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Liberian Deputy Health Minister Enters Quarantine

ASSOCIATED PRESS  SEPTEMBER 27, 2014

 

MONROVIA, Liberia (AP) — Liberia's chief medical officer is placing herself under quarantine for 21 days after her office assistant died of Ebola.

Bernice Dahn, a deputy health minister who has represented Liberia at regional conferences intended to combat the ongoing epidemic, told The Associated Press on Saturday that she did not have any Ebola symptoms but wanted to ensure she was not infected.

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Liberia's government has asked people to keep themselves isolated for 21 days if they think they have been exposed. The unprecedented scale of the outbreak, however, has made it difficult to trace the contacts of victims and quarantine those who might be at risk.

"Of course we made the rule, so I am home for 21 days," Dahn said Saturday. "I did it on my own. I told my office staff to stay at home for the 21 days. That's what we need to do."

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Meanwhile, Senegal was expected on Saturday to receive a flight carrying humanitarian staff from Guinea — the first time aid workers from one of the three most-affected countries were allowed in Senegal since the corridor was opened, said Alexis Masciarelli, spokesman for the World Food Program.

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Ebola Death Tolls has Passed 3,000 - WHO

BBC      Sepember 26, 2014

The death toll from the Ebola outbreak in West Africa has passed 3,000, the World Health Organization (WHO) says.

The latest figures indicate that more than 6,500 people are believed to have been infected in the region.

Liberia is the worst affected country, having recorded around 1,830 deaths linked to the latest outbreak.

Some studies have warned that the numbers of infected could rise to more than 20,000 by early November.

  The report said two new areas, in Guinea and Liberia, have recorded their first confirmed cases of Ebola in the last seven days.

It also highlights the risk of infection for health workers trying to stem the outbreak. It says 375 workers are known to have been infected, and that 211 have so far died from the virus.

Some 600 people have died in Sierra Leone and a similar number in Guinea, where the outbreak was first confirmed in March.

Nigeria and Senegal, two other West Africa countries that have also been affected by the outbreak, have not recorded any new cases or deaths in the last few weeks, the latest WHO report says.

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Tourists advised to avoid Ebola zones of West Africa

NEW YORK TIMES      September 26, 2014

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 .... The C.D.C. has issued a Watch Level 3 warning (“avoid nonessential travel”) for Guinea, Sierra Leone and Liberia, and a Level 2 warning (“practice enhanced precautions”) for Nigeria and the Democratic Republic of Congo.

Tourists should not visit these areas. The C.D.C. has recommended that foreign exchange, research and other education-related travel be postponed until further notice. Although the situation can change rapidly, there is now no risk of contracting Ebola in countries in West Africa without reported cases.

Anyone in the affected countries who gets a fever and symptoms like headache, muscle pain, vomiting, diarrhea, stomach pain or unexplained bleeding or bruising should avoid all contact with others and travel immediately by private transportation to a doctor’s office or hospital.

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Ebola: an open letter to European governments

 
 
The Lancet, Early Online Publication, 26 September 2014

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Lancet Article questions Sierra Leone's containment policies

Lancet               September 26, 2014
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PRESIDENT OBAMA CALLS ON MORE NATIONS TO HELP COMBAT EBOLA

REUTERS

NEW YORK/FREETOWN Thu Sep 25, 2014 8:04pm EDT

(Reuters) - President Barack Obamatoday  called on more nations to help fight the world's worst outbreak of the deadly Ebola virus, saying hundreds of thousands of lives were at stake.

The warning came shortly after the World Health Organisation gave a rare hint of optimism in the West African crisis, announcing that the spread of the disease in Guinea appeared to have stabilised.

"More nations need to contribute critical assets and capabilities -- whether it's air transport, medical evacuation, health care workers, equipment or treatment," Obama told a meeting on Ebola on the sidelines of the U.N. General Assembly.

"If unchecked, this epidemic could kill hundreds of thousands of people in the coming months."

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SIERRA LEONE QUARANTINES A MILLON PEOPLE

 

Restrictions affect more than a third of the country’s population, as world leaders meet at UN to discuss the Ebola outbreak

The Guardian, Thursday 25 September 2014

Sierra Leone’s government has quarantined more than a million people in an attempt to bring an end to the spread of the deadly Ebola virus.

Areas in the east of the country on the border of Guinea have been under quarantine for months but travel is now restricted in three more areas where an estimated 1.5 million people live. Nearly a third of the country’s population across 14 districts is now under curfew.

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U.S. Hospitals Unprepared to Handle Ebola waste, Experts Say

      

As Emory was treating two US missionaries who were evacuated from West Africa in August, their waste hauler, Stericycle, initially refused to handle it. Photograph: Michael Duff/AP

REUTERS      September 24, 2014

CHICAGO (Reuters) - U.S. hospitals may be unprepared to safely dispose of the infectious waste generated by any Ebola virus disease patient to arrive unannounced in the country, potentially putting the wider community at risk, biosafety experts said.

Waste management companies are refusing to haul away the soiled sheets and virus-spattered protective gear associated with treating the disease, citing federal guidelines that require Ebola-related waste to be handled in special packaging by people with hazardous materials training, infectious disease and biosafety experts told Reuters.

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Dr. Gavin Macgregor-Skinner, an expert on public health preparedness at Pennsylvania State University, said there's "no way in the world" that U.S. hospitals are ready to treat patients with highly infectious diseases like Ebola.

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London Group Plans to Start First Clinical Tests of Ebola Drugs in West Africa

Washington Post

by Abby Ohlheiser September 23 at 11:45 AM

London based scientists, working with international aid groups, are planning to start the first clinical trials in West Africa for drugs to treat Eboa. The trials could begin in a matter of months.

Wellcome Trust's $5 million initiative will include drugs from Mapp Biopharmaceutical, Sarepta and Tekmira, according to Reuters. Mapp makes zMapp, the experimental cocktail administered to two Americans who contracted the disease in Liberia. Tekmira recently gained the approval of the U.S. Food and Drug Administration to use its TKM-Ebola treatment on confirmed or suspected cases of the disease.

Both drugs are still in the experimental phase; researchers have not yet determined the safety or effectiveness of the treatments.

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WHO PLAN WOULD MOVE INFECTED PERSONS FROM HOMES TO COMMUNITY CENTERS

Washington Post  September 23, 014
by Lenny Bernstein and Lena H. Sun

MONROVIA, LIBERIA  -The Liberian government, the World Health Organization and their nonprofit partners here are launching an ambitious but controversial program to move infected people out of their homes and into ad hoc centers that will provide rudimentary care, officials said Monday.

The community centers would supplement hospitals.

However Doctors Without Borders Director of operations says "this is not going to work," saying the infected countries do not have the needed infrastructure.

http://www.washingtonpost.com/national/health-science/new-effort-to-fight-ebola-in-liberia-would-move-infected-patients-out-of-their-homes/2014/09/22/f869dc08-4281-11e4-b47c-f5889e061e5f_story.html?hpid=z5

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