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2014 National Health Security Preparedness Index Report released

NHSPI                                                                                                       Dec. 9, 2014

WASHINGTON-- The National Health Security Preparedness Index (NHSPI) for 2014 provides updated information about how well individual states and the nation are preparing for public health and other emergencies.  It was released today at a meeting at Capitol Hill by a group of government and non-government public health specialists. They included Dr. Daniel Sosin, Deputy Director of the CDC's  Office of PubLic Health Preparedness and Respopnse, and Dr. Thomas V. Inglesby, Director of the UPMC Center for Health Security.

More than 35 organizations were partners in preparing the index, which updated the initial 2013 report.

The NHSPI describes it's mission as "providing relevant actionable informtaion to help guide efforts to achieve a higher level of healh security preparedness."  The intended uses include "strengthening preparedness, informng decision makers, guiding quality improvement and advancing the science behind community resilience."

See Executive Summary and the national results.

http://www.nhspi.org/content/executive-summary

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Ebola Airport Screening Finding Few Suspected Cases in US

MEDSCAPE MEDICAL NEWS by Larry Hand                                                                        Dec. 9, 2014

Airport exit screening in West Africa and entry screening in the United States have identified few persons potentially infected with Ebola virus, according to an article published online December 9 in the Centers for Disease Control and Prevention (CDC) publication Morbidity and Mortality Weekly Report.

 

 Number of travelers arriving from Guinea, Liberia, and Sierra Leone who were screened for Ebola at US airports, by state and county of destination (October 11 - November 10, 2014). Source: CDC

Of 80,000 travelers who have departed from West Africa since Ebola-specific screening began, 1993 people have been screened on arrival at one of five US airports. Of those, 86 passengers were referred to the CDC public health officers; only seven have shown symptoms and been referred for evaluation. None eventually wound up with an Ebola diagnosis.

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High Risk: 100-Fold Ebola Rate for Health Workers in Sierra Leone

NBC NEWS --  by Maggie Fox                                                                                            Dec. 9, 2014

Health care workers have more than 100 times the risk of catching Ebola in Sierra Leone as the general public there does, according to a new report.

And it's not necessarily down to failed protective measures in hospitals. Health care workers form their own community, and when one gets sick or dies, he or she can infect fellow medics, the report finds.

The World Health Organization has been saying that health care workers such as doctors and nurses are at special risk of Ebola. It says 622 health-care workers have been infected and 346 of them have died in all the affected countries.

Dr. Peter Kilmarx of the U.S. Centers for Disease Control and Prevention, who led an investigation into the high infection rate in Sierra Leone...said  "We think of health care worker infections as a failure of personal protective equipment.,"But there are so many different ways that they are exposed there."

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Ebola Infections Fewer Than Predicted by Disease Models

A few months ago the U.S. Centers for Disease Control and Prevention predicted that up to 1.4 million people in Liberia and Sierra Leone could become infected with Ebola by mid-January. In a recent address to the Senate, CDC director Tom Frieden said that worst-case scenario would not pan out.

That is partly because health care workers in the Ebola hot zone are engaged in a battle to contain the epidemic. It is also because of assumptions about human and viral behavior that are built into the mathematical models used to predict the spread of infectious diseases. Assumptions are inherent in these models. “You take islands of data from different places and build bridges of assumptions that link up all these islands,” says Martin Meltzer, senior health economist at the CDC. Meltzer’s model, which predicted the 1.4 million infections in Liberia and Sierra Leone, worked on the assumption that things would not improve. “Our forecasts are based on the idea that nothing will change,” he says.

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Ebola still spreading in western Sierra Leone, Guinea's forest: U.N

REUTERS    By Stephanie Nebehay                                                                                 Dec. 9, 2014
GENEVA --More foreign health workers are needed to help tackle the Ebola epidemic, which is spreading quickly in western Sierra Leone and deep in the forested interior of Guinea, a senior U.N. official said on Tuesday.

A woman walks pass an Ebola virus awareness campaign poster in Monrovia, December 8, 2014. Credit: Reuters/James Giahyue

The death toll from the Ebola outbreak in West Africa has risen to 6,331 in the three worst hit countries, with Sierra Leone overtaking Liberia as the country with the highest number of cases, the World Health Organization says.

"We know the outbreak is still flaming strongly in western Sierra Leone and some parts of the interior of Guinea. We can't rest, we have to still push on," said David Nabarro, the U.N. Special Envoy on Ebola.

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Red Cross needs volunteers to help contain Ebola in West Africa

CANADIAN BROADCASTING CORPORATION                   Dec. 14, 2014

The Canadian Red Cross is looking for people to help with the ongoing Ebola outbreak in West Africa.

Chris Baert-Wilson, Atlantic director of community health for the Canadian Red Cross, says her organization is looking for more medical professionals from this region to head to West Africa to help contain the spread.  

The Red Cross is looking for 150 volunteers over the next six months. She said that would be enough to have 16 staff at any given time. Baert-Wilson says there are just 16 applicants so far.  

"We’re looking for folks with infection prevention and control [experience], … doctors, we’re looking for nurses to help out, and we’re looking for folks that can provide psycho-social support — so social workers, that style of professional, that are able to support the families and the patients that have Ebola," says Baert-Wilson.

Read complete report.

http://www.cbc.ca/news/canada/nova-scotia/red-cross-needs-volunteers-to-help-contain-ebola-in-west-africa-1.2864188

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Sierra Leone Doctors Strike for Better Ebola Care

BBC   by CLARENCE ROY-MACAULAY                        Dec. 8, 2014

FREETOWN -- Junior doctors in Sierra Leonewent on strike Monday to demand better treatment for health workers infected with Ebola, a health official said.

The association representing junior doctors asked the government to make sure life-saving equipment, like dialysis machines, is available to treat infected doctors. The government has promised that a new, fully equipped unit is opening soon near the capital. But the doctors began their strike anyway, according to Health Ministry spokesman Jonathan Abass Kamara.

Ten of the 11 Sierra Leonean doctors who have become infected have died....

As infection rates in Liberia and Guinea begin to stabilize, Sierra Leone has now recorded the highest number of cases, and Sierra Leoneans have been asking why the disease is picking up pace there.  Some have lashed out at the British response. In particular, the charity Save the Children, which is running the first U.K.-built treatment center to open, has been criticized for a slow and disorganized rollout.

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Ebola crisis: Sierra Leone case number surpasses Liberia

BBC                                                             Dec. 8, 2014

Sierra Leone has overtaken neighbouring Liberia as the country with the highest number of Ebola cases, the latest World Health Organization figures suggest.

Its latest estimate of the cumulative number of cases since the start of the outbreak in March now stands at 7,780 in Sierra Leone and 7,719 in Liberia.

In Guinea, the figure is 2,283. The virus has killed more than 6,300 people in the three West African countries. Just over half the reported deaths have been in Liberia, the WHO says.

On Monday, the organisation said its 60-day goals for tackling Ebola - treating 70% of patients and burying 70% of victims by 1 December - had been largely met in the three countries at the centre of the outbreak.

However it also said that the treatment figure in Sierra Leone had fallen below the mark.

Read complete story

http://www.bbc.com/news/world-africa-30387906

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Rapid Ebola test is focus of NIH grant to Rutgers scientist

REPORTS Of RESEARCH ON TWO METHODS OF RAPID TESTING FOR EBOLA

(Two items, scroll down)

MEDICAL PRESS                                                                                     Dec. 8, 2014

Rutgers researcher David Alland, working with the California biotechnology company Cepheid, has received a grant of nearly $640,000 from the National Institutes of Health to develop a rapid test to diagnose Ebola as well as other viruses that can cause symptoms similar to Ebola.

Researchers will adapt this cartridge, now used worldwide for tuberculosis screenings, to collect and test samples from potential Ebola patients. Credit: John Emerson

Alland, a professor of medicine and associate dean for clinical research at Rutgers New Jersey Medical School and the principal investigator of the project, says would be able to take the test to small villages and other remote locations where the spread of Ebola has been especially rampant and diagnose patients where they live...

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Sierra Leone Baffled by Doctors' Ebola Deaths

VOICE OF AMERICA  by James Butty                             Dec. 8, 2014
FREETOWN --Sierra Leone’s chief medical officer has said he is baffled by the deaths of three doctors from Ebola over a three-day period.  

Dr. Brima Kargbo said a survey conducted jointly with the U.S. Centers for Disease Control (CDC) found that 70 percent of infections did not come from either the country’s Ebola holding centers or treatment facilities. 

FILE - A health worker prepares to disinfect a van used for burial purposes in Freetown, Sierra Leone.

Kargbo said Dr. Aiah Solomon Konoyeima died Saturday, becoming the 10th Sierra Leonean physician to die of the virus. 

“We have Dr. Tom Rogers and Dr. [Dauda] Koroma, who were buried yesterday, and also Dr. Konoyeima,” Dr. Kargbo said.

Rogers was a surgeon at the Connaught Hospital, the main referral unit in the capital, Freetown. He was reportedly being treated at the British-run Kerry Town Ebola treatment center. He was said to be responding well to treatment when his condition deteriorated dramatically on Friday.

Koroma died at the Hastings Treatment Center, which is run entirely by local Sierra Leone medics.

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