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Amid Assurances on Ebola, Obama Is Said to Seethe

NEW YORK TIMES                                                 Oct. 18, 2014

By and

WASHINGTON — Beneath the calming reassurance that President Obama has repeatedly offered during the Ebola crisis, there is a deepening frustration, even anger, with how the government has handled key elements of the response.

Those frustrations spilled over when Mr. Obama convened his top aides in the Cabinet room after canceling his schedule on Wednesday. Medical officials were providing information that later turned out to be wrong. Guidance to local health teams was not adequate. It was unclear which Ebola patients belonged in which threat categories.

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Ebola Vaccine Would Likely Have Been Found By Now If Not For Budget Cuts: NIH Director

HUFFINGTON POST

By Sam Stein                                                              Updated Oct. 13 ,2014

BETHESDA, Md. -- As the federal government frantically works to combat the Ebola outbreak in West Africa, and as it responds to a second diagnosis of the disease at home, one of the country's top health officials says a vaccine likely would have already been discovered were it not for budget cuts.

Dr. Francis Collins, the head of the National Institutes of Health, said that a decade of stagnant spending has "slowed down" research on all items, including vaccinations for infectious diseases. As a result, he said, the international community has been left playing catch-up on a potentially avoidable humanitarian catastrophe.

"NIH has been working on Ebola vaccines since 2001. It's not like we suddenly woke up and thought, 'Oh my gosh, we should have something ready here,'" Collins told The Huffington Post on Friday. "Frankly, if we had not gone through our 10-year slide in research support, we probably would have had a vaccine in time for this that would've gone through clinical trials and would have been ready."

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U.S. lacks a single standard for Ebola response

USA TODAY                                   Oct. 12, 2014

by Larry Copeland

ATLANTA — As Thomas Eric Duncan's family mourns the USA's first Ebola death in Dallas, one question reverberates over a series of apparent missteps in the case: Who is in charge of the response to Ebola?

The answer seems to be — there really isn't one person or agency. There is not a single national response.

The Atlanta-based Centers for Disease Control and Prevention has emerged as the standard-bearer — and sometimes the scapegoat — on Ebola.

Public health is the purview of the states, and as the nation anticipates more Ebola cases, some experts say the way the United States handles public health is not up to the challenge.

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http://www.usatoday.com/story/news/nation/2014/10/12/examining-the-nations-ebola-response/17059283/

CDC workers analyze Ebola details in the CDC's Emergency Operations Center in Atlanta.(Photo: David Tulis for USA TODAY)


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Obama: U.S. Will Beef Up Airport Screenings for Ebola

UPDATED  With additional information  (Scroll below).

TIME

By Zeke J. Miller                              Oct. 6. 2014                5:24 PM

President Barack Obama said Monday that the U.S. is working on additional passenger screenings for airline passengers flying from Ebola-stricken West Africa, two weeks after a Liberian man infected with the disease entered the country.

Officials are “going to be working on protocols to do additional passenger screenings both at the source and here in the United States,” Obama said, addressing reporters following a briefing on his administration’s response to the epidemic in Africa and efforts to keep the disease from spreading to the U.S. “All of these things make me confident that here in the United States at least the chances of an outbreak, of an epidemic here are extraordinarily low.”

The president did not give specifics on the new screening measures, and Dr. Tom Frieden, director of the Centers for Disease Control and Prevention (CDC) declined to elaborate further in an interview with CNN after the meeting.

 

 

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Ebola Victim's Air Journey shows weak spots in screening.

NEW YORK TIMES              October 3, 2014

MONROVIA, Liberia — The arrival in the United States of a Liberian man infected with the Ebola virus shows how difficult it is to control or restrict the disease from spreading, and how porous current procedures are in a world of globalized air travel.

Liberian officials said on Thursday that they planned to prosecute the passenger, Thomas E. Duncan, for lying on an airport questionnaire about not having contact with a person infected with Ebola before his travel — a pivotal part of the country’s screening process.

Mr. Duncan took three planes as he flew from Monrovia, the Liberian capital, to Dallas last month, connecting in Brussels and Washington.

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USG expected to announce within days procedures for handling Ebola patents' medical waste

                                                    October 2, 2014

Reuters reports that the U.S.Government expects to settle within days the critical question of how hospitals should handle and dispose of medical waste from Ebola patients.

Experts have warned that conflicting U.S. regulations over how such waste should be transported could make it very difficult for U.S. hospitals to safely care for patients with Ebola, a messy disease that causes diarrhea, vomiting and in some cases, bleeding from the eyes and ears.

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http://www.reuters.com/article/2014/10/02/us-health-ebola-waste-idUSKCN0HR07T20141002

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Overview of U.S.Defense Department activities against Ebola, including testing vaccine candidate

By Cheryl Pellerin

DoD News, Defense Media Activity

WASHINGTON, Sept. 26, 2014 – The Defense Department has made critical contributions to the fight against the deadly Ebola outbreak in West Africa, and today Defense Secretary Chuck Hagel described additional ways the Pentagon is helping in the broader battle against infectious disease outbreaks of the future.

He spoke at a gathering of top government and military officials and infectious disease experts from 44 countries here to attend the Global Health Security Agenda, or GHSA, Summit hosted by President Barack Obama.

Hagel said ...the department also is accelerating the manufacture of potential treatments and starting clinical trials for a vaccine candidate and it has received approval to begin safety testing for one [Ebola] vaccine candidate that will be conducted at the Walter Reed Army Institute of Research.”

...The DoD Cooperative Threat Reduction Program is providing unique resources and expertise to enhance detection and surveillance, Hagel said, and all department assets will help civilian responders contain Ebola's spread and mitigate its economic, social and political fallout.

For fuller description of the Defense Department's activities to counter Ebola see link to the full article:

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How Can a City Measure Its Happiness?

Santa Monica will begin to survey residents about their well-being next month. (AP Photo/Richard Vogel)By Rebecca Tuhus-Dubrow | Next City | August 19, 2014

At one time, questionnaires about well-being were the province of mental health professionals. But in recent years, a growing number of city governments have been getting into the game. Last year, Santa Monica, California won a Bloomberg Philanthropies Mayors’ Challenge grant to create a “Local Well-Being Index,” based in part on a survey it plans to administer next month. Other cities, including Seattle and Nevada City, Calif., are at various stages of implementing the idea as well (with different levels of direct municipal involvement). All share a goal that some see as unsuitable for government and others consider its fundamental task: to make citizens happier.

http://nextcity.org/daily/entry/happiest-cities-well-being-survey-policy

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U.S. Orders Departure of Eligible Family Members from Sierra Leone

Department of State SealPress Statement

Marie Harf
Deputy Department Spokesperson, Office of the Spokesperson
Washington, DC
August 14, 2014
 
At the recommendation of the U.S. Embassy in Sierra Leone, the State Department today ordered the departure from Freetown of all eligible family members (EFMs) not employed by post. The Embassy recommended this step out of an abundance of caution, following the determination by the Department’s Medical Office that there is a lack of options for routine health care services at major medical facilities due to the Ebola outbreak.

http://www.state.gov/r/pa/prs/ps/2014/230613.htm

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NSA Releases First Statistics on Surveillance Sweep

The logo of the National Security Agency hangs at the Threat Operations Center in Fort Meade, Maryland on January 25, 2006 (AFP Photo/Paul J. Richards)

news.yahoo.com - AFP - June 27, 2014

Washington (AFP) - The US National Security Agency released its first "transparency report" Friday, as part of an effort to quell the firestorm over reports of its massive data collection efforts.

The NSA report said that in 2013, it obtained fewer than 2,000 orders from the secret Foreign Intelligence Surveillance Court.

That included 1,767 orders based on "probable cause" for an investigation, and 131 orders allowing the agency to collect data using a so-called "pen register" or "trap and trace."

(READ COMPLETE ARTICLE)

IC on the Record - Statistical Transparency Report Regarding Use of National Security Authorities
Annual Statistics for Calendar Year 2013

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