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U.S. Hospitals Unprepared to Handle Ebola waste, Experts Say

      

As Emory was treating two US missionaries who were evacuated from West Africa in August, their waste hauler, Stericycle, initially refused to handle it. Photograph: Michael Duff/AP

REUTERS      September 24, 2014

CHICAGO (Reuters) - U.S. hospitals may be unprepared to safely dispose of the infectious waste generated by any Ebola virus disease patient to arrive unannounced in the country, potentially putting the wider community at risk, biosafety experts said.

Waste management companies are refusing to haul away the soiled sheets and virus-spattered protective gear associated with treating the disease, citing federal guidelines that require Ebola-related waste to be handled in special packaging by people with hazardous materials training, infectious disease and biosafety experts told Reuters.

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Dr. Gavin Macgregor-Skinner, an expert on public health preparedness at Pennsylvania State University, said there's "no way in the world" that U.S. hospitals are ready to treat patients with highly infectious diseases like Ebola.

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CDC RELEASES ESTIMATES OF EBOLA CASES, COULD REACH 1.4 MILLION

 

New York Times

CDC  releases report on worst and best case estimates for Ebola cases. 

Estimates cover Liberia and Sierra Leone, based on computer modeling. Guinea not included because data  "cannot be reliably modeled."

Best case-model, which assures the dead are buried safely and 70 per cent of the patients are treated in settings that reduce the risk of transmission, suggest the epidemic could almost be ended by Jan. 20.

http://www.nytimes.com/2014/09/24/health/ebola-cases-could-reach-14-million-in-4-months-cdc-estimates.html?emc=edit_na_20140923&nlid=12644555&_r=0

 

LINK TO THE CDC REPORT TEXT

http://apps.washingtonpost.com/g/page/national/ebola-cases-could-skyrocket-by-2015-says-cdc/1337/

CDC RELEASES ESTIMATES OF EBOLA CASES, COULD REACH 1.4 MILLION
http://www.cdc.gov/mmwr/preview/mmwrhtml/su6303a1.htm?s_cid=su6303a1_w

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London Group Plans to Start First Clinical Tests of Ebola Drugs in West Africa

Washington Post

by Abby Ohlheiser September 23 at 11:45 AM

London based scientists, working with international aid groups, are planning to start the first clinical trials in West Africa for drugs to treat Eboa. The trials could begin in a matter of months.

Wellcome Trust's $5 million initiative will include drugs from Mapp Biopharmaceutical, Sarepta and Tekmira, according to Reuters. Mapp makes zMapp, the experimental cocktail administered to two Americans who contracted the disease in Liberia. Tekmira recently gained the approval of the U.S. Food and Drug Administration to use its TKM-Ebola treatment on confirmed or suspected cases of the disease.

Both drugs are still in the experimental phase; researchers have not yet determined the safety or effectiveness of the treatments.

Text of full story:

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EBOLA MAY BECOME ENDEMIC TO WEST AFRICA WITH 71 PER CENT INFECTION RATE--WHO STUDY

LOS ANGLES TIMES     September 22, 10:25 PM

by Monte Morin

In a grim assessment of the Ebola epidemic, researchers say the deadly virus threatens to become endemic to West Africa instead of eventually disappearing from humans.

"The current epidemiologic outlook is bleak," wrote a panel of more than 60 World Health Organization experts in a study published Tuesday by the New England Journal of Medicine.

"We must therefore face the possibility that Ebola virus disease will become endemic among the human population of West Africa, a prospect that has never previously been contemplated."

In the absence of new control measures, the authors estimated that the total case load would exceed 20,000 by Nov 2.

Link to full story

http://www.latimes.com/science/sciencenow/la-sci-sn-ebola-may-be-endemic-in-people-20140922-story.html

Link to New England Journal of Medicine study

http://www.nejm.org/doi/full/10.1056/NEJMoa1411100?query=featured_ebola

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Ban Ki-moon: 'World living in an era of unprecedented level of crises'

United Nations secretary general Ban Ki-moon with actor Leonardo DiCaprio during his designation ceremony as the UN Messenger of Peace. Photograph: EPA

United Nations secretary general Ban Ki-moon with actor Leonardo DiCaprio during his designation ceremony as the UN Messenger of Peace. Photograph: EPA

Julian Borger - New York The Guardian
21 Sep 2014 16.55 BST

More than 140 heads of state and government fly in to New York this week for the United Nations general assembly amid apprehension that international order is unraveling at an accelerating pace, while the world's leaders seem ever less willing or able to deal with the proliferating threats.

The UN's humanitarian agencies are in danger of being completely overwhelmed by the multiple crises. Ebola is spreading rapidly across West Africa, swamping rickety national health systems and a thus-far underfunded UN effort to stop its advance. The spread of Islamic State (Isis) extremists in the Middle East, feeding on the destruction of the Syrian civil war and exposing the weakness of the Iraqi state, has similarly outpaced patchy international efforts at containment.

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Global Rise Reported in 2013 Greenhouse Gas Emissions

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Some Examples of Structural Adaptivity - Part III

 

Here are 4 more examples of structural adaptivity for resilience.  As with the other examples presented previously, they only are intended to illustrate the concept of structural adaptivity for resilience.  They are intended to focus on the structure or structural elements of cities and/or regions.  Moreover, they are intended to demonstrate how such structural elements can be located, organized, or otherwise developed to have capacity to adapt to the continuing needs of the citizens - as the unknown and rapidly changing future unfolds.

 

Polycentric Urban Development.  Urban development need no longer be monocentric (having only one center).  In fact, such a pattern is not adaptive to meet the future.

 

Central business districts have traditionally been the home of government, financial institutions, offices, civic plazas and the like, as well as many commercial retail and services.  They have also often contained many churches, health care facilities, educational institutions, libraries, museums, convention centers, theatres, etc.

 

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Upcoming CDC estimate reportedly predicts up to 500,000 Ebola victims - Leaked

Washington Post, September 20
 

The Ebola epidemic sweeping West Africa could infect up to 500,000 people by the end of January, according to a new estimate under development by the Centers for Disease Control and Prevention.

The report is scheduled to be released next week, but work on it is still ongoing and projections could change, said a person who is familiar with its contents but was not authorized to speak because the report is not yet public.

Obama: U.S. military to provide equipment, resources to battle Ebola epidemic in Africa

- Sep 7 - The Washington Post

President Obama said Sunday that the U.S. military will begin aiding what has been a chaotic and ineffective response to the Ebola epidemic in West Africa, arguing that it represents a serious national security concern.

The move significantly ramps up the U.S. response and comes as the already strained military is likely to be called upon further to address militant threats in the Middle East. The decision to involve the military in providing equipment and other assistance for international health workers in Africa comes after mounting calls from some unlikely groups — most prominently the international medical organization Doctors Without Borders — demonstrating to the White House the urgency of the issue.

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Why is Obama sending military to attack the Ebola virus?

by Joe RaedleBy Julia Belluz - Sep 18, 2014 - vox.com

Tuesday's announcement by President Barack Obama — that the US would be sending in an army of 3,000 to fight Ebola — came as a relief to the many wondering when the international community would wake up to the daily horror show playing out in West Africa.But the tactics also raised some questions: why was Obama sending soldiers to fight off a virus? And why has he been characterizing this disease spread as a "security threat" and "security priority"?

Why Obama is describing Ebola as a "security threat"

Obama has repeatedly referred to the threat of Ebola in security terms, arguing the virus could cripple the already fragile economies in the African region. He's made the case that this will have consequences for not only the security of countries there, but also for nations around the world — even if the virus doesn't spread beyond Africa.

http://www.vox.com/2014/9/17/6334943/why-is-the-military-being-sent-to-attack-ebola-virus/in/5712456

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