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For Ebola, don't forget lessons from the AIDS epidemic

THE HILL                                                          Nov. 12, 2014
Commentary by Claire Pomeroy, M.D., M.B.A, President of the Albert and Mary Lasker Foundation.

...Without a commitment by Congress to fund basic medical research, the lives of millions are put at risk, along with the nation’s economic and national security. Outbreaks of deadly viruses – including AIDS or Ebola – have shown us the costs of not remaining vigilant.

  So how much funding is enough? It’s time for us to have that national conversation once again. We do not know what the superbugs of tomorrow will look like. But we do know that novel pathogens will emerge or existing ones will mutate, and that as global travel and migration inexorably increase, disease knows no border. It is time for us to stop chasing at AIDS and Ebola from behind, and take stock of our capacity to commit.

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Epidemics of Confusion

Like AIDS before it, Ebola Isn't explained clearly by officials

People shun the infected and their contacts; some demand quarantines. Conspiracy theorists contend the virus escaped from government laboratories.

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Use of Ebola virus as bioterror weapon highly unlikely: Experts

HOMELAND SECURITY NEWS WIRE                                                             Nov. 11, 2014

Francisco Martinez, Spain’s state secretary for security, claimed that ISIS fighters are planning to carry out “lone wolf” attacks using biological weapons. He cites conversations uncovered from secret chat rooms used by would-be militants.

 Bioterrorism experts say the use of Ebola for bioterrorism is highly unlikely.  “Assuming a terrorist organization manages to capture a suitable Ebola host, extract the virus, weaponize the virus, transport the virus to a populated city and deliver the virus, it is entirely likely that the sub-optimal climatic conditions of a Western city will kill it off relatively quickly,” says one expert.
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http://www.homelandsecuritynewswire.com/dr20141111-use-of-ebola-virus-as-bioterror-weapon-highly-unlikely-experts

CNN                                                                                                               Nov. 11, 2014

Meanwhile, in Wellington New Zealand, three suspicious packages with a reference to Ebola were sent to the Parliament  building, the US embassy, and a newspaper in what appeared to be a hoax.

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Ebola crisis: Sierra Leone health workers go on strike

BBC                                                    Nov. 12, 2014

More than 400 health workers involved in treating Ebola patients have gone on strike at a clinic in Sierra Leone.

The staff, who include nurses, porters and cleaners, are protesting about the government's failure to pay an agreed weekly $100 (£63) "hazard payment".

There have been almost 300 new Ebola cases in Sierra Leone in the past three days

The clinic, in Bandajuma near Bo, is the only Ebola treatment centre in southern Sierra Leone.

The Bandajuma clinic is run by medical charity MSF, which said it would be forced to close the facility if the strike continued. MSF's emergency co-ordinator in Sierra Leone, Ewald Stars, told the BBC that about 60 patients had been left unattended because of the strike at the clinic in Bandajuma.
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http://www.bbc.com/news/world-africa-30019895

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Mali scrambles to contain Ebola after new confirmed death

UPDATE:   Mali quarantines dozens after Ebola kills second victim

REUTERS                                                                              Nov. 12, 2014

By Joe Penney

BAMAKO --Authorities in Mali quarantined dozens of people on Wednesday at the home of a 25-year-old nurse who died from Ebola in the capital, Bamako, and at the clinic where he treated an imam from Guinea who died with Ebola-like symptoms.

Secretary-general of Mali's Health Ministry Ousmane Doumbia (2nd L) speaks to journalists at a news conference in Bamako November 12, 2014. Credit: Reuters/Joe Penney

The imam from the border town of Kouremale was never tested for the disease and his body was washed in Mali and returned to Guinea for burial without precautions against the virus.

Two aid workers said that another person who lived in the house where the imam stayed in Bamako had died this week and was buried without being tested.

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Why mobile data to prevent Ebola has not yet been released

THE ECONOMIST                                                                                Nov.9, 2014

The number of new cases of Ebola in west Africa is decreasing, suggesting that quickly-enacted emergency precautions have so far been successful. Yet there is a valuable tool that epidemiologists would like to use to track the disease and help stamp it out: data from mobile phones.

These "call data records" identify where the device is and has been, along with its proximity to other devices, among other things. It lets experts infer, with empirical data and in real-time, where people are, and how many, and where they are probably headed. Yet despite talks among researchers, phone companies, governments—and even UN agencies and the GSMA, the mobile-industry’s trade association—the records have not yet been released. Why not?

It is not for a lack of utility. A bevvy of cases already underscore the data’s usefulness.....

If the data are so helpful, why are they not used? Several factors are to blame....

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Nurses strike to protest Ebola preparedness

CBS NEWS                                                                                             Nov. 11, 2014

By Jonathan  Berr

About 20,000 nurses walked off the job today in California as part of a two-day series of events across the country organized by National Nurses United. The country's largest such union is aiming to draw attention to what it sees as inadequate preparation at most hospitals to treat Ebola cases.

"Nurses, who have been willing to stand by the patients whether it's the flu, whether it's Ebola, whether it's cancer, are now being asked to put themselves in harm's way unprotected, unguarded," said NNU Executive Director Rose Ann DeMoro, in a statement.

The NNU has targeted Kaiser Permanente, the biggest nonprofit health insurer in the U.S., over what it claims is an "erosion in patient care." The strike affected 86 Kaiser Permanente hospitals and clinics along with two other California hospitals. Another 400 registered nurses in Providence Hospital in Washington, D.C., are set to walk off the job tomorrow.

The organization is demanding that nurses and other care givers who interact with Ebola patients be given full-body hazmat suits that leaves no skin exposed or unprotected, along with air-purifying respirators that meet stringent standards of the National Institute for Occupational Safety & Health.

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U.S. Ebola experience changes thinking about disease

USA TODAY                                   Nov. 11, 2014
By Liz Sazbo
The successful treatment of Westerners with Ebola in the USA and Europe is changing the way doctors think about the disease.

The conventional wisdom about Ebola has been that it's usually fatal, with a mortality rate of up to 90%. That was based largely on experience with Ebola in developing countries in Africa, where many hospitals have no running water and soap, let alone personal protective equipment for the medical staff.

All eight American patients with Ebola treated in the USA have survived. So have most Europeans evacuated to their home countries for care....

With early and aggressive care, "Ebola can be an eminently treatable disease," says Amesh Adalja, senior associate at the Center for Health Security at the University of Pittsburgh Medical Center.

In some ways, Ebola is a different disease in the USA and Europe than it is in Africa, just as cancer is a different disease here than in developing countries, says Jeffrey Duchin, a professor at the University of Washington-Seattle and spokesman for the Infectious Diseases Society of America. Both conditions are fearsome and dangerous, but experience shows that cancer and Ebola can often be survived if caught early and treated aggressively.

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Another Sierra Leonean Doctor Infected With Ebola

ASSOCIATED PRESS                                                                        Nov. 11, 2014
By CLARENCE ROY-MACAULAY
FREETOWN, Sierra Leone --A doctor in Sierra Leone has tested positive for Ebola, dealing yet another blow to the country's fight against the deadly outbreak, an official announced Tuesday.

Dr. Martin Salia, a specialist surgeon at a major hospital in the capital of Freetown, is the sixth Sierra Leonean doctor to become infected in this outbreak. Salia is receiving treatment, said Dr. Brima Kargbo, Sierra Leone's chief medical officer. He offered no other details.

.. Even with the proper protection, staying safe while treating Ebola patients requires rigorous attention to detail, and the smallest mistake can lead to an infection.

 Former British Prime Minister Tony Blair met with officials in Sierra Leone on Tuesday and urged the international community not to let up the fight against the disease.

"More beds, more medical personnel and laboratory testing need to be done, faster, to be on top of this situation," said Blair, who founded the Africa Governance Initiative to help leaders make reforms and meet development goals.

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Economic impact of the Ebola crisis on select Liberian markets

 

Focus on Monrovia and Lofa and Nimba Counties

MERCY CORPS Study of the impact of Ebola on the Liberian Economy
While the main focus of the Ebola virus disease crisis in Liberia has been around prevention, treatment, and public health, the economic impact of Ebola is also affecting the lives of the majority of Liberians. Households have less access to basic goods on the market because of reduced incomes, which is resulting in a change in eating habits; the supply of goods is constrained due to border and market closures, as well as transportation problems; and challenges in the agricultural sector may affect farmers’ ability to have a normal harvest in the upcoming planting seasons.

Some of these issues may have immediate remedies, while others will require medium to long-term interventions. If attention is not paid to the economic impact of the crisis, the situation will continue to deteriorate over the coming months.

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