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With Ebola crippling the health system, Liberians die of routine medical problems

By Lenny Bernstein - Sep 20 2014 - washingtonpost.com

MONROVIA, Liberia — While the terrifying spread of Ebola has captured the world’s attention, it also has produced a lesser-known crisis: the near-collapse of the already fragile health-care system here, a development that may be as dangerous — for now — as the virus for the average Liberian.

Western experts said that people here are dying of preventable or treatable conditions such as malaria, diarrhea, pneumonia and the effects of high blood pressure and diabetes, such as strokes. Where services do exist, Ebola has complicated the effort to provide them by stoking fear among health-care workers, who sometimes turn away sick people or women in labor if they can’t determine whether the patient is infected. And some people, health-care workers said, will not seek care, fearful that they will become infected with Ebola at a clinic or hospital.

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Upcoming CDC estimate reportedly predicts up to 500,000 Ebola victims - Leaked

Washington Post, September 20
 

The Ebola epidemic sweeping West Africa could infect up to 500,000 people by the end of January, according to a new estimate under development by the Centers for Disease Control and Prevention.

The report is scheduled to be released next week, but work on it is still ongoing and projections could change, said a person who is familiar with its contents but was not authorized to speak because the report is not yet public.

Help in the time of Ebola

Eyevineeconomist.com - Sep 20th 2014

There is a scramble to control a runaway epidemic.

“WE ARE exhausted, we are angry, we are desperate,” said Sophie Delaunay, the American director of Médecins Sans Frontières (MSF) last week, frustrated at the tardy international response to the deadly Ebola virus in west Africa. Within days of these words, the outside world was at last waking up to the danger of Ebola haemorrhagic fever—a viral disease that threatens tens of thousands of lives, health systems, economic growth and even political stability in parts of west Africa.

http://www.economist.com/news/middle-east-and-africa/21618909-there-scramble-control-runaway-epidemic-help-time-ebola

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Obama: U.S. military to provide equipment, resources to battle Ebola epidemic in Africa

- Sep 7 - The Washington Post

President Obama said Sunday that the U.S. military will begin aiding what has been a chaotic and ineffective response to the Ebola epidemic in West Africa, arguing that it represents a serious national security concern.

The move significantly ramps up the U.S. response and comes as the already strained military is likely to be called upon further to address militant threats in the Middle East. The decision to involve the military in providing equipment and other assistance for international health workers in Africa comes after mounting calls from some unlikely groups — most prominently the international medical organization Doctors Without Borders — demonstrating to the White House the urgency of the issue.

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Ebola Spurs A Full Public Lockdown In Sierra Leone

Hoping to stop a virus that has killed hundreds of its citizens, Sierra Leone will institute a temporary lockdown this month. This photo from August shows people walking in Kenema, in a part of Sierra Leone that's been hit hard by the outbreak. Carl De Souza/AFP/Getty Imagesby Bill Chappell - Sep 06, 2014 8:57 AM ET - NPR

Sierra Leone will impose a three-day lockdown on all its citizens, as part of a plan to "deal with Ebola once and for all," the government says. The move is an effort to stop the disease that has killed over 2,000 people in five West African countries, according to World Health Organization data.

But the lockdown's effectiveness will depend on citizens buying in to the government's plan. From Nairobi, NPR's Gregory Warner reports:

"From Sept. 19 to 21, the people of Sierra Leone will have to remain in their homes so health workers can isolate new Ebola cases and prevent the disease from spreading. But the lockdown will have to be mostly voluntary. Sierra Leone does not have the police or military capacity to enforce it on 6 million citizens.

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Left to Die: Liberia's Ebola Victims Have Nowhere to Turn as Treatment Centers Overflow

A health worker guards the door as a patient who escaped is escorted back inside at the Redemption Hospital holding center in Monrovia. by Tim FrecciaBy Danny Gold - Sep 19, 2014 - vice.com

Paul M. Goi waited outside of the Redemption Hospital, a treatment center serving as a holding area for Ebola patients in Monrovia, Liberia, with his sick sister-in-law in the backseat of his station wagon. She had been vomiting, and he assumed that she had caught the Ebola virus. Across the street, inside an ambulance were other members of his family, including his daughter and granddaughter. They, too, were believed to be sick with Ebola.

"I'm very frustrated," Goi told VICE News. "I had been calling the ambulances since Sunday to come pick them up, and none came." Now that he had finally managed to get his sick relatives picked up and taken to the hospital, there was simply no room. All he wanted was answers, he said.

 

https://news.vice.com/article/left-to-die-liberias-ebola-victims-have-nowhere-to-turn-as-treatment-centers-overflow

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DRC Ebola outbreak 'distinct and independent event,' say WHO

BWHO state that "the virus in the Boende district is definitely not derived from the virus strain currently circulating in West Africa."y Catharine Paddock PhD - Medical News Today - Updated: 3 Sep 2014 3am PST

The World Health Organization have announced that the Ebola virus in the new outbreak in the Democratic Republic of Congo is not derived from strains circulating in the current outbreak in West Africa. 

"Results from virus characterization, together with findings from the epidemiological investigation, are definitive: the outbreak in DRC is a distinct and independent event, with no relationship to the outbreak in West Africa," says a situation statement the World Health Organization (WHO) released on Tuesday.

http://www.medicalnewstoday.com/articles/281948.php

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Why is Obama sending military to attack the Ebola virus?

by Joe RaedleBy Julia Belluz - Sep 18, 2014 - vox.com

Tuesday's announcement by President Barack Obama — that the US would be sending in an army of 3,000 to fight Ebola — came as a relief to the many wondering when the international community would wake up to the daily horror show playing out in West Africa.But the tactics also raised some questions: why was Obama sending soldiers to fight off a virus? And why has he been characterizing this disease spread as a "security threat" and "security priority"?

Why Obama is describing Ebola as a "security threat"

Obama has repeatedly referred to the threat of Ebola in security terms, arguing the virus could cripple the already fragile economies in the African region. He's made the case that this will have consequences for not only the security of countries there, but also for nations around the world — even if the virus doesn't spread beyond Africa.

http://www.vox.com/2014/9/17/6334943/why-is-the-military-being-sent-to-attack-ebola-virus/in/5712456

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‘It doesn’t make sense’: Concerns over enlisting DoD in Ebola response

The Obama administration’s decision to enlist the Defense Department in responding to the Ebola outbreak in West Africa is raising concerns that the task is pulling the already-stretched military away from other missions, including vital counter-terrorism operations.

According to a senior military official, General Martin Dempsey, chairman of the Joint Chiefs, said at a recent meeting: "The Department of Defense's number one priority is combating Ebola."

http://www.foxnews.com/politics/2014/09/14/it-doesnt-make-sense-concerns-over-tasking-dod-with-ebola-mission-amid/

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