BLOOMBERG BUSINESSWEEK                                Nov. 17, 2014
by Jason Gale

The best medical advice for surviving Ebola right now might fit in one word: drink.

Dr. Fadipe Akinniyi Emmanuel, Ebola survivor, shows the daily dose of oral rehydration salts, or ORS, he and other survivors took to survive in Nigeria. Photographer: Andrew Esiebo/World Health Organization via Bloomberg

With targeted drugs and vaccines at least months away, doctors and public health experts are learning from Ebola survivors what simple steps helped them beat the infection. Turns out drinking 4 liters (1 gallon) or more of rehydration solution a day -- a challenge for anyone and especially those wracked by relentless bouts of vomiting -- is crucial. “When people are infected, they get dry as a crisp really quickly,” said Simon Mardel, an emergency room doctor advising the World Health Organization on Ebola in Sierra Leone. “Then the tragedy is that they don’t want to drink.”

  USA TODAY                                                                                                               Nov. 16, 2014

 By Gregg Zoroya

MONROVIA, Liberia  -- The commander of U.S. troops in this West African nation is "cautiously optimistic" the war on Ebola is being won but says hard work remains to halt the spread of the deadly virus.

"People start to see the progress that's been made and they say, 'Well, Liberia is good to go,' " Maj. Gen. Gary Volesky told USA TODAY in a wide-ranging interview at his headquarters here. "(But) we've got 20 brand-new cases every single day, and we're going to continue to put our foot on the accelerator until we get this thing out of Liberia...."

 The persistent stream of new infections plaguing Liberia is largely occurring in rural areas that lack Ebola treatment centers the U.S. military is helping to build, Volesky said. "There's a lot of work left to do in Liberia."

In addition to building or supporting up to 17 new treatment centers, the U.S. military is training health care workers to staff them and is testing blood samples more rapidly for diagnoses.

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AFP                                                                                                         Nov.17,2014                                 

Fearful of a surge of Ebola cases, Mali has placed more than 440 people under surveillance..

Officials in Mali met to consider increasing security at its border following two confirmed cases of Ebola due to infection in neighboring Guinea.

Police officers stand in front of the quarantined Pasteur clinic in Bamako on November 12, 2014 ©Habibou Kouyate (AFP/File)

Mali has been scrambling to prevent a minor outbreak from turning into a major crisis after the deaths of a Guinean imam and the Malian nurse who treated him in the capital Bamako.

"The number of contacts followed by health services amounts to 442. They have all been placed under observation for health control," Samba Sow, of the Ebola emergency operations center, said in a statement late Sunday.

Teams of investigators have been tracking health workers and scouring Bamako and the imam's village of Kouremale, which straddles the Mali-Guinea border, for people who could have been exposed.

WASHINGTON POST                                                                                                Nov. 17, 2014

By Joel Achenbach

John Hoover, the U.S amabassador to Sierre Leone, .... noted that the response to the epidemic in Sierra Leone poses a management challenge, and he sees a need to “sharpen coordination.”

                                                           Ambassador John Hoover. (Courtesy of State Department)

“There are a great deal of players on the ground,” Hoover said in an interview from Freetown.  “Lots of people doing lots of things. It’s a question of sharpening that coordination so that we’re not missing gaps and not overlapping and tripping over one another.”

He sees progress in that battle in the eastern part of Sierra Leone, but the epidemic is flaring in the western part of the country. Sierra Leone is the country with the highest infection rate, according to the World Health Organization’s most recent update. About 70 employees of the Centers for Disease Control and Prevention have deployed to Sierra Leone to fight Ebola. The U.S. military has focused on neighboring Liberia; Britain has a leading role in Sierra Leone....

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In-depth description of the Ebola situation in remote villages in Guinea

A man with symptoms of Ebola walked to the center of Dandano after the chief of the village ordered the removal of sick people from homes. “Bring out your sick!” the chief shouted at the crowd, shaking his fist and warning of illness and death for the whole village if they did not obey. Samuel Aranda for The New York Times

NEW YORK TIMES                                                                                                             Nov. 17, 2014
By Adam Nossiter

DANDANO, Guinea--

WASHINGTON POST                                                                                          Nov. 17, 2014

By Kevin Sieff

...The doctors who tended to him in Freetown appeared to be unaware that an early Ebola test — taken within the first three days of the illness — is often inconclusive. In a country where information about the disease continues to move slowly, it was another potentially tragic mistake.

In many cases, a negative test at that stage means nothing because “there aren’t enough copies of the virus in the blood for the test to pick up,” said Ermias Belay, the head of the CDC’s Ebola response team in Sierra Leone.

But M’Briwa and others treated the test as definitive, even though Salia remained feverish and weak. The first results were delivered by a team of Chinese lab technicians who had opened a nearby hospital. (The technicians declined Sunday to speak about Salia’s case.)...

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http://www.washingtonpost.com/world/a-doctors-mistaken-ebola-test-we-were-celebrating--then-everything-fell-apart/2014/11/16/946a84da-6dd5-11e4-a2c2-478179fd0489_story.html

LOS ANGELES TIMES                                                                                         Nov. 17, 2014
By Julie Westfall

Dr. Martin Salia, who contracted Ebola in Sierra Leone and was being treated at a Nebraska hospital, has died, a hospital spokesman confirmed Monday.

Martin Salia, 44, was taken to Nebraska Medical Center in Omaha to be treated for Ebola after contracting the disease in Sierra Leone. (UBCentral.org)

"It is with an extremely heavy heart that we share this news," Dr. Phil Smith, medical director of the biocontainment unit at Omaha's Nebraska Medical Center, said in a statement. "Dr. Salia was extremely critical when he arrived here, and unfortunately, despite our best efforts, we weren't able to save him."

Salia was a member of the Church of the United Bretheren in Christ and was working as a surgeon at Kissy United Methodist Hospital in Freetown, Sierra Leone, treating Ebola patients as the disease spread in West Africa.

Description of the way the CDC Foundation, the Allen Foundation and large donors are playing an important role in countering Ebola.

THE WASHINGTON POST                                                                                                          Nov. 17, 2014
By Ariana Eunjung Cha

"...The unpredictable nature of the Ebola virus has made the government’s partnerships with private donors critically important in the crisis response. Working outside the politically charged federal appropriations process and the sometimes sluggish bureaucracy, foundations and private individuals have been able to offer much-needed relief for those on the front lines...."

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http://www.washingtonpost.com/national/health-science/in-ebola-fight-private-foundations-provide-critical-financial-aid/2014/11/16/b57ec57e-6109-11e4-9f3a-7e28799e0549_story.html

For now, the world has to rely on a small, Georgia-based flight company for Ebola evacuations. (AP)

Life-saving gear needed to fly sick patients was in storage as epidemic grew

news.yahoo.com - by Jason Sickles - November 11, 2014

The air ambulance operation tasked with rescuing U.S. Ebola victims from West Africa was initially slowed by bureaucratic bungling and is now at risk of being overburdened as thousands of American troops deploy to fight the deadly disease.

Yahoo News has learned the U.S. government spent millions last decade to develop and build two of the world’s only isolation chambers for flying contagious patients — but as the epidemic raged in West Africa this summer and American aid workers there needed evacuating, the medical inventions were packed away in a small-town Georgia warehouse.

The troubling lack of preparedness by federal agencies forced the State Department to put up $4.9 million as part of a rushed contract to employ a commercial aviator to safely evacuate Ebola-infected Americans from West Africa.

Mali:  U.S to begin enhanced screening; France warns its citizens against travel

(Two stories, scroll down)

 REUTERS                                                   NOV. 16, 2014

The United States will begin enhanced Ebola screening on Monday for travelers whose trips started in the African nation of Mali, the government said on Sunday.

Mali has been added to the list of countries (Sierra Leone and Liberia)  whose travelers face heightened screening because there have been a number of confirmed cases of Ebola there in recent days, the U.S. Centers for Disease Control and Prevention and the Department of Homeland Security said in a statement.

"A large number of individuals may have been exposed to those cases," it said. There are no direct flights to the United States from Mali, but an average of 15 to 20 travelers a day start their trips there, the statement said.

Complete story
http://uk.reuters.com/article/2014/11/16/us-health-ebola-usa-idUKKCN0J010S20141116
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REUTERS                                                                                                                  Nov. 16, 2014

Image: President Obama meets with President Xi Jinping. Photo Credit: Pete Souza/White House

environmentalleader.com - November 13th, 2014

The US and China set ambitious climate change goals on Wednesday, with President Obama pledging to cut US greenhouse gas emissions 26 percent to 28 percent below 2005 levels by 2025.

Chinese president Xi Jinping announced targets to peak carbon dioxide emissions by 2030 or sooner and to increase China’s non-fossil fuel share of energy to around 20 percent by 2030.

The announcement was met with praise from environmentalists and business groups.

(VIEW COMPLETE ARTICLE)

Martin Salia Treated After Being Transported From Sierra Leone

WALL STREET JOURNAL                                     Nov. 16, 2014 ByBetsy McKay and Scott Calvert

“This is an hour-by-hour situation,” said Philip Smith, medical director of the biocontainment unit and a professor of infectious diseases at the University of Nebraska Medical Center, the hospital’s academic partner. “He is extremely ill. We have multiple highly-trained specialists who are experts in their fields targeting his most serious medical issues.”

webtv.un.org

13 Nov 2014 - Statement by Dr. David Nabarro, UN Special Envoy on Ebola at the General Assembly Informal meeting of the plenary briefing on the Ebola virus outbreak.

(CLICK HERE - VIDEO - Statement by Dr. David Nabarro, UN Special Envoy on Ebola)

NEW YORK TIMES                                                                                         Nov. 16, 2014

EDITORIAL

Recent gains in controlling the Ebola epidemic in West Africa have been encouraging, but they offer no reason for complacency. In Liberia, the hardest-hit country, the rate of new infections has declined in some areas, and several treatment units have been reporting empty beds for more than a month. But in adjacent Sierra Leone the number of new cases has shot upward, while in Guinea, where the epidemic started, the incidence of new cases appears to have stabilized over all, with growth in some districts and declines in others. All told, Ebola has infected more than 14,000 people in West Africa and killed more than 5,000 of them...

REUTERS                                                  Nov. 16, 2014
By David Lewis

DAKAR - The United Nations mission in Mali has canceled plans to renew a contract with a private clinic providing care to its peacekeepers after a case of Ebola was missed and spread from there.

This second Ebola alarm in Mali, coming just as it seemed to have contained its first case last month, raised doubts about the country's ability to protect itself from the epidemic ...

The U.N. mission in Mali, whose peacekeepers are helping to protect the nation against Islamist rebels, reversed on Saturday a decision taken earlier in the week to renew the contract with the Pasteur Clinic in Bamako to care for sick or injured troops.