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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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U.S. agency offers legal immunity to Ebola vaccine makers

REUTERS                                                                                                                    Dec. 9, 2014

CHICAGO -- The U.S. Department of Health and Human Services on Tuesday offered liability protections to drugmakers rushing to develop Ebola vaccines and urged other countries to follow suit.

Health and Human Services (HHS) Secretary Sylvia Burwell made the announcement as part of the Public Readiness and Emergency Preparedness (PREP) Act in a move aimed at encouraging the development and availability of experimental Ebola vaccines.

The declaration provides immunity under U.S. law against legal claims related to the manufacturing, testing, development, distribution, and administration of three vaccines for the Ebola virus. However, it does not provide immunity for a claim brought in a court outside the United States...

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http://www.reuters.com/article/2014/12/09/us-health-ebola-vaccine-idUSKBN0JN1S920141209

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With Ebola Cases Down, Officials Worry Liberians Aren't Worried Enough

NATIONAL PUBLIC RADIO  by OFEIBEA QUIST-ARCTON                                          Dec. 8, 2014

MONROVIA -- Treatment units in Liberia stand nearly empty, but a dozen or so Ebola cases still appear each day, with clusters in Monrovia and rural areas. The CDC's chief there wants the nation to stay alert.

Interview with Kevin De Cock, the doctor leading the Ebola response effort in Liberia for the Centers for Disease Control and Prevention. He warns that the new enemy in the fight against the virus may be people letting down their guard.

Read rest of interview.

http://www.npr.org/2014/12/08/369276253/with-ebola-cases-down-officials-worry-liberians-arent-worried-enough

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Liberia Bans Election Rallies to Fight Ebola

UPDATE: Liberia court suspends ban on mass gatherings in Monrovia

MONROVIA --Liberia's top court issued a stay on a government order banning public gatherings in the capital ahead of Senate elections next week that was imposed because electioneering risks spreading Ebola, Information Minister Lewis Brown said on Sunday.

Presiding Associate Justice Philip

On Monday, the court will hear a petition by civil society groups, prominent citizens and some political parties who seek a delay to the Senate elections, now set for Dec. 16, until Ebola is eradicated.

On Wednesday, the court will hear a separate petition by independent Senate candidate Robert Sirleaf, the son of President Ellen Johnson Sirleaf.

issued the stay pending two Supreme Court hearings this week, Brown said.

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