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Ebola outbreak: Virus still 'running ahead of us', says WHO

BBC    by Tulip Mazumdar                                                                                                    Dec. 10, 2014

The Ebola virus that has killed thousands in West Africa is still "running ahead" of efforts to contain it, the head of the World Health Organization has said.
Director general Margaret Chan said the situation had improved in some parts of the worst-affected countries, but she warned against complacency.

The risk to the world "is always there" while the outbreak continues, she said.

She said the WHO and the international community failed to act quickly enough....

"It is fair to say the whole world, including WHO, failed to see what was unfolding, what was going to happen in front of our eyes," said Dr Chan.

"Of course, with the benefit of hindsight, if you ask me now... we could have mounted a much more robust response."

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http://www.bbc.com/news/health-30400304

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Ebola funding in 'cromnibus' falls just short of Obama request

Senate and House lawmakers have agreed to appropriate $5.4 billion on Ebola treatment and prevention measures in the U.S. and West Africa.

The funding falls just short of the funding request issued by the president last month...

Nearly $2.5 billion would go to the Department of Health and Human Services, which plans to bolster the readiness of U.S. hospitals, speed up the development of vaccines and help monitor airline travelers from Ebola-stricken countries.

Another $2 billion would go to the U.S. Agency for International Development to “scale up” the global response. The State and Defense departments would each receive just over $100 million.

The House Rules Committee meets today  to comb through the bill, dubbed the “cromnibus,” before it goes to the House floor.

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Experts call for faster mobilisation of “overlooked” survivors to contain Ebola epidemic

OXFORD UNIVERSITY PRESS                                                                                  Dec, 10, 2014

In an editorial published online today in the International Journal of Epidemiology, experts from the Departments of Psychiatry and Epidemiology at Columbia University, New York, are calling for survivors of the Ebola epidemic to be mobilised in a bid to hasten containment of the disease.

We already know that the current Ebola outbreak is unique in its magnitude and for its dispersion in dense, mobile populations. Physicians and nurses face high mortality, and foreign aid in the form of medical supplies and staff continues to be unequal to the scope of the problem. With a case recovery rate of around 30% at the present time in West Africa, survivors already number in the thousands.

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Time Magazine Person of the Year: the Ebola fighters

 

TIME MAGAZINE    by Nancy Gibbs                                                                                                      Dec. 10, 2014

They risked and persisted, sacrificed and saved. Editor Nancy Gibbs explains why the Ebola Fighters are TIME's choice for Person of the Year 2014

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http://time.com/time-person-of-the-year-ebola-fighters-choice/

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Senate Foreign Relations Subcommittee hearing on Ebola

President Ellen Johnson Sirleaf of Liberia speaks via video on the international response to the Ebola crisis during a Senate subcommittee hearing on Capitol Hill in Washington on Wednesday. (SAUL LOEB, AFP/Getty Images)

Update Liberian president warns that Ebola still threatens her nation

LOS ANGELES TIMES                                                                                                    Dec. 10, 2014

liberian President Ellen Johnson Sirleaf thanked the Obama administration Wednesday for its efforts in stemming the tide of the country’s Ebola outbreak, but warned that the disease was still a threat in her developing nation.

The American response, a combination of funding and military aid, helped galvanize other countries to join the fight against the epidemic in West Africa, she told the Senate Foreign Relations Committee over video link.

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2014 National Health Security Preparedness Index Report released

NHSPI                                                                                                       Dec. 9, 2014

WASHINGTON-- The National Health Security Preparedness Index (NHSPI) for 2014 provides updated information about how well individual states and the nation are preparing for public health and other emergencies.  It was released today at a meeting at Capitol Hill by a group of government and non-government public health specialists. They included Dr. Daniel Sosin, Deputy Director of the CDC's  Office of PubLic Health Preparedness and Respopnse, and Dr. Thomas V. Inglesby, Director of the UPMC Center for Health Security.

More than 35 organizations were partners in preparing the index, which updated the initial 2013 report.

The NHSPI describes it's mission as "providing relevant actionable informtaion to help guide efforts to achieve a higher level of healh security preparedness."  The intended uses include "strengthening preparedness, informng decision makers, guiding quality improvement and advancing the science behind community resilience."

See Executive Summary and the national results.

http://www.nhspi.org/content/executive-summary

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Ebola Airport Screening Finding Few Suspected Cases in US

MEDSCAPE MEDICAL NEWS by Larry Hand                                                                        Dec. 9, 2014

Airport exit screening in West Africa and entry screening in the United States have identified few persons potentially infected with Ebola virus, according to an article published online December 9 in the Centers for Disease Control and Prevention (CDC) publication Morbidity and Mortality Weekly Report.

 

 Number of travelers arriving from Guinea, Liberia, and Sierra Leone who were screened for Ebola at US airports, by state and county of destination (October 11 - November 10, 2014). Source: CDC

Of 80,000 travelers who have departed from West Africa since Ebola-specific screening began, 1993 people have been screened on arrival at one of five US airports. Of those, 86 passengers were referred to the CDC public health officers; only seven have shown symptoms and been referred for evaluation. None eventually wound up with an Ebola diagnosis.

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ER doctor discusses role in Ebola patient’s initial misdiagnosis

DALLAS MORNING NEWS 

The Dallas emergency-room doctor who missed signs of Ebola in a Liberian man who later became the first to die of the disease in the U.S. describes the fateful night for the first time.

Dr. Joseph Howard Meier told The Dallas Morning News that when he treated Thomas Eric Duncan in the early morning hours of Sept. 26, he was unaware that Duncan had recently arrived from a country ravaged by the Ebola outbreak in West Africa. He also said he did not realize Duncan had such a high fever.

"I was unaware of a 103-degree fever," Meier said in written answers to questions from the paper, released by his attorney. "It appears in the chart, but I did not see it...."

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Rapid Ebola test is focus of NIH grant to Rutgers scientist

REPORTS Of RESEARCH ON TWO METHODS OF RAPID TESTING FOR EBOLA

(Two items, scroll down)

MEDICAL PRESS                                                                                     Dec. 8, 2014

Rutgers researcher David Alland, working with the California biotechnology company Cepheid, has received a grant of nearly $640,000 from the National Institutes of Health to develop a rapid test to diagnose Ebola as well as other viruses that can cause symptoms similar to Ebola.

Researchers will adapt this cartridge, now used worldwide for tuberculosis screenings, to collect and test samples from potential Ebola patients. Credit: John Emerson

Alland, a professor of medicine and associate dean for clinical research at Rutgers New Jersey Medical School and the principal investigator of the project, says would be able to take the test to small villages and other remote locations where the spread of Ebola has been especially rampant and diagnose patients where they live...

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An Ebola Doctor’s Return From the Edge of Death

Detailed description of one Doctor’s Story of Fighting Back From Ebola’s Deadly Grip

NEW YORK TIMES by Denise Grady                                Dec. 8, 2014

Dr. Ian Crozier, 44, contracted Ebola in Sierra Leone while treating patients. He was evacuated to Atlanta on Sept. 9 and had an agonizing illness, with 40 days in the hospital and dark stretches when his doctors and his family feared he might sustain brain damage or die. His identity was kept secret at his request, to protect his family’s privacy.

 

Now, for the first time, he is speaking out. His reason, he said, is to thank Emory for the extraordinary care he received, and to draw attention to the continuing epidemic.

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