Ebola outbreak: WHO admits it botched early attempt to stop disease

THE ASSOCIATED PRESS                                         Oct. 17, 2014

The World Health Organization has admitted that it botched attempts to stop the now-spiraling Ebola outbreak in West Africa, blaming factors including incompetent staff and a lack of information.

"Nearly everyone involved in the outbreak response failed to see some fairly plain writing on the wall," WHO said in a draft internal document obtained by The Associated Press, noting that experts should have realized that traditional containment methods wouldn't work in a region with porous borders and broken health systems.

"It's the regional office in Africa that's the frontline," said Dr. Peter Piot, co-discoverer of the Ebola virus. "And they didn't do anything. That office is really not competent." (Denis Balibouse/Reuters)

The UN health agency acknowledged that, at times, even its own bureaucracy was a problem. It noted that the heads of WHO country offices in Africa are "politically motivated appointments" made by the WHO regional director for Africa, Dr. Luis Sambo, who does not answer to the agency's chief in Geneva, Dr. Margaret Chan.

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Obama Authorizes National Guard To Help Fight Ebola

BUSINESS INSIDER                                                           Oct. 17, 2014

WASHINGTON (Reuters) - President Barack Obama authorized the use of American military reservists on Thursday to support humanitarian aid efforts against the Ebola outbreak in West Africa.

In a letter to leaders of the US Congress, Obama said an unspecified number of reservists will be used to help activate duty personnel in support of the Ebola mission in West Africa.

It could include personnel such as engineers, logistics staff, and communications specialists. No individuals or units has been identified yet for the call-up.

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CDC's Frieden: U.S. not ruling out Ebola travel ban

UPDATE

CONGRESSIONAL HEARING ON EBOLA: STORIES  AND LINK TO TESTIMONY BEFORE A HOUSE  ENERGY AND COMMERCE SUBCOMMITTEE   (scroll down)

By Will Duham

(Reuters) - Congressional lawmakers criticized the government's response to Ebola in the United States on Thursday as some called, at a congressional hearing probing efforts to contain the virus, for a ban on travel from epidemic-stricken West Africa.

Federal Aviation Administration chief Michael Huerta told reporters separately that the United States is assessing whether to issue a travel ban "on a day-to-day basis" but that the U.S. Centers for Disease Control and Prevention (CDC) had determined that a ban would not address the challenges posed by Ebola.

...Several schools in Ohio and Texas were closed after concerns that a nurse with Ebola traveled on a plane with people with ties to the schools.

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Nurse Nina Pham To Be Transferred To NIH For Ebola Treatment

NPR                           Oct. 16, 2014

WASHINGTON --A top government health official confirms that Nina Pham, the 26-year-old nurse who became infected with Ebola after treating a patient with the disease at a Dallas hospital, will be transferred to a high-level containment facility at the National Institutes of Health in Bethesda, Md.

Dr. Anthony Fauci, the director of the National Institutes of Health National Institute of Allergy and Infectious Disease, said in testimony before a House committee that Pham will be admitted to the NIH tonight.

There she will will be given "state of the art care" in a high-level containment facility, he says.

Officials have said Pham's condition is good. Another nurse, Amber Vinson, who also cared for index patient Thomas Eric Duncan has also contracted the disease. Duncan died from the disease last week.

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http://www.npr.org/blogs/thetwo-way/2014/10/16/356594638/house-panel-hearing-to-examine-public-health-response-to-ebola-outbreak

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Ebola in DRC is from different source than WAfrica virus

AFP                                                    Oct. 16, 2014

WASHINGTON - An outbreak of the deadly Ebola virus in the Democratic Republic of Congo this year came from a different source than the epidemic raging across West Africa, scientists said Wednesday.

Even though the two deadly Ebola outbreaks have separate animal origins, the report in the New England Journal of Medicine nevertheless raises concern about the emergence of the often fatal hemorrhagic fever across the African continent.

A Congolese barber  cuts hair in Lokolia, on October 6, 2014, despite the authorities' order to avoid physical contact to stop the spread of Ebola (AFP Photo/Kathy Katayi)

Ebola was first identified in 1976, and had returned in waves. The latest outbreak in West Africa is history's largest, killing more than 4,400 people since the beginning of the year.

A separate, smaller outbreak in the DRC began over the summer, and has killed 49 people of the 69 believed infected between late July and October 7, the NEJM report said.

An analysis of the virus's genome showed that it is a type called Ebola Zaire, and is 99.2 percent related to a 1995 variant that emerged in Kikwit in the DRC.

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France announces Ebola screenings at Paris airport

FRANCE 4 INTERNATIONAL NEWS          OCT. 16, 2014

PARIS French health officials tday said screening measures for Ebola among passengers arriving from Guinea would start Saturday at Charles de Gualle airport in Paris.

 France became the fourth country –after Britain, the United States and Canada–to announce screening checks for the virus at its main international airport, as the United Nations warned Ebola was outpacing efforts to combat the epidemic.

The announcement came as Spanish authorities said they had isolated an Air France plane at Madrid airport and activated emergency health procedures after one of the passengers was reported to have a fever and shivers in what is being treated as a suspected Ebola case, officials said Thursday.

... French President François Hollande held a video conference Wednesday with his US counterpart Barack Obama, German Chancellor Angela Merkel, British Prime Minister David Cameron and Italian premier Matteo Renzi to discuss their response to the virus.

EU health ministers are meeting in Brussels on Thursday to discuss measures to deal with the epidemic....

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http://www.france24.com/en/20141016-ebola-france-airport-screening-eu-health/

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Lax U.S. Guidelines on Ebola Led to Poor Hospital Training, Experts Say

NEW YORK TIMES                                                                  Oct 15, 2014
By

A dummy depicting an Ebola patient was part of a C.D.C. training session for health care workers Wednesday in Anniston, Ala. Credit Erik S. Lesser/European Pressphoto Agency

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Obama Urges ‘Aggressive’ Monitoring of Ebola Threat in U.S.

NEW YORK TIMES                            OCT. 15, 2014
By                               

President Obamaon Wednesday directed his aides to monitor the spread of Ebola in the United States “in a much more aggressive way,” but said the American people should remain confident in the government’s ability to prevent a widespread outbreak of the deadly disease.

After a two-hour meeting of cabinet-level officials who are in charge of the government’s response to the virus, Mr. Obama promised that a review of the recent Ebola cases in Dallas would determine what went wrong that allowed two nurses to be infected.

With a video link to Dr. Thomas R. Frieden, the head of the Centers for Disease Control, the president said he had ordered health officials to determine, “How we are going to make sure that something like this isn’t repeated.”

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Ebola Fight in Africa Is Hurt by Limits on Ways to Get Out

NEW YORK TIMES

The nurse survived, but according to the aid group that sent her to Liberia and arranged to get her out, Europe’s failure to establish a swift evacuation service for infected medical workers has become a serious hurdle impeding the battle against Ebola in West Africa.

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Ebola outbreak is not just a human tragedy. It’s also an economic one

LIBERIA: ANALYSIS OF EBOLA'S IMPACT ON THE ECONOMY

WASHINGTON POST                           OCT. 15, 2014

By Ylan Q. Mui
MONROVIA                                      

"  the (Ebola) tragedy encompasses not only those who lost their lives and their families, but also the dreams of a country that was on the cusp on an economic resurgence. With critical public works projects in limbo and businesses struggling, the virus is threatening Liberia’s chance to escape generations of poverty and join Africa’s rising prosperity.

“Liberia was moving,” said Estrada Bernard, chairman of the International Bank in Liberia and the Liberian president’s brother-in-law. “'The whole thing hinges upon how well we can get this virus under control.'”

People do business at the Waterside local market in the center of Monrovia, Liberia, over the summer. Just as their economies had begun to recover from the man-made horror of coups and civil war, the West African nations of Guinea, Liberia and Sierra Leone have been knocked back down by the Ebola virus. (AP Photo/Abbas Dulleh, File)

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U.S. military will need until December to complete Ebola treatment units in Liberia

WASHINGTON POST                 

By Dan Lamothe                       October 15, 2014

The U.S. military continues to grow the force it is deploying to western Africa to assist with the Ebola virus crisis, but it will take until late November or early December to complete all 17 treatment units it has planned, a two-star general said.

Army Maj. Gen. Darryl A. Williams, commander of U.S. Army Africa, told reporters in a phone conference from Liberia on Tuesday that the “lion’s share” of the treatment units will be complete by late November, with a few lagging into December. That exceeds an estimate provided by his commanding officer, Gen. David Rodriguez, who said Oct. 7 that the effort would likely take until mid-November.

The effort has been hampered by heavy rains, among other obstacles.

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No Identifiable Common Source of Exposure Found in Cluster of Ebola Cases Among Health Care Workers in Liberia

" 10 drugs that could stop Ebola "

FIERCE BOIOTECH RESEARCH                       Oct. 14, 2014
By Emily Mullin

Before the current Ebola outbreak, the virus had only appeared in Africa in fits and starts since its discovery in 1976, receding back into the jungle almost as quickly as it arrived. This relative rarity and the swiftness with which the disease kills its victims has, up until now, made Ebola an unattractive--not to mention daunting--prospect for drug developers. As a result, no approved drugs or vaccines against Ebola exist.

...the current situation in West Africa... has prompted the World Health Organization to call on international government agencies and the pharmaceutical industry to work together to speed up the development of promising therapies for experimental use for those most at risk of contracting the disease, which causes severe hemorrhagic fever.

Now, a handful of players are racing to get a treatment or vaccine to patients as quickly as possible, even though these drugs remain largely untested in humans.... 

Here is a list of organizations that are in the global spotlight right now with their investigational Ebola program

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Head of World Bank Makes Ebola His Mission

NEW YORK TIMES                                                                                        OCT. 14, 2014

By                         

During a tense discussion, Dr. Jim Yong Kim, the World Bank president, spoke sharply to Dr. Margaret Chan, the head of the World Health Organization, the agency in charge. You have the authority to act in this emergency, he told her, according to people familiar with the meeting, “so why aren’t you doing it?”

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Facebook Founder Mark Zuckerberg Kicks in $25 Million for Ebola

NBC NEWS                                                            OCT. 14, 2014

Facebook founder Mark Zuckerberg and his wife announced Tuesday they are donating $25 million to the U.S. Centers for Disease Control foundation to fight the Ebola crisis that has killed more than 4,440 people in west Africa.

"We need to get Ebola under control in the near term so that it doesn't spread further and become a long term global health crisis that we end up fighting for decades at large scale, like HIV or polio," Zuckerberg, who is worth $32 billion, said in a Facebook post. "We believe our grant is the quickest way to empower the CDC and the experts in this field to prevent this outcome."

The health agency has hundreds of staffers working on Ebola and has sent more than 100 experts to the virus zone — Liberia, Guinea, Sierra Leone and Nigeria. The CDC foundation collects funds for supplies, such as personal protective equipment, ready-to-eat meals, generators, vehicles and motorcycles, and thermal scanners to detect fever.

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