Situation Report

Ebola outbreak: Virus still 'running ahead of us', says WHO

BBC    by Tulip Mazumdar                                                                                                    Dec. 10, 2014

The Ebola virus that has killed thousands in West Africa is still "running ahead" of efforts to contain it, the head of the World Health Organization has said.
Director general Margaret Chan said the situation had improved in some parts of the worst-affected countries, but she warned against complacency.

The risk to the world "is always there" while the outbreak continues, she said.

She said the WHO and the international community failed to act quickly enough....

"It is fair to say the whole world, including WHO, failed to see what was unfolding, what was going to happen in front of our eyes," said Dr Chan.

"Of course, with the benefit of hindsight, if you ask me now... we could have mounted a much more robust response."

Read complete story.
http://www.bbc.com/news/health-30400304

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Ebola funding in 'cromnibus' falls just short of Obama request

Senate and House lawmakers have agreed to appropriate $5.4 billion on Ebola treatment and prevention measures in the U.S. and West Africa.

The funding falls just short of the funding request issued by the president last month...

Nearly $2.5 billion would go to the Department of Health and Human Services, which plans to bolster the readiness of U.S. hospitals, speed up the development of vaccines and help monitor airline travelers from Ebola-stricken countries.

Another $2 billion would go to the U.S. Agency for International Development to “scale up” the global response. The State and Defense departments would each receive just over $100 million.

The House Rules Committee meets today  to comb through the bill, dubbed the “cromnibus,” before it goes to the House floor.

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Senate Foreign Relations Subcommittee hearing on Ebola

President Ellen Johnson Sirleaf of Liberia speaks via video on the international response to the Ebola crisis during a Senate subcommittee hearing on Capitol Hill in Washington on Wednesday. (SAUL LOEB, AFP/Getty Images)

Update Liberian president warns that Ebola still threatens her nation

LOS ANGELES TIMES                                                                                                    Dec. 10, 2014

liberian President Ellen Johnson Sirleaf thanked the Obama administration Wednesday for its efforts in stemming the tide of the country’s Ebola outbreak, but warned that the disease was still a threat in her developing nation.

The American response, a combination of funding and military aid, helped galvanize other countries to join the fight against the epidemic in West Africa, she told the Senate Foreign Relations Committee over video link.

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WHO: malaria gains 'at risk' in Ebola-affected countries

MEDICAL NEWS TODAY                                                                                                 Dec. 9, 2014

LONDON --Thanks to increased disease control, global deaths to malaria have fallen dramatically, and the number of new cases is steadily declining, say the World Health Organization in a new report. Also, an increasing number of countries are moving toward eliminating the mosquito-borne disease altogether. But the UN agency warns these gains are fragile, and no more so than in countries worse-affected by the Ebola crisis.

 
A new report from the World Health Organization says the number of lives claimed by malaria worldwide fell by 47% between 2000 and 2013, and by 54% in Africa, where the vast majority of deaths occur.

The 2014 World Health Organization (WHO) report says deaths to malaria worldwide fell by 47% between 2000 and 2013. In the WHO African Region, where 90% of deaths to malaria occur, the reduction is 54%.

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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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