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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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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.

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

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How Ebola quarantines actually work, explained

A young man, dressed in a biohazard costume, stands on the corner of 546 West 147th Street in New York City. Bryan Thomas/Getty Images

VOX                                                                       Oct. 29, 2014
By Julia Bellez
As Ebola fears wash over America, some state governors are turning to mandatory quarantines: locking up healthy workers returning from West Africa for 21 days, Ebola's incubation period. The policy in New Jersey made national headlines after it resulted in a nurse who had no Ebola symptoms — and had been fighting the disease in West Africa, no less — being isolated in a poorly heated tent with no running shower or toilet.

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Sierra Leone Leader: Change Behavior to End Ebola

ASSOCIATED PRESS                                      Oct. 29, 2014

By Clarence Roy-Macaulay

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Exclusive: New test for diagnosing Ebola goes unused

WABC NEWS                                          Oct. 28 2014
By Jim Hoffer

NEW YORK

Report says that when a 5-year-old boy who came back from Guinea was admitted to New York's Bellevue hospital  recently,  city officials stopped the use of a a one-hour testing device although it had received the FDA's emergency approval.

As a result, it took 10 hours from the time he spiked a fever till his parents, medical staff, and the public found out, he did NOT have Ebola.

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http://7online.com/health/new-test-for-diagnosing-ebola-goes-unused/369875/

Direct link - BioFire Defense
http://biofiredefense.com/

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Low HIV and Aids rates saw west Africa ‘miss out on health investment'

THE GUARDIAN                                                                                Oct. 28, 2014
By Sarah Boseley

West Africa, now in the throes of a calamitous Ebola epidemic, missed out on significant health investment over the past decade or more because it had low rates of HIV, a detailed survey of the changing health of Africa and Asia reveals.

The US ambassador to the UN, Samantha Power (centre), visits an ebola emergency response centre in Freetown, Sierra Leone. Healthcare in west Africa now has the world’s attention. Photograph: Reuters

A major project called Indepth, which has looked at the causes of death of more than 110,000 people in 13 countries shows that health improved generally in those given substantial international aid to try to turn around the HIV and Aids epidemic. But west Africa, with severe poverty and low healthcare standards but relatively little HIV, did not benefit.

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Obama Defends C.D.C.’s Ebola Rules as ‘Sensible, Based in Science’

WHITE HOUSE SUPPORTS CDC GUIDELINES FOR CIVILIANS, EXPLAINS DIFFERENT TREATMENT FOR U.S. TROOPS

NEW YORK TIMES                                                              Oct. 28, 2014
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WASHINGTON — President Obama on Tuesday said that new Ebola guidelines from the Centers for Disease Control and Prevention were “sensible, based in science” and would help keep Americans safe while not discouraging volunteers from traveling to West Africa to battle the disease at its source....

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Top UN Ebola Official: New Cases Poorly Tracked

ASSOCIATED PRESS                                                                     Oct. 28, 2014
By RODNEY MUHUMUZA

KAMPALA, Uganda--Athorities are having trouble figuring out how many more people are getting Ebola in Liberia and Sierra Leone and where the hot spots are in those countries, harming efforts to get control of the raging, deadly outbreak, the U.N.'s top Ebola official in West Africa said Tuesday.

"The challenge is good information, because information helps tell us where the disease is, how it's spreading and where we need to target our resources," Anthony Banbury told The Associated Press by phone from the Ghanaian capital of Accra, where the U.N. Mission for Ebola Emergency Response, or UNMEER, is based.

Health experts say the key to stopping Ebola is breaking the chain of transmission by tracing and isolating those who have had contact with Ebola patients or victims. Health care workers can't do that if they don't know where new cases are emerging.

"And unfortunately, we don't have good data from a lot of areas. We don't know exactly what is happening," said Banbury, the chief of UNMEER.

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Seeking Unity, U.S. Revises Ebola Monitoring Rules

UPDATE WITH DETAILS OF MARYLAND AND VIRGINIA MONITORING  (Scroll down)

ROUNDUP OF DEVELOPMENTS IN THE QUARANTINE  DISPUTE
NEW YORK TIMES                        Oct. 28, 2014

By , and

The federal government on Monday tried to take charge of an increasingly acrimonious national debate over how to treat people in contact with Ebola patients by announcing guidelines that stopped short of tough measures in New York and New Jersey and were carefully devised, officials said, not to harm the effort to recruit badly needed medical workers to West Africa.

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Quarantine debate turning into a chaotic brawl

THE WASHINGTON POST                    0ct, 27, 2014
By Joel Achenbach, Brady Dennis and Lena H. Sun

The Ebola quarantine controversy has become a chaotic brawl involving politics, science and the law. The rules on quarantining health-care workers returning from West Africa are changing almost daily and varying according to geography and political climate.

The Pentagon announced Monday that Army personnel returning to their home base in Italy from Liberia will be held in quarantine for 21 days — even though none have symptoms of Ebola or were exposed to patients infected with the virus.

The military’s policy does not appear to track new guidelines announced Monday by the Centers for Disease Control and Prevention, which called for “high-risk” individuals and health-care workers without any symptoms to be directly monitored by state and local health authorities.

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