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Epidemics of Confusion

Like AIDS before it, Ebola Isn't explained clearly by officials

People shun the infected and their contacts; some demand quarantines. Conspiracy theorists contend the virus escaped from government laboratories.

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Amid Assurances on Ebola, Obama Is Said to Seethe

NEW YORK TIMES                                                 Oct. 18, 2014

By and

WASHINGTON — Beneath the calming reassurance that President Obama has repeatedly offered during the Ebola crisis, there is a deepening frustration, even anger, with how the government has handled key elements of the response.

Those frustrations spilled over when Mr. Obama convened his top aides in the Cabinet room after canceling his schedule on Wednesday. Medical officials were providing information that later turned out to be wrong. Guidance to local health teams was not adequate. It was unclear which Ebola patients belonged in which threat categories.

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Ebola Vaccine Would Likely Have Been Found By Now If Not For Budget Cuts: NIH Director

HUFFINGTON POST

By Sam Stein                                                              Updated Oct. 13 ,2014

BETHESDA, Md. -- As the federal government frantically works to combat the Ebola outbreak in West Africa, and as it responds to a second diagnosis of the disease at home, one of the country's top health officials says a vaccine likely would have already been discovered were it not for budget cuts.

Dr. Francis Collins, the head of the National Institutes of Health, said that a decade of stagnant spending has "slowed down" research on all items, including vaccinations for infectious diseases. As a result, he said, the international community has been left playing catch-up on a potentially avoidable humanitarian catastrophe.

"NIH has been working on Ebola vaccines since 2001. It's not like we suddenly woke up and thought, 'Oh my gosh, we should have something ready here,'" Collins told The Huffington Post on Friday. "Frankly, if we had not gone through our 10-year slide in research support, we probably would have had a vaccine in time for this that would've gone through clinical trials and would have been ready."

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WHO: Ebola Death Toll Rises to More Than 4,000

ASSOCIATED PRESS                   Oct 10, 2014, 4:36 PM ET

MONROVIA -- Liberian lawmakers on Friday rejected a proposal to grant President Ellen Johnson Sirleaf the power to further restrict movement and public gatherings and to confiscate property in the fight against Ebola. One legislator said such a law would have turned Liberia into a police state.

The proposal's defeat came as the World Health Organization once again raised the death toll attributed to the Ebola outbreak. The Geneva-based U.N. agency said that 4,033 confirmed, probable or suspected Ebola deaths have now been recorded.

 

Liberians stage a protest yesterrday outside the National Assembly against the government not doing enough to fight Ebola virus in Monrovia, Liberia.  (AP Photo/Abbas Dulleh)

All but nine of them were in the three worst-affected countries, Liberia, Sierra Leone and Guinea. Eight of the rest were in Nigeria, with one patient dying in the United States....

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Obama: U.S. Will Beef Up Airport Screenings for Ebola

UPDATED  With additional information  (Scroll below).

TIME

By Zeke J. Miller                              Oct. 6. 2014                5:24 PM

President Barack Obama said Monday that the U.S. is working on additional passenger screenings for airline passengers flying from Ebola-stricken West Africa, two weeks after a Liberian man infected with the disease entered the country.

Officials are “going to be working on protocols to do additional passenger screenings both at the source and here in the United States,” Obama said, addressing reporters following a briefing on his administration’s response to the epidemic in Africa and efforts to keep the disease from spreading to the U.S. “All of these things make me confident that here in the United States at least the chances of an outbreak, of an epidemic here are extraordinarily low.”

The president did not give specifics on the new screening measures, and Dr. Tom Frieden, director of the Centers for Disease Control and Prevention (CDC) declined to elaborate further in an interview with CNN after the meeting.

 

 

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Ebola Victim's Air Journey shows weak spots in screening.

NEW YORK TIMES              October 3, 2014

MONROVIA, Liberia — The arrival in the United States of a Liberian man infected with the Ebola virus shows how difficult it is to control or restrict the disease from spreading, and how porous current procedures are in a world of globalized air travel.

Liberian officials said on Thursday that they planned to prosecute the passenger, Thomas E. Duncan, for lying on an airport questionnaire about not having contact with a person infected with Ebola before his travel — a pivotal part of the country’s screening process.

Mr. Duncan took three planes as he flew from Monrovia, the Liberian capital, to Dallas last month, connecting in Brussels and Washington.

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Update: Ebola outbreak may be over in Nigeria and Senegal--CDC

Update

New York Times           Sept. 30, 2024

Lagos --With quick and coordinated action by some of its top doctors, Nigeria, Africa’s most populous country, appears to have contained its first Ebola outbreak, the United States Centers for Disease Control and Prevention said Tuesday.

As the epidemic rages out of control in three nations only a few hundred miles away, Nigeria is the only country to have beaten back an outbreak with the potential to harm many victims in a city with vast, teeming slums.

“For those who say it’s hopeless, this is an antidote — you can control Ebola,” said Dr. Thomas R. Frieden, director of the C.D.C.   ....

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Overview of U.S.Defense Department activities against Ebola, including testing vaccine candidate

By Cheryl Pellerin

DoD News, Defense Media Activity

WASHINGTON, Sept. 26, 2014 – The Defense Department has made critical contributions to the fight against the deadly Ebola outbreak in West Africa, and today Defense Secretary Chuck Hagel described additional ways the Pentagon is helping in the broader battle against infectious disease outbreaks of the future.

He spoke at a gathering of top government and military officials and infectious disease experts from 44 countries here to attend the Global Health Security Agenda, or GHSA, Summit hosted by President Barack Obama.

Hagel said ...the department also is accelerating the manufacture of potential treatments and starting clinical trials for a vaccine candidate and it has received approval to begin safety testing for one [Ebola] vaccine candidate that will be conducted at the Walter Reed Army Institute of Research.”

...The DoD Cooperative Threat Reduction Program is providing unique resources and expertise to enhance detection and surveillance, Hagel said, and all department assets will help civilian responders contain Ebola's spread and mitigate its economic, social and political fallout.

For fuller description of the Defense Department's activities to counter Ebola see link to the full article:

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Liberian Security Forces Seal Slum

      

Associated Press

Security forces deployed Wednesday to enforce a quarantine around a slum in the Liberian capital, stepping up the government's fight to stop the spread of Ebola and unnerving residents.

Liberia has the highest death toll of the four West African countries affected by the dreaded disease, and its number of cases is rising the fastest. President Ellen Johnson Sirleaf ordered the quarantine and imposed a nighttime curfew that begins Wednesday, saying that authorities have not been able to curtail the spread of Ebola in the face of defiance of their recommendations. 

"These measures are meant to save lives," she said in an address Tuesday night.

During the raid this weekend in West Point slum, bloody items were stolen and potential Ebola patients fled, raising fears the disease would spread out of control in a densely populated area. It was not clear why people would steal items that might spread infection, but there are still many misconceptions about how dangerous the disease is and how it is spread.

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U.S. Orders Departure of Eligible Family Members from Sierra Leone

Department of State SealPress Statement

Marie Harf
Deputy Department Spokesperson, Office of the Spokesperson
Washington, DC
August 14, 2014
 
At the recommendation of the U.S. Embassy in Sierra Leone, the State Department today ordered the departure from Freetown of all eligible family members (EFMs) not employed by post. The Embassy recommended this step out of an abundance of caution, following the determination by the Department’s Medical Office that there is a lack of options for routine health care services at major medical facilities due to the Ebola outbreak.

http://www.state.gov/r/pa/prs/ps/2014/230613.htm

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