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.
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.
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.
Although Congress has publicly fretted over the threat of infectious disease pandemics, there have been few legislative attempts in the last two decades to address such health emergencies, leaving lawmakers with a limited set of policy options as they try to contain the Ebola outbreak.
Measures targeting deadly diseases have been largely crafted through the prism of bioterrorism threats, as opposed to naturally occurring outbreaks, such as swine flu and severe acute respiratory syndrome, or SARS.
“After 9/11 and the anthrax scares, there was starting to be a lot of attention and money being pumped into public health emergency preparedness and response, but by 2008, there started to be a downturn,” said Seth Foldy, associate professor of family and community medicine at the Medical College of Wisconsin and former Milwaukee health commissioner. “It bumped up again after H1N1, but then the funding slide began to kick in. There hasn’t been much sustained and strategic attention on the issue.”
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.
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.”
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....
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....
With at least 4,500 people dead, public-health authorities in west Africa and worldwide are struggling to contain Ebola. Borders have been closed, air passengers screened, schools suspended. But a promising tool for epidemiologists lies unused: mobile cell phone data.
When people make mobile-phone calls, the network generates a call data record (CDR) containing such information as the phone numbers of the caller and receiver, the time of the call and the tower that handled it—which gives a rough indication of the device’s location. This information provides researchers with an insight into mobility patterns...
Doctors treating New York City’s first Ebola patient have given the ailing doctor a transfusion of blood plasma from an aid worker who was infected with the deadly disease in West Africa and survived.
Dr. Craig Spencer received the donated plasma Friday from Nancy Writebol, a health care worker with the Christian organization SIM. Writebol was treated in August at Emory Hospital in Georgia.
Bellevue Hospital, where Spencer is being treated, said Saturday evening that the 33-year-old physician is “entering the next phase of his illness as anticipated with the appearance of gastrointestinal symptoms.”
The public hospital said in a statement that the patient is “awake and communicating.”
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