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When Ebola hit U.S., CDC guidelines were weaker than those 15 years ago

THE DALLAS MORNING NEWS  by Sue Ambrose                                     Dec. 27, 2014

DALLAS, Texas --When Ebola surfaced in the U.S., federal guidelines to protect medical workers here were weaker than the ones that the Centers for Disease Control and Prevention had in place 15 years earlier, The Dallas Morning News has found.

It’s not known exactly how nurse Nina Pham contracted Ebola while caring for patient Thomas Eric Duncan. Shown here at Texas Health Presbyterian Hospital in Dallas, she was later successfully treated at a National Institutes of Health hospital in Maryland. Agence France-Presse

A review of CDC documents and archived Web pages shows that a 1998 protocol originally written for health care workers in Africa had more protective measures than the one for U.S. caregivers when Thomas Eric Duncan became the first patient diagnosed with Ebola in this country.

Two Dallas nurses were infected with the deadly virus while treating Duncan at Texas Health Presbyterian Hospital Dallas, where he died in early October....

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Clinical trial for potential Ebola treatment started in MSF clinic in Guinea

MEDECINES SANS FRONTIERS                                     Dec. 26, 2014

A clinical trial for a possible treatment for Ebola started in Guinea on the 17th of December. The trial is led by the French medical research institute INSERM and is taking place at MSF’s Ebola Treatment Centre in Guéckédou, in the east of the country. Although every experimental treatment for Ebola patients offers hope, MSF remains prudent. There’s no guarantee that the drug will be effective and safe, and even if it is, it will not mean the end of the epidemic which continues to spread in the three most affected countries of West Africa.

The trial aims to include as many Ebola positive patients presenting at the MSF treatment centre in Guéckédou as possible. There will be no control group (group of patients who do not receive the treatment) in this study, as it is considered unethical to deny a group of patients the higher chance of survival that may come with the new treatment, especially given the high mortality of Ebola. Instead the outcomes of the patients will be measured against those of MSF patients admitted earlier this year, before the trial began. The first conclusive results are not expected before the first trimester of 2015....

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SES joins consortium to fight Ebola with mobile lab

BIOPREPWATCH   by Shaun Zinck                                                 Dec. 26, 2014

SES, a satellite communications company, announced on Monday that it was teaming up with a collaborative group that runs a mobile laboratory to improve response time in the fight against the Ebola virus.

B-LiFE, a mobile laboratory, is run through a consortium between the public, private and academic sectors in Belgium. The group is trying to increase identification of diseases for a quicker response to crisis situations such as the Ebola epidemic.

“B-LiFE demonstrates the relevance of satellite for medical purposes,” Gerhard Bethscheider, managing director of SES TechCom, said. ...It is anticipated that the lab, which left Belgium on Saturday, will be stationed at an Ebola treatment center in Guinea that was set up by ALIMA, a French non-government organization

http://bioprepwatch.com/news/ses-joins-consortium-to-fight-ebola-with-mobile-lab/340396/

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Ebola death toll rises to 7,588 globally, WHO says

AFP                                                                                         Dec. 26, 2014

The global death toll from Ebola has risen to 7,588 out of 19,497 confirmed cases recorded in the year-old epidemic raging in West Africa, the World Health Organization (WHO) says.

The virus is still spreading intensely in Sierra Leone, especially in the north and west, with 315 new confirmed cases reported in the former British colony in the week to December 21, it said. These included 115 cases in the capital Freetown.

"The neighbouring district of Port Loko experienced a surge in new cases, reporting 92 confirmed cases compared with 56 the previous week," the WHO said.

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http://www.cbc.ca/news/business/ebola-death-toll-rises-to-7-588-globally-who-says-1.2884197

Read  Full WHO report
http://www.who.int/csr/disease/ebola/situation-reports/en/

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UK must act to guard against pandemics, says scientist who discovered Ebola virus

THE INDEPENDENT by Charlie Cooper                                                               Dec. 26, 2014

The UK must create a new health security agency to guard against future pandemics, according to the scientist who discovered the Ebola virus. Professor Peter Piot said Britain and Europe lacked “an epidemic intelligence service” with global reach, leaving them “vulnerable” and less able to intervene in overseas health crises such as the Ebola outbreak, which has killed thousands of people in West Africa. Peter Piot discovered Ebola when he was sent to investigate an outbreak in Zaire, now the DRC, in 1976 (AFP/Getty)

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Where Ebola Has Closed Schools, A Radio Program Provides A Faint Signal Of Hope

NATIONAL PUBLIC RADIO by Ofeibea Quist-Arcton        Dec. 25, 2014

MONROVIA -- Working with UNICEF and another nonprofit, Talking Drum, in Monrovia, the capital of Liberia, the government aims to provide lessons to children across the country, hit by the Ebola outbreak. Most schools closed this past summer and will likely remain closed for months....

                            Florence Allen Jones, right, is part of the education ministry's classes-by-radio team.

The radio classes are broadcast on local stations, and on United Nations radio. The Education Ministry acknowledged that the broadcasts are not reaching nationwide. In any case, few children in Liberia's 15 counties have access to a radio, or even the batteries to power one. Wealthy parents have hired home tutors for their kids, but many other youngsters have taken to peddling petty goods, like trinkets or donuts, on the streets of Monrovia, to try to earn a little money for their families while schools are closed.

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Lessons from the Ebola outbreak in West Africa

Editorial  Lessons learned from the Ebola outbreak

  THE WASHINGTON POST                                                                                  Dec. 26, 2014

The Outbreak of the Ebola virus in West Africa this year came as a surprise. Perhaps no one could have predicted that such a terrible scenario would unfold. But over the past decade, there have been four major outbreaks of infectious disease caused by a virus: severe acute respiratory syndrome, or SARS; swine flu; Middle East respiratory syndrome; and now Ebola. Each has taken populations by surprise. Next time, the world should not be gobsmacked. It is possible to be better prepared, be more aware of the potential threats and not start from zero every time the alarm goes off.

...It would be smart to begin thinking of a more agile and effective organization or system for responding to such dire threats, one that could bring together a capability for surveillance, early warning and rapid response; and that would be wired into the pharmaceutical industry.

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Ebola in West Africa at One Year — From Ignorance to Fear to Roadblocks

Editorial urging U.S. academic medical centers to do more to fight Ebola
in West Africa

NEW ENGLAND JOURNAL OF MEDICINE                            Dec. 24, 2014
By Jeffrey M. Drazen, M.D., Edward W. Campion, M.D., Eric J. Rubin. M.D., Ph.D., Stephen Morrissey, Ph.D., and Lindsey R. Baden, M.D.

... As the Ebola outbreak has burned its way deep into Guinea, Liberia, and Sierra Leone, in one of the worst acute public health crises in 50 years, our academic medical centers have sat largely on the sidelines.

...The leaders of academic medical centers that have put roadblocks in the path of those wishing to serve need to rethink their priorities. They should be making it easier, not harder, for altruistic physicians, nurses, and other health care providers to help care for the sick and control the Ebola epidemic in West Africa. ... Something is wrong when some of the greatest health care centers in the world are not helping in the fight against this disastrously dangerous threat to human health. We ask the leaders of every medical center in the country to figure out how to make it possible for their staff, and even qualified trainees, to help on the ground in West Africa.

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Ebola survival improving in Sierra Leone

ASSOCIATED PRESS                                    Dec. 26, 2014

One year into the world's worst Ebola outbreak, doctors are reporting an encouraging sign: About 70 percent of patients in a hard-hit area of Sierra Leone now survive.

The Ebola death rate has fallen even though there are no specific medicines or vaccines to fight the virus....

In a letter published online Wednesday by the New England Journal of Medicine, Dr. Kathryn Jacobsen of George Mason University in Fairfax, Virginia, and other doctors tell of 581 patients taken to an Ebola treatment center that opened near Sierra Leone's capital, Freetown, in late September.

They were given antibiotics, malaria medicines, ibuprofen for pain and fever, intravenous nutrients, anti-nausea medicine and other supportive care. About 31 percent died, including 38 people who were dead when they arrived. Among those admitted more recently, since Nov. 5, mortality was less than 24 percent.

That is much lower than the 74 percent death rate other doctors reported for 106 patients who were treated in the eastern Sierra Leone town of Kenema, in May and June, when some health workers were on strike and response to the outbreak was in crisis mode.

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Next in Ebola Plan: UN Teams to Study Lines of Transmission

REUTERS                                                              Dec. 24, 2014

ACCRA—Medical detective work will be the next big phase in the fight against Ebola when the United Nations deploys hundreds of health workers to identify chains of infection as the virus passes from person to person, top U.N. health workers said.
Health workers bury the body of a suspected Ebola victim at a cemetery in Freetown, Dec. 21, 2014.

The health teams will travel to each district and region of Guinea, Sierra Leone and Liberia, the three countries at the center of the epidemic, to trace who each infected person has potentially contacted.

The effort will run in parallel with measures to minimize the spread of infection, such as treating all Ebola patients in specialized centers and burying all victims safely.

But Phase Two of the plan is to contain the virus by understanding its lines of transmission, said World Health Organization Director-General Margaret Chan.

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