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In New York, Protections Offered for Medical Workers Joining Ebola Fight

NEW YORK TIMES                                                                     Oct. 30, 2014
By and

New York officials announced on Thursday that they would offer employee protection and financial guarantees for health care workers joining the fight against the Ebola outbreak in three West African nations.

The announcement was an effort to alleviate concerns that the state’s mandatory quarantine policy could deter desperately needed workers from traveling overseas.

Under the new protections, modeled after the rights granted military reservists, workers could not suffer any pay cuts or demotions for serving in Africa, and the state would make up any lost income if they had to be quarantined when they returned.

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Ebola outbreak: UK aid ship docks in Sierra Leone

The Argus arrives with supplies and medical personnel to assist Serra Leone

 BBC                                                              Oct. 30, 2010

By AndrewHarding

FREETOWN, Sierra Leone--  A British Navy support ship ship has arrived in Sierra Leone to help deal with the deadly Ebola outbreak in the West African country.

Royal Fleet Auxiliary Argus is carrying food, medical equipment, three helicipeters and 32 pick-up trucks, to help keep hard-pressed Ebola treatment centres going.

Doctors, nurses and military personnel are also on board.

The BBC's Africa correspondent Andrew Harding said it would act as an offshore base for the aid effort. and described it as an "important moment".

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http://www.bbc.com/news/uk-29836657

 
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Lack of federal authority makes fashioning coherent national Ebola policy difficult

Discussion of conflicting quarantine guidelines

HOMELAND SECURITY NEWSWIRE                     Oct. 30, 1014
Earlier this week, the Centers for Disease Control and Prevention(CDC) issued new guidelines on how states should deal with travelers from Ebola-stricken regions, but a lack of federal authority to mandate such guidelines has led to conflicting strategies, varying from state to state, which includes mandatory at-home quarantine for some travelers. Under current U.S. law, the states have the authority to issue quarantine or isolation policies, and they also control the enforcement of these policies within their territories.

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http://www.homelandsecuritynewswire.com/dr20141030-lack-of-federal-authority-makes-fashioning-coherent-national-ebola-policy-difficult

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Ebola: Better Maps Could Have Helped Fight Virus

How Maps Could Help Fight Ebola

SKY NEWS                                             Oct. 0, 2014

By Tom Cheshire, Technology Correspondent

LONDON -- Better maps could have helped contain the deadly Ebola virus, according to Medecins Sans Frontieres.

Ivan Gaytan, technology advisor to MSF, told Sky News the disease is "preventable" and could have been "easier to contain" if there was more knowledge of the region.

He said: "In any country where Ebola or any other infectious disease arrives, if you already have a good map which actually reflects the way people describe geography, you set up your clinical activities to take that data in the first place in the right way."

MSF, also known as Doctors Without Borders, will launch a project next month called Missing Maps, which lets anyone, anywhere in the world, annotate maps to show dwellings and infrastructure.

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Rate of new Ebola infections in Liberia is slowing, WHO says

OVERVIEW OF DEVELOPMENTS DURING PAST DAY

WASHINGTON POST                            Oct. 30, 2014
By Lena H. Sun, Brady Dennis and Joel Achenbach
New Ebola infections in virus-ravaged Liberia appear to be declining for the first time in months, the World Health Organization said Wednesday.

Until now, officials have been suspicious of this encouraging trend, thinking it might be an artifact of poor data collection, a symptom of chaos in countries that were overwhelmed by the crisis. But Bruce Aylward, a top WHO official, said Wednesday that the decline in new cases “is real,” measured by scores of empty beds in Ebola clinics, fewer cases confirmed by laboratory tests and a drop in burials by specially trained teams.

Still, the WHO and other officials remain wary because the nature of this outbreak has been one of unpredictable surges and declines.

“It’s like saying your pet tiger is under control,” Aylward said. “This is a very, very dangerous disease.”

Meanwhile President Obama continued to criticize the calls for mandatory quarantines for returning volunteers

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Ebola Virus Disease and the Need for New Personal Protective Equipment

JOURNAL OF AMERICAN MEDICICAL ASSOCIATION      Oct. 28, 2014
Michael B. Edmond, MD, MPH, MPA1; Daniel J. Diekema, MD, MS1; Eli N. Perencevich, MD, MS

"...it is clear that reengineering of personal protecion equipment is required, both in US hospitals but more critically for the outbreak zones in Africa. The use of cumbersome PPE in the extreme heat and difficult working conditions of Ebola treatment centers in Africa places great stress on health care workers and limits the time they can spend providing patient care.

" A novel approach to PPE that provides an impermeable fluid barrier that is both more comfortable and easier to don and remove would be a substantial step forward.

"This will require new materials and designs. Indeed, the US Agency for International Development, White House Office of Science and Technology Policy, CDC, and US Department of Defense have recently announced a campaign to develop and test innovations for PPE in response to the Ebola outbreak."

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http://jama.jamanetwork.com/article.aspx?articleid=1920943

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Ebola: California is latest state to impose 21-day quarantine for those exposed to Ebola

SAN JOSE MERCURY NEWS                                                        Oct. 29, 2014

By Julia Prodis Sulek

California on Wednesday became the latest state to order a 21-day quarantine for travelers who have been in close contact with Ebola patients.

In an attempt to avoid the criticism lodged against New York, New Jersey and Maine that had blanket quarantine orders, however, California will allow county health agencies to impose the quarantine on a case-by-case basis.

By working with county health departments to assess the individual risks, the California Department of Public Health said it "respects the individual circumstances of each traveler while protecting and preserving the public health."

Quarantine can range from observation and monitoring to the "limitation on his or her freedom of movement."

In the Bay Area, a Stanford doctor who returned last week from Liberia where he was treating Ebola patients was already being monitored by the San Mateo County Department of Public Health. The department coordinated with the CDC and San Francisco International Airport when Dr. Colin Bucks arrived late last week. He had no symptoms of the disease and came to an agreement with health officials to avoid contact with others but can leave the house for limited activities, such as jogging alone.

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How Ebola quarantines actually work, explained

A young man, dressed in a biohazard costume, stands on the corner of 546 West 147th Street in New York City. Bryan Thomas/Getty Images

VOX                                                                       Oct. 29, 2014
By Julia Bellez
As Ebola fears wash over America, some state governors are turning to mandatory quarantines: locking up healthy workers returning from West Africa for 21 days, Ebola's incubation period. The policy in New Jersey made national headlines after it resulted in a nurse who had no Ebola symptoms — and had been fighting the disease in West Africa, no less — being isolated in a poorly heated tent with no running shower or toilet.

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Sierra Leone Leader: Change Behavior to End Ebola

ASSOCIATED PRESS                                      Oct. 29, 2014

By Clarence Roy-Macaulay

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Chuck Hagel Approves 21-Day Ebola Quarantine For Troops

Defense Secretary Chuck Hagel briefs reporters at the Pentagon, Wednesday, Oct. 1, 2014, on the military health care system. (AP Photo/Cliff Owen)

ASSOCIATED PRESS                                  Oct. 29, 2014
By Robert Burns

WASHINGTON (AP) — Defense Secretary Chuck Hagel on Wednesday approved a recommendation by military leaders that all U.S. troops returning from Ebola response missions in West Africa be kept in supervised isolation for 21 days.

 The move goes beyond precautions recommended by the Obama administration for civilians, although President Barack Obama has made clear he feels the military's situation is different from that of civilians, in part because troops are not in West Africa by choice.

In explaining his decision, Hagel noted that the military has more people in Africa helping with the Ebola effort than any other segment of the U.S. government.

 "This is also a policy that was discussed in great detail by the communities, by the families of our military men and women, and they very much wanted a safety valve on this," he said at a public forum in Washington.

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