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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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Hospitals should ‘think Ebola,’ CDC director says

CDC: U.S. has to rethink the way it addresses Ebola infection control

ASSOCIATED PRESS                                                            Oct. 13, 2014

By Connie Cass

DALLAS --Every hospital must know how to diagnose Ebola in people who have been in West Africa and be ready to isolate a suspected case, Tom Frieden, director of the Centers for Disease Control and Prevention, said Monday.

He said the CDC is working to improve protections for hospital workers after a nurse caring for an Ebola patient in Dallas became the first person to become infected with the disease inside the U.S.

‘‘We have to rethink the way we address Ebola infection control,’’ Frieden said, ‘‘because even a single infection is unacceptable.’’

The CDC is scrambling to interview all staff of the Dallas hospital who could have been exposed to the patient, a Liberian man who became sick after traveling to the United States and died at the hospital. Anyone at risk will be monitored, he said.

‘‘We need to consider the possibility that there could be additional cases, particularly among the health care workers who cared for the index patient’’ — the Liberian man — ‘‘when he was so ill,’’ Frieden said.

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FIVE ITEMS ON EFFORTS TO IMPROVE TRAINING FOR HEALTH WORKERS

Scroll down for the stories and link to CDC check list

CDC TAKES NEW STEPS TO IMPROVE TRAINING FOR HOSPITAL WORKERS

NEW YORK TIMES                   Oct. 13, 2014
By Pam Belluck

The Centers for Disease Control and Prevention is taking new steps to help hospital workers protect themselves, providing more training and urging hospitals to run drills to practice dealing with potential Ebola patients.

In response to the news that a health care worker in Dallas had contracted Ebola, a spokeswoman said the agency would also issue more specific instructions and explanations for putting on and removing protective equipment and would urge nurses and doctors to enlist a co-worker or “buddy” to watch them do so....

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Ebola: UK cancels resumption of direct flights to Sierra Leone

THE GUARDIAN                                 Oct, 2014
By Lisa O'Caroll

The first direct flights to resume from the UK to Sierra Leone have been cancelled after the British government revoked Gambia Bird’s recently granted permit because of fears over Ebola.

The Department of Transport cited the deteriorating public health situation for the revocation when it notified the German-owned airline on Friday evening.

The airline said it would appeal against the decision, especially as its licence was only granted on 26 September.

Cuban health workers unload medical supplies at Freetown's airport to help fight Ebola in Sierra Leone. Charities say the UK flight decision closes a vital humanitarian corrider to the country. Photograph: Florian Plaucheur/AFP/Getty Images

The decision closed what charities and non-governmental organisations (NGOs) said was a vital humanitarian corridor to Sierra Leone, which is struggling to cope with the Ebola outbreak.

Médecins sans Frontières...criticised the decision. It said if the government was going to stop commercial airlines flying to the region it would have to put in place state alternatives.

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Ebola outbreak: Liberia health workers threaten to strike Monday

UPDATE  Liberia largely averts health worker strike that would have severely hampered Ebola response

ASSOCIATED PRESS            Updated: October 13, 2014 - 11:45 AM

By: JONATHAN PAYE-LAYLEH , Associated Press

MONROVIA, Liberia — Health workers reported for duty at Liberia's hospitals on Monday, largely defying calls for a strike that could have further hampered the country's ability to respond to the worst Ebola outbreak in history.

Nurses and other health workers — though not doctors — had threatened to strike if they did not receive the higher hazard pay they had been promised by the government. That would have made the already difficult care of Ebola patients even harder, since the bulk of the staff at clinics and hospitals is made of up of Liberia's nurses, physician assistants and community health workers.

"Considering the situation in which we find ourselves we don't think strike is the way forward," said Dr. Jerry Brown, head of ELWA2, a treatment center on the outskirts of Monrovia. "Because if we strike now, more and more patients will remain in the communities. And as more and more patients remain in the communities, there will be more new cases and there will be a setback."

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Obama orders CDC probe in 2nd Dallas Ebola case to move ‘as expeditiously as possible’

WASHINGTON POST

                                    October 12, 014 

President Obama received two briefings on the diagnosis of a second Ebola case in Dallas, according to White House officials, and Sen. John McCain (R-Ariz.) urged the president to appoint a "czar" to coordinate the administration's response to the disease.

Obama was briefed Sunday morning by Lisa Monaco, who serves as assistant to the president for homeland security and counterterrorism and is overseeing the interagency response to the disease. Later, according to White House officials, Obama also discussed the situation with Health and Human Services Secretary Sylvia Burwell.

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Liberia already had only a few dozen of its own doctors. Then came Ebola.

Detailed description of the impact of Ebola on Liberian health workers

THE WASHINGTON POST                            Oct. 12, 2014

By Kevin Sieff October 11 at 11:11 PM

MONROVIA, Liberia — They were among the only Liberians who could treat Ebola, and in a single morning, it felt as if they were being picked off one by one.

First, before dawn on Thursday, Ebola killed Dr. John Tata. Then, hours later, Dr. Thomas Scotland tested positive for the virus.

With only a few dozen Liberian physicians in a country facing the biggest Ebola outbreak in history, it was a crippling blow. One Ebola treatment center closed its doors. Several of its hygienists and clinicians quit. Others left their shifts early to weep quietly outside.

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Ebola Protocol Was Likely Breached In Texas, Medical Officials Say

HUFFINGTON  POST                     Oct.12, 2014      11:08 AM
By

The Texas health care worker who contracted Ebola after providing care for an infected patient likely breached safety protocols, health officials said Sunday.

"Certainly there has to have been an inadvertent, innocent breach of the protocol of taking care of the patient within the personal protective equipment -- that extremely rarely happens," Dr. Anthony Fauci, the head of the National Institute of Allergy and Infectious Diseases, told Martha Raddatz on ABC's "This Week" Sunday. "We've been taking care of Ebola patients since 1976. Groups like Doctors Without Borders who do that almost never have an infection, because of the experience of doing this."

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Extra caution amid Ebola screening at NYC airport

USA  TODAY                    Oct. 12, 2014

Melanie Eversley and Marisol Bello,

NEW YORK — As federal officials at New York's Kennedy International Airport stepped up efforts to stop the spread of the deadly Ebola virus with extensive screening of passengers arriving from countries hit hardest by the outbreak, passengers and employees were taking their own precautions.

Maria Uruchimadecriollo cleans a bathroom JFK Terminal 4 international arrivals in Jamaica, NY. Uruchimadecriollo is wearing a mask that her husband bought for her yesterday, with the hope that it would keep her safe from the Ebola virus. This is the first day that the airport will begin screening passengers for Ebola coming in from the affected areas in Africa.(Photo: Jennifer S. Altman, for USA TODAY)

Agents with the Department of Homeland Security's Customs and Border Protection screened travelers from Guinea, Liberia and Sierra Leone, taking their temperature and observing them for other Ebola symptoms.

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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.

Read Full Story
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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