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Patient possibly exposed to Ebola due at Nebraska hospital for observation

REUTERS                                                         Jan. 4, 2014
A U.S. health care worker who was possibly exposed to the Ebola virus in Sierra Leone was expected to arrive for observation on Sunday at a Nebraska facility that has treated three Ebola cases, hospital officials said.

The patient, who was not identified, was expected to arrive at the Biocontainment Unit at the University of Nebraska Medical Center in Omaha via private air ambulance around 2 p.m. CST for observation and possible treatment, the center said in a statement.

The patient "has been exposed to the virus but is not ill and is not contagious," said Dr. Phil Smith, the unit's medical director, adding "we will be taking all appropriate precautions."

Read complete story.
http://news.yahoo.com/patient-possibly-exposed-ebola-due-nebraska-hospital-observation-055050194.html

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Ebola response shows flaws in US system

BOSTON GLOBE  by Felice J. Freyer                                                               Jan. 3, 2015        
The threat of Ebola over the last several months tested the nation’s ability to cope with an unfamiliar disease, raising troubling questions about what will happen when the next dangerous new germ arrives on US shores.

A worker sanitized the apartment where Ebola patient Thomas Duncan lived before being admitted to a Dallas hospital.

After Thomas Eric Duncan was misdiagnosed in a Dallas hospital and later infected two nurses with the deadly virus, government agencies and hospitals around the nation responded quickly to prevent another such incident. But it took that calamity in October to trigger measures that, critics say, a well-prepared system would have had in place....

The United States lacks a central authority and coordination among a constellation of federal, state, and local agencies, said Dr. Irwin Redlener, director of Columbia University’s National Center for Disaster Preparedness. In the United Kingdom and Canada, he said, national health systems permit the federal government to designate Ebola hospitals and to set clear, mandatory protocols.

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TDR - Supplement on Integrated Community Case Management in Africa

      

who.int - November 26, 2014

The Journal of Global Health has published a special supplement highlighting the latest evidence on integrated community case management (iCCM) for childhood illnesses. It lists implementation approaches that have and have not worked in various settings, along with recommendations for future programming, given the current context of innovation and funding opportunities.

Entitled “Current scientific evidence and future directions for Integrated Community Case Management in Africa,” the in-depth supplement synthesizes the latest available evidence around eight thematic areas of iCCM programming:

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Understanding the Oil Price Drop

             

Columbia | SIPA Center on Global Energy Policy

As oil prices continued to fall in December, the Center on Global Energy Policy responded quickly to inform the discussion of how the price drop is impacting consumers, producers and geopolitical relationships through a series of publications, media interviews and a public event.

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Story Behind the Story: How Times Reporters Unraveled the Ebola Epidemic

NEW YORK TIMES                                               Jan. 2, 2015

Celia W. Dugger, deputy science editor for health, has helped to coordinate the Times’s coverage of Ebola. She edited a feature published Tuesday on the origin of this year’s Ebola outbreak, and shares how the story came together after months of reporting.

As the Ebola epidemic gained velocity this fall, spreading fear and death across one of the world’s poorest regions, I kept coming back to the same questions: How did this one get away? How did the experts — and the media, including editors like me, for that matter — miss the signs in the spring that this time would be catastrophically different from the nearly two dozen prior outbreaks? Why did the most seasoned Ebola hands — men and women who had repeatedly risked their lives battling this lethal foe — let their guard down and scale back in May just when the virus might have been throttled?

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What killed the Maya? 'Blue Hole' offers clues

Sediment analysis of Belize's Blue Hole indicates that a first-millennium drought may have led to Mayan decline.

Image: Sediment analysis of Belize's Blue Hole indicates that a first-millennium drought may have led to Mayan decline.

edition.cnn.com - January 2nd 2015 - Todd Leopold

To scuba divers and tourists, Belize's famous "Blue Hole" underwater cave is a wonder, one of the "10 most amazing places on Earth," according to the Discovery Channel.

To scientists, it's something more: evidence of the drought that is suspected to have led to the demise of the Mayan civilization.

New research reinforces that theory, Rice University Earth scientist Andre Droxler told LiveScience.

(VIEW COMPLETE ARTICLE)

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IFRC: Fear Hampering Ebola Fight

THE VOICE OF AMERICA  by Joe DeCapua                                       Jan. 2, 2014

...The Red Cross’ Katherine Mueller gives an assessment of the Ebola epidemic in Guinea, Liberia and Sierra Leone.

“The Ebola outbreak is not under control yet. We do see some leveling off of cases for Liberia, for example. However, we’ve seen it before that somebody attends a funeral. They come back. They’re infected. They infect their village and cases spike. So it really doesn’t take much to have another increase in cases,” she said.

Mueller is the IFRC’s Africa communications manager. She worries that people may become complacent after hearing that the number of new cases has slowed in some places...

Part of the organization’s efforts include going to remote areas in the three hardest hit countries.

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Where Could Ebola Strike Next? Scientists Hunt Virus In Asia January 02, 2015

NATIONAL PUBLIC RADIO  by Michaeleen Doucleff              Jan. 2, 2015

...Scientists think bats likely triggered the entire Ebola epidemic in West Africa....

So now the big question is: Where else in the world is Ebola hiding out in bats? Where could the next big outbreak occur?

Ecologists found signs of Ebola in a Rousettus leschenaultii fruit bat. These bats are widespread across south Asia, from India to China. Kevin Olival/EcoHealth Alliance

.. ecologist Kevin Olival at EcoHealth Alliance in New York City... hunts down another virus in bats, called Nipah. In humans, it causes inflammation in the brain and comas....

Nipah has outbreaks every few years in Bangladesh. So Olival went there back in 2010 and captured a bunch of bats. Many had signs of Nipah in their blood. Others had something surprising: "There's antibodies to something related to Ebola Zaire."

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Ebola in Graphs: The toll


THE ECONOMIST                                                                                                    Jan. 1, 2015
THE first reported case in the Ebola outbreak ravaging west Africa dates back to December 2013, in Guéckédou, a forested area of Guinea near the border with Liberia and Sierra Leone. Travellers took it across the border: by late March, Liberia had reported eight suspected cases and Sierra Leone six. By the end of June 759 people had been infected and 467 people had died from the disease, making this the worst ever Ebola outbreak. The numbers keep climbing. As of December 28th, 20,206 cases and 7,905 deaths had been reported worldwide, the vast majority of them in these same three countries. Many suspect these estimates are badly undercooked.
See complete set of graphs.
http://www.economist.com/blogs/graphicdetail/2015/01/ebola-graphics

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Ebola Doctors Are Divided on IV Therapy in Africa

NEW YORK TIMES  by Donald G. McNeil, Jr.                                                     Jan. 1, 2015

Medical experts seeking to stem the Ebola epidemic are sharply divided over whether most patients in West Africa should, or can, be given intravenous hydration, a therapy that is standard in developed countries. Some argue that more aggressive treatment with IV fluids is medically possible and a moral obligation. But others counsel caution, saying that pushing too hard would put overworked doctors and nurses in danger and that the treatment, if given carelessly, could even kill patients.

A nurse gave an Ebola patient intravenous fluids at the Red Cross treatment center in Kenema, Sierra Leone, in November. Credit Francisco Leong/Agence France-Presse — Getty Images

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