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Health - Liberia

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This working group is focused on discussions about health.

The mission of this working group is to focus on discussions about health.

Members

amanda.furr Carrielaj Chisina Kapungu Kathy Gilbeaux mdmcdonald MDMcDonald_me_com
mike kraft

Email address for group

health_liberia@m.resiliencesystem.org

Ebola Virus Disease Outbreak — West Africa, October 2014

CDC   WASHINGTON                                                    Oct. 28, 2014

The CDC has released its October report on on the Ebola outbreak in West Affica.

 The updated data in this report were compiled from situation reports from the Guinea Interministerial Committee for Response Against the Ebola Virus and the World Health Organization, the Liberia Ministry of Health and Social Welfare, and the Sierra Leone Ministry of Health and Sanitation. Total case counts include all suspected, probable, and confirmed cases as defined by each country. These data reflect reported cases, which make up an unknown proportion of all actual cases and reporting delays that vary from country to country.

Read full report
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e1028a1.htm?s_cid=mm63e1028a1_e

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Top UN Ebola Official: New Cases Poorly Tracked

ASSOCIATED PRESS                                                                     Oct. 28, 2014
By RODNEY MUHUMUZA

KAMPALA, Uganda--Athorities are having trouble figuring out how many more people are getting Ebola in Liberia and Sierra Leone and where the hot spots are in those countries, harming efforts to get control of the raging, deadly outbreak, the U.N.'s top Ebola official in West Africa said Tuesday.

"The challenge is good information, because information helps tell us where the disease is, how it's spreading and where we need to target our resources," Anthony Banbury told The Associated Press by phone from the Ghanaian capital of Accra, where the U.N. Mission for Ebola Emergency Response, or UNMEER, is based.

Health experts say the key to stopping Ebola is breaking the chain of transmission by tracing and isolating those who have had contact with Ebola patients or victims. Health care workers can't do that if they don't know where new cases are emerging.

"And unfortunately, we don't have good data from a lot of areas. We don't know exactly what is happening," said Banbury, the chief of UNMEER.

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Wish to Do More in Ebola Fight Meets Reality in Liberia

DETAILED DESCRIPTION OF THE SITUATION IN A RURAL LIBERIAN HEALTH CLINIC

NEW YORK TIMES                                                                  Oct.28, 2014
By Sheri Fink, MD

SUAKOKO, LIBERIA --
"...What level of care is possible for a disease with no cure being treated in wooden huts in the middle of a forest? How do medical workers prioritize which patients and tasks to focus on when they cannot do everything they were trained to do? Will their decisions determine who lives and who dies? And how would they even know?

Ms. Gaemai Sayon, center, survived Ebola but lost her husband and their infant son to the virus. The child died in her arms while she was delirious from the disease. Credit Daniel Berehulak for The New York Times

'“You always want to do more, but it has to be balanced with what’s possible, with what makes sense for the context you’re working in,” said Dr. Pranav Shetty, the medical director at the center operated here by International Medical Corps.

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Swiss Agency Approves Trial for Ebola Vaccine

ASSOCIATED PRESS                                 Oct. 28, 2014
  GENEVA-- The Swiss agency that regulates new drugs said Tuesday it has approved an application for a clinical trial with an experimental Ebola vaccine at the Lausanne University Hospital.

In this picture provided by the World Health Organization, a package of vials of the first shipment of the experimental vaccine VSE-EBOV is opened at the Geneva Cantonal hospital on Wednesday, Oct. 22, 2014. The World Health Organization (WHO) welcomes the donation by the government of Canada of 800 vials of an experimental candidate vaccine, VSV-EBOV, against Ebola virus disease. Clinical safety trials with this experimental Ebola vaccine have already begun in healthy human volunteers in Mali, the United Kingdom and the United States after showing very promising results in animal research. . (AP Photo/WHO/Mathilde Missioneiro) 

Swissmedic said the trial will be conducted among 120 volunteer participants with support from the U.N. World Health Organization. The experimental vaccine is to be initially administered on healthy volunteers who will be sent as medical staff to fight the Ebola epidemic in West Africa.

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Quarantine debate turning into a chaotic brawl

THE WASHINGTON POST                    0ct, 27, 2014
By Joel Achenbach, Brady Dennis and Lena H. Sun

The Ebola quarantine controversy has become a chaotic brawl involving politics, science and the law. The rules on quarantining health-care workers returning from West Africa are changing almost daily and varying according to geography and political climate.

The Pentagon announced Monday that Army personnel returning to their home base in Italy from Liberia will be held in quarantine for 21 days — even though none have symptoms of Ebola or were exposed to patients infected with the virus.

The military’s policy does not appear to track new guidelines announced Monday by the Centers for Disease Control and Prevention, which called for “high-risk” individuals and health-care workers without any symptoms to be directly monitored by state and local health authorities.

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Army major general, troops quarantined after Ebola aid trip

CNN                                                                                                   Oct. 27, 2014
By Barbara Starr

Army Major General Darryl A. Williams, commander of U.S. Army Africa, and approximately 10 other personnel are now in "controlled monitoring" in Italy after returning there from West Africa over the weekend, according to multiple U.S. military officials.

The American personnel are effectively under quarantine, but Pentagon officials declined to use that terminology.

There is no indication at this time any of the team have symptoms of Ebola.

They will be monitored for 21 days at a "separate location" at the U.S. military installation at Vicenza Italy, according to U.S. military officials. Senior Pentagon officials say it is not a "quarantine," but rather "controlled monitoring." However, the troops are being housed in an access controlled location on base, and are not allowed to go home for the 21 day period while they undergo twice daily temperature checks....

Read Complete story

lhttp://www.cnn.com/2014/10/27/politics/soldiers-monitored-ebola/

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CDC Chief Announces New Shift In Ebola Protocols

WASHINGTON--The  Centers for Disease Control and Prevention leader Dr. Tom Frieden announced changes to the U.S. response to Ebola and the guidance federal agencies are giving to state and local governments.

The new protocol stops short of the mandatory 21-day quarantines that some states have begun requiring. Instead, Frieden said, it relies on individual assessment and close monitoring. He also detailed several categories of risk among both airline passengers and the medical volunteers who he said have been doing "heroic work" in West Africa.

"High risk" individuals, Frieden said, include those who have cared for an Ebola patient and were accidentally poked by a needle or lacked protective gear. Those people, Frieden said, should isolate themselves in their homes and avoid all forms of mass transit and large gatherings.

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Australia seeks hospital back-up for volunteers in Ebola-hit countries

AUSTRALIAN GOVERNMENT CONSIDERS SENDING HEALH WORKERS TO WEST AFRICA; MEANWHILE BANS VISAS FOR VISITORS FROM EBOLA-AFFLICTED COUNTRIES

THE GUARDIAN                                          Oct. 27, 2014

The Australian government is reconsidering its previous decision not to send health workers to West Africa. It seeks reassurances that any stricked Australian health workers can receive treatment in Western facilities.

The Australian Medical Association (AMA) president, Brian Owler, said the UK and US were building “state of the art” treatment centres in west Africa for international healthcare workers and he expected Australia would be able to strike an agreement.

Read full account

http://www.theguardian.com/world/2014/oct/27/australia-seeks-hospital-back-up-volunteers-ebola-hit-countries

MELBOURNE HERALD                                Oct.  27, 2014

Meanwhile Immigration Minister Scott Morrison told Parliament that immigration had been suspended from West African Countries afflicted with Ebola and no new visas were being processed.

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Ebola in Graphics: The toll of a tragedy

THE ECONOMIST                  Oct.. 25, 2014

Detailed graphs on the outbreak of Ebola in West Africa and the healh systems in the affected countries.

http://www.economist.com/blogs/graphicdetail/2014/10/ebola-graphics?fsrc=rss&utm_medium=referral&utm_source=pulsenews.

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The Flu, TB and Now Ebola: A Rare Legal Remedy Returns

Discussion of the legal and civil liberties issues involved in quarantines

NEW YORK TIMES                                  Oct. 27, 2014

By and N

It was nearly 100 years ago that an influenza pandemic led to sweeping quarantines in American cities, and it was more than two decades ago that patients in New York were forced into isolation after an outbreak of tuberculosis.

In modern America, public health actions of such gravity are remarkably rare. So the decisions by New York and New Jersey on Friday to quarantine some travelers returning from the Ebola zone in West Africa have taken public officials into unfamiliar legal and medical territory...

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