Contagion

BLOOMBERG--By Andrew Pollack and Doni Bloomfield                                                                  Dec.4, 2014

ATLANTA-- An American health worker who may have been exposed to the Ebola virus arrived at an Atlanta hospital today for possible treatment after being evacuated by air from West Africa, where the outbreak is at its worst.

The health worker, who hasn’t been publicly identified, was admitted this morning at Emory University Hospital, which has successfully treated four other Ebola patients, the hospital said in an e-mail.

“Emory cannot share more details out of respect for patient privacy and in accordance with the patient’s wishes,” the hospital said. Phoenix Air, a medical charter company, flew the patient from West Africa, according to the statement. Earlier this week, Emory was named one of 35 U.S. hospitals designated to treat Ebola patients.

Emory didn’t say in what country the health worker may have been exposed.
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http://www.bloomberg.com/news/2014-12-04/health-care-worker-who-may-have-ebola-headed-to-u-s-.html

THE NEW ENGLAND JOURNAL OF MEDICINE                                                                                 Dec. 3, 2014
By Edward Cox, M.D., M.P.H., Luciana Borio, M.D., and Robert Temple, M.D.

...Studying investigational therapies for EVD presents scientific, practical, and ethical challenges. Not surprisingly, there has been substantial debate about the best and most appropriate study approaches.2,3 It is generally agreed that a trial with a concurrent control group, in which patients are randomly assigned to receive the test drug plus the best available supportive care (BASC) or to BASC alone, would be the most efficient and reliable way to evaluate the safety and effectiveness of candidate products.

 Some people in the health care community, however, have argued against such trials, urging instead use of a historical control — that is, making investigational drugs as widely available as their supply allows and then comparing mortality rates among treated patients with rates that would have been expected absent the drugs, on the basis of past experience with EVD.

AFP                                                                                                          Dec. 2, 2014

FREETOWN -- Ebola-hit Sierra Leone has quarantined hundreds of thousands more citizens, it said Tuesday, sealing off a sixth district, with more than half of the country's population already under lockdown.

A nurse wearing personal protective equipment checks on a patient at the Kenama ebola treatment center run by the Red Cross Society on November 15, 2014 in Sierra Leone ©Francisco Leong (AFP/File)

Tonkolili, in the centre, was added to the growing list of districts which no one is allowed to leave or enter without special dispensation, in an effort to combat an outbreak which is spiralling out of control, with 1,400 deaths so far....

The northern districts of Port Loko and Bombali were closed off indefinitely along with the southern district of Moyamba in September -- effectively sealing in more than one million people.

REUTERS-by  Misha Hussain                                   Dec. 3, 2014

DAKAR, Senegal   - Some five million children are out of school in Guinea, Liberia and Sierra Leone because of the deadly Ebola outbreak, according to a report by the Global Business Coalition for Education.

A man walks by a mural with health instructions on treating the Ebola virus, in Monrovia, November 18, 2014. Credit: Reuters/James Giahyue

Schools and other public buildings have been closed because they are believed to increase the spread of the virus. Many are now used as holding centers for Ebola patients.

The report, co-written with A World at School, said being out of school can have a crippling impact on vulnerable children, especially girls, who are more likely to face high-risk situations as a result, including early marriage and pregnancy.

If schools are not reopened, the most vulnerable children will become trapped in a cycle of poverty with devastating consequences for their health and economic development, the report said.

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