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U.S. Military Arrives in Liberia, Slow Start

Wall Street Journal     Sept. 28, 2014 8:10 PM

By Drew Hinshaw in Robertsville, Liberia, and Betsy McKay in Atlanta

 

The American military effort against history's deadliest Ebola outbreak is taking shape in West Africa, but concerns are mounting that the pace isn't fast enough to check a virus that is spreading at a terrifying clip.

On Saturday, a handful of troops from the Navy's 133rd Mobile Construction Battalion led a bulldozer through thigh-high grass outside Liberia's main airport, bottles of hand sanitizer dangling from their belt loops.

They had been digging a parking lot in the East African nation of Djibouti this month when they received a call to build the first of a dozen or more tent hospitals the U.S intends to construct in this region. The soldiers started by giving the land a downward slope for water runoff—"to keep out any unwanted reptiles," said Petty Officer Second Class Justin Holsinger.

While this team levels the earth, superiors hash out the still-uncertain details of the American intervention here.

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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.

...

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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CDC RELEASES ESTIMATES OF EBOLA CASES, COULD REACH 1.4 MILLION

 

New York Times

CDC  releases report on worst and best case estimates for Ebola cases. 

Estimates cover Liberia and Sierra Leone, based on computer modeling. Guinea not included because data  "cannot be reliably modeled."

Best case-model, which assures the dead are buried safely and 70 per cent of the patients are treated in settings that reduce the risk of transmission, suggest the epidemic could almost be ended by Jan. 20.

http://www.nytimes.com/2014/09/24/health/ebola-cases-could-reach-14-million-in-4-months-cdc-estimates.html?emc=edit_na_20140923&nlid=12644555&_r=0

 

LINK TO THE CDC REPORT TEXT

http://apps.washingtonpost.com/g/page/national/ebola-cases-could-skyrocket-by-2015-says-cdc/1337/

CDC RELEASES ESTIMATES OF EBOLA CASES, COULD REACH 1.4 MILLION
http://www.cdc.gov/mmwr/preview/mmwrhtml/su6303a1.htm?s_cid=su6303a1_w

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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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Ebola in Africa: Chaos is contagious

Illustration: Ebola virus (Photo: Thinkstock.com)courier-journal.com/The Chigaco Tribune - Sep 22, 2014

Faced with a brutal and wily adversary, President Barack Obama on Tuesday ordered a scaled-up military assault. Not on terrorists in Syria, but Ebola in West Africa.

The president dispatched some 3,000 American troops to help build 17 treatment centers. The Pentagon will establish a military command center in Liberia to coordinate the civilian response to the epidemic. American military health experts will help train thousands of African health care workers. American aid workers will help distribute supplies and information to families there.

The U.S. — and, we hope, the rest of the world — is getting serious about confronting this plague blazing through Africa. The official Ebola toll as of late Tuesday: 4,985 cases and 2,461 deaths. Some experts, however, suspect the actual death tally is much higher. And the rate of Ebola infection is growing exponentially. The number of Ebola cases could spike to 20,000 in a matter of months.

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Ebola shutdown campaign in Sierra Leone reached 80% of target households

Aid workers and doctors transfer Manuel Garcia Viejo, a Spanish priest who was diagnosed with the Ebola virus while working in Sierra Leone, from a military plane to an ambulance, near Madrid on Monday. (Spanish Defence Ministry/Associated Press) CBC News - Sep 22, 2014

Sierra Leone's three-day shutdown to try to contain an Ebola virus outbreak has ended, but it's unclear how much the effort helped.

About six million citizens in the West African country were asked to stay indoors until Sunday night as 30,000 health workers, volunteers and teachers went door to door to look for people who may be infected and to give out information about the disease.

The Ebola virus has infected an estimated 5,762 people since March and killed an 2,793 as of Sept. 18, according to the World Health Organization.

"There was massive awareness of the disease," Stephen Gaojia, head of the Ebola Emergency Operations Centre, said on Monday.

Authorities reached more than 80 per cent of the targeted households, he added.

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A New Health Crisis in Liberia

Washington Post

By Lenny Bernstein September 21, Front Page

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.

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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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