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Health - US

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This working group is focused on discussions about health.

The mission of this working group is to focus on discussions about health.

Members

Corey Watts John Girard jonber37 Kathy Gilbeaux Lisa Stelly Thomas Maeryn Obley
mdmcdonald MDMcDonald_me_com mike kraft

Email address for group

health-us@m.resiliencesystem.org

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.

...

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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John Kerry appoints Nancy Powell as Ebola Coordinator

Nancy PowellBy: PTI - 25, Sep 2014 9:12 AM (IST) - newsnation.in

Washington: US Secretary of State John Kerry has appointed Nancy Powell, the former US Ambassador to India, as Ebola Coordinator at the State Department.

In this new role, announced yesterday, Powell will lead the State Department's outreach to international partners, including foreign governments, to ensure a speedy and truly global response to this crisis.

Obama had last week declared the Ebola outbreak as a "global threat" which demands "a truly global response."

http://m.newsnation.in/article/55710-john-kerry-appoints-nancy-powell-ebola-coordinator.html

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RECORDED - Congressional Seminar on the Ebola Outbreak: What’s Needed to End This Crisis? | September 24, 2014 - (12-1:30pm ET)

CLICK HERE TO VIEW THE RECORDED CONGRESSIONAL SEMINAR

Hosted by:

Senator Chris Coons, Chair, Foreign Relations Subcommittee on African Affairs

Senator Jeff Flake, Ranking Member, Foreign Relations Subcommittee on African Affairs

UPMC Center for Health Security

Wednesday, September 24, 2014

Capitol Visitors Center, Room SVC201-00 (Event is full, please join us on our livestream video)

12:00pm - 1:30pm

The United States and many other nations and international organizations are helping to respond to the unprecedented Ebola outbreak in West Africa. Panelists will discuss: What are the latest updates on the ground? What have we learned so far? Are governments, WHO, and NGOs doing all that is needed to help stop the outbreak? What types of infrastructure vulnerabilities contributed to the current Ebola outbreak? What, if anything, should we be doing differently now or in the future to assist West Africa and other regions in containing future epidemics?

CLICK HERE for Additional Information

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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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Ban Ki-moon: 'World living in an era of unprecedented level of crises'

United Nations secretary general Ban Ki-moon with actor Leonardo DiCaprio during his designation ceremony as the UN Messenger of Peace. Photograph: EPA

United Nations secretary general Ban Ki-moon with actor Leonardo DiCaprio during his designation ceremony as the UN Messenger of Peace. Photograph: EPA

Julian Borger - New York The Guardian
21 Sep 2014 16.55 BST

More than 140 heads of state and government fly in to New York this week for the United Nations general assembly amid apprehension that international order is unraveling at an accelerating pace, while the world's leaders seem ever less willing or able to deal with the proliferating threats.

The UN's humanitarian agencies are in danger of being completely overwhelmed by the multiple crises. Ebola is spreading rapidly across West Africa, swamping rickety national health systems and a thus-far underfunded UN effort to stop its advance. The spread of Islamic State (Isis) extremists in the Middle East, feeding on the destruction of the Syrian civil war and exposing the weakness of the Iraqi state, has similarly outpaced patchy international efforts at containment.

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Upcoming CDC estimate reportedly predicts up to 500,000 Ebola victims - Leaked

Washington Post, September 20
 

The Ebola epidemic sweeping West Africa could infect up to 500,000 people by the end of January, according to a new estimate under development by the Centers for Disease Control and Prevention.

The report is scheduled to be released next week, but work on it is still ongoing and projections could change, said a person who is familiar with its contents but was not authorized to speak because the report is not yet public.

Obama: U.S. military to provide equipment, resources to battle Ebola epidemic in Africa

- Sep 7 - The Washington Post

President Obama said Sunday that the U.S. military will begin aiding what has been a chaotic and ineffective response to the Ebola epidemic in West Africa, arguing that it represents a serious national security concern.

The move significantly ramps up the U.S. response and comes as the already strained military is likely to be called upon further to address militant threats in the Middle East. The decision to involve the military in providing equipment and other assistance for international health workers in Africa comes after mounting calls from some unlikely groups — most prominently the international medical organization Doctors Without Borders — demonstrating to the White House the urgency of the issue.

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U.S. Public Health Service Commissioned Corps to Help Treat Ebola Patients in Liberia

                               

hhs.gov - September 16, 2014

A team of specialized officers from the U.S. Public Health Service Commissioned Corps is being prepared to deploy to manage and staff a previously announced U.S. Department of Defense hospital in Liberia to care for health care workers who become ill from Ebola.

The U.S. Public Health Service Commissioned Corps is part of the U.S. Department of Health and Human Services. The Commissioned Corps is an elite uniformed service with more than 6,800 full-time, highly qualified public health professionals, serving the most underserved and vulnerable populations domestically and abroad.

Sixty-five Commissioned Corps officers, with diverse clinical and public health backgrounds, will travel to Liberia to provide direct patient care to health care workers. In addition to their professional expertise, these officers will undergo further intensive training in Ebola response and advanced infection control.

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