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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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DHS Ill-Prepared for Pandemic Response, Inspector General Says

hstoday.us - by Anthony Kimery - September 9, 2014

An audit by the Department of Homeland Security (DHS) Inspector General (IG) of the department’s pandemic preparedness efforts to determine if DHS effectively manages its pandemic preparedness supply of personal protective equipment and antiviral medical countermeasures found that, “DHS did not adequately conduct a needs assessment prior to purchasing pandemic preparedness supplies and then did not effectively manage its stockpile of pandemic personal protective equipment and antiviral medical countermeasures.”

“Specifically,” the IG reported, DHS “did not have clear and documented methodologies to determine the types and quantities of personal protective equipment and antiviral medical countermeasures it purchased for workforce protection.”

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Poor Oversight Catches Up with High-Security Infectious Agent and Disease Labs

The Centers for Disease Control plans to take measures to better protect lab workers and the rest of us from dangerous biological samples

scientificamerican.com - by Dina Fine Maron - July 17, 2014

Twenty-one dead lab chickens piled up this spring at a government facility before its researchers could pinpoint why. The team had requested and received what was meant to be a relatively harmless strain of avian flu. Instead, the virus killed all the test birds during experiments.

(READ COMPLETE ARTICLE)

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CDC Confirms Cases of New Swine Flu Virus

by Liz Szabo - USA Today - November 24, 2011

      

H1N1 strain of the swine flu virus Photograph: Photographer: C. S. Goldsmith an/AP

The Centers for Disease Control and Prevention has confirmed three cases of a new flu virus, which originated in pigs but apparently spread from person to person, in three Iowa children.

However, there's no reason to fear the beginning of a new pandemic, says Arnold Monto, a flu expert and professor at the University of Michigan School of Public Health.

"I don't think this is anything to worry about for the moment," Monto says. "We have known that swine viruses get into humans occasionally, transmit for a generation or two and then stop. The issue is whether there will be sustained transmission (from person to person)- and that nearly never happens."

(READ COMPLETE ARTICLE)

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IT and Information Sharing Environments for Community Health Resilience

Information Technology (IT) and Information Sharing Environments (ISEs) are crucial to the evolution of community health resilience.  Most people working to improve community health resilience do not understand the nuances of Information Sharing Environments, and how the rapid shifts in IT, mobile devices, social media, cloud computing, peer to peer parallel processing, smart grids, and the linking of millions of people, mobile devices, computers, and sensors are creating a societal mind, which is transforming community health resilience and the health and human security of Americans.

If you have thoughts on these topics, please comment within this collaboratory thread.

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H5N1 - Possible Bird Flu Resurgence

crofsblogs.typepad.com - August 29, 2011

More on the mutant H5N1 strain

Thanks to Sari Setiogi for tweeting the link to this article in Kompas.com: Indonesia Facing Biggest Problems of Possible Bird Flu Resurgence. First an excerpt, then a comment:

The United Nations warned of a possible major resurgence of bird flu and said a mutant strain of the H5N1 virus was spreading in Asia and elsewhere. 

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