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New Ebola Patient in Nebraska in Critical Condition

Martin Salia Treated After Being Transported From Sierra Leone

WALL STREET JOURNAL                                     Nov. 16, 2014 ByBetsy McKay and Scott Calvert

A surgeon under treatment for Ebola in Omaha, Neb., is in extremely critical condition, the hospital said early Sunday.

Martin Salia was admitted on Saturday to the Nebraska Medical Center’s biocontainment unit after a medical evacuation from Freetown, Sierra Leone.

 

Dr. Martin Salia poses for a photo in Freetown, Sierra Leone, in April. Associated Press

“This is an hour-by-hour situation,” said Philip Smith, medical director of the biocontainment unit and a professor of infectious diseases at the University of Nebraska Medical Center, the hospital’s academic partner. “He is extremely ill. We have multiple highly-trained specialists who are experts in their fields targeting his most serious medical issues.”

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The Shifting Ebola Epidemic

NEW YORK TIMES                                                                                         Nov. 16, 2014

EDITORIAL

Recent gains in controlling the Ebola epidemic in West Africa have been encouraging, but they offer no reason for complacency. In Liberia, the hardest-hit country, the rate of new infections has declined in some areas, and several treatment units have been reporting empty beds for more than a month. But in adjacent Sierra Leone the number of new cases has shot upward, while in Guinea, where the epidemic started, the incidence of new cases appears to have stabilized over all, with growth in some districts and declines in others. All told, Ebola has infected more than 14,000 people in West Africa and killed more than 5,000 of them...

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California adopts tough Ebola-protection rules for health workers

SFGATE                                                    NOV. 14, 2014

By Carolyn Jones      

California has adopted some of the nation’s strongest regulations to protect doctors, nurses and other health workers treating patients with Ebola.

The regulations, announced Friday by the California Occupational Safety and Health Administration, require the state’s 300 or so acute-care hospitals to provide hazardous material suits, respirators, isolation rooms and extensive training to those working with patients suspected of having the Ebola virus.

Nurses hailed the regulations as a model for the rest of the country.

 The regulations are more comprehensive than those put forth by the Centers for Disease Control, which the state’s hospitals have been following until now. California has not had any Ebola cases.

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http://www.sfgate.com/health/article/California-adopts-tough-Ebola-protection-rules-5894274.php

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New CDC report offers insight into Dallas County Ebola outbreak

THE DALLAS MORNING NEWS                                                                               Nov. 15, 2014

By Sherry Jacobson

The “Ebola cluster” in Dallas County is the subject of the Morbidity and Mortality Weekly Report published Friday by the Centers for Disease Control and Prevention.

...the report offers a detailed timeline of what happened, starting with Thomas Eric Duncan’s arrival in Dallas from Liberia on Sept. 20. His Ebola symptoms were misdiagnosed Sept. 25 at Texas Health Presbyterian Hospital Dallas as sinusitis and he was sent home with antibiotics. He returned to the hospital Sept. 28, underwent 10 days of treatment and died Oct. 8.

Two of Duncan’s caretakers, both registered nurses, were also infected and were treated successfully for the disease. Protocols required public health workers to monitor 177 people who had contact with the three Ebola patients.

A dozen people in that group, however, were tested for Ebola after developing fever or other symptoms compatible with the disease during the monitoring period. None were found to have Ebola. By last Friday, all contacts had cleared 21 days of monitoring and the county’s outbreak was declared over.

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U.S. hospitals to be supplied Ebola protective equipment

BIOPREPWATCH                                                           Nov. 14, 2014

By Danial Daw

The U.S. Centers for Disease Control and Prevention (CDC) said on Friday that $2.7 million worth of personal protection equipment will be sent to hospitals to assist in the care of Ebola patients.

Altogether, 50 kits have been prepared and can be rapidly sent to hospitals. The kits include five days worth of protective equipment for clinical teams to treat one Ebola patient.

The kits follow the most up-to-date guidelines issued by the CDC. While the numbers of kits are limited at the moment, the CDC said it should be sufficient to treat cases in the short-term.

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http://bioprepwatch.com/countermeasures/medical/u-s-hospitals-to-be-supplied-ebola-protective-equipment/339963/

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Reports: 3rd Ebola patient headed to Nebraska

USA TODAY                                                 Nov.13, 2014
By Michael Winter

A third Ebola patient is headed to the Nebraska Medical Center this weekend, according to news reports Thursday.

CBS News said the patient was a surgeon infected with the virus while treating victims in Sierra Leone, one of the hardest-hit areas of West Africa.

NBC News said the patient is a Sierra Leonean national who is a permanent resident of the United States...

The Biocontainment Unit at the University of Nebraska facility in Omaha has already successfully treated and released two others -- Dr. Rick Sacra, a missionary delivering babies in Liberia, and Ashoka Mukpo, an NBC News freelance cameraman who also became infected while working in Liberia.
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http://www.usatoday.com/story/news/nation/2014/11/13/ebola-nebraska-third-patient/18995987/

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Momentum to fund Ebola vacine research is growing in Congress

FOREIGN POLICY                                                                                                           Nov. 13, 2014

By David Francis

As the Ebola outbreak continues in West Africa, momentum to change FDA restrictions to allow Congress to allocate money toward research on drugs that treat tropical diseases, including Ebola, is growing.

A bill drafted by Sens. Tom Harkin (D-Iowa) and Lamar Alexander (R-Tenn.) that would allow the FDA to fund Ebola treatment research will be marked up next week by the Health, Education, Labor and Pensions Committee....

 The bill, which has 17 co-sponsors, is part of a flurry of congressional activity on Ebola and the Obama administration's $6.18 billion proposal to confront the disease domestically and abroad. The Senate Appropriations Committee debated Obama's plan on Wednesday, and House and Senate panels are expected to address the White House's spending request next week.

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Cepheid receives grant to develop Ebola diagnostic test

REUTERS                                                           Nov. 20,2014

Molecular diagnostics company Cepheid said it received a grant of up to $3.3 million, co-financed by the Paul G. Allen Family Foundation and the Bill & Melinda Gates Foundation, to develop a diagnostic test for the deadly Ebola virus.

The Xpert Ebola test, which is expected to use saliva or a drop of blood to identify the virus, is likely to be offered on an emergency use only basis, Cepheid said on Thursday.

Cepheid and the Gates Foundation are also evaluating deploying the company's RemoteXpert cloud-based monitoring software to help track the spread of the disease.

The U.S. Food and Drug Administration last month granted emergency authorization to two new Ebola diagnostic tests made by BioFire, a subsidiary of medical diagnostics maker BioMerieux.

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Out of Africa — Caring for Patients with Ebola

NEW ENGLAND JOURNAL OF MEDICINE                                                                  Nov. 12, 2014

Eric J. Rubin, M.D., Ph.D., and Lindsey R. Baden, M.D.

The Journal has now published detailed clinical information about three patients transferred from West Africa to the United States or Germany in the midst of their illness.

See details of the treatment

http://www.nejm.org/doi/full/10.1056/NEJMe1412744

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Out of Africa — Caring for Patients with Ebola

NEW ENGLAND JOURNAL OF MEDICINE                                                                  Nov. 12, 2014

Eric J. Rubin, M.D., Ph.D., and Lindsey R. Baden, M.D.

The Journal has now published detailed clinical information about three patients transferred from West Africa to the United States or Germany in the midst of their illness.

See detais of the treatment

http://www.nejm.org/doi/full/10.1056/NEJMe1412744

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