decide to trim the bill.

"That is the part of the package that is most at risk," said Sam Worthington, president of InterAction, an alliance of U.S. non-governmental aid groups.

Read complete story.

WHO targets on isolating patients and medical burials missed as NGO warns virus has reduced country to ‘a nation of mere beggars’

THE GUARDIAN   By  Lisa O'Carroll                                                                                           Dec. 1, 2014

FREETOWN --SIERRA Leone-- 
Ebola continues to surge in Sierra Leone, with the number of cases quintupling in Freetown alone in the past two months, according to new figures.

A health worker gives a drink to a young patient at the Kenema treatment centre, Sierra Leone. Photograph: Francisco Leong/AFP/Getty Images

BBC    By   Mark Doyle                                                                                                        Dec. 1, 2014

Tony Banbury declined to say if targets he had set in the fight against Ebola, to be achieved by Monday, had been met.

The targets were for the proportion of people being treated and for the safe burial of highly infectious bodies.

In October, Mr Banbury told the UN Security Council that by 1 December, "70% of all those infected by the disease must be under treatment and 70% of the victims safely buried if the outbreak is to be successfully arrested".

Mr Banbury said the 70% targets were being met in "the vast majority" of areas in the three worst-affected countries - Guinea, Sierra Leone and Liberia.

"But in some areas", he said, "including here in Sierra Leone - especially in the capital Freetown and in the town of Port Loko - we are falling short. And it is in those areas where we really need to focus our assets and our capabilities".

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nejm.org

A collection of articles and other resources on the Ebola outbreak, including clinical reports, management guidelines, and commentary.

CLICK HERE - NEJM Ebola Outbreak page, where all content is FREE

https://www.facebook.com/TheNewEnglandJournalofMedicine/posts/10152498380218462

NEW YORK TIMES -- BY Adam Nossiter                                                                    Dec. 1, 2014                          
Description of the way that President Alpha Conde, after intially minmizing the Ebola threat, "is mustering a late-career tenacity to confront the deadly epidemic that still infects hundreds in this battered West African nation."

                            “While shaving I think of Ebola, while eating I think of Ebola,” said President Alpha Condé of Guinea. The response of nearby nations helped galvanize Mr. Condé. Credit Samuel Aranda for The New York Times

Read complete story:

http://www.nytimes.com/2014/12/01/world/africa/ebola-now-preoccupies-once-skeptical-leader-in-guinea.html?hp&action=click&pgtype=Homepage&module=second-column-region&region=top-news&WT.nav=top-news&_r=0

Image:  A hydraulic fracturing well in Colorado. With the technology, America is expected to surpass Saudi Arabia in oil production. Credit Brennan Linsley/Associated Press

nytimes.com - November 28th, 2014 - Clifford Krauss

Since the economically crippling oil embargo of 1973, every American president has pledged to seek and achieve energy independence.

That elusive goal may finally have arrived, at least for the foreseeable future, with the failure of Saudi Arabia and its 11 oil cartel partners in the Organization of the Petroleum Exporting Countries to agree to a production cut that would put a brake on plummeting crude prices.

On Friday, the benchmark American price for crude oil continued the free fall that began on Thursday, closing at $66.15, its lowest price in more than four years.

DESIGN & TREND  by Randall Mayes                                                                             Nov. 29, 2014

Over the last decade, we have witnessed the emergence of Superbugs, various strains of bird flu and now Ebola, which do not have geographical borders.

Consequently, there is a pressing need for international cooperation to control these pandemics.

In a new study, researchers have identified obstacles that are currently preventing the world from sharing health data, reports Science Daily.

While performing a literature search for the study, an international group of researchers discovered over 1,400 scientific articles related to sharing public health data. From those articles, they found two broad categories that need to be addressed.

Read comlete story
http://www.designntrend.com/articles/28008/20141129/urgent-need-improved-infrastructure-share-health-data.htm

Link to article  in Science Daily
http://www.sciencedaily.com/releases/2014/11/141125102102.htm

29 Nov 2014 - BBC

The number of people killed by the Ebola outbreak in West Africa has risen to 6,928, the World Health Organisation (WHO) says.

The toll has increased by over 1,000 since the WHO's last report on Wednesday, but it includes unreported deaths from earlier in the outbreak.

Experts say the infection rate is more significant that the death toll, as it reflects how the virus is spreading. Infection rates are decreasing in Liberia, but are high in Sierra Leone.

There have been over 16,000 reported cases in Guinea, Sierra and Liberia.

Latest Ebola death tolls

Liberia: 7,244 cases, 4,181 deaths

Sierra Leone: 6,802 cases, 1,463 deaths

Guinea: 2,123 cases, 1,284 deaths

http://www.bbc.com/news/health-30260532

WASHINGTON POST  By      Lena H. Sun and Brady Dennis                                              Nov. 29, 2014

U.S. officials trying to set up a network of hospitals in this country to care for Ebola patients are running into reluctance from facilities worried about steep costs, unwanted attention and the possibility of scaring away other patients.

“They’re saying, ‘Look, we might be willing to do this, but we don’t want to be called an Ebola hospital. We don’t want people to be cancelling appointments left and right,’ ” said Michael Bell, director of laboratory safety at the Centers for Disease Control and Prevention...

The reticence, although perhaps not surprising, complicates government efforts to ensure that the country can effectively treat people with Ebola and contain possible outbreaks. Just a few facilities in the United States have special biocontainment units, which are ideal for treating Ebola, and they can handle only two or three patients at a time