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Fwd: Liberia - Ebola case definition

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> Begin forwarded message:
>
> From: Kathy Gilbeaux <gilbojer@aol.com>
> Subject: Re: Liberia - Ebola case definition
> Date: November 26, 2015 at 9:10:53 AM EST
> To: michael.d.mcdonald@mac.com, ssm20@cumc.columbia.edu
> Cc: gavinms@gmail.com, ghurlburt@me.com, carrielaj43@gmail.com, Hank.Rappaport@medstar.net
>
> All,
>
> FYI . . .
>
> Liberia: Four MDs, Two Health Workers Take Ebola Vaccine
>
> http://allafrica.com/stories/201511261248.html
>
> Kathy
>
>
> -----Original Message-----
> From: michael mcdonald <michael.d.mcdonald@mac.com>
> To: Stephen Morse <ssm20@cumc.columbia.edu>
> Cc: Gavin Macgregor-Skinner <gavinms@gmail.com>; ghurlburt <ghurlburt@me.com>; Carrie La Jeunesse <carrielaj43@gmail.com>; Kathy Gilbeaux <gilbojer@aol.com>; Hank Rappaport <Hank.Rappaport@medstar.net>
> Sent: Thu, Nov 26, 2015 4:59 am
> Subject: Re: Liberia - Ebola case definition
>
> Steve and Kathy,
>
> An infection from a subclinical carrier would explain the phenomenon. The age of the boy who died was reported as 10 years old. The probability of a 14 year old boy having a sexual contact is more likely. However, the Ebola status of the mother and the history of her chain of infection seems very important at this time.
>
> Mike
>
>
> On Nov 26, 2015, at 5:51 AM, michael mcdonald <michael.d.mcdonald@mac.com <mailto:michael.d.mcdonald@mac.com>> wrote:
>
> Thanks, Steve.
>
> This is disconcerting. It means that there is either a hidden sexual transmission, which is improbable with a 10 year old boy, a hidden cohort of people infected with Ebola (improbable), hidden transit of known contacts from Guinea, a new infection from an animal vector; or more probable, a new mode of transmission from a survivor.
>
> Any other thoughts on this Ebola chain of transmission?
>
> The West Africa Disaster Preparedness Initiative is going well. Our exercise for 12 ECOWAS countries went very well. The Liberia regional and county exercises went extremely well. We have a good foundation for engaging Resilience Networks and Resilience Capacity Zones in Liberia.
>
> Mike
>
> Michael D. McDonald, Dr.P.H.
>
> Coordinator
> Global Health Response and Resilience Alliance
>
> Chairman
> Oviar Global Resilience Systems, Inc.
>
> Executive Director
> Health Initiatives Foundation, Inc.
>
> Cell: 202-468-7899
> Michael.D.McDonald@mac.com <mailto:Michael.D.McDonald@mac.com>
>
> http://resiliencesystem.org <http://resiliencesystem.org/>
>
> On Nov 25, 2015, at 2:32 PM, Morse, Stephen S. <ssm20@cumc.columbia.edu <mailto:ssm20@cumc.columbia.edu>> wrote:
>
> Hi Mike,
>
> Welcome back! Trust all went well. By chance, I saw both Rich Besser and Tom Frieden yesterday and no one seemed to know the source of infection.
>
> Happy Thanksgiving!
>
> Steve
>
>
> From: michael mcdonald [mailto:michael.d.mcdonald@mac.com <mailto:michael.d.mcdonald@mac.com>]
> Sent: Wednesday, November 25, 2015 2:29 PM
> To: Kathy Gilbeaux
> Cc: gavinms@gmail.com <mailto:gavinms@gmail.com>; ghurlburt@me.com <mailto:ghurlburt@me.com>; Morse, Stephen S.; carrielaj43@gmail.com <mailto:carrielaj43@gmail.com>
> Subject: Re: Liberia - Ebola case definition
>
> Kathy and Gavin,
>
> I am just arriving in the US, so it might take a little time to ping the key players. Ni missed the UN meeting in Monrovia earlier today because of travels.
>
> This is a strange flare up. Do you understand the source of infection?
>
> Mike
>
> Dr. Michael D. McDonald
>
> Chairman
> Global Resilience Initiatives
>
> Executive Director
> Health Initiatives Foundation, Inc.
>
> Coordinator
> Global Resilience System
>
> Michael.D.McDonald.mac.com <http://michael.d.mcdonald.mac.com/>
> 202-468-7899
>
> On Nov 25, 2015, at 8:32 AM, Kathy Gilbeaux <gilbojer@aol.com <mailto:gilbojer@aol.com>> wrote:
> Gavin,
>
> Pending additional information from Mike, please see the Global Resilience System post in the link below (click on the link and scroll down for additional helpful links, including the most recent UNICEF situation report that describes the group surveillance).
>
> http://resiliencesystem.org/ebola-confirmed-liberia <http://resiliencesystem.org/ebola-confirmed-liberia>
>
> We will continue to post updates as they are received.
>
> Kindest regards,
>
> Kathy
>
> -----Original Message-----
> From: Gavin Macgregor-Skinner <gavinms@gmail.com <mailto:gavinms@gmail.com>>
> To: michael mcdonald <michael.d.mcdonald@mac.com <mailto:michael.d.mcdonald@mac.com>>
> Cc: Kathy Gilbeaux <gilbojer@aol.com <mailto:gilbojer@aol.com>>; George Hurlburt <ghurlburt@me.com <mailto:ghurlburt@me.com>>; Stephen Morse <ssm20@cumc.columbia.edu <mailto:ssm20@cumc.columbia.edu>>; Carrie La Jeunesse <carrielaj43@gmail.com <mailto:carrielaj43@gmail.com>>; Gavin Macgregor-Skinner <gavinms@gmail.com <mailto:gavinms@gmail.com>>
> Sent: Wed, Nov 25, 2015 7:24 am
> Subject: Liberia - Ebola case definition
> Hi Mike
> I was on a WHO conf call yesterday and it was stated that in Liberia there are 153 people including 22 hospital staff and 6 patients under 21 day surveillance. But then they stated they had grouped them as high, medium and low risk. But I can't find the case definition for this?
> Have you seen how they are defining high, medium and low risk?
> Kind Regards
> Gavin
> Sent from my iPhone
>
> On Nov 11, 2015, at 10:36 PM, michael mcdonald <michael.d.mcdonald@mac.com <mailto:michael.d.mcdonald@mac.com>> wrote:
> Kathy,
>
> Acknowledged.
>
> Mike
>
> On Nov 11, 2015, at 6:56 PM, Kathy Gilbeaux <gilbojer@aol.com <mailto:gilbojer@aol.com>> wrote:
>
> Mike,
>
> FYI . . . not for posting (yet) . . .
>
> Man In Brazil May Have Contracted Ebola After Recent Guinea Trip
> http://www.huffingtonpost.com/entry/man-in-brazil-may-have-contracted-ebola-after-recent-guinea-trip_5643bd55e4b060377347a102 <http://www.huffingtonpost.com/entry/man-in-brazil-may-have-contracted-ebola-after-recent-guinea-trip_5643bd55e4b060377347a102>
>
> Brazil tests man for Ebola, puts others under observation
> http://www.reuters.com/article/2015/11/11/us-health-ebola-brazil-idUSKCN0T01XM20151111#j6o7UZfUJSEKQYdT.97 <http://www.reuters.com/article/2015/11/11/us-health-ebola-brazil-idUSKCN0T01XM20151111#j6o7UZfUJSEKQYdT.97>
>
> Kathy
>
>

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http://resiliencesystem.org/ebola-confirmed-liberia

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