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Ambassador John Hoover: Ebola a challenge for U.S. diplomatic team in Sierra Leone

WASHINGTON POST                                                                                                Nov. 17, 2014

By Joel Achenbach

John Hoover, the U.S amabassador to Sierre Leone, .... noted that the response to the epidemic in Sierra Leone poses a management challenge, and he sees a need to “sharpen coordination.”

                                                           Ambassador John Hoover. (Courtesy of State Department)

“There are a great deal of players on the ground,” Hoover said in an interview from Freetown.  “Lots of people doing lots of things. It’s a question of sharpening that coordination so that we’re not missing gaps and not overlapping and tripping over one another.”

He sees progress in that battle in the eastern part of Sierra Leone, but the epidemic is flaring in the western part of the country. Sierra Leone is the country with the highest infection rate, according to the World Health Organization’s most recent update. About 70 employees of the Centers for Disease Control and Prevention have deployed to Sierra Leone to fight Ebola. The U.S. military has focused on neighboring Liberia; Britain has a leading role in Sierra Leone....

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A doctor’s mistaken Ebola test: ‘We were celebrating. . . . Then everything fell apart’

WASHINGTON POST                                                                                          Nov. 17, 2014

By Kevin Sieff

...The doctors who tended to him in Freetown appeared to be unaware that an early Ebola test — taken within the first three days of the illness — is often inconclusive. In a country where information about the disease continues to move slowly, it was another potentially tragic mistake.

In many cases, a negative test at that stage means nothing because “there aren’t enough copies of the virus in the blood for the test to pick up,” said Ermias Belay, the head of the CDC’s Ebola response team in Sierra Leone.

But M’Briwa and others treated the test as definitive, even though Salia remained feverish and weak. The first results were delivered by a team of Chinese lab technicians who had opened a nearby hospital. (The technicians declined Sunday to speak about Salia’s case.)...

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http://www.washingtonpost.com/world/a-doctors-mistaken-ebola-test-we-were-celebrating--then-everything-fell-apart/2014/11/16/946a84da-6dd5-11e4-a2c2-478179fd0489_story.html

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In Ebola fight, private foundations provide critical financial aid

Description of the way the CDC Foundation, the Allen Foundation and large donors are playing an important role in countering Ebola.

THE WASHINGTON POST                                                                                                          Nov. 17, 2014
By Ariana Eunjung Cha

"...The unpredictable nature of the Ebola virus has made the government’s partnerships with private donors critically important in the crisis response. Working outside the politically charged federal appropriations process and the sometimes sluggish bureaucracy, foundations and private individuals have been able to offer much-needed relief for those on the front lines...."

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http://www.washingtonpost.com/national/health-science/in-ebola-fight-private-foundations-provide-critical-financial-aid/2014/11/16/b57ec57e-6109-11e4-9f3a-7e28799e0549_story.html

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New Ebola Patient in Nebraska in Critical Condition

Martin Salia Treated After Being Transported From Sierra Leone

WALL STREET JOURNAL                                     Nov. 16, 2014 ByBetsy McKay and Scott Calvert

A surgeon under treatment for Ebola in Omaha, Neb., is in extremely critical condition, the hospital said early Sunday.

Martin Salia was admitted on Saturday to the Nebraska Medical Center’s biocontainment unit after a medical evacuation from Freetown, Sierra Leone.

 

Dr. Martin Salia poses for a photo in Freetown, Sierra Leone, in April. Associated Press

“This is an hour-by-hour situation,” said Philip Smith, medical director of the biocontainment unit and a professor of infectious diseases at the University of Nebraska Medical Center, the hospital’s academic partner. “He is extremely ill. We have multiple highly-trained specialists who are experts in their fields targeting his most serious medical issues.”

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Reports: 3rd Ebola patient headed to Nebraska

USA TODAY                                                 Nov.13, 2014
By Michael Winter

A third Ebola patient is headed to the Nebraska Medical Center this weekend, according to news reports Thursday.

CBS News said the patient was a surgeon infected with the virus while treating victims in Sierra Leone, one of the hardest-hit areas of West Africa.

NBC News said the patient is a Sierra Leonean national who is a permanent resident of the United States...

The Biocontainment Unit at the University of Nebraska facility in Omaha has already successfully treated and released two others -- Dr. Rick Sacra, a missionary delivering babies in Liberia, and Ashoka Mukpo, an NBC News freelance cameraman who also became infected while working in Liberia.
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http://www.usatoday.com/story/news/nation/2014/11/13/ebola-nebraska-third-patient/18995987/

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Out of Africa — Caring for Patients with Ebola

NEW ENGLAND JOURNAL OF MEDICINE                                                                  Nov. 12, 2014

Eric J. Rubin, M.D., Ph.D., and Lindsey R. Baden, M.D.

The Journal has now published detailed clinical information about three patients transferred from West Africa to the United States or Germany in the midst of their illness.

See details of the treatment

http://www.nejm.org/doi/full/10.1056/NEJMe1412744

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Out of Africa — Caring for Patients with Ebola

NEW ENGLAND JOURNAL OF MEDICINE                                                                  Nov. 12, 2014

Eric J. Rubin, M.D., Ph.D., and Lindsey R. Baden, M.D.

The Journal has now published detailed clinical information about three patients transferred from West Africa to the United States or Germany in the midst of their illness.

See detais of the treatment

http://www.nejm.org/doi/full/10.1056/NEJMe1412744

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Health Officials Reassess Strategy to Combat Ebola in Liberia

NEW YORK TIMES                                                         Nov. 13, 2014

By and

WASHINGTON — As the rate of new Ebola infections in Liberia has slowed, American and Liberian officials are debating whether to build all 17 planned Ebola treatment centers in the country or to shift money from the Obama administration that was planned for the centers into other programs to combat future outbreaks.

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Full Senate Committee on Appropriations Hearing on the U.S. Government Response to Ebola Outbreak

               

appropriations.senate.gov - C-SPAN3 - November 12, 2014

Full Committee Hearing on the U.S. Government Response to the Ebola outbreak
 
WHEN:             WEDNESDAY, November 12, 2014 at 2:00 p.m.
                                                                                                             
WHERE:            Room SD-G50 of the Dirksen Senate Office Building

(VIEW THE RECORDED VIDEO IN THE LINKS BELOW)

http://www.appropriations.senate.gov/webcast/full-committee-hearing-us-government-response-fighting-ebola-and-protecting-america

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Ebola: Online briefing now available to the public

 

 

DOCTORS WITHOUT BORDERS                                                                              Nov. 12, 2014

The international medical organisation Médecins Sans Frontières (MSF) or Doctors Without Borders has posted an online briefing on Ebola for aid workers involved in the battle against the haemorrhagic fever. This briefing package is now available to anyone wishing to gain a basic understanding of the virus and how it can be contained.

http://www.msf.org/article/ebola-online-briefing-now-available-public

View the briefing at
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