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

NEW YORK TIMES                                                              Oct. 28, 2014
By MICHAEL D. SHEAR

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....

In a study for the New England Journal of Medicine, a team of experts had traced the disease to the village in Guéckédou, in southeastern Guinea, by reviewing hospital documents and speaking to those involved.

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CDC   WASHINGTON                                                    Oct. 28, 2014

The CDC has released its October report on on the Ebola outbreak in West Affica.

 The updated data in this report were compiled from situation reports from the Guinea Interministerial Committee for Response Against the Ebola Virus and the World Health Organization, the Liberia Ministry of Health and Social Welfare, and the Sierra Leone Ministry of Health and Sanitation. Total case counts include all suspected, probable, and confirmed cases as defined by each country. These data reflect reported cases, which make up an unknown proportion of all actual cases and reporting delays that vary from country to country.

Read full report
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e1028a1.htm?s_cid=mm63e1028a1_e

ASSOCIATED PRESS                                                                     Oct. 28, 2014
By RODNEY MUHUMUZA

KAMPALA, Uganda--Athorities are having trouble figuring out how many more people are getting Ebola in Liberia and Sierra Leone and where the hot spots are in those countries, harming efforts to get control of the raging, deadly outbreak, the U.N.'s top Ebola official in West Africa said Tuesday.

"The challenge is good information, because information helps tell us where the disease is, how it's spreading and where we need to target our resources," Anthony Banbury told The Associated Press by phone from the Ghanaian capital of Accra, where the U.N. Mission for Ebola Emergency Response, or UNMEER, is based.

Health experts say the key to stopping Ebola is breaking the chain of transmission by tracing and isolating those who have had contact with Ebola patients or victims. Health care workers can't do that if they don't know where new cases are emerging.

"And unfortunately, we don't have good data from a lot of areas. We don't know exactly what is happening," said Banbury, the chief of UNMEER.

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.

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.

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.

THE ECONOMIST                  Oct.. 25, 2014

Detailed graphs on the outbreak of Ebola in West Africa and the healh systems in the affected countries.

http://www.economist.com/blogs/graphicdetail/2014/10/ebola-graphics?fsrc=rss&utm_medium=referral&utm_source=pulsenews.

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.”

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."

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

NEW YORK TIMES                                                             Oct. 26, 2014

by MATT FLEGENHEIMER, MICHAEL D. SHEAR and MICHAEL BARBARO

REUTERS                                         Oct. 26, 2014
By Michelle Nichols

CONAKRY -- The U.S. Ambassador to the United Nations, Samantha Power, arrived in Guinea's capital Conakry on Sunday to see first hand how the global response is failing to stop the deadly spread of Ebola in West Africa.

Power, who will also visit Sierra Leone and Liberia, said she hopes to gain a better understanding of which resources are missing so she can push other countries to offer more help.

"We are not on track right now to bend the curve," Power told Reuters. "I will take what I know and I learn and obviously provide it to President Obama, who's got world leaders now on speed dial on this issue."

"Hopefully the more specific we can be in terms of what the requirements are and what other countries could usefully do, the more resources we can attract," she said....

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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....

THE ECONOMIST                          Oct. 25, 2014

With at least 4,500 people dead, public-health authorities in west Africa and worldwide are struggling to contain Ebola. Borders have been closed, air passengers screened, schools suspended. But a promising tool for epidemiologists lies unused: mobile cell phone data.

When people make mobile-phone calls, the network generates a call data record (CDR) containing such information as the phone numbers of the caller and receiver, the time of the call and the tower that handled it—which gives a rough indication of the device’s location. This information provides researchers with an insight into mobility patterns...

FOX NEWS                                Oct. 26, 2014

Doctors treating New York City’s first Ebola patient have given the ailing doctor a transfusion of blood plasma from an aid worker who was infected with the deadly disease in West Africa and survived.

Dr. Craig Spencer received the donated plasma Friday from Nancy Writebol, a health care worker with the Christian organization SIM. Writebol was treated in August at Emory Hospital in Georgia.

Bellevue Hospital, where Spencer is being treated, said Saturday evening that the 33-year-old physician is “entering the next phase of his illness as anticipated with the appearance of gastrointestinal symptoms.”

The public hospital said in a statement that the patient is “awake and communicating.”

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http://www.foxnews.com/health/2014/10/26/new-york-doctor-with-ebola-gets-blood-transfusion-from-aid-worker-who-survived/