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Rwanda to screen U.S. visitors for Ebola

USA TODAY                                  Oct. 21, 2014
By Doug Stanglin

The East African nation of Rwanda is requiring all visitors from the United States and Spain to self-monitor, fill out an extensive questionnaire and report their medical condition for the first 21 days of their visits because of the Ebola cases that have surfaced in the two Western countries.

Coincidentally or not, the new screening follows an embarrassing uproar in a New Jersey school over the imminent enrollment of two Rwanda children that initially prompted their parents to keep them at home for 21 days.

The U.S. and Spain have both recorded deaths from Ebola. In Dallas, a Liberian national died of the virus two weeks ago and two nurses who treated him tested positive for the virus. At least two Spanish missionaries died in Spain after contracting the disease in West Africa. One Spanish nurse also tested positive for the virus.

Rwanda,  located about 2,600 miles east of Liberia, the closest of the three West African countries with the Ebola outbreak...  has reported no cases of the virus.

The dust-up in New Jersey involving two Rwanda children took a new turn Monday with an apology by the superintendent of the Maple Shade School District in Burlington County.

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DHS requires West Africa travelers to arrive at five airports

USA TODAY                                                                                     Oct. 21, 2914By Bart Jansen

WASHINGTON — The Department of Homeland Security announced Tuesday that all travelers from Ebola outbreak countries in West Africa will be funneled through one of five U.S. airports with enhanced screening starting Wednesday.

                                                                       (Photo: Melissa Maraj, AP)

Customs and Border Protection within the department began enhanced screening — checking the traveler's temperature and asking about possible exposure to Ebola — at New York's John F. Kennedy International Airport on Oct. 11.

Enhanced screening for travelers from Liberia, Sierra Leone and Guinea was expanded Oct. 16 to Washington's Dulles, Chicago's O'Hare, New Jersey's Newark and Atlanta's Hartsfield-Jackson international airports.

Those airports were supposed to screen 94% of the average 150 people per day arriving from the three countries. But lawmakers from other states asked for enhanced screening at their airports, too.

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Donations for Ebola Relief Are Slow to Gain Speed

NEW YORK TIMES

“Have you had any email solicitations?” asked Patrick M. Rooney, associate dean at the Indiana University Lilly Family School of Philanthropy. “If there had been an earthquake or tsunami, my question would be who had solicited you and how many times? Americans aren’t giving because they haven’t really been asked.”

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Special Report - A Primer on Ebola for Clinicians

journals.cambridge.org -  Eric Toner, Amesh Adalja and Thomas Inglesby. A Primer on Ebola for Clinicians.
Disaster Medicine and Public Health Preparedness, available on CJO2014. doi:10.1017/dmp.2014.115.

Abstract

The size of the world’s largest Ebola outbreak now ongoing in West Africa makes clear that further exportation of Ebola virus disease to other parts of the world will remain a real possibility for the indefinite future. Clinicians outside of West Africa, particularly those who work in emergency medicine, critical care, infectious diseases, and infection control, should be familiar with the fundamentals of Ebola virus disease, including its diagnosis, treatment, and control. In this article we provide basic information on the Ebola virus and its epidemiology and microbiology. We also describe previous outbreaks and draw comparisons to the current outbreak with a focus on the public health measures that have controlled past outbreaks. We review the pathophysiology and clinical features of the disease, highlighting diagnosis, treatment, and hospital infection control issues that are relevant to practicing clinicians. We reference official guidance and point out where important uncertainty or controversy exists. (Disaster Med Public Health Preparedness. 2014;0:1-5)

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CDC releases revised Ebola gear guidelines

UPDATED WITH MORE DETAILS      

WASHINGTON POST                                                 Oct. 20, 2014

During a media briefing late Monday, CDC Director Thomas Frieden said the updated guidelines give a greater margin of safety to health-care workers. They are modeled closely on those used by Doctors Without Borders, the aid group that has worked most extensively in West Africa... The guidance also reflects the consensus of specialists at Emory University Hospital, Nebraska Medical Center and the National Institutes of Health, which are currently treating Ebola patients.

UCLA Health System doctors and staff participate in a preparedness exercise on diagnosing and treating patients with Ebola virus symptoms. On Oct. 20, the CDC tightened protocols for health-care workers explicitly recommending that no skin be exposed. (Reed Hutchinson/AP)

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In U.S., Fear of Ebola Closes Schools and Shapes Politics

In Rock Island, Ill., Barhyeau Philips said he and his family would stay home for the next few weeks since the arrival of his daughter Jennifer from Liberia. Credit John Schultz/Quad-City Times, via Zuma
...

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Review of Human-to-Human Transmission of Ebola Virus

CDC                                                              Posted Oct. 20, 2014 from  CDC  Oct. 17 document

This document is a concise summary of published information on the current science about human-to-human transmission of Ebola virus. It is developed for use by healthcare personnel and public health professionals to use. It is a complement to the many guidance documents that CDC has issued already online at

www.cdc.gov/ebola.

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Lawmakers Urge Temporary Visa Suspension for Ebola-Affected Nations

CONGRESSIONAL DEVELOPMENTS: CALLS FOR SUSPENDNG VISAS, AND HEARING ANNOUNCED ON EXPECTED NEW BUDGET REQUEST

HOMELAND SECURITY TODAY                Oct. 10 2014
By: Amanda Vicinanzo, Senior Editor

WASHINGTON --Amid calls to issue a travel ban to and from West Africa to help protect Americans from Ebola, Rep. Michael McCaul (R-Texas), chairman of the House Committee on Homeland Security, introduced the proposition that the US should look at the idea of temporarily suspending the thirteen thousand visas that would be coming out of the region.

 Rep. McCaul, along with subcommittee chairmen Reps. Peter King (R-NY), Candice Miller (R-Mich), Jeff Duncan (R-SC), Richard Hudson (R-NC) and Susan Brooks (R-Ind) recently urged the Obama administration that “additional steps should be considered to curtail the potential spread of Ebola to the United States.

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Nigeria Is Ebola-Free: Here’s What They Did Right

It's been 42 days since the last new case

TIME MAGAZINE                                                      OCT. 20, 2014

Alexandra Sifferlin

 The World Health Organization declared Nigeria free of Ebola on Monday, a containment victory in an outbreak that has stymied other countries’ response efforts....

 

A school official takes a pupil's temperature using an infrared digital laser thermometer in front of the school premises, at the resumption of private schools, in Lagos, Sept. 22, 2014. Akintunde Akinleye—Reuters

“It’s possible to control Ebola. It’s possible to defeat Ebola. We’ve seen it here in Nigeria,” Nigerian Minister of Health Onyebuchi Chukwu told TIME. “If any cases emerge in the future, it will be considered—by international standards—a separate outbreak. If that happens, Nigeria will be ready and able to confront it exactly as we have done with this outbreak.”

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U.S. to issue new Ebola care guidelines, watch lists to shrink

ROUNDUP OF DEVELOPMENTS SUNDAY

REUTERS                                     Oct 19, 2014

GALVESTON Texas --(Reuters) - The United States will issue strict new guidelines telling American health workers to cover their skin and hair when dealing with Ebola patients, a top health official said on Sunday, while some of the dozens of people being watched for possible exposure to the virus are expected to be cleared.

 

 A health care worker receives protocol on the proper removal of personal protection equipment from Centers for Disease Control and Prevention (CDC) instructors in preparation for the response to the current Ebola outbreak, during a CDC safety training course in Anniston, Alabama, October 6, 2014. Credit: Reuters/Tami Chappell

In Texas, a lab worker who spent much of a Caribbean holiday cruise in isolation tested negative for the deadly virus and left the Carnival Magic liner with other passengers after it docked at Galveston early on Sunday morning....

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