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Ebola In US: President Obama Lauds CDC Response, Urges Public To Be 'Guided By Science'

INTERNATIONAL BUSINESS TIMES                 Oct. 25, 2014

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U.S. President Barack Obama again encouraged Americans to be “guided by the facts, not fear” in their assessments of Ebola virus disease as he discussed the first confirmed case in New York and the national response by the Centers for Disease Control and Prevention in his weekly address Saturday. Obama also mentioned the recoveries of Ashoka Mukpo and Nina Pham, who both tested negative for Ebola this week, and stressed the difficulty of contracting the virus.

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Doctors, aid workers fight Ebola in West Africa, then fear of disease in U.S.

WASHINGTON POST                                                                                   Oct. 25, 2014      
By Deneen L. Brown

Workers and volunteers face unease after flying to virus epicenters

Dr. David Schnabel, epidemic intelligence service officer with the Maryland Department of Health and Mental Hygiene, works with database training of Ministry of Health staff at the Bo District Surveillance Office in Sierra Leone in August. (Gbessay Saffa)

"David Schnabel, a former Army doctor who lives in Baltimore, said he hasn’t talked much with people he doesn’t know about his five-week trip to Sierra Leone. Schnabel, who was working for the CDC in the hard-hit Bo District, returned on Sept. 29.

“'I can tell you I did not broadcast where I had been before or after I returned to strangers,” said Schnabel, who trained Sierra Leoneans on Ebola safety protocols rather than caring for patients. “I understood the emotional response to Ebola. To protect myself from any stigma, I consciously was careful who I told.'”

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New Ebola Quarantine Protocol Seen as Barrier to Volunteers

NEW YORK TIMES               Oct. 25, 2014
by David W. Shin and Liz Robbins

The surprise decision by the governors of New York and New Jersey yesterday to impose a mandatory quarantine on persons who arrived at area airports and had contact with Ebola infected persons has touched off concern that it will deter people from volunteering to work in West Africa.

"Among medical professionals who have been fighting Ebola in West Africa, the restrictions only intensified the debate. While a few of those interviewed said an overabundance of caution was welcome, the vast majority said that restrictions like those adopted by New York and New Jersey could cripple volunteers’ efforts at the front lines of the epidemic."

" Dr. Rick Sacra, who contracted Ebola in Liberia and was flown back to the United States to be treated in September, said...many doctors and nurses who volunteered would spend about three weeks in Africa and then return to their regular jobs. The requirement that they be quarantined at home upon their return “will effectively double the burden on those people, on the loss of productive time,” Dr. Sacra said.

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Ebola outbreak: Cases pass 10,000, WHO reports

Liberia remains the worst affected country, with 4,665 cases

BBC                                              Oct. 25, 2014

The number of cases in the Ebola outbreak has exceeded 10,000, with 4,922 deaths, the World Health Organization says in its latest report.

Only 27 of the cases have occurred outside the three worst-hit countries, Sierra Leone, Liberia and Guinea.

Those three countries account for all but 10 of the fatalities.

Mali became the latest nation to record a death, a two-year-old girl. More than 40 people known to have come into contact with her have been quarantined.

The latest WHO situation report says that Liberia remains the worst affected country, with 2,705 deaths. Sierra Leone has had 1,281 fatalities and there have been 926 in Guinea.

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New York and New Jersey Tighten Ebola Screenings at Airports

NEW YORK TIMES                    Oct. 24, 2014

The announcement comes one day after an American doctor, who had worked in Guinea and returned to New York City earlier in October, tested positive for Ebola and became the first New York patient of the deadly virus.

“A voluntary Ebola quarantine is not enough,” said Gov. Andrew M. Cuomo of New York. “This is too serious a public health situation.”

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MSF Protocols for Staff Returning from Ebola-Affected Countries

DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERE                                      OCT. 23, 2014

Doctors without Borders (MSF)  describes its specific guidelines and protocols for staff members returning from Ebola assignments. The guidlines were posted following the hospitalization of Dr. Craig Smith, one of its workers, in New York City yesterday.

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http://www.doctorswithoutborders.org/article/msf-protocols-staff-returning-ebola-affected-countries

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Leaked documents reveal behind-the-scenes Ebola vaccine issues

SCIENCE INSIDER

By Jon Cohen and  Kai Kupferschmidt                          OCT.23, 2014

Extensive background documents from a meeting that took place today at the World Health Organization (WHO) have provided new details about exactly what it will take to test, produce, and bankroll Ebola vaccines, which could be a potential game changer in the epidemic.

ScienceInsider obtained materials that vaccinemakers, governments, and WHO provided to the 100 or so participants at a meeting on “access and financing” of Ebola vaccines. The documents put hard numbers on what until now have been somewhat fuzzy academic discussions. And they make clear to the attendees—who include representatives from governments, industry, philanthropies, and nongovernmental organizations—that although testing and production are moving forward at record speed, knotty issues remain. 

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http://news.sciencemag.org/health/2014/10/leaked-documents-reveal-behind-scenes-ebola-vaccine-issues

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WHO says Ebola vaccine plans accelerating as trials advance

WHO ANNOUNCES  EBOLA VACCINE TRIALS WILL BE SPEEDED UP TO DECEMBER.
THREE RELATED STORIES.   (Scroll down)

REUTERS                                       OCT. 24

By Stephanie Nebehay and Kate Kelland

GENEVA/LONDON, Oct 24 (Reuters) - Trials of Ebola vaccines could begin in West Africa in December, a month earlier than expected, and hundreds of thousands of doses should be available for use by the middle of next year, the World Health Organization said on Friday.

Vaccines are being developed and made ready in record time by drugmakers working with regulators, the U.N. health agency said, but questions remain about their safety and efficacy which can only be settled by full clinical trials.

"Vaccine is not a magic bullet, but when ready they may be a good part of the effort to turn the tide against the epidemic," senior WHO official Marie-Paule Kieny told a news briefing after a meeting in Geneva of industry executives, global health experts, drug regulators and funders.

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UK pledges £80m more aid to tackle Ebola epidemic in Sierra Leone

 

UPDATE:   EUROPEAN UNION ANNOUNCES ADDITIONAL FUNDING, NAMES AN EBOLA COORDINATOR 

NEW YORK TIMES   

By James Kanter and Andrew Higgins                                                                      OCT. 24, 2014

BRUSSELS--

...  Angela Merkel, the German chancellor, announced tody that Christos Stylianides, the coming European commissioner for humanitarian aid and crisis management, would be named Ebola coordinator.

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Ebola crisis: Mali confirms first infection case

UPDATE: THE GUINEAN GIRL DIED IN MALI. WHO IS SENDING MORE STAFF TO HELP STOP FUTHER EXPOSURES.

TIME MAGAZINE                                                             Oct. 24, 2014

A two-year-old Guinean girl who recently traveled to Mali and was later confirmed to have Ebola has died, officials said on Friday, one day after her positive diagnosis meant the virus had reached its sixth nation in West Africa.

The child died  in the western town of Kayes, a health official told Reuters. On Thursday, Health Minister Ousmane Kone told state television that she had traveled from neighboring Guinea,accompanied by her grandmother. The girl was admitted to a hospital on Wednesday night, where she tested positive for Ebola.

Health officials said the girl had begun bleeding from the nose before she left Guinea,, “meaning that the child was symptomatic during their travels through Mali” and that “multiple opportunities for exposure occurred when the child was visibly symptomatic.” The initial investigation identified 43 close and unprotected contacts, including 10 health workers.

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