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Ebola: California is latest state to impose 21-day quarantine for those exposed to Ebola

SAN JOSE MERCURY NEWS                                                        Oct. 29, 2014

By Julia Prodis Sulek

California on Wednesday became the latest state to order a 21-day quarantine for travelers who have been in close contact with Ebola patients.

In an attempt to avoid the criticism lodged against New York, New Jersey and Maine that had blanket quarantine orders, however, California will allow county health agencies to impose the quarantine on a case-by-case basis.

By working with county health departments to assess the individual risks, the California Department of Public Health said it "respects the individual circumstances of each traveler while protecting and preserving the public health."

Quarantine can range from observation and monitoring to the "limitation on his or her freedom of movement."

In the Bay Area, a Stanford doctor who returned last week from Liberia where he was treating Ebola patients was already being monitored by the San Mateo County Department of Public Health. The department coordinated with the CDC and San Francisco International Airport when Dr. Colin Bucks arrived late last week. He had no symptoms of the disease and came to an agreement with health officials to avoid contact with others but can leave the house for limited activities, such as jogging alone.

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Assessing the Science of Ebola Transmission

THREE ARTICLES DESCRIBING DETAILS OF THE EBOLA VIRUS AND OTHER VIRUSES.
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Advances in microscopy have allowed scientists like Sriram Subramaniam and colleagues at the National Cancer Institute to look at the workings of tiny viruses. In this case, microscopy was used to illustrate the complex process in which human cells infected with HIV-1, green and blue, are linked to uninfected cells. Credit Illustration by Donald Bliss/N.I.H, from The Journal of Virology/American Society for Microbiology

The research on how the virus spreads is not as ambiguous as some have made it seem

THE ATLANTIC                                                                                                          Oct. 28, 2014

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Chuck Hagel Approves 21-Day Ebola Quarantine For Troops

Defense Secretary Chuck Hagel briefs reporters at the Pentagon, Wednesday, Oct. 1, 2014, on the military health care system. (AP Photo/Cliff Owen)

ASSOCIATED PRESS                                  Oct. 29, 2014
By Robert Burns

WASHINGTON (AP) — Defense Secretary Chuck Hagel on Wednesday approved a recommendation by military leaders that all U.S. troops returning from Ebola response missions in West Africa be kept in supervised isolation for 21 days.

 The move goes beyond precautions recommended by the Obama administration for civilians, although President Barack Obama has made clear he feels the military's situation is different from that of civilians, in part because troops are not in West Africa by choice.

In explaining his decision, Hagel noted that the military has more people in Africa helping with the Ebola effort than any other segment of the U.S. government.

 "This is also a policy that was discussed in great detail by the communities, by the families of our military men and women, and they very much wanted a safety valve on this," he said at a public forum in Washington.

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Exclusive: New test for diagnosing Ebola goes unused

WABC NEWS                                          Oct. 28 2014
By Jim Hoffer

NEW YORK

Report says that when a 5-year-old boy who came back from Guinea was admitted to New York's Bellevue hospital  recently,  city officials stopped the use of a a one-hour testing device although it had received the FDA's emergency approval.

As a result, it took 10 hours from the time he spiked a fever till his parents, medical staff, and the public found out, he did NOT have Ebola.

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http://7online.com/health/new-test-for-diagnosing-ebola-goes-unused/369875/

Direct link - BioFire Defense
http://biofiredefense.com/

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The whole world relies on this one U.S. company to fly Ebola patients

WASHINGTON POST                          Oct 28, 2014
By Josh Hicks
When it comes to transporting Ebola victims by air, the world relies on just one small U.S. company.


Phoenix Air has been using the isolation system below this aircraft to transport Ebola patients. (EPA/BRANDEN CAMP)

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Israeli firm ships inflatable tents for West Africa Ebola patients

Y YETNEWS                                        Oct. 27, 2014
Udi Etsion
An Israel icompany has developed and installed in Guinea special inflatable isolation tents to be used to house and isolate Ebola patients.

Special inflatable tent being used to fight Ebola

The inflatable tents have also been purchased for the treatment of Ebola patients by other countries on the continent, according to the Israeli company SYS Technologies, which specializes in the development of clean-air systems and mobile operating theaters. The company said the units can be constructed and shipped within two weels.

The units use a positive pressure technology to create an absolute clear and isolated environment and maintain the structure. The company has also developed an incubator-like stretcher for the safe transfer of patients to the isolation tents.

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http://www.ynetnews.com/articles/0,7340,L-4584736,00.html

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Obama Defends C.D.C.’s Ebola Rules as ‘Sensible, Based in Science’

WHITE HOUSE SUPPORTS CDC GUIDELINES FOR CIVILIANS, EXPLAINS DIFFERENT TREATMENT FOR U.S. TROOPS

NEW YORK TIMES                                                              Oct. 28, 2014
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WASHINGTON — President Obama on Tuesday said that new Ebola guidelines from the Centers for Disease Control and Prevention were “sensible, based in science” and would help keep Americans safe while not discouraging volunteers from traveling to West Africa to battle the disease at its source....

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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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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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Quarantined Ebola Nurse Kaci Hickox to Be Released by New Jersey

ABC NEWS                                          Oct. 27, 2014

by Josh Margolin

 

NEWARK --New Jersey has decided to release a nurse who was fighting an order that forcibly quarantined her after she returned from Africa where she treated Ebola patients.

The release was announced this morning after Kaci Hickox, hired a lawyer to sue over her mandatory 21-day quarantine. Shortly before the decision by the New Jersey Health Department, the nurse said she hopes "this nightmare of mine and the fight that I’ve undertaken is not in vain.”

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