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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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Situation Report Overview by the Associated Press

 

Bulk of promised global aid has yet to materialize on the ground

 The Associated Press Posted: Sep 28,  Updated: Sep 28, 2014 1:10 PM ET

  Doctors are in short supply. So are beds for patients. Six months after the Ebola outbreak emerged for the first time in an unprepared West Africa and eventually became the worst-ever outbreak, the gap between what has been sent by other countries and private groups and what is needed is huge.

Even as countries try to marshal more resources, those needs threaten to become much greater, and possibly even insurmountable....

Beds are filling up as fast as clinics can be built. Ambulance sirens blare through standstill traffic. Often, there is nowhere to take the sick except to "holding centres" where they await a bed at an Ebola treatment facility.

The virus has killed almost 3,000 people and infected more than 6,200 in Liberia, Sierra Leone, Guinea, Nigeria and Senegal.

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Overview of U.S.Defense Department activities against Ebola, including testing vaccine candidate

By Cheryl Pellerin

DoD News, Defense Media Activity

WASHINGTON, Sept. 26, 2014 – The Defense Department has made critical contributions to the fight against the deadly Ebola outbreak in West Africa, and today Defense Secretary Chuck Hagel described additional ways the Pentagon is helping in the broader battle against infectious disease outbreaks of the future.

He spoke at a gathering of top government and military officials and infectious disease experts from 44 countries here to attend the Global Health Security Agenda, or GHSA, Summit hosted by President Barack Obama.

Hagel said ...the department also is accelerating the manufacture of potential treatments and starting clinical trials for a vaccine candidate and it has received approval to begin safety testing for one [Ebola] vaccine candidate that will be conducted at the Walter Reed Army Institute of Research.”

...The DoD Cooperative Threat Reduction Program is providing unique resources and expertise to enhance detection and surveillance, Hagel said, and all department assets will help civilian responders contain Ebola's spread and mitigate its economic, social and political fallout.

For fuller description of the Defense Department's activities to counter Ebola see link to the full article:

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Doctor in Liberia reports some success in treating Ebola with an HIV drug

The Washington Post Follow-up to the original CNN report        Oct. 2, 2014

Since the original CNN interview, Logan has been in contact with Dr. Fauci. "I can't say it's a good idea or bad idea," Fauci told The Post this week. "It's one of those things where you're in a situation where you have no therapy, so you look for things that might be available."

Fauci said National Institutes of Health researchers have tested lamivudine's reaction to Ebola in test tubes. There was no response; but Fauci said researchers will adjust some levels and try it again "to see if there's even slight activity against Ebola."

If there is, he said, NIH would consider going to the trial stage.

It makes sense to consider lamivudine as a potential Ebola treatment: It belongs to a group of drugs known as nucleoside analogs, which interfere with the replication processes of certain viruses, Fauci explained.

See Washington Post report

http://www.washingtonpost.com/news/to-your-health/wp/2014/10/02/a-liberian-doctor-is-using-hiv-drugs-to-treat-ebola-victims-the-nih-is-intrigued/

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Liberian Deputy Health Minister Enters Quarantine

ASSOCIATED PRESS  SEPTEMBER 27, 2014

 

MONROVIA, Liberia (AP) — Liberia's chief medical officer is placing herself under quarantine for 21 days after her office assistant died of Ebola.

Bernice Dahn, a deputy health minister who has represented Liberia at regional conferences intended to combat the ongoing epidemic, told The Associated Press on Saturday that she did not have any Ebola symptoms but wanted to ensure she was not infected.

...

Liberia's government has asked people to keep themselves isolated for 21 days if they think they have been exposed. The unprecedented scale of the outbreak, however, has made it difficult to trace the contacts of victims and quarantine those who might be at risk.

"Of course we made the rule, so I am home for 21 days," Dahn said Saturday. "I did it on my own. I told my office staff to stay at home for the 21 days. That's what we need to do."

...

Meanwhile, Senegal was expected on Saturday to receive a flight carrying humanitarian staff from Guinea — the first time aid workers from one of the three most-affected countries were allowed in Senegal since the corridor was opened, said Alexis Masciarelli, spokesman for the World Food Program.

LINK TO FULL STORY

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Ebola Death Tolls has Passed 3,000 - WHO

BBC      Sepember 26, 2014

The death toll from the Ebola outbreak in West Africa has passed 3,000, the World Health Organization (WHO) says.

The latest figures indicate that more than 6,500 people are believed to have been infected in the region.

Liberia is the worst affected country, having recorded around 1,830 deaths linked to the latest outbreak.

Some studies have warned that the numbers of infected could rise to more than 20,000 by early November.

  The report said two new areas, in Guinea and Liberia, have recorded their first confirmed cases of Ebola in the last seven days.

It also highlights the risk of infection for health workers trying to stem the outbreak. It says 375 workers are known to have been infected, and that 211 have so far died from the virus.

Some 600 people have died in Sierra Leone and a similar number in Guinea, where the outbreak was first confirmed in March.

Nigeria and Senegal, two other West Africa countries that have also been affected by the outbreak, have not recorded any new cases or deaths in the last few weeks, the latest WHO report says.

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Tourists advised to avoid Ebola zones of West Africa

NEW YORK TIMES      September 26, 2014

By

 .... The C.D.C. has issued a Watch Level 3 warning (“avoid nonessential travel”) for Guinea, Sierra Leone and Liberia, and a Level 2 warning (“practice enhanced precautions”) for Nigeria and the Democratic Republic of Congo.

Tourists should not visit these areas. The C.D.C. has recommended that foreign exchange, research and other education-related travel be postponed until further notice. Although the situation can change rapidly, there is now no risk of contracting Ebola in countries in West Africa without reported cases.

Anyone in the affected countries who gets a fever and symptoms like headache, muscle pain, vomiting, diarrhea, stomach pain or unexplained bleeding or bruising should avoid all contact with others and travel immediately by private transportation to a doctor’s office or hospital.

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Ebola: an open letter to European governments

 
 
The Lancet, Early Online Publication, 26 September 2014

By

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Lancet Article questions Sierra Leone's containment policies

Lancet               September 26, 2014
Article by
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UPDATE: WHITE HOUSE MEETING TODAY ON GLOBAL HEALTH STRATEGY

Update of this Morning's story:

Obama tells global health officials: After Ebola, ‘we have to do better.’Obama tells global health officials: After Ebola, ‘we have to do better.’

WASHINGTON POST
By Juliet Eilperin September 26 at 1:30 PM

WASHINGTON --

President Obama addressed health officials from dozens of countries who had gathered Friday at the White House to determine ways the international community can strengthen defenses against future epidemics, such as the Ebola outbreak now raging in West Africa.

Administration officials had launched a global health security initiative in February to help other nations develop basic disease detection and monitoring systems to contain the spread of deadly illnesses.

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