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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.

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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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Congress Has Thin Legislative Record on Combating Disease Outbreaks

ROLL CALL                                     Oct. 27, 20144
By Melanie Zanona

Although Congress has publicly fretted over the threat of infectious disease pandemics, there have been few legislative attempts in the last two decades to address such health emergencies, leaving lawmakers with a limited set of policy options as they try to contain the Ebola outbreak.

Measures targeting deadly diseases have been largely crafted through the prism of bioterrorism threats, as opposed to naturally occurring outbreaks, such as swine flu and severe acute respiratory syndrome, or SARS.

“After 9/11 and the anthrax scares, there was starting to be a lot of attention and money being pumped into public health emergency preparedness and response, but by 2008, there started to be a downturn,” said Seth Foldy, associate professor of family and community medicine at the Medical College of Wisconsin and former Milwaukee health commissioner. “It bumped up again after H1N1, but then the funding slide began to kick in. There hasn’t been much sustained and strategic attention on the issue.”

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Insurance companies now write Ebola exclusions into policies; offer Ebola-related products

HOMELAND SECURITY NEWS WIRE                Oct. 27, 2014

U.S. and British insurance companies have begun to write Ebola exclusions into their policies for hospitals, event organizers, airliners, and other businesses vulnerable to disruption from the disease.

As a result, new policies and renewals will become more expensive for firms looking to insure business travel to West Africa or to cover the risk of losses from Ebola-driven business interruptions (BI).The cost of insuring an event against Ebola, for example, would likely be triple the amount of normal cancellation insurance — if the venue was in a region not known to be affected by the virus.

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http://www.homelandsecuritynewswire.com/dr20141027-insurance-companies-now-write-ebola-exclusions-into-policies-offer-ebolarelated-products

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200 Ethiopian volunteers to join west Africa Ebola fight

AFRICAN COUNTRIES SENDING MORE VOLUNTEERS TO HELP COUNTER WEST AFRICA'S EBOLA OUTBREAK

THE AFRICA REPORT                                             OCT. 24, 2014

In response to an urgent appeal by the African Union for medical staff to avert West Africa's health crisis, Ethiopia has pledged to send 200 volunteer health workers to countries hit by the Ebola outbreak.

DRCongo  and Nigeria have also announced plans to respond to AU's call for member countries to show solidarity in the fight against Ebola.

                                                                                                                         Reuters

Ethiopia also has pledged over $500,000 to Liberia, Sierra Leone and Guinea, the three affected countries.

Head of African Union commission, Nkosazana Dlamini-Zuma, told journalists in Sierra Leone that   ..."Several African member states have pledged to send in a number of health workers to Liberia, Sierra Leone and Guinea, including DR Congo, which will send around 1,000 workers in three groups."

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White House Presses States to Reconsider Mandatory Ebola Quarantine Orders

UPDATE:    Under Pressure, Cuomo Loosens Policy for Ebola Quarantines in New York

NEW YORK TIMES                                                             Oct. 26, 2014

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U.S. Ebola fighters head to Africa, but will the military and civilian effort be enough?

WASHINGTON POST                               Oct. 26, 2014

By Joel Achenbach and Lena H. Sun

Hundreds of Americans have flown to Liberia in the past few days. Thousands more are on the way.

 

American troops setting up field hospital in Liberia --NYTimes

This Ebola corps is a collection of doctors, nurses, scientists, soldiers, aviators, technicians, mechanics and engineers. Many are volunteers with nonprofit organizations or the government, including uniformed doctors and nurses from the little-known U.S. Public Health Service. Most are military personnel, snapping a salute when are assigned to their mission — “Operation United Assistance.” It does not qualify for combat pay, only hardship-duty incentive pay, which is about $5 a day — before taxes....

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Ebola crisis: Mali vows to keep Guinea border open despite child's death

MALI KEEPS BORDERS OPEN WITH GUINEA AS MAURITANIA CLOSES ITS BORDER WITH MALI

REUTERS                                         OCT. 25, 2014

BAMAKO--Mali will not close its borders with neighbouring Guinea after its first Ebola-related death, president Ibrahim Boubacar Keita says.

A two-year-old girl infected with the disease was brought across the frontier by her grandmother and died in Mali this week.

Mr Keita said that the incident showed it was impossible to completely seal his country off from Ebola but said he remained calm as the girl's journey and potential contacts had already been traced.

It comes as Mauritania has closed its border with Mali after the Ebola case was confirmed in Mali's western region, two Mauritanian officials said on Saturday.There is little accurate data but border closures by West African states trying to protect themselves from the epidemic have had a crippling effect on regional economies.

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http://www.abc.net.au/news/2014-10-26/mali-to-keep-guinea-border-open-despite-ebola-death/5841918

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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

By 

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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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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