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Scrutiny in Texas to Detect Whether Ebola Spread

NEW YORK TIMES       OCT. 2, 2014


Detailed description of the chain of contacts in Liberia and Texas of the man, Thomas Duncan, who was hospitalized in Dallas with Ebola, and the efforts to track down and isolate potential contacts.

Hospital officials admit that information that Mr. Duncan had been just been in Liberia had not been passed along tp the doctors who originally treated him.

World wakes up to Ebola as cases set to top 1 million

By Debora MacKenzie - 23 Sep 2014 -

This article appeared in print under the headline "World wakes up to true threat of Ebola"

Only decisive action can stop the virus becoming entrenched in Africa and spreading elsewhere, say epidemiologists.

The world has finally got serious about Ebola. In a first for a public health threat, the United Nations has launched the kind of response it normally reserves for war zones. Meanwhile, the US, UK and France are sending troops to build treatment units, train health workers and keep order.

It's not a moment too soon: the US Centers for Disease Control and Prevention warn that without a massive effort to slow the epidemic, a million people in West Africa could have Ebola by January. Some will carry it elsewhere, and the virus may circulate non-stop in Africa for the foreseeable future.

Working in Ebola areas: First rule is you don’t touch anyone


Lawrence Togbah, left, Moses Bryant, center, and Abraham Saye try to protect themselves from Ebola by covering their hands, feet and torso with plastic bags. They did not have proper protective gear like gloves or masks. (Michel du Cille/The Washington Post)

The WASHINGTON POST      OCT. 1, 2014

By Lenny Bernstein

MONROVIA, Liberia — I was goofing around with a small group of young children outside their home on a muddy, cratered road in the New Kru Town slum here. I made a scary face and the kids skittered, giggling, behind a low wall at the front of their shanty. Then they peeked out, hoping for more.

Finally the boldest of the lot, a little girl perhaps 5 years old, approached and stuck out her hand. “Shake!” she offered excitedly.

“No touching,” I responded, keeping my hands at my sides, trying to hide my sadness. “No touching.”

You don’t touch anyone in Liberia. Not kids, not adults, not other Westerners, not the colleagues you arrived with. It is the rule of rules, because while everyone able is taking precautions, you just can’t be sure where the invisible, lethal Ebola virus might be. Once the virus is on your fingers, it would be frighteningly easy to rub an eye and infect yourself.

Beyond the Immediate Tragedy: Ebola’s Long-Term Implications

THE ATLANTIC COUNCIL    October 1, 2014

 By J. Peter Pham

....beyond the immediate tragedy, there are significant short, medium, and long-term impacts that we are not even beginning to address.

Information Relay Failure Admitted In Texas Ebola Victim Case

A patient was diagnosed with Ebola on Sept. 30 at Texas Health Presbyterian Hospital Dallas.(Photo: Mike Stone, Getty Images)


By Mark Berman October 1 at 3:15 PM

The man in Texas who tested positive for Ebola told hospital officials he had traveled from West Africa when he sought treatment on Friday, but that information was not relayed to everyone treating him at that time, authorities said Wednesday.

As a result, the man was diagnosed with a “low-grade, common viral disease” and sent home that day, said Mark C. Lester, executive vice president of the health-care system that includes Texas Health Presbyterian Hospital, the Dallas facility treating the Ebola patient.

“Regretfully, that information was not fully communicated throughout the full team,” Lester said during a news conference Wednesday. “As a result, the full import of that information wasn’t factored into the clinical decision-making.”

CNN Source: Travel History of U.S. Ebola Patient Not Checked

Atlanta (CNN) -- Some school-age children have been in contact with the U.S. Ebola patient being treated in Dallas, Texas Gov. Rick Perry said Wednesday. The children have been identified and are being monitored for symptoms, he said. Perry spoke at a news conference a day after the Centers for Disease Control and Prevention announced that, for the first time, a person with the killer disease has been diagnosed on American soil.

The patient, a man, walked into a Dallas emergency room September 26. Although his symptoms could have indicated Ebola, among other diseases, no one at the hospital asked him if he had recently traveled to countries where the virus is present, a source close to the case told CNN.

The man, who had just flown from Liberia to the United States, didn't offer the information either, the source said, and he then left the hospital. A spokesman for Texas Health Presbyterian Hospital says it's investigating whether the patient was questioned about his travels.

Link to Full Story

Ebola Outbreak: How the Virus Spread

by Jason M. Breslow , Chris Amico and Evan Wexler -

Never before has the world seen an Ebola outbreak like the one currently spreading across Africa. Thousands have died, even more have become infected, and with no cure and limited resources at their disposal, health officials are struggling to keep up. From Patient Zero to today, here is a look back at how the outbreak became the worst on record.

UN Mission to Combat Ebola Opens HQ in Ghana


A C-17 U.S. military aircraft arrived in Liberia on Sept. 18, 2014, with the first shipment of U.S. military equipment and personnel for the anti-Ebola fight, which was promised by President Barack Obama in a speech September 16, 2014, at the Centers for Disease Control and Prevention in Atlanta, Georgia. -Associated Press - September 29, 2014

The U.N. mission to combat Ebola is opening its headquarters in Ghana, where it will coordinate aid for the West African crisis.

The head of the mission, Anthony Banbury, and his team are expected to arrive Monday in Ghana's capital, Accra. The United Nations Mission for Ebola Emergency Response, also known as UNMEER, will work to identify the biggest needs during this outbreak, especially in the three hardest-hit countries of Liberia, Sierra Leone and Guinea.


Rains complicate delivery of Ebola supplies in West Africa


Mon Sep 29, 2014 

WASHINGTON - The rainy season in West Africa is compounding difficulties in getting supplies delivered and new treatment centers built as donors rush to isolate people infected with the deadly Ebola virus and stop its rapid spread, U.S. officials said.

Nancy Powell, newly appointed as the U.S. State Department's envoy to coordinate its Ebola response, said the top priority is to isolate as many people as quickly as possible. But that faces significant logistical hurdles.

"Infrastructure challenges in the rainy season is one of the biggest difficulties. And you add the rain and getting materials out of the capital and it is very difficult," Powell said in a news briefing last week.

The July to September rainy season is coming toward its end, but October is known for heavy thunderstorms that can drench the region and turn roads to mud.

Eric Talbert, executive director of Emergency USA which has opened a 22-bed Ebola treatment center in Goderich, outside the capital of Freetown in Sierra Leone, said the downpours complicate getting supplies along unpaved single track roads that are washed out by the heavy rains..

US Troops Take First Steps to Help Liberia Combat Ebola


Local workers look on as a team or U.S. Navy engineers prepares the ground for a 25-beds medical facility they are building next to the airport in Monrovia, Liberia, Sept. 27, 2014. - by Benno Muchler - September 29, 2014

Over the past two weeks, one world leader after the other has called for immediate action in the fight against Ebola in West Africa.

The United States has made the largest contribution and is sending 3,000 troops to Liberia to assist with healthcare logistics. It is the biggest military operation for America in Africa since withdrawing forces from Somalia in 1993.



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