Situation Report

REUTERS                                                                                               Nov. 12, 2014

By Stephanie Nebehay

GENEVA --The death toll from the Ebola outbreak in West Africa's three hardest-hit countries, Guinea, Liberia and Sierra Leone, has risen to 5,147 out of 14,068 cases at the end of Nov. 9, the World Health Organization (WHO) said on Wednesday.

A further 13 deaths and 30 cases have been recorded in five other countries - Nigeria, Senegal, Mali, Spain and the United States, the U.N. agency said.

"There is some evidence that case incidence is no longer increasing nationally in Guinea and Liberia, but steep increases persist in Sierra Leone," the WHO said in a statement. "Cases and deaths continue to be under-reported in this outbreak."

Some 421 new infections were reported in Sierra Leone in the week to Nov. 9, especially in the west and north, it said.

Ebola is still spreading intensely in Sierra Leone's capital of Freetown, with Koinadugu and Kambia northern regions now "emerging areas of concern", it added.

UPDATE:   Mali quarantines dozens after Ebola kills second victim

REUTERS                                                                              Nov. 12, 2014

By Joe Penney

BAMAKO --Authorities in Mali quarantined dozens of people on Wednesday at the home of a 25-year-old nurse who died from Ebola in the capital, Bamako, and at the clinic where he treated an imam from Guinea who died with Ebola-like symptoms.

Secretary-general of Mali's Health Ministry Ousmane Doumbia (2nd L) speaks to journalists at a news conference in Bamako November 12, 2014. Credit: Reuters/Joe Penney

The imam from the border town of Kouremale was never tested for the disease and his body was washed in Mali and returned to Guinea for burial without precautions against the virus.

Two aid workers said that another person who lived in the house where the imam stayed in Bamako had died this week and was buried without being tested.

CBS NEWS                                                                                             Nov. 11, 2014

By Jonathan  Berr

About 20,000 nurses walked off the job today in California as part of a two-day series of events across the country organized by National Nurses United. The country's largest such union is aiming to draw attention to what it sees as inadequate preparation at most hospitals to treat Ebola cases.

"Nurses, who have been willing to stand by the patients whether it's the flu, whether it's Ebola, whether it's cancer, are now being asked to put themselves in harm's way unprotected, unguarded," said NNU Executive Director Rose Ann DeMoro, in a statement.

The NNU has targeted Kaiser Permanente, the biggest nonprofit health insurer in the U.S., over what it claims is an "erosion in patient care." The strike affected 86 Kaiser Permanente hospitals and clinics along with two other California hospitals. Another 400 registered nurses in Providence Hospital in Washington, D.C., are set to walk off the job tomorrow.

The organization is demanding that nurses and other care givers who interact with Ebola patients be given full-body hazmat suits that leaves no skin exposed or unprotected, along with air-purifying respirators that meet stringent standards of the National Institute for Occupational Safety & Health.

FORBES MAGAZINE                              NOV. 11, 2014
By Tevi Troy, President, American Health Policy Institute

Ebola has killed over 5,000 people, roiled U.S. hospitals, and shaken the faith of Americans in the government’s ability to respond. At the same time, and below the radar, U.S. companies are responding to Ebola with a variety of steps to protect themselves, their employees, and their operations.

The most important element of communicating the threat of the Ebola outbreak for both the government and corporate leaders is to provide factual information while also preventing panic and fear. There have been 5,000 false alarm cases of Ebola as people flock to U.S. emergency rooms out of fear that their common cold or seasonal flu symptoms are early manifestations of the Ebola virus. This hysteria not only has potential mental and physical health implications, but also economic implications. Fear may incentivize some people to change their behavior, whether through cancelling flights and vacation plans or visiting the doctor and stocking up on medications. Furthermore, treating suspected Ebola patients, even if they don’t pan out, is expensive and labor intensive for hospitals.