You are here

United States

Special Report - A Primer on Ebola for Clinicians

journals.cambridge.org -  Eric Toner, Amesh Adalja and Thomas Inglesby. A Primer on Ebola for Clinicians.
Disaster Medicine and Public Health Preparedness, available on CJO2014. doi:10.1017/dmp.2014.115.

Abstract

The size of the world’s largest Ebola outbreak now ongoing in West Africa makes clear that further exportation of Ebola virus disease to other parts of the world will remain a real possibility for the indefinite future. Clinicians outside of West Africa, particularly those who work in emergency medicine, critical care, infectious diseases, and infection control, should be familiar with the fundamentals of Ebola virus disease, including its diagnosis, treatment, and control. In this article we provide basic information on the Ebola virus and its epidemiology and microbiology. We also describe previous outbreaks and draw comparisons to the current outbreak with a focus on the public health measures that have controlled past outbreaks. We review the pathophysiology and clinical features of the disease, highlighting diagnosis, treatment, and hospital infection control issues that are relevant to practicing clinicians. We reference official guidance and point out where important uncertainty or controversy exists. (Disaster Med Public Health Preparedness. 2014;0:1-5)

General Topic Tags: 
Problem, Solution, SitRep, or ?: 

CDC releases revised Ebola gear guidelines

UPDATED WITH MORE DETAILS      

WASHINGTON POST                                                 Oct. 20, 2014

During a media briefing late Monday, CDC Director Thomas Frieden said the updated guidelines give a greater margin of safety to health-care workers. They are modeled closely on those used by Doctors Without Borders, the aid group that has worked most extensively in West Africa... The guidance also reflects the consensus of specialists at Emory University Hospital, Nebraska Medical Center and the National Institutes of Health, which are currently treating Ebola patients.

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

In U.S., Fear of Ebola Closes Schools and Shapes Politics

In Rock Island, Ill., Barhyeau Philips said he and his family would stay home for the next few weeks since the arrival of his daughter Jennifer from Liberia. Credit John Schultz/Quad-City Times, via Zuma
...

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

Review of Human-to-Human Transmission of Ebola Virus

CDC                                                              Posted Oct. 20, 2014 from  CDC  Oct. 17 document

This document is a concise summary of published information on the current science about human-to-human transmission of Ebola virus. It is developed for use by healthcare personnel and public health professionals to use. It is a complement to the many guidance documents that CDC has issued already online at

www.cdc.gov/ebola.

General Topic Tags: 
Problem, Solution, SitRep, or ?: 

Lawmakers Urge Temporary Visa Suspension for Ebola-Affected Nations

CONGRESSIONAL DEVELOPMENTS: CALLS FOR SUSPENDNG VISAS, AND HEARING ANNOUNCED ON EXPECTED NEW BUDGET REQUEST

HOMELAND SECURITY TODAY                Oct. 10 2014
By: Amanda Vicinanzo, Senior Editor

WASHINGTON --Amid calls to issue a travel ban to and from West Africa to help protect Americans from Ebola, Rep. Michael McCaul (R-Texas), chairman of the House Committee on Homeland Security, introduced the proposition that the US should look at the idea of temporarily suspending the thirteen thousand visas that would be coming out of the region.

 Rep. McCaul, along with subcommittee chairmen Reps. Peter King (R-NY), Candice Miller (R-Mich), Jeff Duncan (R-SC), Richard Hudson (R-NC) and Susan Brooks (R-Ind) recently urged the Obama administration that “additional steps should be considered to curtail the potential spread of Ebola to the United States.

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

U.S. to issue new Ebola care guidelines, watch lists to shrink

ROUNDUP OF DEVELOPMENTS SUNDAY

REUTERS                                     Oct 19, 2014

GALVESTON Texas --(Reuters) - The United States will issue strict new guidelines telling American health workers to cover their skin and hair when dealing with Ebola patients, a top health official said on Sunday, while some of the dozens of people being watched for possible exposure to the virus are expected to be cleared.

 

 A health care worker receives protocol on the proper removal of personal protection equipment from Centers for Disease Control and Prevention (CDC) instructors in preparation for the response to the current Ebola outbreak, during a CDC safety training course in Anniston, Alabama, October 6, 2014. Credit: Reuters/Tami Chappell

In Texas, a lab worker who spent much of a Caribbean holiday cruise in isolation tested negative for the deadly virus and left the Carnival Magic liner with other passengers after it docked at Galveston early on Sunday morning....

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

Dozens Declared Free of Ebola Risk in Texas

UPDATE   Ebola fear ends for dozens on U.S. watch lists                        

DALLAS--Weeks of worry about Ebola infection ended on Monday for several dozen people who came off watch lists in the United States, but more than 260 others were still being monitored for symptoms as the U.S. government ramped up its response to the virus.

In Texas, 43 people who had contact with Liberian Thomas Eric Duncan, the first person diagnosed with the disease in the United States, were cleared of twice-daily monitoring after showing no symptoms during a 21-day incubation period. The Texas health department said they included four people who shared an apartment with Duncan and had been in quarantine. It said 120 people in Texas were still being monitored.

Country / Region Tags: 
Problem, Solution, SitRep, or ?: 

Long Quest for Ebola Vaccine Slowed by Science, Ethics, Politics

An experimental Ebola vaccine has been developed by the U.S. National Institutes of Health and pharmaceutical company GlaxoSmithKline. Photograph by Steve Parsons, AP

Image: An experimental Ebola vaccine has been developed by the U.S. National Institutes of Health and pharmaceutical company GlaxoSmithKline. Photograph by Steve Parsons, AP

news.nationalgeographic.com - October 14th, 2014 - Karen Weintraub

Ebola vaccines are so effective in monkeys that macaques can be protected or rescued even if they're injected with a hundred times the lethal dose of the Ebola virus after vaccination. But no one knows for certain whether the vaccines will work in humans; the vaccines haven't yet been rigorously tested in people.

Just developing the vaccines to test in monkeys was a grueling, decades-long process that has killed scores of macaques since the 1990s.

(VIEW COMPLETE ARTICLE)

General Topic Tags: 
Problem, Solution, SitRep, or ?: 

Global Economy Facing Environment, Sustainability Skills Deficit

environmentalleader.com - October 16th, 2014

By 2020 the world economy could be facing a skills deficit driven by mega-trends such as population growth, increasing demand for natural resources, and soaring costs of energy, coupled with the impacts of climate change and ecosystem degradation, according to a report by the Institute of Environmental Management & Awareness.

Although the transition to a sustainable economy presents significant opportunities for business, according to an IEMA survey of over 900 organizations, only 13 percent of companies are fully confident that they have the skills to successfully compete in the sustainable economy.

(VIEW COMPLETE ARTICLE)

Country / Region Tags: 
General Topic Tags: 
Problem, Solution, SitRep, or ?: 

NEJM - Ebola Virus Disease in West Africa — The First 9 Months of the Epidemic and Forward Projections

nejm.org - WHO Ebola Response Team

N Engl J Med 2014; 371:1481-1495 - October 16, 2014 - DOI: 10.1056/NEJMoa1411100

Conclusions

These data indicate that without drastic improvements in control measures, the numbers of cases of and deaths from EVD are expected to continue increasing from hundreds to thousands per week in the coming months.

(SEE COMPLETE NEJM ARTICLE HERE)

NEJM - Ebola Virus Disease in West Africa — The First 9 Months of the Epidemic and Forward Projections (15 page .PDF file)

Country / Region Tags: 
General Topic Tags: 
Problem, Solution, SitRep, or ?: 

Pages

Subscribe to United States
howdy folks