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Wednesday, October 22, 2014

Travelers from Ebola-affected countries to be monitored for 3 weeks

Travelers from Ebola-affected countries to be monitored for 3 weeks
All travelers coming from Ebola-affected areas will be actively monitored for 21 days starting Monday, CDC Director Dr. Thomas Frieden announced in a telebriefing on Wednesday. Contact information including email, two phone numbers and a physical U.S. address will be gathered from all people coming to the U.S. from Liberia, Guinea or Sierra Leone, Frieden said.  http://q13fox.com/2014/10/22/cdc-announces-21-day-monitoring-of-anyone-returning-to-us-from-ebola-stricken-nations/

Monday, October 20, 2014

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Ebola Takes Young Doctor

Ebola Takes Young Doctor

Dr. Scotland had planned to specialize in Maxillofacial Surgery

Ebola Takes Young Doctor

-4 More Orphans, 1 More Widow
By: 
Alaskai Moore Johnson, Observer Health Correspondent
The deadly Ebola virus disease (EVD) has again struck at the nation’s already staggering medical workforce. This time a young Liberian medical doctor, Thomas S. Scotland, fell prey to the virus on Saturday morning.
Dr. Scotland leaves behind his four very young children and a widow who is expecting their fifth child.
He died at the Government of Liberia-run Ebola Treatment Unit (ETU) within the compound of the John F. Kennedy Medical Center in Monrovia.
The late Dr. Scotland, who was a member of the University of Liberia's A.M. Dogliotti Medical College's 2013 graduates, was interning with the John F. Kennedy Medical Center in Sinkor before Ebola crossed over from neighboring Guinea to Liberia.
As the virus raged on in the country, he decided to volunteer his service in the cause of humanity at the JFK ETU.
According to reports, he was one of six persons including health workers at the JFK ETU who contracted the disease nearly three weeks ago.
Four of the six, including Dr. Scotland, have now died. The last two are said to be "very critical," our Health Correspondent was informed.
One of Dr. Scotland's close friends, who asked that his name not be mentioned, said the late doctor was someone who was "down to earth and was close to the masses. Imagine he was a medical doctor with some privilages, yet he was always peddling his bike to work." Dr. Scotland did “security jobs just to pay his undergraduate fees,” Dr. Scotland’s friend revealed.
The deceased’s friend also told the Daily Observer that his (Dr. Scotland's) internship would have been over this December, unfortunately, his "candle light is now lost in the wind."
One of Liberia’s oldest Dentists, Dr. Ayele Ajavon Cox, disclosed to the Observer that Dr. Scotland had wanted to specialize in maxillofacial surgery. “We were in the process of scouting for a scholarship for him to go for further studies; this is so sad,” Dr. Ajavon-Cox lamented.
A Maxillofacial surgeon  treats many diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral (mouth) and Cranio-maxillofacial (jaws and face) region.
Dr. Vuyu Golakai, Dean of the A.M. Dogliotti, told our Health Correspondent that "five years of hard work is lost."
Dean Golakai also lamented that his former student was just in his prime to begin reaping the fruits of his labor of five years and now it has all been lost to Ebola.
He stated that he and others were shocked when they received the news of Scotland’s death, adding that from what he had heard, Scotland was not directly in harm’s way in the ETU.
“This brings to light some of the things I have been saying. We are managing Ebola in this country without a standard protocol,” Dr. Golakai contended. “Every treatment center is doing its own thing; it shouldn’t be that way. By now, we should have a standard procedure for all the treatment units to follow. This is how it is done everywhere around the world and those who know how to handle such viral diseases have been left out of the management process,” Dr. Golakai charged.
It is not yet crystal clear what the Government of Liberia will do for the survivors of Dr. Scotland. The GOL recently announced a US$5,000 flat death benefit to the survivors of each healthcare worker, who lost his/her life to Ebola.
At the meeting during which the death benefit was announced, Finance and Development Planning Minister Amara Konneh had said: “When Ebola struck our country, it was our healthcare workers that were hurt the most. These men and women are the soldiers on the frontline of this fight and so we must appreciate the sacrifices they are making.”
Meanwhile Dr. Scotland was yesterday buried in the Mount Barclay area, outside Monrovia. He is yet to be added to the record of 96 deaths of the 209 health workers who have so far contracted the virus, between March 22 and October 13 of this year.

Emergency Aswan International Airport after a suspected infection of pilgrims returning from Saudi Arabia virus "Corona"



Aswan - Ahram Gate
20-10-2014 | 17:57
خط اصغر
خط اكبر
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عدد القراءات
Aswan International Airport
Detained hospital admitted Aswan, on Monday, one of the persons returning from the holy land, after performing Hajj, on suspicion of being infected with "Corona."

Was (Abdel Fattah m.), From the village of Kalabsha, arrived today to Aswan Airport, returning from Saudi Arabia after performing Hajj, and detects attic quarantine at the airport, showing symptoms of infection with "Koruna" it.

A source at the airport, he was transferred to the suspect in his hospital diets, to pull the necessary samples to a statement from his injury or not.

Aswan Airport has been declared a state of emergency; against the background of the case on suspicion of "Alchorna", coming from Saudi Arabi

Wednesday, October 15, 2014

1 isolated in Ohio after nurse's Ebola diagnosis

4:32 p.m. Wednesday, Oct. 15, 2014

AKRON, Ohio (AP) —
Health officials say one person in Ohio has been voluntarily quarantined after having household contact with the Texas nurse who recently visited Ohio and was later diagnosed with Ebola.
Summit County officials say the individual self-quarantined Tuesday after the family of 29-year-old nurse Amber Joy Vinson was notified that she had developed Ebola symptoms.
Vinson was visiting family in the Akron area and flew back to Dallas on Monday before being diagnosed with Ebola.
Summit County Medical Director Marguerite Erme said at a news conference Wednesday that the quarantined person hasn't left home since Tuesday and that health officials will be monitoring the person's condition. No name was released.
Erme says that the person is not showing symptoms and that there is no risk to the public.http://www.wpxi.com/news/news/local/1-isolated-ohio-after-nurses-ebola-diagnosis/nhj4g/

Report: Ebola nurses in Dallas wore no special protective gear for two days

Report: Ebola nurses in Dallas wore no special protective gear for two days

Medical workers in Dallas wore no special protective gear for two days while caring for the U.S.’s first Ebola patient, Thomas Eric Duncan, according to a report.

Healthcare personnel at Texas Health Presbyterian Hospital started treating Duncan on Sept. 28 but did not start wearing hazmat suits until Sept. 30, when he was officially diagnosed with Ebola.Federal health officials believe that three-day window could be the key to understanding how two healthcare workers contracted Ebola, the Dallas Morning News reported. At least 50 hospital personnel are undergoing "intensive follow-up" for signs they might have the deadly virus.
Prior to Duncan's diagnosis, healthcare workers wore basic gowns and gloves, which are considered insufficient to protect someone treating Ebola.
Texas Health Presbyterian Hospital has received criticism for a long series of missteps in caring for Duncan, who died Oct. 8.
A national nursing union said late Tuesday that the hospital initially resisted isolating Duncan when he returned for care for the second time.
Nurses were also insufficiently trained and given incomplete protective gear, the union claimed.
The Centers for Disease Control and Prevention (CDC) has also come under fire for its oversight of the hospital's response.
CDC officials said Wednesday that the second infected healthcare worker will be transferred to Emory University Hospital in Atlanta. The first worker will remain in Dallas for now.  http://thehill.com/policy/healthcare/220849-ebola-nurses-wore-no-protective-gear-for-two-days

Second Ebola nurse traveled on plane with low-grade fever


Tuesday, October 14, 2014

More Empty Beds At Bong County ETU


By Janjay F. Campbell
As health workers at Ebola Treatment Unit (ETU) in Monrovia complain about the unit being full and no bed available to accept patients that are showing symptoms of the Ebola virus, the Ebola Treatment Unit in Suakoko, Bong County have 70 beds and there are always beds available because once you are tested and you are negative; you will be treated quickly and released to avoid the patient coming in contact with the Ebola virus.
At the ETU that was built by Save the Children and funded by the United States Agency for International Development (USAID), both international and local journalists observed on Tuesday that the ETU is at an isolated area where one has to drive fifteen minutes from the main road before he/she could arrive there.
The ETU is being run by International Medical Corps, a non- governmental organization and the team’s director for Liberia Ebola Emergency Response, Sean Casey stressed that test results to come in after 3 or 5 days now takes 3 to 4 hours and patients are informed if they are positive or negative.
According to Mr. Casey, if a result of a patient shows that he/she does not have the Ebola virus, that patient is discharged the same day or the next morning. But if the result shows positive that patient starts treatment immediately and they are removed from the suspected ward to the Confirmed Ward.
He narrated that is why patients are being released every day because they show no sign of the Ebola virus. He mentioned that there are 20 beds in the suspected ward and 50 beds in the confirm ward and that the ETU is divided into two areas, the lower and higher risks area.
He stated that the ETU has two ambulances and that most of the patients come in ambulance and that they don’t usually have to walk. Mr. Casey said there is no need to expand the ETU for now but if the need arises they will expand the ETU.
Journalists were taken to the burial site which was ten minutes’ walk from the ETU. At the burial site reporters talked with one of the grave diggers, James Jensen, who said they are being stigmatized by neighbors because of the work they are doing.
He praised International Medical Corps and USAID for the work they are doing for the people of Liberia. He said Liberians are dying from the deadly disease every day, because there are people who are still denying the Ebola virus.
At the U.S. lab in Suakoko, Bong County at Cuttington campus, Col. Doctor Jim Czarnik who is the Chief Medical Officer of the U.S. Military here in Liberia stated that the U.S. government is putting everything it has to fight the Ebola virus and that the Department of Defense of the United States is bringing in more labs in the country.
There is state of the art equipment being used in the lab to help fight the Ebola virus by sending results to the ETU within 3 to 4 hours. The equipment cost little under half million dollars and that they have also received blood samples from Lofa, Nimba, Grand Gedeh and Margibi.

Sierra Leone News: Ebola survivor infects wife to death



In Thoradu Village, Kissy Teng, Kailahun district an Ebola survivor, Siaka, is alleged to have infected his wife, Pewah, through sex.
This information was disclosed by a member of the Kailahun Women in Governance Network (KWiGN), Juliet Scott, in a telephone interview during the weekend.
According to Madam Scott, the Ebola survivor Siaka, after contacting the virus was taken to the Kailahun treatment centre, where he received proper medication from the Medical experts and after being discharged, he was given the necessary precautionary messages including some quantity of condoms to protect his partner, if he wants to have sex with her.
She maintained that according to the expert advice, the virus stays in the semen of men and in the breast milk of women, so if the men want to have sex with their partners, they should use condom to protect the women and that the women should not breast feed until after three months, explaining that Siaka refused to follow the instructions to protect his wife and she was left with no option but to obey her husband.
“Pewah only realised she had been infected, after two days when she started exhibiting some of the symptoms,” she recalled, adding that they took her to the treatment centre where she passed away, as it was too late for the medical expert to administer treatment to her, disclosing that the women are extremely vulnerable towards the Ebola virus.
According to the President of KWiGN, Madam Lucy Gondor, this situation is very unfortunate at this particular time, when the Government and other partners are doing all they could in sensitizing the people about the preventive measures about the disease, explaining that survivors should be role models in society, as they should be the ones telling people about the realities of the disease rather than infecting others.
She disclosed that on the area of new infection cases reported in the District, one was as a result of a young man who was tested positive and his wife went ahead and identified her husband’s girl-friend and the girl-friend also identified another girl friend as all their houses had been quarantined.
By Alhaji M. Kamara
Monday October 13, 2014

US Asks Spain to Allow US Soldiers From Ebola-Hit Africa to Stay in Its Military Bases


MOSCOW, October 14 (RIA Novosti) - US authorities have asked the government of Spain to allow over 3,000 American soldiers returning from Ebola-stricken West Africa to stay in the Spanish military bases, a spokesperson for the Spanish Defense Ministry told RIA Novosti.
According to the spokesperson, the motion has already been sent to the authorities of Spain, who have not yet confirmed whether or not the offer will be accepted.
Nonetheless, it has been reported that Spanish Defense Minister Pedro Morenes will announce Spain's decision on the matter in the next few days.
The American authorities, the spokesperson added, want their soldiers to rest in the Rota and Morón de la Frontera bases located in southern Spain.
Should Spain agree to the offer, it will have to initiate a special sanitary operation aimed at avoiding possible cases of the Ebola virus among the local population.
The United Nations is also reported to have turned to Spain for permission to use Gran Canaria airport for the purpose of transferring humanitarian aid to the worst hit areas of West Africa.
The worst Ebola epidemic in history began in southern Guinea at the end of 2013 and soon spread to Liberia, Sierra Leone and Nigeria. The death toll is estimated to be over 4,400. There is no officially approved medication for the Ebola virus, and experts claim prevention is the only cure. Several countries, including Russia, the United States, the United Kingdom, Canada and Japan are currently working on vaccineshttp://en.ria.ru/world/20141014/194080651/US-Asks-Spain-to-Allow-US-Soldiers-From-Ebola-Hit-Africa-to-Stay.html

Ebola scare in Manipur, high alert in the north-east

Ebola scare in Manipur, high alert in the north-east

Tuesday, 14 October 2014 - 10:29pm IST
A Japanese tourist currently living in Manipur has been kept in isolation for showing symptoms akin to Ebola. Alerted by this development, all state governments of the North East have increased their screening procedures for immediate detection of cases of Ebola and have also started keeping a close watch on the entry of foreign nationals in the states.
According to a news report published in downtoearth.org.in, 27-year-old Kawakubo Yuko entered Manipur from Myanmar. She suddenly developed fever and was hospitalised. The doctors soon raised the red flag suspecting her symptoms were identical to that of Ebola and immediately admitted her to the Jawaharlal Nehru Institute of Medical Sciences (JNIMS) in Imphal nearly a week ago. Her blood samples have been sent to the National Institute of Virology, Pune, and the results are yet to come in. 
A scientist at NIV (who does not wish to reveal his name) said, "There are samples of Ebola which come in like the sample from Manipur. Though no positive samples have been found as of now, the result for Manipur samples will also be coming in a few days". NIV has a team of 15 scientists working on the samples of Ebola coming from Pune, Mumbai and other parts of the country.
In the meanwhile, the Manipur government is taking no chance. It has set Ebola screening gates for passengers at the Imphal airport and at the international border with Myanmar As an additional layer of security, the state is also screening people at its borders with Nagaland and Assam.
The biggest worry at this moment is the state government may be extremely ill-prepared, infrastructure wise, in case of an outbreak. Thus the state is in overdrive to take all kinds of precautions.
Other states like Assam are also on alert. There is already a pre-existing method of screening foreign nationals for the last few months. Their travel details are also been looked into. Footballers from Africa have also been checked, according to the news report. Tripura has also implemented a search protocol. 
Though there have been earlier Ebola scares in cities like Mumbai and Delhi, so far, all the cases have turned out to be negative. http://www.dnaindia.com/india/report-ebola-scare-in-manipur-high-alert-in-the-north-east-2026140

WHO: 10,000 new Ebola cases per week could be seen

Oct 14, 8:52 AM EDT
GENEVA (AP) -- A World Health Organization official says there could be up to 10,000 new cases of Ebola per week within two months.
WHO assistant director-general Dr. Bruce Aylward says if the response to the Ebola crisis isn't stepped up within 60 days, "a lot more people will die" and there will be a huge need on the ground to deal with the spiraling numbers of cases. He said WHO estimated there could up to 10,000 cases per week in two months.
Aylward said for the last four weeks, there have been about 1,000 new cases per week, though that figure includes suspected, confirmed and probable cases. He said WHO is aiming to have 70 percent of cases isolated within two months to reverse the outbreak.
WHO increased its Ebola death toll tally to 4,447, nearly all of them in West Africa, and the group said the number of probable and suspected cases was 8,914.
Sierra Leone, Guinea and Liberia have been hardest hit. Aylward said WHO was very concerned about the continued spread of Ebola in the three countries' capital cities -Freetown, Conakry and Monrovia. He noted that while certain areas were seeing cases decline, "that doesn't mean they will get to zero."
He said the agency was still focused on trying to treat Ebola patients, despite the huge demands on the broken health systems in West Africa.
"It would be horrifically unethical to say that we're just going to isolate people," he said, noting that new strategies like handing out protective equipment to families and setting up very basic clinics - without much treatment - was a priority.http://hosted.ap.org/dynamic/stories/W/WHO_EBOLA?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT

800 Sierra Leone Peacekeepers Bound For Somalia Quarantined Over Ebola

Sierra Leone Peacekeepers Bound For Somalia Quarantined Over Ebola

  • Oct. 14, 2014, 6:30 AM

FREETOWN (Reuters) - A battalion of 800 Sierra Leone soldiers awaiting deployment as peacekeepers in Somalia has been placed in quarantine after one of its members tested positive for the deadly Ebola virus, military officials said on Tuesday.
The soldiers were due to relieve the West African nation's contingent already deployed with Somalia's African Union peacekeeping mission, known as AMISOM. They are now expected to be subject to a 21-day isolation period.     http://www.businessinsider.com/r-sierra-leone-peacekeepers-bound-for-somalia-quarantined-over-ebola-2014-10

Experts warn Ebola scares will spike

Experts warn Ebola scares will spike

Disease fears, flu season could fuel public alarm

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Photo by: 

Matt Stone
EMERGENCY RESPONSE: Boston EMS workers escort patients yesterday from an ambulance at Massachusetts General Hospital. The patients were taken off a Logan flight after becoming ill.
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The public should brace for a steady, terrifying stream of false alarms like the ones at Logan International Airport and a Braintree health clinic as the onset of flu season combined with ever-heightening Ebola vigilance will prompt dramatic medical responses involving quarantines and hazmat suits, local infectious disease experts warned yesterday.
“People are going to come back from West Africa, people are going to develop flu-like symptoms, and every single one of those is going to get treated like a potential Ebola,” said Dr. Ashish Jha, a professor at Harvard University’s School of Public Health and director of the Harvard Global Health Institute. “The greater part of valor here is you isolate them, you test them, and you make sure they are Ebola-negative before you let them back into the community. I think we’re going to end up doing that more and more. I think we’re in for a pretty tough time of managing this until the epidemic subsides in West Africa.”
For the second straight day yesterday, Boston-area residents were hit with foreboding images of medical teams in protective suits as first responders removed five passengers with “flu-like symptoms” from a flight from Dubai. Ebola was ruled out for all five last night.
Boston health officials yesterday sought to gird residents for such scenes.
“We recognize that over the ensuing weeks residents may observe infection control measures that are used to isolate potential suspect cases of Ebola out of an abundance of caution,” Dr. Huy Nguyen, interim director of the Boston Public Health Commission, said at a press conference yesterday. “There are, however, no confirmed cases of Ebola in Boston.”
The record outbreak has claimed more than 4,000 lives in West Africa.
The commission said yesterday that three to four people in Boston have been screened for Ebola in recent weeks, but none had the disease. Officials repeatedly stressed Ebola can only be transmitted by direct contact with bodily fluids — most commonly vomit, blood or feces.
A man who recently visited Liberia and complained of muscle and headaches at a Braintree clinic Sunday was in good condition yesterday but in isolation at Beth Israel Deaconess Medical Center. The hospital said its initial evaluation showed the likelihood of the man having Ebola is “extremely low.”
In Dallas, the director of the Centers for Disease Control and Prevention called for a rethinking of how hospitals treat suspected Ebola patients after a nurse — one of a team of 70 who cared for the only man to die of the virus in America — contracted it herself.
Every hospital must know how to diagnose Ebola in people who have been in West Africa and be ready to isolate a suspected case, CDC director Tom Frieden said: “Think Ebola.”
The CDC is working to improve protections for hospital workers, he said.
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said federal health authorities should consider requiring that Ebola patients be sent only to highly specialized “containment” hospitals.
Local hospitals expressed confidence yesterday that safeguards and procedures are in place to protect health care workers. Paul Biddinger, director of the Emergency Department at Massachusetts General Hospital, said 10 simulation drills are scheduled this week for staff to review procedures, including the delicate removing of protective suits.
“There is no other daily provision of medical care in the United States for which we need to be as perfect,” Biddinger said. “I think we are all concerned with trying to make this process as seamless and as fail-proof as possible.”

Monday, October 13, 2014

A teenage girl bled to death over two days’: Ebola nurses describe life and death on the frontline


West Africa is battling the biggest known outbreak of Ebola, with experts predicting there could be 1.4 million cases by January. Three nurses who volunteered to help fight the virus in Liberia and Sierra Leone, the worst-affected countries, describe the daily horror

Bridget Mulrooney, 36
American nurse working for the International Medical Corps in Bong County, Liberia

I was working as a travel nurse at a children’s hospital in California when I got an email from International Medical Corps asking if I was interested in deploying to Liberia to help fight Ebola. I wanted to go immediately but I was locked into a contract at the time. The more I heard, the more excited I got. Within three days of finishing my contract, I was in Alabama being trained in how to treat Ebola patients safely and within a week I was in Liberia.
I have now been at the Ebola treatment unit (ETU) for two weeks and what an incredible experience it has been. This week, I am on the night shift so my working day starts at 7pm. Tonight, we have 12 patients in the unit who are confirmed as having the Ebola virus. One of the patients is a nine-year-old girl who came with her mother when they were both sick. Her mum tested negative for Ebola but unfortunately the girl tested positive. Her mother opted to go home, leaving her daughter behind. She is very weak and really scared now that she is here all alone, so I am going to spend some extra time with her tonight, feeding her to try to get her strength back up.
Our personal protective equipment (PPE) suits get really hot. We spend up to two hours at a time in the ETU with the patients, which is about the longest you can comfortably remain inside the suits without a break.
Everyone I know is very supportive of me being here. I have been doing this type of volunteering for organisations such as IMC for a while. My family are used to me announcing that I’m off to some place where there is a disease outbreak or some other risk to my safety. I guess they were more worried than usual about the risks associated with Ebola, but they are still totally supportive.
I am worried about the backlash against healthcare workers who are responding to the crisis in West Africa. I have heard media reports calling for people such as me who have been treating Ebola patients to be quarantined for 21 or even 42 days. These ideas are not based on the medical facts. People only need to be quarantined if they are showing symptoms and if you do not have a fever, there is no risk of you transmitting Ebola to someone. We work really hard here, the hours are long and the work is physically and emotionally tiring. When we get time off every six weeks, I would like to think I can travel anywhere I want to but I suspect we are reaching a situation where I am not going to be welcome in many places.
Four new patients arrived at around midnight in ambulances. Tonight we saw a father and two sons: the dad is really very sick, throwing up every few minutes. We gave him and the other patients plenty of fluids and medicine to help with the vomiting and then we took the blood test that would confirm whether or not they had the Ebola virus. After triaging the patients, we made our way to the confirmed ward to carry the body of a patient who had died earlier in the night to the morgue.
The sun comes up around 6am, and the team on the ni http://www.theguardian.com/world/2014/oct/13/ebola-nurses-describe-life-death-on-frontline-liberia-sierra-leone

Gov’t mulls bringing home Pinoys in Ebola-hit countries


© Provided by The Philippine Star President Aquino disclosed yesterday that Filipinos in Ebola-hit countries might have to be brought home.
Speaking at the 65th Session of the World Health Organization (WHO) Regional Committee for the Western Pacific at the Philippine International Convention Center in Pasay City, Aquino assured the public that the government had imposed stricter measures to keep the country free from the virus.
“Among the questions we need to keep asking ourselves are: How can we best educate our countrymen about these outbreaks, without spreading fear and panic?” he said.
“Is there an efficient and safe way to monitor our countrymen’s exposure to diseases, and to repatriate them, while ensuring their health, as well as that of the general populace?”
Aquino said the Philippines would cooperate with the rest of the world in protecting people from these outbreaks.
“I speak for myself and my government when I say that we will continue to exert every effort and undertake all possible initiatives to find answers to these questions and keep our countrymen safe and healthy as pandemics threaten to spread,” he said.
“However, we can all agree that we work better, and more efficiently, when we work with others, whether to monitor and contain outbreaks, or to meet the Millennium Development Goals, or to anticipate and prepare for global health concerns.”
Aquino said that through WHO’s establishment and   participation in various events, countries were strengthening the ties binding them and affirming their duty to their countrymen and fellowmen.
“For instance, outbreaks of illnesses and diseases like the Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) and Ebola are among the greatest challenges the world faces today,” he said.
“For the Philippines, specifically, the fact that we have 10 million of our countrymen living and working abroad makes these kinds of outbreaks a paramount concern.
“This year, the MERS Coronavirus broke out and spread in the Middle East. Based on current reports, the mortality rate for MERS Coronavirus ranges from 30 to 60 percent; and, of course, our first thought immediately went to the more than a million Filipinos living and working in the Middle East.”
Aquino said the matter was complicated further, when during the Holy Week holiday, authorities received belated news that an overseas Filipino worker (OFW) afflicted with the virus had arrived in the country, and that he had traveled to his home province.
“You can imagine how critical the situation seemed: it was necessary to track down every person on that flight, quarantine and test them at the soonest possible time,” he said. “Thankfully, the test results came back negative. That rather harrowing time gave us the chance to take a good look at our systems, to identify areas that could be improved upon, and to make those improvements. Soon after, I signed an executive order creating an interagency task force to manage emerging infectious diseases in the country; and even now, the work continues.”
The Department of Health (DOH) had been tasked to continue to educate the public about the deadly diseases without causing fear and panic, and to come up with an efficient and safe way to monitor the exposure of people to such diseases, Aquino said.
OFW medical clearance
Speaking to reporters on the sidelines of the same forum, Health Secretary Enrique Ona said he is proposing to require OFWs to secure medical clearance before returning home.
“For example, we are now making arrangements that the Filipino workers… and they are something like almost 3,000, before they can come home, we will require them to have a so-called medical clearance,” he said.
Ona said a medical clearance would indicate whether a Filipino had been exposed to a person infected with or who died from Ebola.
OFWs would have to give themselves 21 days from the time they planned to board their flight to observe whether they have symptoms of Ebola virus infection, he added.
Ona said this would not be difficult to do except in times of emergency because travel arrangements are  done in advance.
“And if there are no symptoms… he will be given a medical clearance and he can go home,” he said.
“That is our proposal, we are not implementing it yet.” 
OFWs showing symptoms like influenza would be asked to report to a hospital and remain confined for 21 days, he added.
Ona said the government has not yet decided  whether to send health workers to Ebola-hit countries.
“This is a global health care concern… what we are discussing is that we cannot just (send workers),” he said.
“Of course we will think about it but the countries would help. We will be helping whether in kind or whatever. But… nothing is decided yet.”
Passengers are being screened at the airports since three weeks ago to avoid the spread of contagious diseases, he added.
Ona said the DOH is upgrading the laboratory capacity of the Research Institute for Tropical Medicine (RITM) in Muntinlupa in preparation for the possible entry of the Ebola virus.
The country needs to have “bio-safety level (BSL)-3” laboratory to effectively detect and do research on infectious diseases like the Ebola virus, he added.
The DOH is allocating some P500 million to put up the laboratory.
RITM director Socorro Lupisan said they now have a BSL-2 laboratory, which might not be equipped to deal with emerging pathogens like the Ebola virus.
“Right now, we are working on BSL-2 facilities but with the practices under BSL-3,” she said.
“We hope we get the BSL-3 to make sure even our laboratories are safe, that they are working in a safe environment. But of course, the actual practices are included there.”
Lupisan said a BSL-2 laboratory may be closed but  air can still circulate, while a BSL-3 involves a high-containment laboratory.
“It’s enclosed, with negative  pressure room, going in and going out,” she said. “The air is being filtered.”
Such a facility would mean that the Philippines will no longer have to send specimens to other countries like Japan for tests, Lupisan said.
The DOH and the RITM are now consulting with WHO and Japan for the establishment of a BSL-3 laboratory.
‘Avoid Ebola countries’
Filipinos were advised yesterday to refuse work in Ebola-affected countries.
Labor Secretary Rosalinda Baldoz said Filipino nurses and other health workers must not risk  accepting jobs in Guinea, Liberia and Sierra Leone.
“We have an existing deployment ban in those countries which means their employment papers will not be legally processed,” she said.
“If they entertain such offers, they will just run the risk of being victimized by illegal recruiters.”
The Department of Labor and Employment (DOLE) will rely on the recommendation of the Department of Foreign Affairs (DFA) and the DOH on whether to allow the re-entry of Filipino workers to these three countries, Baldoz said.
Health workers are now in demand in the three West African countries due to the growing number of people afflicted with Ebola.
However, the government has banned the deployment of Filipino workers to the three countries due to the Ebola epidemic.http://www.msn.com/en-ph/news/other/gov%E2%80%99t-mulls-bringing-home-pinoys-in-ebola-hit-countries/ar-BB97oS0

Brazil today confirmed if Guinean carries Ebola


First test was negative the patient; Government tightens security protocols


Brazil.- Brazil today confirmed a new blood test if the Guinean Souleymane Bah, who is confined in a hospital in Rio de Janeiro, is a carrier of the Ebola virus, after a first test gave negative.

Health authorities reported that, as required by protocol, blood samples were taken to Africa on Monday, 48 hours after the first analysis, to check for traces of the virus that has killed more than four thousand people and not yet reached South America. Brazil is moderately positive about the possible infection Bah, because the patient has no fever or symptoms since being admitted to the National Institute of Infectious Diseases Friday.


Brazil admitted last week that while it is "very low" risk of a case of Ebola occurs in Brazil is not "zero", so the Latin American country to extremes surveillance recent days after cases of infection in United States and Spain.

Brazilian authorities since August increased their controls at international airports in order to prevent the Ebola epidemic in West Africa proliferate within its borders, but refuses to take the temperature of travelers, considering it an ineffective measure. dpuf    https://translate.google.com/translate?sl=auto&tl=en&js=y&prev=_t&hl=en&ie=UTF-8&u=http%3A%2F%2Fwww.elgolfo.info%2Felgolfo%2Fnota%2F281244%2F&edit-text=

First Ebola cases as possible in Brussels


Julian Thomas Published - Updated
Belgium For the third time since the beginning of the epidemic Ebola, Belgium faces the possibility of Ebola case in its territory. The first two times eventually proved false alarms. This time, according to our colleagues of the "Last Time", this is an individual who has recently traveled to Guinea and returned to Belgium in early October. The man was admitted on Monday, 13 October, at the Centre Hospitalier Universitaire Saint-Pierre in Brussels after being caught fever. After undergoing a series of tests, it is now in quarantine in a special unit of the hospital. The first results are expected Wednesday night. "There actually has a probable case Ebola in Belgium even if there is more likelihood that it will eventually malaria," confirmed on Monday afternoon Vinciane Charlier, the spokesman for the Federal Public Health.
"This person came back in early October in Belgium and developed a fever this morning. There is a security procedure that exists for people returning from countries where Ebola is present. Hence this patient was followed and Monday was taken to St. Peter's. It is now in quarantine. "
For now little information is available on the "identity of the person and Vinciane Charlier explained that the FPS Health is itself looking information. At most, it can confirm that s' is not the same case that the false warning Ebola declared Sunday in the same hospital in Brussels.  https://translate.google.com/translate?sl=auto&tl=en&js=y&prev=_t&hl=en&ie=UTF-8&u=http%3A%2F%2Fwww.lalibre.be%2Factu%2Fbelgique%2Fun-premier-cas-ebola-possible-a-bruxelles-543bf7d0357030e610466209&edit-text=

Ebola Nurse Boyfriend Reportedly Admitted With Ebola Symptoms

Ebola Nurse Boyfriend Reportedly Admitted With Ebola Symptoms

An email sent out to the Alcon staff by its CEO reportedly said that the ebola nurse’s boyfriend was admitted into hospital with “Ebola-like symptoms.”
Gotnews.com has received word from two different Alcon employees, both of whom asked not to be identified.
Alcon’s U.S. headquarters are in Fort Worth, Texas. It is an opthomological pharmaceutical company.
Requests for comment from Alcon were not returned.

Company won't take ash from Ebola victim apartment


2014-10-14 05:00
(Mike Stone, AFP)
(Mike Stone, AFP)
New Orleans - A Louisiana waste disposal facility says it will not accept the ashes generated when a Texas Ebola victim's belongings were incinerated, at least not until state officials agree that it would pose no threat to the public.
Chemical Waste Management Lake Charles said in a news release on Monday that it is permitted to accept such material and that it poses no threat to the environment or human health.
But, the company says, "we do not want to make an already complicated situation more complicated".
Thomas Eric Duncan became the first person to contract the disease within the United States. Duncan had travelled from Liberia to visit family.
Louisiana Attorney General Buddy Caldwell says he plans to go to court to block the transport of the waste to the Calcasieu Parish facility.   http://www.news24.com/World/News/Company-wont-take-ash-from-Ebola-victim-apartment-20141013

Polish Doctors Test Man For Ebola Virus


Warsaw:  A man has been hospitalised in Poland pending blood tests on whether he has the Ebola virus, but he had not travelled to Africa and the tests were being conducted as a precaution only, a health official said.
The 31-year-old man called for an ambulance on Monday, saying he was feeling unwell, and was taken to the Bieganski hospital in Lodz, about 130 km (80 miles) west of the Polish capital, according to Zbigniew Solarz, a spokesman for the local epidemiological service.


The symptoms he was showing could also be caused by a number of other diseases, for example malaria, Solarz said.

The man told medical staff that he had been in Germany where he had come into contact with people from Guinea, in West Africa, said Jan Bondar, a spokesman for Poland's sanitary inspectorate. Guinea, along with neighbouring Sierra Leone and Liberia has seen the worst outbreaks of the Ebola virus.

But Bondar also said it was unlikely the man could have been infected that way. He said he had not heard of any Ebola cases in Germany, and the man had not travelled to Africa himself.

"The man's blood is being tested. I think the result should be known tomorrow in the afternoon. I think this was an excess of caution."http://www.ndtv.com/article/world/polish-doctors-test-man-for-ebola-virus-606417?curl=1413255954

VDH Looking Into Possibly Screening Person for Ebola



Updated: Oct 13, 2014 10:29 PM EST By WRIC NewsroomConnect



RICHMOND, Va. (WRIC) - Virginia Department of Health officials said that they are looking into if a patient who had recently traveled to Africa should be evaluated for possible Ebola exposure.
The individual went to the CrossOver Ministry clinic on Cowardin Avenue in Richmond.
In a conference call Monday evening, Dr. Don Stern, director of the Richmond City Health Department, said that the individual had been to Africa recently and displayed a low-grade fever.

The CDC requires certain criteria to be met before they allow the test to be administered.

This person met the criteria for having a travel history. Another criteria is that the person is showing symptoms of Ebola. This person has a low grade fever but as of now is not showing the other symptoms required.

The third criteria is that the person has come in contact with someone who had been diagnosed with Ebola. This person does not know of anyone that they have come in contact with who had Ebola.
That person is suppose to be heading to an area hospital to receive further testing. Sources tell 8News that this person is a female, though other details, such as age and name, remain unknown.

This information comes on the heels of the death of Thomas Eric Duncan, who died in a Texas hospital last week after being diagnosed with Ebola. Just today, the Dallas nurse who was infected with Ebola while treating a Liberian man has been identified as Nina Pham.
Pham tested positive for the disease this weekend, making her the first person to contract Ebola within the United States. Pham was identified by family members who confirmed her name to ABC News affiliate WFAA.
Crew are working to gather more information. Stay with 8news for the latest information on-air, online, and on social media.http://www.wric.com/story/26775995/v...rson-for-ebola

suspected #ebola at #MCV

Some families affected by Ebola in Liberia pay bribes to keep the bodies


Yahoo News

Liberia races to expand Ebola treatment facilities
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A Liberian policeman watches as an Ebola burial team prepares to take away the body of Mekie Nagbe, 28, for cremation on October 10, 2014 in Monrovia, Liberia. Nagbe, a market vendor, collapsed and died outside her home earlier in the morning while leaving to walk to a treatment center, according to her relatives. The burial of loved ones is important in Liberian culture, making the removal of infected bodies for cremation all the more traumatic for surviving family members. (Getty Images/John Moore)
 
Health workers scrambling to contain the deadly Ebola virus in Liberia now have to contend with an outbreak of corruption among those detailed to collect the bodies of victims.

The Wall Street Journal reports that retrieval teams are accepting bribes from families of Ebola victims to issue death certificates that say their loved ones died of other causes, allowing them to keep their bodies for a traditional burial.
“The family says the person is not an Ebola patient, and [the retrieval team] pull them away from the other people," Vincent Chounse, a community outreach worker on the outskirts of Monrovia, told the paper. "Then they say, ‘We can give you a certificate from the Ministry of Health that it wasn’t Ebola.' Sometimes it is $40. Sometimes it is $50. ... Then they offer bags to them and [the family] carry on their own thing.” A teenager in Montserrado told the Journal he saw the father of his neighbor pay $150 for a certificate that said his son's corpse was Ebola-free.
Government Information Minister Lewis Brown told the paper his office has received reports of health workers issuing fake death certificates, but he added that no burial team has "a capacity to go and issue certificates."
According to the World Health Organization, more than 4,000 Ebola cases have been reported in Liberia, resulting in 2,316 deaths since the outbreak began.
But local health officials say the numbers are not adding up.
“We are not receiving the amount of community calls that we should be,” Agnes “Cokie” van der Velde, who oversees body collection teams for Doctors Without Borders, told the paper.
The grim task of removing bodies infected with Ebola is critical, health officials say, because the dead are a major source of contagion.
Working against them is the stigma associated with Ebola among West Africans, and the desire for the family to have a traditional burial. Often, communities will assume that one person infected with the disease means his or her entire family is infected and therefore is discriminated against and shunned.
Van der Velde said while she was not aware of body retrieval teams accepting bribes, they are nonetheless in a tricky position. “We try to be very respectful, but in the end what we’re doing is taking their loved one, zipping them in a bag and taking them away."   http://news.yahoo.com/ebola-families-bodies-bribes-153423993.html

The Worsening Ebola Crisis

The Worsening Ebola Crisis

Photo
An Ebola burial team carried the body of a woman through New Kru Town, a suburb of Monrovia, Liberia, on Oct. 10.  Credit John Moore/Getty Images
Recent days have brought two alarming developments in the struggle to contain Ebola. The campaign against the epidemic in West Africa, the only sure way to eliminate the risks of transmitting the virus to the United States and other countries, fell even further behind. And the discovery that a nurse treating an Ebola patient in Dallas had herself become infected despite wearing protective gear raised questions about the readiness of American hospitals to deal with Ebola patients.
Reassuring statements by health officials that virtually any hospital with an isolation unit could treat such patients now look rashly optimistic.
That said, the risk that the Ebola virus might cause outbreaks in this country remains small. By far the greater danger lies in the very real possibility that the virus will continue to spiral out of control in Guinea, Liberia and Sierra Leone and spread from there to other parts of Africa or other continents, opening a wider range of pathways for infected people to reach the United States.
Many countries and international organizations, led by the United States, have pledged money, equipment and manpower to fight the epidemic in West Africa. But the aid has been slow to reach the front lines, leaving health care workers with too few treatment beds to accommodate the sick.
In Sierra Leone, on Friday, health officials — facing just such a shortage of beds — adopted a new policy of having families treat patients in their homes by distributing painkillers, rehydrating solutions and gloves to hundreds of Ebola-afflicted households. But if a nurse in Dallas, clothed in protective garments, could not escape infection, it is hard to believe that less well-equipped households in Sierra Leone will be able to escape contamination from an Ebola patient in their midst.
The pace of international aid needs to be stepped up dramatically. This is not a task that can be left to such nongovernmental organizations as Doctors Without Borders, which has heroically provided much, if not most, of the care in the stricken countries. The United States has taken the lead in providing aid to Liberia, a country with long ties to the United States.
The Army has started deploying thousands of troops to the area to help build new treatment centers, perform laboratory tests and train health care workers in how to treat patients, but most of that help has yet to arrive. It was thus disheartening to hear Maj. Gen. Darryl Williams, the commander of the United States Army Africa, dismiss criticism that American aid had been “too little, too late” with the excuse that the Pentagon was simply filling a “small gap” left by other health organizations.
The United States’ obligation is greater than that; President Obama needs personally to ramp up the urgency of the American response and the level and speed of the resources provided.
Perhaps the Dallas case will add urgency to those efforts to control the epidemic abroad. The case is not cause for domestic panic, but it is cause for greater vigilance among health care workers. Even without knowing fully what happened with the nurse, the Centers for Disease Control and Prevention is exploring ways to make it easier to don protective gear, wear it while treating a patient and take it off afterward without infecting oneself.
The task of treating Ebola patients can clearly be carried out by experienced personnel. Five Ebola patients were flown back to the United States from West Africa and have been treated safely at specially designated hospitals in Atlanta and Omaha.But the Dallas hospital made mistakes in handling this case from the start, and the infected nurse was reportedly a young graduate of a nursing program with little experience in infectious diseases. It seems possible that additional health care workers who cared for the patient will come down sick as well.
The C.D.C. is urging all hospitals, no matter how small, to take travel histories to identify any patients who have been in West Africa within the past 21 days, and immediately place those with Ebola-like symptoms in isolation. The C.D.C. plans to increase its training efforts for hospital personnel, a vital need given that a survey of nurses found a vast majority had received no instructions from their hospitals on how to deal with Ebola. Smaller hospitals will probably have to transfer any Ebola patients to more specialized centers for treatment.
But all of these efforts, however useful, pale against this country’s much larger responsibility to help defeat the disease at its source. http://www.nytimes.com/2014/10/14/opinion/the-worsening-ebola-crisis.html?_r=0

BREAKING UPDATE ON EBOLA EVALUATION

Obama Meets with Senior Advisors on Ebola

Obama Meets with Senior Advisors on Ebola

by Keith Koffler on October 13, 2014, 3:17 pm
Updated 6:37 pm ET
President Obama is meeting this afternoon with both national security and health care advisors to discuss the Ebola situation, the White House said today.
The meeting appears to have been called rather hastily.
In on the gathering are National Security Advisor Susan Rice, HHS Secretary Sylvia Burwell, White House Homeland Security Advisor Lisa Monaco, and Centers for Disease Control and Prevention Director Tom Frieden, who is participating by telephone.
The press corps will be invited in to take a picture, but no questions please.
UPDATE: Post-meeting from the White House:
The President was briefed on the status of the investigation into the apparent breach in infection control protocols at the Dallas hospital and remedial actions underway to mitigate similar breaches in the future. Secretary Burwell and Dr. Frieden described the surge in personnel and other resources to Dallas to assist in the investigation as well as other measures to heighten awareness and increase training for healthcare workers throughout the country.
The President reinforced that this investigation should proceed as expeditiously as possible and that lessons learned should be integrated into future response plans and disseminated to hospitals and healthcare workers nationwide.