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Survey Finds Many Physicians Overestimate Their Ability to Assess Patients’ Risk of Ebola

massgeneral.org - August 27, 2015

While most primary care physicians responding to a survey taken in late 2014 and early 2015 expressed confidence in their ability to identify potential cases of Ebola and communicate Ebola risks to their patients, only 50 to 70 percent of them gave answers that fit with CDC guidelines when asked how they would care for hypothetical patients who might have been exposed to Ebola. In addition, those who were least likely to encounter an Ebola patient – based on their location and characteristics of their patients – were most likely to choose overly intense management of patients actually at low risk.  The results of the survey, conducted by a team of Massachusetts General Hospital (MGH) investigators, have been published online in the Journal of General Internal Medicine.

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CLICK HERE - RESEARCH - Ebola Risk and Preparedness: A National Survey of Internists 

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Grey Swan Hurricanes Pose Future Storm Surge Threat

         

About 80 percent of New Orleans was flooded when Hurricane Katrina's storm surge overwhelmed the city's levees.
Credit: Kelly Garbato/flickr

climatecentral.org - by Andrea Thompson - September 1, 2015

Black swans are catastrophic events that no one sees coming, while “grey swans,” as the are known, are extreme events for which there’s no historical precedent, but that could still potentially be predicted. A new study takes this concept into the realm of weather and climate, finding that global warming might sharply increase the odds of grey swan hurricanes and storm surge over the coming century.

While such tempests would still remain relatively rare, they could pose unrecognized but potentially serious threats to coastal areas like Tampa, Fla., and Dubai, with storm surge totals reaching into the double digits when measured in feet.

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CLICK HERE - STUDY - Grey swan tropical cyclones

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China's Market Convulsions Threaten Petrostates from Russia to Venezuela

             

latinamericanpost.com - by Keith Johnson - August 29, 2015

The Chinese contagion that sparked “Black Monday” is especially worrisome for crude oil prices, which this summer were thought to have finally found a floor after a year of steady price declines. But that floor suddenly looks rotten: U.S. benchmark crude prices fell well below $40 a barrel on Monday, their lowest levels since the depths of the global financial crisis.

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Obama Visits Nevada, Ground Zero for the Solar Boom, and Talks Clean Energy and Climate Change

             

In Las Vegas on Monday, President Obama spoke about clean energy initiatives at the eighth annual National Clean Energy Summit.  Isaac Brekken / Getty Images

washingtonpost.com - by Chris Mooney - August 24, 2015

LAS VEGAS — President Obama came here Monday to throw his weight behind the booming solar energy industry in its recent political struggles, and to announce a bevy of initiatives to promote clean-energy growth in America’s homes and on its rooftops. It was the first stop in a climate and energy-focused tour that will also take the president to New Orleans and Arctic Alaska this month.

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CLICK HERE - The White House - Remarks by the President at National Clean Energy Summit

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Pitt, Drexel, and NIH team up to study persistence of Ebola virus in wastewater

EUREKEALERT                                                                                                               Aug. 25, 2015
PITTSBURGH--The historic outbreak of Ebola virus disease in West Africa that began in March 2014 and has killed more than 11,000 people since, has raised new questions about the resilience of the virus and tested scientists' understanding of how to contain it. The latest discovery by a group of microbial risk-assessment and virology researchers suggests that the procedures for disposal of Ebola-contaminated liquid waste might underestimate the virus' ability to survive in wastewater.

Current epidemic response procedures from both the World Health Organization and the Centers for Disease Control and Prevention advise that after a period of days, Ebola-contaminated liquid can be disposed of directly into a sewage system without additional treatment.

However, new data recently published by researchers from the University of Pittsburgh, Drexel University, and the National Institutes of Health indicate that Ebola can survive in detectable concentrations in wastewater for at least a week or longer.

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http://www.eurekalert.org/pub_releases/2015-08/uop-pda082515.php

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The velocity of Ebola spread in parts of west Africa

THE LANCET by Kate Zinszer and others.                   Aug. 24,2015

In a speed outpacing control efforts, the Ebola virus disease (EVD) epidemic in parts of west Africa spread across Guinea, Liberia, and Sierra Leone infecting an estimated 26 800 individuals and claiming more than 11 000 lives as of May 15, 2015.1 Mobile populations coupled with porous borders1, 2 and commercial air travel patterns3 affected the frequency and breadth of Ebola virus transmission.

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With Many Ebola Survivors Ailing, Doctors Evaluate Situation

ASSOCIATED PRESS  by Carley Petesch              Aug. 23, 2015

DAKAR, Senegal --Lingering health problems afflicting many of the roughly 13,000 Ebola survivors have galvanized global and local health officials to find out how widespread the ailments are, and how to remedy them.

The World Health Organization calls it an emergency within an emergency. Many of the survivors have vision and hearing issues. Some others experience physical and emotional pains, fatigue and other problems. The medical community is negotiating uncharted waters as it tries to measure the scale of this problem that comes on the tail end of the biggest Ebola outbreak in history.

"If we can find out this kind of information, hopefully we can help other Ebola survivors in the future," Dr. Zan Yeong, an eye specialist involved in a study of health problems in survivors in Liberia, told The Associated Press.

About 7,500 people will enroll — 1,500 Ebola survivors and 6,000 of their close contacts — and will be monitored over a five-year period in the study launched by Partnership for Research on Ebola Vaccines in Liberia, or PREVAIL.

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Stock Market Plunge Wipes Out This Year’s Gains

            

washingtonpost.com - by Thad Moore and Drew Harwell - August 21, 2015

A worldwide sell-off pushed U.S. stocks to their worst week since 2011 as spooked investors scattered amid worries of an economic slowdown in China and the potential for higher interest rates at home.

The Dow Jones industrial average capped a four-day losing streak by dropping more than 500 points to close at 16,459.75, sinking 10 percent from its May peak and following even steeper market declines in Asia and Europe.

The rout will further rattle workers whose 401(k) retirement accounts have taken a troubling hit. Investors have lost billions in recent weeks and are flocking to safety-net Treasury bonds as they wait for the bleeding to stop.

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Ebola: What Happened

COUNCIL ON FOREIGN RELATIONS  BY John Campbell
(Scroll down for Laurie Garett's essay "Ebola's Lessons.")

With a rapidly growing and urbanizing population, persistent poverty, and weak governance, Sub-Saharan Africa is likely to be the source of new epidemics that potentially could spread around the world. Understanding the disastrous response of African governments, international institutions, and donor governments to the Ebola epidemic is essential if history is not to be repeated yet again. That makes Laurie Garrett’s essay, “Ebola’s Lessons,” in the September/October 2015 issue of Foreign Affairs, essential reading.

The Ebola virus treatment center where four people are currently being treated is seen in Paynesville, Liberia, July 16, 2015. (Courtesy Reuters/James Giahyue)

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New Orleans Area's Upgraded Levees Not Enough for Next 'Katrina,' Engineers Say

      

The Lake Borgne Surge Barrier, which rises 26 feet above sea level, is designed to be overtopped by storm surges created by a hurricane with a 1 percent chance of occurring in any year, the so-called 100-year storm, hits the area. The overtopping water will be stored in the Gulf Intracoastal Waterway and the Industrial Canal in New Orleans. Larger storms will cause even more water to overtop the wall.

nola.com - by Mark Schleifstein - August 18, 2015

The rebuilt New Orleans area hurricane levee system remains inadequate to protect the heart of the nation's 45th largest metropolitan area from another Hurricane Katrina or larger storm, nationally-known engineers and scientists said almost a decade after the 2005 storm.

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