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OUT OF CONTROL: How the world’s health organizations failed to stop the Ebola Disaster

WASHINGTON POST's  detailed front page account of how the Ebola epidemic got out of control in West Africa.  Oct. 5, 2014

     by Lena Sun, Bradly Dennis, Lenny Bernstein and Joel Achenbach

The glow from a crematorium lights the sky as the bodies of people who died from Ebola are cremated last month in Monrovia

---Michel Du Cille, THE WASHINGTON POST

.... "The virus easily outran the plodding response. The WHO, an arm of the United Nations, is responsible for coordinating international action in a crisis like this, but it has suffered budget cuts, has lost many of its brightest minds and was slow to sound a global alarm on Ebola. Not until Aug. 8, 4 1 ⁄ 2 months into the epidemic, did the organization declare a global emergency. Its Africa office, which oversees the region, initially did not welcome a robust role by the CDC in the response to the outbreak.

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U.S. nurses say they are unprepared to handle Ebola patients

REUTERS                         Oct 3. 2014

CHICAGO (Reuters) - Nurses, the frontline care providers in U.S. hospitals, say they are untrained and unprepared to handle patients arriving in their hospital emergency departments infected with Ebola.

Many say they have gone to hospital managers, seeking training on how to best care for patients and protect themselves and their families from contracting the deadly disease....

The U.S. Centers for Disease Control and Prevention has repeatedly said that U.S. hospitals are prepared to handle such patients. Many infectious disease experts agree with that assessment.

... Texas Health Presbyterian Hospital in Dallas that is now caring for the first Ebola patient to be diagnosed in this country had completed Ebola training just before Thomas Eric Duncan arrived in their emergency department on Sept. 26. But despite being told that Duncan had recently traveled from Liberia, hospital staff failed to recognize the Ebola risk and sent him home, where he spent another two days becoming sicker and more infectious.

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Dallas Hospital Alters Account, Raising Questions on Ebola Case

NEW YORK TIMES          Oct. 3, 2014

DALLAS TEX.      

On Thursday, the hospital, Texas Health Presbyterian Hospital in Dallas, released a statement essentially blaming a flaw in its electronic health records system for its decision to send the patient — Thomas E. Duncan, a Liberian national visiting his girlfriend and relatives in the United States — home the first time he visited its emergency room, Sept. 25. It said there were separate “workflows” for doctors and nurses in the records so the doctors did not receive the information that he had come from Africa.

But on Friday evening, the hospital effectively retracted that portion of its statement, saying that “there was no flaw” in its electronic health records system. The hospital said “the patient’s travel history was documented and available to the full care team in the electronic health record (E.H.R.), including within the physician’s workflow.”

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Why We Won't Have An Ebola Cure Or Vaccine For Years

UPDATE with comments from interviw with CDC Director Tom Frieden.   Scroll below.

 

huffingtonpost.com - October 2nd, 2014 - Jeffery Young

The world has known about Ebola for almost 40 years, yet there's no cure or vaccine on the market.

That could change amid worldwide attention to the ongoing outbreak of the virus in West Africa, which has claimed more than 3,000 lives already, and the first diagnosis of a patient with the disease in the United States. But not for a few more years -- at least.

(VIEW COMPLETE ARTICLE)

 

Update: Comments by CDC Director on Sunday TV interview

http://www.nbcnews.com/storyline/ebola-virus-outbreak/cdc-director-tom-frieden-ebola-drug-pipeline-will-be-slow-n218666


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Are Hospitals Prepared for Ebola?

cnn.com - October 1, 2014

CNN's Jake Tapper speaks to Gavin Macgregor-Skinner and Jeffery Stern. With the first Ebola diagnosis in the U.S., is the country prepared to handle a potential outbreak?

http://thelead.blogs.cnn.com/2014/10/01/only-four-u-s-hospitals-prepared-for-outbreak/

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Sequence for Putting On and Removing Personal Protective Equipment (PPE)

                                   CLICK ON THE IMAGES BELOW - TO ENLARGE (2 page .PDF file)

      

      

http://www.cdc.gov/vhf/ebola/pdf/ppe-poster.pdf

http://www.cdc.gov/vhf/ebola/resources/factsheets.html

 

     

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Germany received second Ebola patient

BBC            October 3, 2014

A hospital in the German city of Frankfurt-on-Main has taken in an Ebola patient after he was flown in during the night under tight security.

He is a Ugandan doctor who worked with Ebola patients in Sierra Leone. After arriving on a medical flight, the man was brought to Frankfurt University Hospital where he was placed in an isolation ward.

It is Germany's second case, with a man undergoing treatment in Hamburg after arriving from West Africa in August.

The Frankfurt hospital said the patient's arrival had gone well.

Hesse Minister of Social Affairs Stefan Gruettner said the patient had been working for an Italian aid organisation in Sierra Leone and had helped Ebola sufferers there before becoming infected himself.

Full Story
http://www.bbc.com/news/world-europe-29473623

Medical staff in protective equipment attend the arrival of the Ebola patient at Frankfurt University Hospital

 

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Texas Ebola Watch Eyes 50 People, 10 at 'High Risk'

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Ebola Victim's Air Journey shows weak spots in screening.

NEW YORK TIMES              October 3, 2014

MONROVIA, Liberia — The arrival in the United States of a Liberian man infected with the Ebola virus shows how difficult it is to control or restrict the disease from spreading, and how porous current procedures are in a world of globalized air travel.

Liberian officials said on Thursday that they planned to prosecute the passenger, Thomas E. Duncan, for lying on an airport questionnaire about not having contact with a person infected with Ebola before his travel — a pivotal part of the country’s screening process.

Mr. Duncan took three planes as he flew from Monrovia, the Liberian capital, to Dallas last month, connecting in Brussels and Washington.

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Class from International Baccalaureate School in Houston Seeks Ebola Education from Global Resilience System

Pictured here are the students in
Ms. Appel’s class in Houston, gathering information on the Ebola virus
from a Global Resilience System volunteer, Kathy Gilbeaux, with their website shown in the background. 
Photo Credit: Emma Goerges

On Thursday, a fifth grade class from an International Baccalaureate school in Houston sought answers to their questions regarding the Ebola virus. After a short period of investigating its symptoms, spread, and severity, the students were left with several unanswered questions. Specifically, the students continued to inquire about the origin of Ebola, details of its spread to Texas, in what ways the United States is helping, and Ebola treatment options.

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