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Tuesday, October 7, 2014

Redemption Hospital: A ‘Slaughter House?’ - An Insider’s Horrifying Eyewitness Account of What Women and Children Have To Contend With Inside This Ebola Holding Center


1:45 PM
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#ebola #ebolaoutbreak
Fanta Jabateh picture with children at their homes in Garnerville
Over six months after the first few deaths were reported in Liberia as a result of the deadly Ebola virus disease, the country’s problems in the fight continue to shift in sharp dimensions. The earliest challenge had been huge citizens’ denial that culminated in evident recalcitrance towards government’s regulation on prevention, hence more deaths.
One another hand, especially when the death toll began to increase, the healthcare system collapsed in its totality – of course confirmed by government. When few hospitals reassured themselves to open, there came the problem of lack of willing health workers and drugs to treat even ordinary illnesses, lack of sufficient ambulances and citizens’ opposition to government’s involvement of the military.
Now that some of these challenges are beginning to subside due to the glaring deadly realities of the disease and the intervention of the international community, Liberia’s worries are far from over as expert predictions project an exponential increase in the number of cases.
In between, the best place for a sick person is a holding center, if not a treatment center. Not only does it give hope to the sick, it prevents others from contracting the virus of he or she remains in the community.
Redemption is the biggest holding center in Montserrado, a county of over one million people. But the stories from within this facility portray the hospital in a different way. One person has described it as, for lack of a moderate name, a modern day concentration camp.
Fanta Jabateh, 48, escaped from this holding center over two weeks ago on Sunday, September 21, 2014. Her story sums up generally what patients undergo at Redemption Hospital and in particular what women and children have to contend with before either their death or recuperation.
Fanta is sitting in the comfort of a partially scary family at their Gardnersville residence in Monrovia. Fanta explains the horrors she underwent before her escape. "I spent five days in the hospital. My stomach ran for these five days and no one attended to me," she told me in her native Mandingo language.
She continued: "I called my children several times outside to inform the world about my condition. They tried their best but no one helped. I became helpless and thought that death was even better than my present condition. I called nurses' attention but no one cared. I saw death in that hospital but it refused to take my life. I wished it had taken my life then. All the time I was at the hospital, they never fed me nor allowed my family to bring me food."
Fanta's family has suffered more than nine deaths to the Ebola virus. Her crutch-carrying husband sits in frustration as Fanta narrates her ordeal at Redemption. "I am happy that we are able to see her alive. We heard rumors that she was already dead. Even though she was not supposed to escape, we are glad to see her," he said, struggling to hold back his tears in the midst of his family. But his body language no doubt explained exactly what was going on inside this old man.
Fanta says she escaped along with more than twenty people who suffered similar neglect. "I am not alone. There were more than 20 people that ran away from that hospital because of no care. I don't know where they went." Finding their whereabouts appears to be more difficult than even testing their Ebola status.
For all time Fanta spent at the hospital, she was never tested, never treated. Unaware of her Ebola status, Fanta is at home. When she escaped, she went at the Duala Market to board a taxi cab. She couldn't get one. Then her eighteen years old son, Sekou Jabateh, aided her get a motorbike that conveyed them home; risking all three onboard and people in the market.
Before she escaped, there were rumors that people who are not nurses and health workers were forcing their way into the hospital to cater to their 'detained' family members. The rumors were true and Sekou took advantage of it. He found his way through the nonchalant health workers, wore protective equipment (PPE) and went to his mother; already suspected of Ebola.

"Yes it's true. I saw men moving in and get their people out. I saw some of them wearing PPEs. When I asked them to help me get my mother, one of them said 'ain't you man?' Go and get your mother. I know I am a man; so I went in, I wear (wore) PPE and went to see my mother," Sekou told me as his siblings looked on.
How could people who don't work at the hospital have access to it and even wear PPE? I asked him. His response was no different from what disappointed people in Liberia would say. "Those who work there are not motivated. They are afraid of their own lives. They are afraid to come closer to sick people. So, they just sat there and we do (did) our thing."
I needed to confirm Sekou's story of infiltrating an already risky territory. A nurse on one of the few ambulances that conveyed sick people at the hospital that very day confirmed the story.
"When we carried people in the hospital, one of them was too weak. So, we used the stretcher to take her inside. When we got in, someone recognized me and called my name. I turned around and it was Sekou. He said, 'big brother, it's me, Sekou. Am doing my thing here!' And I asked, but how come you got in here. Why (are) you in PPE? He explained his story to me. It's scary how things are going on around here," the nurse, preferring anonymity, told me.
Not capacitated to care for patients is one thing, but allowing people who are not health workers infiltrate the system is even more worrisome as these people, without the proper knowledge of prevention, could infect themselves and spread the virus in the communities they come from. Officials at the hospital would not make any official comment. Health Ministry official Tolbert Nyensuah who is also topflight head on the National Taskforce on Ebola could not be reached over the weekend.
To test the possibility of infiltrating the hospital even when you are not a nurse, I went to the hospital and approached people assigned at the warehouse. Two ambulances had just arrived with sick people; so I guessed my timing was perfect. I would just go in there pretending to be one of the ambulance attendants. I crossed the first few doors but realized how panicking I was. Why? A pick-up filled with dead bodies was leaving the hospital to give way to newly brought-in sick people. Sources say the dead bodies were more than 48. This cannot be independently verified. So, I rescinded my brave-heart decision and drove back home in despair.
Several family members of other patients taken to the Redemption hospital have corroborated Fanta's story.
A daughter of one of the escapees who later passed away narrated even horrifying accounts. “My mother was kept there for more than ten days. They wanted her to spend 21 days there under observation. All during these days, the hospital never gave her food or drugs. I had to buy biscuits and bread for my mother.
“Can you imagine my mother was undergoing women’s monthly cycle? If you don’t care for women, how do you know their special needs? My mother told me she received (menstruation) for more than a week but had nothing to protect herself with. No cortex, nothing. The rapper she wore was already messy. Don’t they know that some of the people they are holding in there are women? We all know what that means. How could they do this to our people? They wanted us to bring our sick people to the hospital, we have brought them. Yet, they are not able to take care of them. I don’t see the reason they taking our sick people to that killing ground. I don’t see the difference,” Marie Cyphus, a sociology student at the University of Liberia said in tears.
Standing just outside the Redemption Hospital, Marie has just successfully helped her mother escape the holding facility but she would not say where her mother was at. She also explained how she saw a child, about a year old, die in the eyes of nurses.
“They said she and her mother were brought together. She was still suckling breast. Since her mother was suspected of Ebola and the baby was suckling, they suspected her too. They say Ebola is spread through fluids like breast milk. I heard the mother die few days ago. The child remained there and no one could take care of her. I saw the baby’s life going out of her.  I could not help. My worry was my mother,” Marie said in a rush as she boarded a taxi cab heading for Broad Street, central Monrovia.


StoryBy:
Samuka V. Konneh (+231) 886422711 / 777464028)

DID TEXAS EBOLA VICTIM CONTRACT THE VIRUS THROUGH HIS PREGNANT GIRLFRIEND?


4:13 PM
1


#Liberia #texasebola
Thomas Eric Duncan
New details are now emerging about Thomas Eric Duncan activities prior to departing Liberia for the United States. Sources in Liberia told Tmz Liberia Magazine that the 19 year Ebola victim Mr. Duncan helped transport to the hospital was caring his baby. 

Thomas Eric Duncan who is in his mid 40's was a tenant at the Williams' home and was allegedly having an affair with their 19 year old daughter Marthelene Williams, sources told us. After her death, he wouldboard a flight four days later to his family in Texas.

In an exclusive video interview obtained from Frontpage Africa online, residents explained that Thomas was actively involved in the handling of the Marthelene Williams during her ailment. 

"He helped take her to the hospital for fear that she might lose their baby," one resident said. 

Mr. Duncan
What is still unclear is whether he knew that she was infected with the Ebola virus disease (EVD).

Resident informed Tmz Liberia Magazine that after her death neighbors were told that she had died from a car accident. As words start to spread in the community, residents would discover that Marthelene Williams had died of Ebola; leaving seven infections and one fatality. They were all People that had direct contact with Miss Williams.

The hysterical residents of 72nd SKD Boulevard neighborhood stories confirmed earlier New York Times reports that Mr. Duncan was in contact with the tenant’s daughter, Marthelene Williams before her death on September 15.

After his exposure to the virus, Thomas would leave Liberia for the US four days later. We also know that he lied on airport questionnaire given to him by the Liberian Airport authority. CNN has now confirmed that the government of Liberia is planning on prosecuting Mr. Duncan for lying on his departure form.

Weeks after his departure, the virus is already manifesting itself in the community and those he left behind; infecting about ten people already.

“It is good to be realistic. When this girl got sick and died other people when to help them and we have been interacting with each other ever since. Why didn’t they tell us that she had died from Ebola” said another angry neighbor. 
Thomas Eric Duncan resident in Liberia
This is a pattern seen around Liberia as residents are in denial of the virus and also fear stigmatization, despite public awareness.
In another development, Texas authority has quarantine four members of the family at the home where the U.S. Ebola patient was staying. Armed guard was place at the home on Thursday as the circle of people possibly exposed to the virus widened.
THOMAS RESIDENT IN LIBERIA
AFP reported that 100 people are being monitored for possible Ebola exposure. The unusual confinement order was made after the family was "noncompliant" with a request not to leave their apartment, according to Dallas County Judge Clay Jenkins.

Texas State Health Commissioner David Lakey said the confinement would help ensure the relatives can be closely watched, including checking them for fevers over the next three weeks.

Ebola in Spain: 4 people including nurse hospitalized in Madrid


Edited time: October 07, 2014 11:22

Health officials in Madrid say three more people are in the hospital on suspicion of contracting Ebola. The news comes a day after a nurse who treated two Ebola patients at a city hospital became infected with the disease.
The nurse is now being treated with a drip using antibodies from those previously infected with the virus, Reuters reports. Approximately 22 contacts of the woman, often referred to as the 'Spanish Ebola nurse,' have been identified and are being monitored, Madrid health officials told a press conference on Tuesday.
The officials added that the hospitalized include the nurse's husband, another health worker and a traveler who had spent time in one of he affected West African countries.http://rt.com/news/193820-ebola-spain-hospitalized-nurse/

Health maintains three other cases in study

husband and the passenger side, two possible cases of suspected Ebola

Health maintains three other cases in study

The Madrid remains on alert for the possible three other suspected cases of Ebola. The Ministry of Health has said that being watched four cases: the case confirmed the nurse's aide infected two other suspects and another fourth person who has not yet entered a fever.
The two suspected cases are the husband of the infected nursing assistant and an engineer who returned to the airport of Barajas international travel and is in isolation. This man has been subject to analysis, which was negative, and is waiting to be done a second test tomorrow. This man may have malaria.
As reported in a press conference the manager of the Hospital La Paz and the physicians who care for patients at the Carlos III, the husband of the health infected is being studied by the "high-risk exposure without protection" that has been subject. So far, no symptoms of having contracted the disease, as reported by medical sources.
The fourth case is being studied is a nurse who was part of the medical team who treated the two Spanish victims of the virus, the religious Miguel Pajares and missionary Viejo Manuel Garcia in Hospital Carlos III of Madrid, as confirmed by a spokesman the Ministry of Health in the region. The nurse has diarrhea and no fever, but has proceeded cautiously to enable protocols.
The woman contacted Monday with the medical services of the Community after feeling unwell and had noted that symptoms of fever. A team from SUMMA 112 moved to their home and moved to the premises of the Hospital de La Paz-Carlos III, where he was admitted and remains isolated since.
The center is responsible for coordinating the testing to confirm or rule out the existence of contagion, carried out at the Institute of Health Carlos III, whose results will be announced around noon on Tuesday. These four people are hospitalized in rooms with high security.
The nursing assistant has evolved favorably infected and being treated with the serum of missionary Paciencia Melgar. The assistant does not want to tell the media their health status. She maintained contact with 22 people outside the hospital, which is being monitored.
Alerts jumped on Monday, when a nursing assistant who also participated in the operation care Viejo Garcia came to Alcorcón Hospital with fever and other symptoms suspicious. The center activated the isolation protocol and hours later, tests confirmed that the patient was infected with the Ebola virus; It thus became the first spread out of Africa.
The health worker was moved to midnight at Hospital Carlos III, where it is isolated and remains stable and "not life threatening" , as reported by the center coordinator Alerts and Emergencies of the Ministry of Health, Fernando Simón.
On September 26, a day after the death of García Viejo, the assistant went on vacation, but not out of Madrid, 30 September contacted the occupational health services of the hospital because I had a few tenths Alcorcón fever and asthenia.
However, it was not until six days later at the medical center when they attended your request for proof of Ebola done at the insistence of the patient. His worst suspicions were confirmed a few hours later and since then has launched a special protocol to locate and evaluate people in recent days have been in contact with women. For now, her husband remains under surveillance in an isolation unit Hospital Alcorcón and authorities are investigating their surroundings.  https://translate.google.com/translate?sl=auto&tl=en&js=y&prev=_t&hl=en&ie=UTF-8&u=http%3A%2F%2Fwww.elmundo.es%2Fespana%2F2014%2F10%2F07%2F5433a9a7268e3e94268b4575.html&edit-text=

Monday, October 6, 2014

POLIO-LIKE ILLNESS - NORTH AMERICA (05): USA, REQUEST FOR INFORMATION

Published Date: 2014-10-06 21:55:55
Subject: PRO/EDR> Polio-like illness - North America (05): USA, RFI
Archive Number: 20141006.2837556
POLIO-LIKE ILLNESS - NORTH AMERICA (05): USA, REQUEST FOR INFORMATION
*********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] Colorado, 1 new case - media report
[2] USA, overview - media report

******
[1] Colorado, 1 new case - media report
Date: 6 Oct 2014
Source: Denver Post [edited]
http://www.denverpost.com/news/ci_26673730/colorado-health-dept-says-12-children-stricken-partial?source=infinite


A 12th case of partial paralysis in a child treated in Colorado for viral respiratory illness was confirmed Monday [6 Oct 2014] by the Colorado Department of Public Health and Environment.

The latest case was reported by Denver Health Medical Center. The 1st 11 cases were treated at Children's Hospital Colorado, where 3 children remain hospitalized.


The U.S. Centers for Disease Control and Prevention is investigating a possible link between the cases and enterovirus D-68, which is suspected in a nationwide outbreak of cold-like symptoms and severe respiratory illness among children and adults.

Denver Health officials said their patient was treated and discharged last week, and no further information was available.

The cases included in the CDC and health department investigation are those in which children have experienced severe polio-like muscle weakness in one or more limbs after a fever, and who have lesions on their spinal cord.

"We don't have any new information from the CDC," said CDPHE director Larry Wolk. "We are expecting one or 2 more additional cases. We think the outbreak of enteroviruses and rhinoviruses peaked a couple of weeks ago and will continue to decline."

Enterovirus and rhinovirus cases are not reported to the state, and the health department doesn't track statewide numbers. The information on paralysis cases is based on surveillance data from 5 hospitals in 4 regions of the state, including the Denver-metro area, Montrose/Delta, El Paso and Mesa counties, as well as from outpatient visits to a large Denver-area system.

"We're doing the best possible surveillance we can under the circumstances," Wolk said.

[Byline: Electa Draper]

--
Communicated by:
ProMED-mail


******
[2] USA, overview - media report
Date: 7 Oct 2014
Source: NZ Stuff.co.nz [edited]
http://www.stuff.co.nz/world/americas/61731966/poliolike-virus-infects-hundreds-in-us


Amid fears of the Ebola virus, a more enigmatic virus is suspected of causing paralysis in dozens of children in the United States as doctors race to solve one of the most perplexing mysteries of their careers.

Enterovirus D68, which has hospitalised hundreds of children in almost every state and been linked to at least 4 deaths, may also have caused unexplained paralysis cases from Boston to San Diego, doctors said. Researchers said they fear the virus known as EV-D68 could be this generation's version of polio, said Ben Greenberg, a neurologist at the University of Texas Southwest Medical Center.

Non-polio enterovirus is related to the common cold, and this rare strain has hit children hardest. There have been 538 confirmed cases of EV-D68 in 43 states, beginning in the Midwest in August 2014, according to the Centers for Disease Control and Prevention, though doctors said the number is probably far greater since not all those infected are tested. Most only experience symptoms such as a runny nose, though a small percentage develop serious breathing difficulties, especially those with a history of such issues including asthma.

In rare cases, some children develop a fever, then headaches, neck pain, and within a few days or weeks, a swift and sudden paralysis that in the most severe cases left children bound to a wheelchair, unable to speak or breathe on their own, said Keith Van Haren, a Stanford School of Medicine neurologist who has been studying a link between the virus and paralysis since 2012.

The CDC so far hasn't determined whether the virus is causing the paralysis cases. EV-D68 hasn't been detected in all of the paralysed patients, and, given its widespread circulation, its presence could be coincidental, the agency said last week.

As the CDC investigates a possible connection between the virus and paralysis, more than 50 doctors at the country's top hospitals are holding regular calls, pooling research and studying those infected in hopes they can find a link that will lead to a drug or vaccine. They are racing against time as EV-D68 shows no signs of waning in many parts of the country.

Greenberg and his colleagues said they didn't realise the full scope of the outbreak until early last week. After reports of a cluster of 10 paralysis cases in Colorado, he and 30 other neurologists, infectious disease experts and public health officials hastily organised a conference call on 29 Sep 2014. To his surprise, almost every doctor on the phone had seen at least one case of unexplained paralysis in the past several months, some as many as 10.


While there were some variations, most images from medical scans looked strikingly similar, with the connection between the spinal cord and the muscles killed off with little chance of rebuilding the bridge, just like seen in those infected with polio, Greenberg said.
"There were remarkable similarities," said Van Haren, who was also on the doctors' conference call. "They sounded like interchangeable cases."

While the CDC continues to study the paralysis cases, "as a member of the clinical community, I think it is just a matter of time before we establish a definitive link between EV-D68 and this polio-like illness that follows," Van Haren said.

The virus has also been documented in at least 4 deaths. Elie Waller, a 4-year-old New Jersey boy, was kept home from school by his mother one day last month [September 2014] because he was developing a little bit of pinkeye, said Jeff Plunkett, the health officer for Hamilton Township where the boy lived. That night, he died in his sleep. The Mercer County medical examiner's office listed EV-D68 as the cause of death.

There are currently no vaccines in development for the virus, which was rarely seen until this year [2014], and before work on one can begin, researchers need more data to prove the virus is the cause of the paralysis, Greenberg said. Too often, samples aren't taken in time to detect the virus, and it's possible multiple viruses may be to blame.

As of last week, the CDC has begun a national surveillance and testing program, and Greenberg and other neurologists have formed a group to study patients more in depth.

The cases have doctors brushing up on their knowledge of polio, which hasn't naturally occurred in the US since 1979, after a vaccine was introduced in the 1950s. When Greenberg started seeing the polio-like cases, he called an older colleague at the National Institutes of Health who had trained in India to get a crash course on the disease and compare notes.

In contrast to enterovirus, there has been just one case so far of Ebola that was brought into the US from a patient infected in Liberia. Though Ebola can be lethal, with a mortality rate in Africa as high as 60 per cent, it is much less easily transmitted from person to person. Enterovirus is spread through casual contact, such as when an infected person sneezes or coughs, while Ebola is only transmitted through the sharing of bodily fluids, like blood, vomit or saliva.

Carrie Baker-Bailey fears her son William, 8, is one of those who may have lost the use of his arm from the virus. At the end of August 2014, she took him to the hospital near their San Diego home with neck pain, headache and a fever. An X-ray showed some inflammation in his chest, and his doctor sent him home with antibiotics, Baker-Bailey said in a telephone interview.

Two days later, he was feeling worse and had a stomachache, was constipated and was complaining of pain all over his body. They went back to the hospital, where doctors did a spinal tap, diagnosed him with spinal meningitis, and sent him home again.

That night, Baker-Bailey said she remembers him screaming in pain as he lay with her at 3:00 am trying to fall back asleep. The next morning, she knew something wasn't right and took him back to the hospital again. By then, he said he couldn't move his arm.

An MRI showed inflammation of his spinal cord, and he was admitted to the hospital where he spent 13 days in the intensive care unit. He tested positive for enterovirus, though doctors never did further testing to determine which of the more than 100 types of enterovirus he had.

Now, back at home, he still can't lift or move his arm and has weakness in his back. The once-active little boy who played baseball year-round and swam competitively now has difficulty sitting up on his own in a chair, can't dress himself, and hasn't been able to start the 3rd grade.

Baker-Bailey thinks the virus had something to do with her son's paralysis, but doctors haven't been able to give her a clear answer for what caused it or whether he will ever regain use.

"How did he get it; what did he even have, and is it ever going to get better? We don't have any answers," she said. "Sitting in the ICU for 13 days asking why? why? why? and not having any answers, that has been the hardest part."

[Byline: Shannon Pettypiece]

--
Communicated by:
ProMED-mail


[According to the above media report in [1], there have now been 12 cases of polio-like paralysis reported by Colorado. One of the cases reported earlier was mentioned to have been from another state in the catchment area for the Children's Hospital Colorado, but the state was not identified at that time (see prior ProMED-mail posts referenced below for more details).

Acute onset of weakness or paralysis not caused by infection with poliovirus has not been an officially reportable disease in the USA. On 26 Sep 2014, CDC issued an alert following the report of a cluster of 9 such cases in Colorado and requested that cases meeting the following case definition be reported to their state and local health departments: Patients less than 21 years of age with an acute onset of focal limb weakness occurring on or after 1 Aug 2014, and, an MRI showing a spinal cord lesion largely restricted to grey matter.


In response to a ProMED RFI on 27 Sep 2014 (see Polio-like illness - USA (02): (CO) enterovirus 68 susp, alert, RFI 20140927.2809908), we received a 1st hand report from the British Columbia Provincial Centre for Disease Control (BCCDC) on 2 cases that met the case definition (see Polio-like illness - North America: Canada (BC) 20140930.2819618). There was a CDC MMWR report providing more details on the original 9 cases reported by Colorado, and a detailed report on earlier reports of similar such cases identified in California during the period December 2012 and February 2014 (and previously reported on ProMED -- see Polio-like illness - USA: (CA) enterovirus 68 susp, RFI 20140224.2296126) published on 3 Oct 2014. Other than the CDC and and BCCDC reports as described above, all other case reports have come from media reports and not official sources.

In many of the cases, either infection with EV-D68 has been identified or a history of an antecedent respiratory illness compatible with that seen with EV-D68 infection was observed, so that current thinking is leaning towards a possible association with EV-D68. But caution has been raised that this may well be a coincidental finding, as it is coinciding with reports of major EV-D68 activity in North America at this time. A causal relationship has not as yet been established/confirmed.

That being said, according to the media reports, there have been a total of 30 cases identified in the USA from 9 (or possibly 10 states if the one case in Colorado was from a state not previously mentioned: Alabama, California, Colorado, Massachusetts, Michigan, Missouri, Pennsylvania, Texas and Virginia) and 13 cases identified in Canada from 3 provinces (Alberta, British Columbia and Ontario).


More information on the current status of reporting of cases meeting the CDC case definition would be greatly appreciated.

For the HealthMap/ProMED map of the USA see http://healthmap.org/promed/p/106. - Mod.MPP]


Ebola Outbreak: India Monitoring Possible New Ebola Victim From Japan


on October 06 2014 1:39 PM
Treatment for Ebola in Monrovia, Liberia
Liberia health workers wearing protective clothing prepare to carry an abandoned dead body presenting with Ebola symptoms at Duwala market in Monrovia on Aug. 17, 2014. Reuters/2Tango
A Japanese tourist visiting India is reportedly suspected to have contracted the Ebola virus that is wreaking havoc across West Africa and causing scares from Dallas to France. Kawakubo Yuko, 27, was visiting Imphal, the capital of the Indian state of Manipur, after touring five other countries and arriving from Myanmar, The Hindu, an English-language daily Indian newspaper, reported Monday.
Yuko was planning to tour Manipur, but her trip was cut short when she began to exhibit symptoms of a potential Ebola infection. After tests for more common illnesses came up negative at Imphal’s hospital, doctors sent blood samples to India’s National Institute of Virology to be tested for Ebola, The Hindu reported.
If she's found to be positive for Ebola, Indian health officials may decide to have her moved to the Regional Institute of Medical Sciences, Imphal, because it has an isolation ward, which Imphal’s J.N. Institute of Medical Sciences, where she's currently being held, does not, according to India’s Z News service. Z News added that Indian officials may decide to screen visitors to Manipur for the Ebola virus infection.
Yuko’s case isn't the first to raise alarms about Ebola potentially spreading to India. A 26-year-old Indian man named Alip Das was reportedly suspected earlier this month of having contracted Ebola during a trip to Nigeria, which has had a number of Ebola cases. But tests showed that he didn't have Ebola, according to the Echo of India newspaper.
But fears and anxiety about the deadly virus have been -- and remain -- high across India, as the country works to keep Ebola from reaching its people. Health Minister Dr. Harsh Vardhan spoke out in late August to quash rumors that a person who had traveled to Liberia had brought the hemorrhagic fever back from the Ebola-ravaged country, India’s NDTV reported.
"We are carefully screening all passengers coming from Ebola infected countries at the airport itself. As of today there is no suspected case of Ebola in India," the health minister said in Indore.

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Marburg: Five more suspects reported, 97 being monitored

 
An Ebola isolation unit at Mulago Hospital which is being rehabilitated to accommodate Marburg patients. PHOTO BY RACHEL MABALA 
By Agatha Ayebazibwe

Posted  Tuesday, October 7  2014 at  01:00
In Summary
On alert. Marburg samples picked Mpingi District to be examined by the virus institute. P.45 Marburg suspects reported
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Kampala. The Ministry of Health yesterday sent five more samples of the suspected Marburg fever to the Uganda Virus Research Institute (UVRI) for more tests after they presented signs of the disease.
On Sunday, the ministry confirmed a health worker had succumbed to the disease following laboratory tests done on September 30.
The ministry is also awaiting results of a sample from the deceased’s brother, who has so far been listed as having developed signs of the deadly disease. He has since been quarantined and isolated for further monitoring.
According to the World Health Organisation country representative, Dr Alemu Wondimagegnehu, the five samples were drawn from people who were in contact with the deceased while at Mpingi Health Centre IV.
“The information we got from the team on the ground is that the five presented with signs of the disease. The samples have been delivered at UVRI and results are expected soon,” Dr Wondimagegnehu told Daily Monitor in an interview.
A temporary isolation centre has been set up at Mpigi Health Centre IV where the suspected cases are being quarantined.
The permanent secretary in the Ministry of Health, Dr Asuman Lukwago, also said another 17 contacts have been identified in Kampala, bringing the total of those who were in contact with the deceased to 97.

“Our teams are still on the ground tracing all the possible contacts. Those who have been identified will be isolated in their homes for at least 21 days. If they show any signs such as fever and headache, then we take their samples for further tests,” Dr Lukwago told Daily Monitor.
He added that results of the six samples are expected in a few hours.
However, some officials have expressed concern over the ministry’s preparedness to handle the crisis, should it become a fully-fledged Marburg outbreak.
“The confirmatory test results were received at the Ministry of Health on September 30, but to date, the ministry has not released any money to facilitate the teams to respond appropriately,” said a source within the ministry who preferred to remain anonymous.
But Dr Lukwago said they are still treating the matter as an emergency, saying those involved can use their money which will be refunded once the ministry gets the money.
“We are aiding them with things such as fuel, cars to enable them move from one place to another. We also expect to have a costed plan for the response in the next 36 hours,” he added.  http://www.ugandan-news.com/
Eight under surveillance over Marburg
Publish Date: Oct 06, 2014

By Vision Reporter

The Ministry of Health has said a total of eight people who earlier got into contact with the Marburg confirmed case have developed signs of the disease.

This follows the death of a 30-year old health worker that was announced Sunday.
The victim had been a radiographer, or X-ray technician, at the Mpigi Health Centre IV, but was recruited two months ago for a similar position at Mengo Hospital.

When he felt ill on September 17, he traveled back to Mpigi for treatment since “he felt more confortable with a facility that he had worked with for a long time.”

Below is the full statement from the Ministry of Health:

A total of eight people who earlier got into contact with the Marburg confirmed case have developed signs of the disease.

The Ministry has taken samples from the eight suspects and are being investigated at the Uganda Virus Research Institute.

Among the suspects are four from Mpigi, two from Kasese and two from Kampala district. Preparations are underway to quarantine the suspects as a preventive measure for the spread of the disease.

To date there is only one laboratory confirmed case that has been reported in the country. This is the first case that was reported at Mengo Hospital and
has since died.

The National Taskforce continues to closely monitor all people who got into contact with this confirmed case.

The surveillance team on Monday was able to list an additional 17 people who got into contact with this confirmed case.

These include 16 people from Kampala and one from Kasese. This therefore brings the total number of contacts under surveillance to 97.

The Ministry of Health with support from Medicens San Frontiers (MSF) and the US Center for Disease Control and Prevention, has today trained a total of 103 health workers from Mengo Hospital.

The team was trained in Marburg prevention, treatment and control. Others were trained in sample picking and infection control. A team of experts will tomorrow be dispatched to Kagando Hospital in Kasese district to guide health workers in infection control measures.

With support from MSF, rehabilitation of the Isolation Facility at Mulago National Referral Hospital will commence tomorrow 7th October 2014 and will be ready and operational by Wednesday October 8th 2014.

The facility will in addition to the National Isolation Center in Entebbe attend to all suspect and confirmed cases in Kampala and neighboring districts. The Ministry of Health has today dispatched a total of 300 Personal Protective Equipment (PPEs) to Mpigi Health Center IV and Mengo Hospital.

The Government reassures the general public that the situation is under control as everything is being done to control the spread of this highly infectious disease.


Dr. Alex Opio
FOR: Director General of Health Serviceshttp://www.newvision.co.ug/news/660469-eight-under-surveillance-over-marburg.html

Liberian Delegation Off to US

Liberian Delegation Off to US

-Team Headed by Amara Konneh to Make Case for More Aid at World Bank Annual Meeting
Liberia’s  Minister of Finance and Development Planning, Mr. Amara M. Konneh headed a small Liberian delegation to Washington, DC on Monday, 6th October, to participate in the upcoming annual meetings of the World Bank Group and the International Monetary Fund (IMF). The Liberian delegation is tasked with the responsibility to make serious case for the receding Liberian economy and ensure that the international support is landed to fight the Ebola virus and restore the post conflict economy which enjoyed an 8 percent annual growth prior to the Ebola outbreak.
The meeting comes at a time when Liberia is experiencing the worst ever outbreak of the deadly “Ebola Virus Disease” (EVD), which has claimed many lives, posing further risk of exposure to the larger population and a severe impact on the economy.
While in the US, Minister Konneh, who is being joined by the Executive Governor of the Central Bank of Liberia (CBL), Dr. Joseph Mills Jones, is expected to hold series of multilateral and bilateral discussions aimed at rallying support for the government’s “National Ebola Response Strategy,” including the overall efforts to contain and defeat the disease and resource mobilization to address the potential economic impact of the Ebola virus on the Liberian economy.
The Liberian delegation is also expected to play a key role in a special “Ebola Roundtable” involving UN Secretary General, Mr. Ban Ki Moon, the World Bank President, Jim Yong Kim, IMF Managing Director, Christine Lagarde, and a host of development partners.

House Ebola hearing planned at Dallas airport

House Ebola hearing planned at Dallas airport

The House Homeland Security Committee will hold a hearing on the Ebola epidemic Friday at the Dallas/Fort Worth International Airport, the panel's chairman announced Monday. 

The event is designed to explore what Rep. Michael McCaul (R-Texas) called the "interconnected nature of our world, [where] threats to the homeland are only a flight away."
"Effective coordination at all levels of government and with our international partners is vital for all aspects of our security, whether it be working to combat the threat posed by terrorists such as ISIS, addressing the porous southwest border or the prevention of Ebola reaching our shores," McCaul, the committee's chairman, said in a statement.

The hearing follows rising calls from the GOP for the Obama administration to ban travel from countries affected by Ebola.The Centers for Disease Control and Prevention (CDC) argues the move would actually hamper the U.S. response to the outbreak, putting Americans further at risk.

The debate shows no sign of quieting. McCaul's choice of venue for his hearing — the airport — appears intended to bring new force to calls for a travel ban.

"At this hearing key federal and state officials will discuss the efforts that have been taken to respond to the first case of Ebola in the United States," McCaul said.


"We will also examine ways we can continue to improve our preparedness and capabilities, particularly when it comes to screening passengers entering the country."

The widely covered Ebola case in Dallas remains the only U.S. diagnosis of the virus despite hundreds of false alarms around the country.

The CDC is receiving up to 800 calls a day related to Ebola, many of which are from healthcare facilities that fear a patient may have the virus.

McCaul's will be the second congressional hearing on Ebola scheduled for the election-year recess.

The House Energy and Commerce Subcommittee on Oversight will hear testimony on the epidemic Oct. 16.  http://thehill.com/policy/healthcare/219851-ebola-hearing-scheduled-at-dallas-airport

Norwegian woman infected with Ebola


- Doctors Without Borders confirms that one of our organization’s Norwegian field workers in Sierra Leone has tested positive and has been diagnosed with bleeding fever ebola, confirms Anne Cecilie Kalteborn in MSF’s Norway branch to Norwegian media VG.

The Norwegian health worker is tonight being flown with an ambulance flight from the capital Sierra Leone. She will probably land in Norway Monday night or Tuesday night. [link to www.vg.no]

U.S. airline group to meet with health officials on Ebola

A U.S. airlines trade group said it would meet with health and safety officials on Monday to discuss whether additional screenings for Ebola could improve on measures already in place to contain the spread of the deadly virus.
The meeting will consider whether adding screenings anywhere in the world might help, Victoria Day, a spokeswoman for the Washington-based group Airlines for America, said on Monday.
Airlines for America “members that fly to affected countries remain in steady contact with government agencies and health officials, and have procedures in place to monitor and quickly respond to potential health concerns,” Day said in a statement.
At a daily news briefing, White House spokesman Josh Earnest said, “What we’re looking to do is review these screening measures.”
American officials have said they would consider new ways to curb the worst outbreak of the disease on record after the first case of Ebola was detected in the United States last week.
The patient, Thomas Eric Duncan, flew from Liberia — the country hardest hit by the West African epidemic — before developing symptoms. He remained in critical condition in a Dallas hospital on Monday.
Along with Liberia, Ebola has wreaked havoc in Sierra Leone and Guinea. It has also spread to Nigeria and Senegal but is considered contained in those countries. In all, the virus has killed at least 3,439 people out of 7,492 confirmed, probable and suspected cases.
Officials do not want to impede transport systems used to send supplies and personnel to West Africa to fight Ebola, Earnest said.
Top health officials have warned that highly restrictive measures, including a travel ban, could hamper efforts to contain the outbreak in West Africa. The Obama administration said on Monday that it had no plans to prohibit visitors from countries ravaged by Ebola from entering the United States.
Some, including Louisiana Gov. Bobby Jindal, have called for a ban on all flights to the United States from countries with Ebola outbreaks.
Several health experts and lawmakers have asked the administration to consider enhancing U.S. airport and customs screenings, including checking travelers using handheld fever scanners
In the past, U.S. courts have deferred to airport officials on screenings, even when passenger rights have been at issue.
In 2010, privacy advocates sued to block the use of advanced imaging technology at airports. But a federal appeals court in Washington ruled that security officials could use the technology. The court said the need to ensure public safety outweighed individual privacy, especially because passenger images were deleted as soon as a passenger was cleared.
Concern among investors that Ebola might discourage people from traveling in part caused airline share prices worldwide to fall 4 percent in September, according to the International Air Transport Association.
 http://www.japantimes.co.jp/news/2014/10/07/world/science-health-world/u-s-airline-group-meet-health-officials-ebola/

Liberia health workers to stage go-slow for Ebola hazard pay


WHO says go-slow would undermine Ebola response
* Liberia reports tentative signs of progress
* MSF says has empty beds at Monrovia treatment centre (Recasts with comment from unions)
By James Giahyue
MONROVIA, Oct 6 (Reuters) - Health workers in Liberia said on Monday they would press on with plans for a go-slow protest to support their claim for hazard pay as they fight an Ebola epidemic, despite a plea from the U.N. health agency that they avoid industrial action.
Nearly 2,000 people have died from Ebola in Liberia out of at least 3,696 infected. The West African state is at the centre of an epidemic that has killed more than 3,400 people there and in neighbouring Sierra Leone and Guinea
The hemorrhagic virus has also taken a heavy toll on health workers and this has galvanized the National Health Workers Association of Liberia, said its secretary general George Williams.
"Let the government revisit health workers' wages and allowances and make sure that they have insurance that is appropriate and proper," he told Reuters, adding that the go-slow would begin on Friday unless union demands were met.
"Health workers have made up their minds. Some of these things have been on the table since April. The demands have to be met," he said. The union represents thousands of workers, though it was unclear if all would heed its call to action.
Earlier, the representative of the World Health Organisation in Liberia, Peter Graaff, said it was crucial that the workers did not undermine the effort to combat Ebola.
"My appeal to all the health workers is that you have been so brave to go and work in the ETU's (Ebola Treatment Units). This is not the moment to compromise all that you have achieved," Graaff told a news conference.
"Going slow means that those who want to work will have to work too hard and then put themselves at risk. Going slow means putting the lives for those you care for unnecessarily at risk," he said, adding that there should be a negotiated solution.
SIGNS OF PROGRESS?
In the United States, the fifth American to contract Ebola in West Africa arrived for treatment on Monday while the first patient diagnosed with the deadly virus on U.S. soil was in critical condition at a Dallas hospital.
Assistant Minister of Health for Preventive Services, Tolbert Nyensuwah, reported tentative signs that efforts by the government and the international community to respond to Ebola were starting to bear fruit.
The number of beds for Ebola patients have increased from 200 on Sept 1 to 570. There are now 14 testing laboratories as opposed to 4 at the start of last month, which allows for 500 specimens to be tested daily as opposed to 150, he said.
"We projected (a need for) 1,000 beds and we want to know why we still have empty beds. Is it that we are not taking care of the patients? Is it that the disease is gone, which we don't want to say," Nyensuwah told a news conference. He referred to Montserrado county, which includes the capital.
"If I show you the data from Lofa County, you will be astonished. It's improving," he said, speaking of a county in northern Liberia.
A hallmark of the epidemic has been treatment centres turning away ill people for lack of beds, thus increasing patient suffering and risking the spread of the virus through communities as families provide care.
The emergency coordinator for aid group Médecins Sans Frontières (MSF) in Liberia, Laurence Sailly, said that its treatment centre, ELWA 3, in the capital Monrovia was not currently full.
"Up to yesterday (Sunday) we only had 120 patients so we still have beds for more patients. If people have Ebola in the community they can come to ELWA 3," Sailly told a news conference.http://www.reuters.com/article/2014/10/06/health-ebola-liberia-idUSL6N0S146C20141006?rpc=401

Eustis, Langley responding to Ebola outbreak



Soldiers from Fort Eustis and Fort Story are scheduled to join airmen from Langley Air Force Base as part of the military response to the Ebola outbreak in western Africa.
The Army deployment from Hampton Roads is part of a much larger Army effort announced last week. More than 1,800 soldiers from Fort Campbell, Ky., are headed to western Africa, as well as 500 soldiers from Fort Hood, Texas, according to the Pentagon.
Fort Eustis is sending soldiers from transportation-related units, according to information provided by the base. Personnel will be pulled from the headquarters of the 7th Transportation Brigade (Expeditionary), the 53rd Transportation Battalion, the 11th Transportation Battalion and the 597th Transportation Brigade.
The 7th Transportation Brigade is considered to be one of the most-deployed units in the Army. It includes the 53rd and 11th battalions, the latter stationed at Fort Story.
At present, the exact missions of individual units are still being developed, said Sgt. 1st Class Vin Stevens, a spokesman for the 18th Airborne Corps at Fort Bragg, N.C.
A medical team from Langley Air Force Base has already deployed to assist in curbing the outbreak.
Airmen from the 633rd Medical Group are not directly treating Ebola victims. Instead, they are assigned to set up a modular facility to treat aid workers who might have Ebola. Treatment will be provided by international health workers.
The Langley group will also train international health-care workers before leaving the region, according to an Air Force news release. They worked with U.S. Public Health Service to prepare for the move.
The modular facility is known as the Expeditionary Medical Support System. It can treat a population of up to 6,500.
The U.S. military could deploy up to 4,000 troops to the region, the bulk of them from the Army, the Pentagon has said. Most of the Army units will begin deploying later this month. http://www.dailypress.com/news/military/dp-nws-ebola-langley-eustis-20141006,0,5324647.story

LETTER FROM A NURSE. THERE IS A RISK THAT THE MAYOR IS AFTER Ebola and CRYSTAL.

LETTER FROM A NURSE. THERE IS A RISK THAT THE MAYOR IS AFTER Ebola and CRYSTAL.
standard

I am a nurse in the Intensive Care Unit (ICU) of the Hospital La Paz. The reason for addressing you.'s To inform the public the facts that have happened recently regarding the "Crisis of the Ebola virus" opinion. Do not want to create social alarm, but tell what is still a reality in everyday for a few months of nursing staff the ICU among which I include ago.

Since the hospital was named La Paz as a reference center for the diagnosis and treatment of HIV infection in April 2014, the staff has been showing its disconfor to that measure and irregularities have been committing the direction of nursing the hospital as a whole. (See attachment Notification Judge).

These irregularities summarize, focus on that:

The hospital does not have adequate infrastructure to enter patients affected with this type of disease (the famous isolation rooms with negative pressure).

The original protocols of the Ministry of Health were modified to fit like the gaps that had the hospital: If you do not have "negative pressure" we say "as far as is demonstrated airborne transmission is not necessary."

• General (modified or not) protocols are not handed to staff for knowledge, nor were exposed at various meetings with management nursing.

As ICU care were demanding the implementation of specific protocols UCI (Today still not exist or at least personnel have not arrived)

• Staff training requires the completion of courses and training to work in situations like this.

The Department of Preventive Medicine Hospital offers two informative talks (45 minutes) of such as personal protective equipment required. In those talks and the inexperience of the same staff that taught, costumes torn apart, replaced the shims for plastic bags, there were no complete SCUBA and coming to say more or less I had to do a hack to cover his face with masking tape.

Without being solved any of these issues by the Department of the hospital, you will hanging out and communicating to staff that will be the Hospital of the defense "Gómez Ulla" who takes these emergencies but as it is in the process of reform to create appropriate facilities, until the month of October will remain referral hospital.

So, without making anyone anything we turned on the evening of August 5, and the staff on duty that night between myself included, through the media found out that it will repatriate the priest. We notify our immediate superior (Supervisor Guard) which completely ignores the way forward taking you to contact the Chief of Hospital on call that night, which in turn know the news and begins to activate the protocol set (remember that until that night the patient was to be admitted to peace). Being the ICU staff in charge of receiving the priest is not made ​​aware of the protocol itself.

It was the next morning, August 6, when thankfully, someone warns of the potential danger of entering the priesthood in a hospital the size of the Peace, without adequate facilities. About 14 hours of the decision to be taken to the 6th floor of the Hospital Carlos III equipped with isolation rooms with negative pressure is taken. From that moment you begin to equip the hospital Carlos III than necessary to accommodate the patient. Here it should be noted that the floor of the hospital was closed without staffing or equipment since the middle of August would begin the conversion work in a hospital ward for the chronically ill. - We'll agree that this is called a "wing".

So during the afternoon of August 6 and the entire staff of both hospitals hurry were providing media said plant. Realising curious cases in which La Paz hospital nurses transporting materials in their own vehicles lacking in the Carlos III. (Now that's "Brand Spain").

Given the lack of staff at the Hospital Carlos III for the above reasons, the Management of Both hospitals determined that ICU staff of Peace is sent to Carlos III. And it is here that due to the improvisation and the lack of criteria other negligence committed more by sending an untrained one on Biological Hazards to treat a patient with one of the most dangerous infections known declared by WHO globally and Public Health emergency. (Here it should be remembered that there is a special unit trained to deal with such cases: the NBC unit or UME Emergency Military Unit).

And here another outrage, Supervisors nursing and self Nursing Management of Peace savvy than their staff is not well trained that has not been given specific training and has not been informed of the protocols to follow is committed or what their function when they visit there, is forced to move with coercion and threats of losing their jobs or disciplinary proceedings open for him if he refuses to be sent to Carlos III.

Today and even though these people have admitted several days, or the direction of nursing and medical direction has been active in organizing action drills taught by competent personnel in personal protective measures for displaced staff. They are the same nurses / os that once there in the Carlos III are reported each other as is the procedure and how protective measures put there. To be fair, the staff of the Carlos III that remained there working with some more training in these cases that we try to train and reassure us in this regard. But this happens there minutes before entering the patient's room. Curiously, the Guide for the selection and use of Personal Protective Equipment in healthcare settings, consists of 50 pages. And the Guide for the Care of Patients with Hemorrhagic Virus in hospitals in USA consists of 225 pages. Both the CDC in Atlanta and available in "PDF" for anyone on your website. Here we have nothing.

It is true that the staff shows their reluctance to go to Carlos III but no one has refused to treat a patient. We only note that we have not been properly trained and given the nature of the disease the risk of infection and possible transmission outside the walls of the Carlos III is a reality that as health professionals must be made aware of who is and who our superior direct not listen to us. The questions are obvious: Why ships untrained?It is incongruous! Why avoid the ultimate responsibility lies with the spread staff without specific training? The Americans would do such a thing ?.

Sorry for the last comment. I've promised myself not to fall into demagogy and be as aseptic as possible narrating the facts truthfully.

Moreover the selection of this staff has done arbitrarily and without judgment. All ICU staff will rotate by the Carlos III. Well, WHO protocol warn that the health or not, staff should minimize exposure time in the room with the patient and reduce as much as possible the number of persons attending the patient continuously. Well if the entire ICU staff walked by, Do not we are increasing exponentially the risk of possible transmission? It is not logical and contravenes the measures ordered by the WHO.

I follow; Staff passing by will not do any monitoring or epidemiological precautionary measure. Once your turn is finished running happily home and the next day, if you do not turn back to Carlos III as you go to work in the ICU of Peace with patients of diverse etiology in many Immunodepressed occasions. It is a contradiction that to get on a plane and control measures are taken and I can come and go and do my normal life as if nothing. This is not consistent.

Finally only remains to emphasize that in all this there is a lot of improvisation and a lot of reckless attitude of those who truly, really ... NOT going to be ahead of the virus at him in the face. Listen to those who are on the front line have something to say.