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Ebola outbreak's 'Patient Zero' identified as a two-year-old boy from Guinea named Emile Ouamouno

THE INDEPENDENT                                                       Oct. 28, 2014

By Adam Withnall

Unicef has identified the first patient to be infected at the start of the current global Ebola outbreak as a two-year-old toddler from Guinea named Emile Ouamouno.

In a study for the New England Journal of Medicine, a team of experts had traced the disease to the village in Guéckédou, in southeastern Guinea, by reviewing hospital documents and speaking to those involved.

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Top UN Ebola Official: New Cases Poorly Tracked

ASSOCIATED PRESS                                                                     Oct. 28, 2014
By RODNEY MUHUMUZA

KAMPALA, Uganda--Athorities are having trouble figuring out how many more people are getting Ebola in Liberia and Sierra Leone and where the hot spots are in those countries, harming efforts to get control of the raging, deadly outbreak, the U.N.'s top Ebola official in West Africa said Tuesday.

"The challenge is good information, because information helps tell us where the disease is, how it's spreading and where we need to target our resources," Anthony Banbury told The Associated Press by phone from the Ghanaian capital of Accra, where the U.N. Mission for Ebola Emergency Response, or UNMEER, is based.

Health experts say the key to stopping Ebola is breaking the chain of transmission by tracing and isolating those who have had contact with Ebola patients or victims. Health care workers can't do that if they don't know where new cases are emerging.

"And unfortunately, we don't have good data from a lot of areas. We don't know exactly what is happening," said Banbury, the chief of UNMEER.

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Seeking Unity, U.S. Revises Ebola Monitoring Rules

UPDATE WITH DETAILS OF MARYLAND AND VIRGINIA MONITORING  (Scroll down)

ROUNDUP OF DEVELOPMENTS IN THE QUARANTINE  DISPUTE
NEW YORK TIMES                        Oct. 28, 2014

By , and

The federal government on Monday tried to take charge of an increasingly acrimonious national debate over how to treat people in contact with Ebola patients by announcing guidelines that stopped short of tough measures in New York and New Jersey and were carefully devised, officials said, not to harm the effort to recruit badly needed medical workers to West Africa.

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CDC Chief Announces New Shift In Ebola Protocols

WASHINGTON--The  Centers for Disease Control and Prevention leader Dr. Tom Frieden announced changes to the U.S. response to Ebola and the guidance federal agencies are giving to state and local governments.

The new protocol stops short of the mandatory 21-day quarantines that some states have begun requiring. Instead, Frieden said, it relies on individual assessment and close monitoring. He also detailed several categories of risk among both airline passengers and the medical volunteers who he said have been doing "heroic work" in West Africa.

"High risk" individuals, Frieden said, include those who have cared for an Ebola patient and were accidentally poked by a needle or lacked protective gear. Those people, Frieden said, should isolate themselves in their homes and avoid all forms of mass transit and large gatherings.

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Australia seeks hospital back-up for volunteers in Ebola-hit countries

AUSTRALIAN GOVERNMENT CONSIDERS SENDING HEALH WORKERS TO WEST AFRICA; MEANWHILE BANS VISAS FOR VISITORS FROM EBOLA-AFFLICTED COUNTRIES

THE GUARDIAN                                          Oct. 27, 2014

The Australian government is reconsidering its previous decision not to send health workers to West Africa. It seeks reassurances that any stricked Australian health workers can receive treatment in Western facilities.

The Australian Medical Association (AMA) president, Brian Owler, said the UK and US were building “state of the art” treatment centres in west Africa for international healthcare workers and he expected Australia would be able to strike an agreement.

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http://www.theguardian.com/world/2014/oct/27/australia-seeks-hospital-back-up-volunteers-ebola-hit-countries

MELBOURNE HERALD                                Oct.  27, 2014

Meanwhile Immigration Minister Scott Morrison told Parliament that immigration had been suspended from West African Countries afflicted with Ebola and no new visas were being processed.

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The Flu, TB and Now Ebola: A Rare Legal Remedy Returns

Discussion of the legal and civil liberties issues involved in quarantines

NEW YORK TIMES                                  Oct. 27, 2014

By and N

It was nearly 100 years ago that an influenza pandemic led to sweeping quarantines in American cities, and it was more than two decades ago that patients in New York were forced into isolation after an outbreak of tuberculosis.

In modern America, public health actions of such gravity are remarkably rare. So the decisions by New York and New Jersey on Friday to quarantine some travelers returning from the Ebola zone in West Africa have taken public officials into unfamiliar legal and medical territory...

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Insurance companies now write Ebola exclusions into policies; offer Ebola-related products

HOMELAND SECURITY NEWS WIRE                Oct. 27, 2014

U.S. and British insurance companies have begun to write Ebola exclusions into their policies for hospitals, event organizers, airliners, and other businesses vulnerable to disruption from the disease.

As a result, new policies and renewals will become more expensive for firms looking to insure business travel to West Africa or to cover the risk of losses from Ebola-driven business interruptions (BI).The cost of insuring an event against Ebola, for example, would likely be triple the amount of normal cancellation insurance — if the venue was in a region not known to be affected by the virus.

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http://www.homelandsecuritynewswire.com/dr20141027-insurance-companies-now-write-ebola-exclusions-into-policies-offer-ebolarelated-products

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Quarantined Ebola Nurse Kaci Hickox to Be Released by New Jersey

ABC NEWS                                          Oct. 27, 2014

by Josh Margolin

 

NEWARK --New Jersey has decided to release a nurse who was fighting an order that forcibly quarantined her after she returned from Africa where she treated Ebola patients.

The release was announced this morning after Kaci Hickox, hired a lawyer to sue over her mandatory 21-day quarantine. Shortly before the decision by the New Jersey Health Department, the nurse said she hopes "this nightmare of mine and the fight that I’ve undertaken is not in vain.”

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U.S. envoy in West Africa to see how world failing in Ebola fight

REUTERS                                         Oct. 26, 2014
By Michelle Nichols

CONAKRY -- The U.S. Ambassador to the United Nations, Samantha Power, arrived in Guinea's capital Conakry on Sunday to see first hand how the global response is failing to stop the deadly spread of Ebola in West Africa.

U.S. Ambassador to the United Nations Samantha Power arrives at the 69th United Nations General Assembly at U.N. headquarters in New York, September 24, 2014. Credit: Reuters/Mike Segar

Power, who will also visit Sierra Leone and Liberia, said she hopes to gain a better understanding of which resources are missing so she can push other countries to offer more help.

"We are not on track right now to bend the curve," Power told Reuters. "I will take what I know and I learn and obviously provide it to President Obama, who's got world leaders now on speed dial on this issue."

"Hopefully the more specific we can be in terms of what the requirements are and what other countries could usefully do, the more resources we can attract," she said....

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U.S. Ebola fighters head to Africa, but will the military and civilian effort be enough?

WASHINGTON POST                               Oct. 26, 2014

By Joel Achenbach and Lena H. Sun

Hundreds of Americans have flown to Liberia in the past few days. Thousands more are on the way.

 

American troops setting up field hospital in Liberia --NYTimes

This Ebola corps is a collection of doctors, nurses, scientists, soldiers, aviators, technicians, mechanics and engineers. Many are volunteers with nonprofit organizations or the government, including uniformed doctors and nurses from the little-known U.S. Public Health Service. Most are military personnel, snapping a salute when are assigned to their mission — “Operation United Assistance.” It does not qualify for combat pay, only hardship-duty incentive pay, which is about $5 a day — before taxes....

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