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New Ebola Patient in Nebraska in Critical Condition

Martin Salia Treated After Being Transported From Sierra Leone

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

A surgeon under treatment for Ebola in Omaha, Neb., is in extremely critical condition, the hospital said early Sunday.

Martin Salia was admitted on Saturday to the Nebraska Medical Center’s biocontainment unit after a medical evacuation from Freetown, Sierra Leone.

 

Dr. Martin Salia poses for a photo in Freetown, Sierra Leone, in April. Associated Press

“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.”

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Dr. David Nabarro (UN Special Envoy on Ebola) on Ebola - General Assembly, Informal Meeting, 69th Session (13 November 2014)

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)

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The Shifting Ebola Epidemic

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...

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U.N. scraps clinic contract as Ebola exposes Mali readiness gaps

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.

Children watch as a health worker sprays disinfectant outside a mosque in Bamako, Mali November 14, 2014.Credit: Reuters/Joe Penney

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.

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Ebola: Democratic Republic of Congo says its outbreak is over

BBC                                                                                                              Nov. 15, 2014

A three-month Ebola outbreak in the Democratic Republic of Congo has ended after claiming at least 49 lives, the country's health minister says.

Health workers are trained in managing Ebola in the Democratic Republic of Congo

Felix Kabange said no new cases had been registered since 4 October, though he warned against complacency.

The country's outbreak is unrelated to the one in West Africa which has claimed more than 5,000 lives.

Ebola was first detected in 1976 near the Ebola River in what is now the Democratic Republic of Congo.

Read complete story
http://www.bbc.com/news/world-africa-30068324

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California adopts tough Ebola-protection rules for health workers

SFGATE                                                    NOV. 14, 2014

By Carolyn Jones      

California has adopted some of the nation’s strongest regulations to protect doctors, nurses and other health workers treating patients with Ebola.

The regulations, announced Friday by the California Occupational Safety and Health Administration, require the state’s 300 or so acute-care hospitals to provide hazardous material suits, respirators, isolation rooms and extensive training to those working with patients suspected of having the Ebola virus.

Nurses hailed the regulations as a model for the rest of the country.

 The regulations are more comprehensive than those put forth by the Centers for Disease Control, which the state’s hospitals have been following until now. California has not had any Ebola cases.

Read complete story
http://www.sfgate.com/health/article/California-adopts-tough-Ebola-protection-rules-5894274.php

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New CDC report offers insight into Dallas County Ebola outbreak

THE DALLAS MORNING NEWS                                                                               Nov. 15, 2014

By Sherry Jacobson

The “Ebola cluster” in Dallas County is the subject of the Morbidity and Mortality Weekly Report published Friday by the Centers for Disease Control and Prevention.

...the report offers a detailed timeline of what happened, starting with Thomas Eric Duncan’s arrival in Dallas from Liberia on Sept. 20. His Ebola symptoms were misdiagnosed Sept. 25 at Texas Health Presbyterian Hospital Dallas as sinusitis and he was sent home with antibiotics. He returned to the hospital Sept. 28, underwent 10 days of treatment and died Oct. 8.

Two of Duncan’s caretakers, both registered nurses, were also infected and were treated successfully for the disease. Protocols required public health workers to monitor 177 people who had contact with the three Ebola patients.

A dozen people in that group, however, were tested for Ebola after developing fever or other symptoms compatible with the disease during the monitoring period. None were found to have Ebola. By last Friday, all contacts had cleared 21 days of monitoring and the county’s outbreak was declared over.

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Ebola Virus Disease Cases Among Health Care Workers Not Working in Ebola Treatment Units — Liberia, June–August, 2014

cdc.gov - Early Release - November 14, 2014

(CLICK HERE - READ COMPLETE REPORT - ADDITIONAL INFORMATION)

Almea Matanock, MD1, M. Allison Arwady, MD1, Patrick Ayscue, DVM1, Joseph D. Forrester,MD1, Bethany Gaddis, MPH2, Jennifer C. Hunter, DrPH1, Benjamin Monroe, MPH3, Satish K. Pillai, MD4, Christie Reed, MD5, Ilana J. Schafer, DVM6, Moses Massaquoi, MD7, Bernice Dahn, MD8, Kevin M. De Cock, MD9 (Author affiliations at end of text)

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Ebola cases plummet in Liberian hot spot as aid groups gain community trust

WASHINGTON POST                                               Nov. 14, 2004
By Lena H. Sun

WASHINGTON --The number of new Ebola patients has fallen to practically zero in one of Liberia’s hardest-hit areas because aid workers gained the trust of the community so the sick were able to be treated quickly and the dead were buried safely, according to a report released Friday by the U.S. Centers for Disease Control and Prevention.

                            Number of newly reported Ebola cases in Lofa County, Liberia. (CDC)

That strategy put in place in Lofa County by Doctors Without Borders has been so effective that it could serve “as a model to implement in other affected areas to accelerate control of Ebola,” the report said.

The measures are aimed at reducing fear of everything associated with the disease, from the health-care workers, who looked like astronauts in their protective gear, to the way treatment facilities are designed.

At the Ebola treatment unit in the town of Foya, for example, the facility’s high walls were replaced with transparent fences so people could see what was happening at the center....

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Economic consequences of Ebola The ignorance epidemic

THE ECONOMIST                                                                                                        Nov. 14, 2014

NAIROBI -- Safari tents remain zipped, hotel pools are empty, game guides idle among lions and elephants. Tour operators across Africa are reporting the biggest drop in business in living memory. A specialist travel agency, SafariBookings.com, says a survey of 500 operators in September showed a fall in bookings of between 20% and 70%. Since then the trend has accelerated, especially in Botswana, Kenya, South Africa and Tanzania. Several American and European agents have stopped offering African tours for the time being.

The reason is the outbreak of the Ebola virus in west Africa, which has killed more than 5,000 people. The epidemic is taking place far from the big safari destinations in eastern and southern Africa—as far or farther than the homes of many European tourists (see map). There are more air links from west Africa to Europe than to the rest of the continent, whose airlines have in any case largely suspended flights.

Moreover Ebola is hardly the biggest killer disease in Africa (AIDS and malaria are bigger). Yet, in the mind of many visitors, all of Africa is a single country.

One despairing tour operator calls it an “epidemic of ignorance”.

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