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Review of Human-to-Human Transmission of Ebola Virus

CDC                                                              Posted Oct. 20, 2014 from  CDC  Oct. 17 document

This document is a concise summary of published information on the current science about human-to-human transmission of Ebola virus. It is developed for use by healthcare personnel and public health professionals to use. It is a complement to the many guidance documents that CDC has issued already online at

www.cdc.gov/ebola.

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Lawmakers Urge Temporary Visa Suspension for Ebola-Affected Nations

CONGRESSIONAL DEVELOPMENTS: CALLS FOR SUSPENDNG VISAS, AND HEARING ANNOUNCED ON EXPECTED NEW BUDGET REQUEST

HOMELAND SECURITY TODAY                Oct. 10 2014
By: Amanda Vicinanzo, Senior Editor

WASHINGTON --Amid calls to issue a travel ban to and from West Africa to help protect Americans from Ebola, Rep. Michael McCaul (R-Texas), chairman of the House Committee on Homeland Security, introduced the proposition that the US should look at the idea of temporarily suspending the thirteen thousand visas that would be coming out of the region.

 Rep. McCaul, along with subcommittee chairmen Reps. Peter King (R-NY), Candice Miller (R-Mich), Jeff Duncan (R-SC), Richard Hudson (R-NC) and Susan Brooks (R-Ind) recently urged the Obama administration that “additional steps should be considered to curtail the potential spread of Ebola to the United States.

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Liberia president describes heavy cost of Ebola

Liberia's president calls for more investment in health systems, news article, op-ed

ASSOCIATED PRESS                               Oct. 20, 2014

by Jonathan Paye-Layleh

Monrovia, Liberia — Liberian President Ellen Johnson Sirleaf said Ebola has killed more than 2,000 people in her country and has brought it to “a standstill,” noting that Liberia and two other badly hit countries were already weakened by years of war.

Appealing for more international help, Sirleaf described the devastating effects of Ebola in a “Letter to the World” that was broadcast Sunday by the BBC.   https://soundcloud.com/bbc-world-service/a-letter-to-the-world-on-ebola-from-liberian-president-ellen-johnson-sirleaf?ocid=socialflow_twitter

“Across West Africa, a generation of young people risk being lost to an economic catastrophe as harvests are missed, markets are shut and borders are closed,” the Nobel Peace Prize laureate said. “The virus has been able to spread so rapidly because of the insufficient strength of the emergency, medical and military services that remain under-resourced....”

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Nigeria Is Ebola-Free: Here’s What They Did Right

It's been 42 days since the last new case

TIME MAGAZINE                                                      OCT. 20, 2014

Alexandra Sifferlin

 The World Health Organization declared Nigeria free of Ebola on Monday, a containment victory in an outbreak that has stymied other countries’ response efforts....

 

A school official takes a pupil's temperature using an infrared digital laser thermometer in front of the school premises, at the resumption of private schools, in Lagos, Sept. 22, 2014. Akintunde Akinleye—Reuters

“It’s possible to control Ebola. It’s possible to defeat Ebola. We’ve seen it here in Nigeria,” Nigerian Minister of Health Onyebuchi Chukwu told TIME. “If any cases emerge in the future, it will be considered—by international standards—a separate outbreak. If that happens, Nigeria will be ready and able to confront it exactly as we have done with this outbreak.”

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U.S. to issue new Ebola care guidelines, watch lists to shrink

ROUNDUP OF DEVELOPMENTS SUNDAY

REUTERS                                     Oct 19, 2014

GALVESTON Texas --(Reuters) - The United States will issue strict new guidelines telling American health workers to cover their skin and hair when dealing with Ebola patients, a top health official said on Sunday, while some of the dozens of people being watched for possible exposure to the virus are expected to be cleared.

 

 A health care worker receives protocol on the proper removal of personal protection equipment from Centers for Disease Control and Prevention (CDC) instructors in preparation for the response to the current Ebola outbreak, during a CDC safety training course in Anniston, Alabama, October 6, 2014. Credit: Reuters/Tami Chappell

In Texas, a lab worker who spent much of a Caribbean holiday cruise in isolation tested negative for the deadly virus and left the Carnival Magic liner with other passengers after it docked at Galveston early on Sunday morning....

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The Bigger Picture: Ebola - Dr. Michael D. McDonald

RT – Thom Hartmann - The Bigger Picture: Ebola – October 17-18, 2014

Dr. Michael D. McDonald, Robert Walker and DeAnn McEwen – A Discussion on Ebola

To stop Ebola from spreading in West Africa, Dr. Michael D. McDonald, Executive Director of Health Initiatives Foundation Inc. and the Global Resilience System talks about the need to have community strategies where we set up Resilience Capacity Zones to reduce the transmission and the translocation of Ebola. He states we need to create behavioral and social immunity around Ebola-affected areas to reduce the transmission and translocation. We need to create Ebola-resistant, and Ebola-free zones in ring-like fashion.

CLICK HERE - The Bigger Picture: Ebola

http://www.youtube.com/watch?v=FZlUp_aVgxc

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NEJM - Ebola Virus Disease in the Democratic Republic of Congo

nejm.org - October 15, 2014 - DOI: 10.1056/NEJMoa1411099

Results

The outbreak began in Inkanamongo village in the vicinity of Boende town in Équateur province and has been confined to that province. A total of 69 suspected, probable, or confirmed cases were reported between July 26 and October 7, 2014, including 8 cases among health care workers, with 49 deaths. As of October 7, there have been approximately six generations of cases of EVD since the outbreak began. The reported weekly case incidence peaked in the weeks of August 17 and 24 and has since fallen sharply. Genome sequencing revealed Ebola virus (EBOV, Zaire species) as the cause of this outbreak. A coding-complete genome sequence of EBOV that was isolated during this outbreak showed 99.2% identity with the most closely related variant from the 1995 outbreak in Kikwit in the DRC and 96.8% identity to EBOV variants that are currently circulating in West Africa. . . .

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Dozens Declared Free of Ebola Risk in Texas

UPDATE   Ebola fear ends for dozens on U.S. watch lists                        

DALLAS--Weeks of worry about Ebola infection ended on Monday for several dozen people who came off watch lists in the United States, but more than 260 others were still being monitored for symptoms as the U.S. government ramped up its response to the virus.

In Texas, 43 people who had contact with Liberian Thomas Eric Duncan, the first person diagnosed with the disease in the United States, were cleared of twice-daily monitoring after showing no symptoms during a 21-day incubation period. The Texas health department said they included four people who shared an apartment with Duncan and had been in quarantine. It said 120 people in Texas were still being monitored.

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Long Quest for Ebola Vaccine Slowed by Science, Ethics, Politics

An experimental Ebola vaccine has been developed by the U.S. National Institutes of Health and pharmaceutical company GlaxoSmithKline. Photograph by Steve Parsons, AP

Image: An experimental Ebola vaccine has been developed by the U.S. National Institutes of Health and pharmaceutical company GlaxoSmithKline. Photograph by Steve Parsons, AP

news.nationalgeographic.com - October 14th, 2014 - Karen Weintraub

Ebola vaccines are so effective in monkeys that macaques can be protected or rescued even if they're injected with a hundred times the lethal dose of the Ebola virus after vaccination. But no one knows for certain whether the vaccines will work in humans; the vaccines haven't yet been rigorously tested in people.

Just developing the vaccines to test in monkeys was a grueling, decades-long process that has killed scores of macaques since the 1990s.

(VIEW COMPLETE ARTICLE)

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NEJM - Ebola Virus Disease in West Africa — The First 9 Months of the Epidemic and Forward Projections

nejm.org - WHO Ebola Response Team

N Engl J Med 2014; 371:1481-1495 - October 16, 2014 - DOI: 10.1056/NEJMoa1411100

Conclusions

These data indicate that without drastic improvements in control measures, the numbers of cases of and deaths from EVD are expected to continue increasing from hundreds to thousands per week in the coming months.

(SEE COMPLETE NEJM ARTICLE HERE)

NEJM - Ebola Virus Disease in West Africa — The First 9 Months of the Epidemic and Forward Projections (15 page .PDF file)

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