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US Officials Unveil Plan to Test Ebola Drugs

NEW ORLEANS --The quest for an Ebola treatment is picking up speed. Federal officials have unveiled a plan to test multiple drugs at once, in an umbrella study with a single comparison group to give fast answers on what works.

"This is novel for us" and is an approach pioneered by cancer researchers, said Dr. Luciana Borio, head of the U.S. Food and Drug Administration's Ebola response. "We need to learn what helps and what hurts" and speed treatments to patients, she said.

She outlined the plan Wednesday at an American Society of Tropical Medicine and Hygiene conference in New Orleans....

Everyone in the umbrella study would get supportive care, such as intravenous fluids, then be assigned to receive one of several drugs or be in a comparison group. That's needed because without one, there's no way to know if any problems or deaths are from the drug or the disease, Cox said....

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EXCLUSIVE-Scientists tell US: find recipe for Ebola cure in survivors' blood

REUTERS                                                     Nov. 7, 2014
By Sharon Begley

NEW YORK - A group of scientists including three Nobel laureates in medicine has proposed that U.S. health officials chart a new path to developing Ebola drugs and vaccines by harnessing antibodies produced by survivors of the deadly outbreak.

The proposal builds on the use of "convalescent serum," or survivors' blood, which has been given to at least four U.S. Ebola patients who then recovered from the virus. It is based on an approach called passive immunization, which has been used since the 19th century to treat diseases such as diphtheria but has been largely surpassed by vaccination.

The scientists propose using new genetic and other technologies to find hundreds or thousands of different Ebola antibodies, determine their genetic recipe, grow them in commercial quantities and combine them into a single treatment analogous to the multi-drug cocktails that treat HIV-AIDS.

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http://www.trust.org/item/20141107142347-pfohr

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Experimental Ebola drugs should not be withheld, WHO says

World Health Organisation doubts feasibility of placebo-controlled trials in west Africa, but FDA favours ‘gold standard’

THE GUARDIAN                                                                                                           Nov. 6, 2014
By Sarah Bosley

Scientists involved in trials of experimental drug treatments for the Ebola epidemic in west Africa should not be compelled to withhold them from some patients, says the World Health Organisation, despite objections from the US that it is the only way to be sure they work.

Vials of the experimental VSE-EBOV vaccine for Ebola. Photograph: Mathilde Missioneiro/AP

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UT nasal spray vaccine for Ebola effective in monkeys

By Todd Ackerman                                                                           Nov. 5, 2014

... researchers at the University of Texas-Austin have developed a nasal spray vaccine that has protected monkeys against the deadly Ebola virus even a year after immunization.

The vaccine, a genetically engineered cold virus containing a tiny portion of Ebola DNA, saved 100 percent of monkeys who got a single spray through the nose in a new UT study. Injecting the vaccine only saved the lives of about 50 percent.

 
 
 Maria Croyle, a professor of pharmaceutics and the study's principal investigator, said an inhaled Ebola vaccine is more attractive because it would be cheaper and safer than needle-delivered vaccines.

"The main advantage is the long-lasting protection after a single inhaled dose," Maria Croyle, a  professor of pharmaceutics and the study's principal investigator, said in a statement. "This is important since the longevity of other vaccines for Ebola (hasn't been) fully evaluated....

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Treating Those Treating Ebola in Liberia

NEW YORK TIMES                                  Nov. 6, 2014
By Sheri FInk, MD
HARBEL, Liberia — As the number of people sickened with Ebolasoared this summer, American and Liberian officials faced a new challenge: How could they encourage international medical workers, understandably frightened about the risks, to come help fight the disease? The officials knew they would have to provide some assurances to the workers that they would be cared for if they fell ill.

Their answer, a dedicated Ebola field hospital for health workers, is scheduled to open soon outside Monrovia, the capital.

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How Guinea Found the Best Way to Survive Ebola

TIME MAGAZINE                                         Nov. 5, 2014

by Alice Park

As the world waits for new treatrments and a vaccine. doctors in Guinea have found the best way to help patients survive Ebola.

... from the tragic illness and mortality emerge some important lessons from the region.The latest, published in the New England Journal of Medicine, details the cases that first appeared in Guinea’s capital city of Conakry between March and April. Unlike in other parts of the region, where the mortality rate from Ebola averages around 60% to 70%, in Conakry it has remained around 43%.

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Obama Seeks $6.2 Billion for Ebola Fight

UPDATE: Senate Appropriations schedules hearings for Wednesday, Nov. 12.

Moving quickly, the Senate Appropriation Committee announced it wil take up the administration's proposals at a hearng next Wednesday with a full slate of government officials from the key agencies. The committee will remaiend chaired bya  Democat, Senator Barbara Mikulski of Maryland, until the end of this Congressional session. The Republican controlled House Appropriations Committee has not yet announced hearings.

See Senate statement.

http://www.appropriations.senate.gov/news/chairwoman-mikulski-statement-funding-request-white-house-fight-ebola-here-and-abroad, 

Text of White House letter to Congress

http://www.whitehouse.gov/the-press-office/2014/11/05/letter-president-emergency-appropriations-request-ebola-fiscal-year-2015

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THE ASSOCIATED PRESS                                     Nov. 5, 2014

By JIM KUHNHENN and ANDREW TAYLOR

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Researchers Seek Crucial Tool: A Fast, Finger-Prick Ebola Test

NEW YORK TIMES                                  Nov. 5, 2014
By

Searching for a new way to attack Ebola, companies and academic researchers are now racing to develop faster and easier tests for determining whether someone has the disease.

A researcher checks an Ebola diagnostic test in Marcoule, France.  Credit Jean-Paul Pelissier/Reuters

Such tests might require only a few drops of blood rather than a test tube of it, and provide the answer on the spot, without having to send the sample to a laboratory.

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Asia must do more to help global Ebola fight - World Bank

REUTERS                                            Nov. 4, 3014
ByJames Pearson

SEOUL, Korea --lAsian countries are not contributing enough to the global effort to fight Ebola, despite having a wealth of trained medical personnel who could help stop the spread of the deadly virus, World Bank Group president Jim Yong Kim said on Tuesday.

World Bank Group president Jim Yong Kim (L) listens to a reporter's question during a news conference in Seoul   November 4, 2014. Credit: Reuters/Kim Hong-Ji

"Many countries in Asia who could help simply are not, especially when it comes to sending health workers," Kim told a news conference in Seoul....

"We need thousands of health workers, and we're going to need them over the next six months to a year. The fight against Ebola is not over until we get to zero cases in those three countries," Kim said.

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http://uk.reuters.com/article/2014/11/04/uk-health-ebola-asia-idUKKBN0IO0BJ20141104

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Treating Ebola: The Bluetooth Method

Keeping hands-off without abandoning the patient.

NATIONAL GEOGRAPHIC                               Nov. 3, 2014
By Melissa Pandika

Description of the way that the University of Nebraska Medical Center, which has successfully treated two Ebola patients, uses blue tooth technology and the " no-touch approach."

Members of the Department of Defense's Ebola Military Medical Support Team dress with protective gear during training at San Antonio Military Medical Center in San Antonio. Photograph by Eric Gay, AP

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http://news.nationalgeographic.com/news/2014/11/141106-science-ebola-cure-medicine-health-africa-disease-technology/

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