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Out of Africa — Caring for Patients with Ebola

NEW ENGLAND JOURNAL OF MEDICINE                                                                  Nov. 12, 2014

Eric J. Rubin, M.D., Ph.D., and Lindsey R. Baden, M.D.

The Journal has now published detailed clinical information about three patients transferred from West Africa to the United States or Germany in the midst of their illness.

See detais of the treatment

http://www.nejm.org/doi/full/10.1056/NEJMe1412744

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GOP chairman rips ‘deadly incompetence’ of UN Ebola response

CONGRESSIONAL HEARING: House Foreign Committee Chairman blasts WHO, while AID urges funding to address Ebola hotspots.
(Two stories, scroll down)

THE HILL                                                                                                                           Nov. 13, 2014

A top Republican is calling for a new strategy to fight Ebola overseas — one that does not rely on the embattled World Health Organization (WHO).

Rep. Ed Royce (R-Calif.), chairman of the House Foreign Affairs Committee, slammed the organization for what he called “deadly incompetence” in the battle against the disease.

“Unfortunately, we are paying the price for early failures,” Royce said at a hearing, arguing that the WHO “repeatedly downplayed the crisis.”

Rep. Gerry Connolly (D-Va.) said he has “no confidence” in the WHO.
“WHO contributed to the spread of this virus and to a high mortality rate, frankly, because of its cronyism and its incompetence,” Connolly said.The

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Liberia president to end Ebola state of emergency

ASSOCIATED PRESS                                         Nov. 13, 2014

By Jonathan Paye-Leyleh and Baba Ahmed

MONROVIA, Liberia (AP) — Liberia's president said Thursday she is lifting a state of emergency imposed to control an Ebola outbreak that has ravaged the country, as Mali raced to track down everyone who may have come into contact with three people now believed to have died of Ebola in its capital.

Also Thursday, Doctors Without Borders announced that accelerated clinical trials will be launched in West Africa to speed the search for a treatment for the virus that has killed more than 5,000 people.

In a nationwide address, Liberian President Ellen Johnson Sirleaf said enough progress has been made to lift emergency measures but added that the move does not mean the outbreak is over. There have been fewer Ebola cases in Monrovia, the capital, though fresh hotspots have emerged. One of those is near the border with Sierra Leone, which along with Guinea has also been hit hard by the disease.

Read complete story.

http://news.yahoo.com/medical-aid-group-host-3-ebola-clinical-trials-090631858.html

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Liberia president to end Ebola state of emergency

ASSOCIATED PRESS                                         Nov. 13, 2014

By Jonathan Paye-Leyleh and Baba Ahmed

MONROVIA, Liberia (AP) — Liberia's president said Thursday she is lifting a state of emergency imposed to control an Ebola outbreak that has ravaged the country, as Mali raced to track down everyone who may have come into contact with three people now believed to have died of Ebola in its capital.

Also Thursday, Doctors Without Borders announced that accelerated clinical trials will be launched in West Africa to speed the search for a treatment for the virus that has killed more than 5,000 people.

In a nationwide address, Liberian President Ellen Johnson Sirleaf said enough progress has been made to lift emergency measures but added that the move does not mean the outbreak is over. There have been fewer Ebola cases in Monrovia, the capital, though fresh hotspots have emerged. One of those is near the border with Sierra Leone, which along with Guinea has also been hit hard by the disease.

Read complete story.

http://news.yahoo.com/medical-aid-group-host-3-ebola-clinical-trials-090631858.html

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The economics of Ebola

HOMELAND SECURITY NEWS WIRE                                                                                             Nov. 13, 2014
By Catherine de Fontenay
Economists are being called upon to estimate the costs of the Ebola epidemic to West Africa and elsewhere. Economists, however, should also play a part in estimating the likelihood of the disease spreading. Economics is the study of incentives, and many biological models of the spread of the disease may be underestimating the impact of individual incentives.

 Based on cost-benefit analysis, the potential costs of Ebola spreading are extremely high and the risks may be much higher than they are currently portrayed. Voters and donors should support greater efforts to end Ebola in West Africa. As International Monetary Fund director Christine Lagarde says, “real action” is needed to counter the outbreak. Without such action Ebola places the global economy at risk.

...If Ebola spreads throughout West Africa, the cost could rise to US$32.6 billion by the end of 2015.
Read complete article
http://www.homelandsecuritynewswire.com/dr20141113-the-economics-of-ebola

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Q&A with Rajiv ‘Raj’ Shah, USAID administrator dealing with Ebola in Liberia

WASHINGTON POST                                          Nov. 13, 2014
By Joel Achenbach
 Excerpt:

"We’re now dealing with an epidemic in a different phase, which is as many as 15 to 20 microepidemics around the country [Liberia] that require a more nimble and more rapid response. So we’re working with our partners to build rapid-response teams that can quickly get to a community, identify where there are clusters of cases, very rapidly stand up a community care center, or almost a mini-ETU [Ebola Treatment Unit], and have the protective equipment and connectivity back to laboratory diagnostics that allows for accelerated disease control of those epidemics."

 
USAID administrator Rajiv “Raj” Shah, second from right, inspects a newly built Ebola treatment center in Monrovia, Liberia, on Oct. 14. (Abbas Dulleh/AP)

See full Q&A

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As Ebola takes lives in Liberia, it leaves hunger in its wake

WASHINGTON POST                                             NOV. 13, 2014

By Lennie Berstein

FOYA, Liberia — The Ebola virus, which has killed more than 2,830 Liberians and collapsed the country’s health-care system, is also attacking Liberia’s food supply, bringing intermittent hunger to a wide swath of this country even as its 4.1 million people try to survive the epidemic.

 The typical family

Liberians carry bags of bulgur wheat and cans of cooking oil after receiving food from a U.N. World Food Program distribution in Kolba City. (Michel du Cille/The Washington Post )

Income, already among the lowest in the world, has declined as the epidemic raged in recent months, shutting workplaces and killing breadwinners. Closed borders with Sierra Leone, Guinea and Ivory Coast have sharply reduced trade. Markets in villages and towns across the country have been shut down to limit large gatherings, which can abet transmission of the virus.

The planting and harvesting seasons were disrupted when Ebola hit the farm belt in June....

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Are we asking the wrong questions about Ebola?

BBC NEWS MAGAZINE                                            NOV. 11, 2014

By Ben Carter

The Ebola virus has killed about 5,000 people since March - but one scientist who is studying the statistics says this is not the best figure to consider if we really want to understand the current state of the outbreak and how to beat it.

 

 

A total of 4,960 people have died from Ebola this year according to statistics released by the World Health Organisation on 4 November. More than half of those cases - 2,766 - were in Liberia.

But this cumulative figure, which is widely reported, can only go one way - up. It gives no meaningful insight into how the outbreak has developed says Hans Rosling, professor of global health at the Karolinska Institute in Sweden....

Read full story.
http://www.bbc.com/news/magazine-30011521

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Health Officials Reassess Strategy to Combat Ebola in Liberia

NEW YORK TIMES                                                         Nov. 13, 2014

By and

WASHINGTON — As the rate of new Ebola infections in Liberia has slowed, American and Liberian officials are debating whether to build all 17 planned Ebola treatment centers in the country or to shift money from the Obama administration that was planned for the centers into other programs to combat future outbreaks.

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Full Senate Committee on Appropriations Hearing on the U.S. Government Response to Ebola Outbreak

               

appropriations.senate.gov - C-SPAN3 - November 12, 2014

Full Committee Hearing on the U.S. Government Response to the Ebola outbreak
 
WHEN:             WEDNESDAY, November 12, 2014 at 2:00 p.m.
                                                                                                             
WHERE:            Room SD-G50 of the Dirksen Senate Office Building

(VIEW THE RECORDED VIDEO IN THE LINKS BELOW)

http://www.appropriations.senate.gov/webcast/full-committee-hearing-us-government-response-fighting-ebola-and-protecting-america

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