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Doctors Who Treat Ebola Feel More Socially Isolated

LIVESCIENCE.COM   by Rachael Rettner                                                                         Feb. 13, 2015

Doctors who take care of very sick Ebola patients may feel socially isolated, but surprisingly, they may not feel more stressed than usual, a new study from Germany suggests.

Researchers surveyed 46 health care workers who treated Germany's first Ebola patient in August 2014, as well as 40 health care workers who worked in the same hospital but did not treat the Ebola patient.

The researchers who did the study hypothesized that the people who treated the Ebola patient would have more symptoms of psychological distress because they were working in a challenging environment that presented a risk that they could become infected with the deadly virus.

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Lack of Effect of Lamivudine on Ebola Virus Replication

CDC EID JOURNAL by  Lisa E. Hensley, Julie Dyall, Gene G. Olinger, and Peter B. Jahrlin (NIH)                     Feb. 12, 2015

The unprecedented number of Ebola virus disease (EVD) cases in western Africa has compelled the world to consider experimental and off-label therapeutics to mitigate the current outbreak. For clinicians, approved drugs are an attractive solution because of known safety profiles and availability.

Oral lamivudine (GlaxoSmithKline, Brentford, UK), a US Food and Drug Administration–approved anti-HIV drug, has been suggested as a possible antiviral agent against Ebola virus (EBOV). In September 2014, a Liberian physician, Dr. Gorbee Logan, reported positive results while treating EVD with lamivudine (1). Thirteen of 15 patients treated with lamivudine survived presumed EVD and were declared virus free. Clinical confirmation of EVD in these cases remains to be verified....

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Postmortem Stability of Ebola Virus

CDC  EID JOURNAL                                              Feb. 12, 2015                                   
Study by Joseph Prescott, Trenton Bushmaker, Robert Fischer, Kerri Miazgowicz, Seth Judson, and Vincent J. Munster

The ongoing Ebola virus outbreak in West Africa has highlighted questions regarding stability of the virus and detection of RNA from corpses. We used Ebola virus–infected macaques to model humans who died of Ebola virus disease.

Assessing the stability of corpse-associated virus and determining the most efficient sampling methods for diagnostics will clarify the safest practices for handling bodies and the best methods for determining whether a person has died of EVD and presents a risk for transmission. To facilitate diagnostic efforts, we studied nonhuman primates who died of EVD to examine stability of the virus within tissues and on body surfaces to determine the potential for transmission, and the presence of viral RNA associated with corpses.

http://wwwnc.cdc.gov/eid/article/21/5/15-0041_article

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Ebola: Call for more sharing of scientific data

BBC NEWS      by Helen Briggs, Environment correspondent                                                                     Feb. 2, 2015

The devastation left by the Ebola virus in west Africa raises many questions for science, policy and international development.

One issue that has yet to receive widespread media attention is the handling of genetic data on the virus.

By studying its code, scientists can trace how Ebola leapt across borders, and how, like all viruses, it is constantly evolving and changing.

Yet, researchers have been privately complaining for months about the scarcity of genetic information about the virus that is entering the public domain.

In the last few days, scientists have been speaking on and off the record about their concerns.

http://www.bbc.com/news/science-environment-31091816

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Health Ebola Vaccines Trial Starts in Liberia

ASSOCIATED PRESS by JONATHAN PAYE-LAYLEH                                                        Feb. 2, 2015

MONROVIA--A large-scale human trial of two potential Ebola vaccines got under way in Liberia's capital Monday, part of a global effort to prevent a repeat of the epidemic that has now claimed nearly 9,000 lives in West Africa.

The trials in Liberia are taking place after smaller studies determined that the vaccines were safe for human use. By comparing them now with a placebo shot, scientists hope to learn whether they can prevent people from contracting the ghastly virus that has killed some 60 percent of those hospitalized with the disease.

Yet despite the trials' promise, authorities still must combat fear and suspicion that people could become infected by taking part. Each vaccine uses a different virus to carry non-infectious Ebola genetic material into the body and spark an immune response.

Read complete story.
http://abcnews.go.com/Health/wireStory/ebola-vaccine-trial-starts-liberia-28657084

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Ebola outbreak: Virus mutating, scientists warn

Scientists tracking the Ebola outbreak in Guinea say the virus has mutated.

Researchers at the Institut Pasteur in France, which first identified the outbreak last March, are investigating whether it could have become more contagious.

They are tracking how the virus is changing and trying to establish whether it's able to jump more easily from person to person

"We know the virus is changing quite a lot," said human geneticist Dr Anavaj Sakuntabhai.

It's not unusual for viruses to change over a period time. Ebola is an RNA virus - like HIV and influenza - which have a high rate of mutation. That makes the virus more able to adapt and raises the potential for it to become more contagious.

Read complete story.

http://www.bbc.com/news/health-31019097

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Scientists ask if Ebola immunizes as well as kills

LONDON/DAKAR--A recent sharp drop in new Ebola infections in West Africa is prompting scientists to wonder whether the virus may be silently immunizing some people at the same time as brutally killing their neighbors.

A health worker disinfects a road in the Paynesville neighborhood of Monrovia, Liberia, January 21, 2015. Credit: Reuters/James Giahyue

So-called "asymptomatic" Ebola cases - in which someone is exposed to the virus, develops antibodies, but doesn't get sick or suffer symptoms - are hotly disputed among scientists, with some saying their existence is little more than a pipe dream.

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Ebola infection of humans linked to population density and vegetation cover

MEDICAL NEWS TODAY                                             Jan. 22, 2015

Ebola is a "zoonotic" disease: the virus starts out in animal populations - believed to be fruit bats - and then spills over into humans. Now, a new study that investigates landscape features of where spillover occurs suggests human population density and vegetation cover may be important factors.

The researchers examined landscape features of precise geo-locations of Ebola spillover into humans.

The study is the work of two researchers from SUNY Downstate Medical Center in Brooklyn, NY, who write about their findings in the open-access journal PeerJ.

First author Michael G. Walsh, assistant professor of epidemiology and biostatistics in SUNY Downstate's School of Public Health, says they found significant interaction between density of human populations and the extent of green vegetation cover in the parts of Africa that have seen outbreaks of Ebola virus disease (EVD).

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First GSK Ebola vaccine shipment due to arrive in Liberia

REUTERS by Kate Kelland                                     Jan. 23, 2015

LONDON-- The first batch of GlaxoSmithKline's experimental Ebola vaccine has been shipped to West Africa and is expected to arrive in Liberia later on Friday, the British drugmaker said.

The shipment, of an initial 300 vials of the vaccine, will be the first to arrive in one of the three main Ebola-affected African countries, GSK said in a statement.

It will be used in the first large-scale vaccine trials in coming weeks, in which healthcare workers helping to care for Ebola patients will be among the first to get it...

The vaccine, co-developed by the National Institutes of Health in the United States and Okairos, a biotechnology firm acquired by GSK in 2013, is currently being tested in five small phase I safety trials in Britain, the United States, Switzerland and Mali involving around 200 healthy volunteers in total.

Read compete story.

http://uk.reuters.com/article/2015/01/23/uk-health-ebola-gsk-idUKKBN0KW0DU20150123

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Fast Track on Drug for Ebola Has Faltered

NEW YORK TIMES by Andrew Pollack                               Jan. 23, 2015

As Ebola raged through West Africa last summer, an experimental drug was tried for the first time on two American aid workers in Liberia who were gravely ill with the virus. Both recovered, one of them rapidly.

 

Medicago, in North Carolina, is gearing up for possible production of the Ebola drug ZMapp using its plant-based technology. Credit Gerry Broome/Associated Press

Though it could not be said for sure that the drug, ZMapp, was responsible, patients and doctors began clamoring for it. But there was enough to treat only a handful of patients. Federal officials vowed to produce more.

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