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Wednesday, November 12, 2014

Sierra Leone 12th Nov. #EBOLA STATISTICS:

Total Laboratory-confirmed Cases
= 4,617 with district breakdown thus:
Western Urban  =  838,
Western Rural  =    631,
Bombali          =     659,
Port Loko       =     644,
Kailahun         =     558,
Kenema          =    493,
Tonkolili          =     281,
Bo              =     193,
Moyamba    =    137,
Koinadugu   =      55,
Kambia       =      53,
Kono            =     45,
Pujehun        =     28,
Bonthe         =       2,   http://news.sl/drwebsite/publish/article_200526627.shtml

Ebola death toll tops 5,000, steep rise in Sierra Leone cases: WHO


GENEVA Wed Nov 12, 2014 12:57pm EST
Health workers carry the body of an Ebola virus victim in the Waterloo district of Freetown, Sierra Leone, October 21, 2014.  REUTERS/Josephus Olu-Mamma Health workers carry the body of an Ebola virus victim in the Waterloo district of Freetown, Sierra Leone, October 21, 2014.

Reuters) - The death toll from the Ebola outbreak in West Africa's three hardest-hit countries of Guinea, Liberia and Sierra Leone has risen to 5,147 out of 14,068 cases at the end of Nov. 9, the World Health Organization (WHO) said on Wednesday.
A further 13 deaths and 30 cases have been recorded in five other countries - Nigeria and Senegal, which have stamped out the virus, as well as Mali, Spain and the United States, it said.
"Steep increases" in Ebola cases continue in Sierra Leone, with 421 new infections reported in the week to Nov. 9, while there have been a total of four confirmed and probable cases in Mali and four deaths, the U.N. agency said in its latest updatehttp://www.reuters.com/article/2014/11/12/us-health-ebola-who-idUSKCN0IW25L20141112?feedType=RSS&feedName=topNews&utm_source=twitter

Sierra Leone News : #Ebola Attacks 6th Doctor But Colleagues Plant to Beat Virus

Sierra Leone News : Ebola Attacks 6th Doctor But Colleagues Plant to Beat Virus
By Awareness Times
Nov 12, 2014, 17:18


A young Surgeon Specialist, Dr. Martin Maada Salia of the Connaught Hospital who also lectures at College of Medicine and Allied Health Sciences, University of Sierra Leone has November 11th 2014, been tested positive for the Ebola virus making him the 6th Sierra Leone doctor thus affected. The previous 5 have all died. According to a media update, Dr. Salia requested for him to be treated by only Sierra Leonean medical doctors. His management is being handled by Dr. James Russell, Dr. Col. Foday Sahr and other doctors determined to help him beat the evil virus.

"Dr. Martha Lado (Kings partnership) and I, met him in his annexe bed at Connaught and discussed his transfer to Kerry Town Ebola Treatment Centre. Salia vehemently refused transfer to Kerry Town but insisted to be transferred to Hastings Treatment Centre" the update posted worldwide has stated.

It is further reported that a false negative from Chinese  labs at Jui, led to delay in Dr. Salia's diagnosis of Ebola.

However, a second test by South African laboratory at Lakka showed positive result.  http://news.sl/drwebsite/publish/article_200526625.shtml

Brussels Airlines CEO issues stern warning to Ebola affected States


By Chernor Ojuku, Information Attaché, Sierra Leone Embassy, Brussels/EU
Nov 6, 2014, 17:12
 


The Chief Executive Officer (CEO) of Brussels Airlines, has warned governments of the three most Ebola affected countries in the Mano River Union basin in West Africa, to ensure strict medical and prevention adherences in order to prevent Ebola-infected passengers from boarding their aircrafts, as “any passenger tested Ebola positive on board Brussels Airlines will provoke an automatic suspension of flights to the three countries of Sierra Leone, Liberia and Guinea”.

Brian Gustin, was addressing Ambassadors of the affected States of Sierra Leone, Liberia and Guinea, and Ghana, the incumbent presidency of the Chair of the ECOWAS Authority Heads of State and governments on Tuesday, 4th November, 2014 who had paid a courtesy visit to the headquarters of Brussels Airlines at Zaventem Airport to meet with the CEO and his Deputy as part of the Ebola diplomatic efforts manifested by the embassies in the fight against the deadly Ebola disease in the sub-region.. http://news.sl/drwebsite/publish/article_200526579.shtml

Mali confirms its second fatal case of Ebola virus disease


Ebola situation assessment - 12 November 2014
Mali’s Ministry of Health has confirmed the country’s second fatal case of Ebola virus disease. The case occurred in a nurse who worked at a privately-run clinic in the capital city, Bamako.
The nurse, who was showing Ebola-like symptoms, was isolated on the evening of 10 November following suspicions of Ebola infection in a patient from Guinea who was treated at the clinic in late October. These suspicions were raised by an alert from health authorities in Guinea. The nurse died during the night of 11 November.
Testing was done at the biosafety level 3 laboratory in Bamako. In line with standard procedures, samples are being sent to a WHO-approved laboratory for confirmation and further virological analysis.
Like Mali’s first case, this second case is associated with the outbreak in Guinea. Chains of transmission are being investigated by health officials and WHO staff in both Mali and Guinea.
The 2 confirmed cases in Mali are not linked. They arise from independent chains of transmission involving different villages and different families across the border in Guinea.

Background about the new case: the transmission chain starts in Guinea

According to the preliminary investigation, a 70-year-old male resident of Kourémalé village, in the Siguiri prefecture of Guinea, had onset of symptoms from an undiagnosed disease on 17 October. On 18 October, he was admitted to a private clinic in the mining town of Siguiri.
The town, which is located along Guinea’s 800 km border with Mali, was an intense focus of Ebola virus transmission from early July to mid-August.
As his condition did not improve, he was transferred to another clinic located just across the border in Mali. On 25 October, he travelled by car, together with 4 family members to seek treatment at the Pasteur Clinic in Bamako.
He was suffering from acute kidney failure, a complication often seen in late-stage Ebola virus disease. Multiple laboratory tests were performed, but not for Ebola.
He was treated at the Pasteur Clinic from 25 October until his death, from kidney failure, on 27 October. In addition, a friend who visited him at the clinic also died abruptly from an undiagnosed disease. Both are considered probable Ebola cases. For both, no samples are available for testing.
The nurse, whose fatal Ebola infection was confirmed on 11 November, worked at the Pasteur Clinic.
Because of his religious status as a Grand Imam, his body was transported to a mosque in Bamako for a ritual washing ceremony. The body was then returned to the native village of Kourémalé for formal funeral and burial ceremonies. Although these events are still under investigation, WHO staff assume that many mourners attended the ceremonies.

A devastated family

In that same village, the deceased patient’s first wife died of an undiagnosed disease on 6 November. His brother and his second wife are currently being managed at an Ebola treatment centre in Gueckedou, Guinea. All 3 accompanied the patient during the car trip to Bamako.
On 10 November, his daughter died from an undiagnosed disease. The family declined offers of a safe burial.
On 11 November, the man’s son, who is currently at the Ebola treatment center in Gueckedou, tested positive for Ebola at the European Union’s mobile biosafety level 3 laboratory there. He was the fourth family member in the car trip to Bamako. Confirmation of his infection further increases the likelihood that deaths in other family members were caused by Ebola.

Emergency measures under way

Intensive contact tracing is under way in both countries, with support from WHO, the US Centers for Disease Control and Prevention (CDC), MSF, and other international partners.
Mali stepped up vigilance and preparedness measures following confirmation, on 23 October, of the country’s first Ebola case in a two-year-old girl who recently travelled to Mali from her residence in Guinea. The child died on 24 October.
The country is well-rehearsed in the emergency measures that need to be taken to hopefully hold the number of additional cases to a small number.
The implementation of emergency measures further benefits from good cross-border collaboration between the 2 ministries of health and staff at WHO offices in both countries.
To date, 28 health care workers who had contact with the deceased patient at the Pasteur Clinic have been identified and are being placed under observation. A second team, deployed in the field, is tracing contacts in the community, including at the Bamako mosque.
WHO staff in Guinea are also investigating events associated with the deceased patient’s family history.
The WHO country office has requested support from a logistician and 2,000 sets of personal protective equipment, which are being dispatched by headquarters. http://www.who.int/mediacentre/news/ebola/12-november-2014-mali/en/

Tuesday, November 11, 2014

Jihadists send ‘vial of Ebola’ to newspaper

Jihadists send ‘vial of Ebola’ to newspaper

A plastic vial supposedly containing a sample of the deadly Ebola virus has been sent to a major New Zealand newspaper, reports suggest.
Sky News Melbourne bureau chief Ahron Young said the vial was part of a package from a “jihadist group” sent to an office this morning, later confirmed to be the New Zealand Herald.
It arrived with a letter claiming that the liquid was a sample of Ebola. It was understood that the mailroom was evacuated and the staff were hosed down.
According to a tweet sent by the Herald, the vial was originally sent to the mailroom, but “all precautions were taken.”
The Herald Sun and the New Zealand Herald both report that the delivery is a suspected hoax, but the sample has been sent to Melbourne’s specialist Victorian Infectious Diseases Reference Laboratory to determine if it contains the killer disease.
Auckland police said a small amount of liquid in a plastic bottle had been sent to the Herald office in a suspicious package along with some documents, one of which mentioned Ebola.
As a precaution, police sent the bottle to be swabbed for DNA and checked for fingerprints before being sent to Melbourne for testing. Results are expected within days.
Health officials who attended assured the small number of staff who worked in the mailroom that the risk of contamination was almost non-existent.
“Police are often called to deal with and investigate the origins and contents of suspicious packages,” Detective Inspector Scott Beard said.
“The vast majority of them turn out to be benign, but we don’t take any chances. This is no exception.”
Herald owner NZME confirmed that an unaddressed package was sent to the paper’s Auckland offices.
“Protocol was followed for a matter such as this and it is now a police matter,” a spokesperson said. http://nypost.com/2014/11/10/jihadist-group-sends-newspaper-vial-of-ebola-virus/

Monday, November 10, 2014

Doctor with 'some risk' of Ebola being monitored in Charlotte

hattipPathfinder

WCNC Staff, WCNC.com 1:11 p.m. EST November 10, 2014

CHARLOTTE, N.C. -- Mecklenburg County health officials said a doctor with SIM is be monitoring in Charlotte for 'possible risk' of Ebola.

Officials identified the Ebola victim as, Dr. John Fankhauser, he works for SIM. Frankhauser is under surveillance but has shown no symptoms of Ebola, according to health officials.

Fankhauser is living in an RV at SIM headqaurters while under quarantine, where there is three-feet of separation from him, doctors and relatives as precaution, officials said.

Officials said Fankhauser treated a patient who later developed Ebola.
...
http://www.wcnc.com/story/news/local...ored/18748201/

Mali due to declare 108 Ebola-free

2014-11-10 22:35Geneva - Mali is preparing to release 108 people from Ebola quarantine in a tentative step towards declaring it has contained an outbreak.
Mali became the sixth West African country to report a case of Ebola when a 2-year-old girl died last month, leading to an urgent search for anyone who may have been infected during her 1 200-km bus trip from Guinea to the Malian town of Kayes.
The Malian Ministry of Health is expected to confirm later on Monday that 29 people who may have had contact with her during a two-hour stopover in Bamako, along with 12 people in Kayes, can be released from a 21-day quarantine on Tuesday.
A further 67 contacts, including three relatives who travelled with her and 33 healthcare workers, are due to be given the all clear on Saturday.
"If all goes well, by this Saturday all 108 contacts we were following up will be safe and will have completed their 21 days," WHO representative Ibrahima Soce Fall said.
Two further contacts who got off the bus in a village called Niamiga have been traced to Paris and Dakar and are still being monitored, a WHO spokesperson said. They are thought to be at low risk, as are about 37 contacts who have not been traced.
If there are no new cases, Mali will be declared Ebola free on 6 December, twice the maximum incubation period for the disease.
"We need to remain vigilant and to strengthen surveillance and the capacity to respond to any new cases that might come in as Mali shares an 800-km border with Guinea," said Fall.

Ebola Finds New Hotspots Outside Liberian Capital


Liberia Ebola New Epicenter
A schoolteacher brought his sick daughter from Liberia's capital to this small town of 300 people. Soon he and his entire family were dead and buried in the forest nearby, along with an increasing number of residents.
The community of Jenewonde has become a new hotspot for the Ebola outbreak in Liberia. With cases on the decline in the capital, officials must now turn their attention to hard-to-reach places where the disease is flaring.
Jenewonde, in Grand Cape Mount County near the border with Sierra Leone, has reportedly lost about 10 percent of its population to Ebola since late September. Markets and farms nearby have been abandoned.
Momo Sheriff, who lost his son to Ebola, said there is no health care in the community. No clinics could be seen along the road into town.
"If the government does not take action, everybody will die in this town," Sheriff told an Associated Press journalist. "We are burying two dead bodies today. We don't know who it will be tomorrow. Every day we have to cry."
Juma Mansaray lost her mother and grandmother on the same day. She said the community has been ostracized from neighboring ones.
"Everywhere we go, the people will drive us away," she said. "We can't even go to the local market to buy pepper or food because people think we are cursed."
Ebola is also hitting the town of Gorzohn in Rivercess County, which lies on Liberia's central coast, said Assistant Health Minister Tolbert Nyenswah, who heads Liberia's Ebola response.
The international response must adapt to this new phase, Doctors Without Borders warned. As Jenewonde saw, just one case can ignite a chain of transmission that leads to a dozen more infections, said Fasil Tezera, head of operations for the charity in Liberia.
Liberia has suffered the greatest death toll in the Ebola epidemic, with 2,766 deaths blamed on the first-ever Ebola outbreak in West Africa. The World Health Organization says that after months of aggressive efforts to isolate the sick and remove bodies of victims safely, Ebola appears to be declining in some parts of Liberia, including the capital where only about 50 of the 250 beds are filled at a Doctors Without Borders clinic.
"In the cities, I think we have sufficient resources," Tezera said. "We cannot bring everybody to big ETU's," or Ebola treatment units.
The outbreak now also needs a series of "rapid response teams" that can bring care to remote villages, rather than trying to get sick people out, the group says. Such teams would include medics, disinfection specialists and psychologists or social workers and could stamp out a budding outbreak in a village before it has a chance to spread. And they could work much faster than a treatment center can be built.
Tezera said that such mobile teams were frequently deployed in previous Ebola outbreaks, which typically hit remote areas of central or eastern Africa. The teams could travel by truck, boat or helicopter, if those assets are provided.
"If you handle it at the small village level, then you can contain it," he said.
Experts warn that the disease could flare again in Monrovia or other places where it seems to have subsided. As long as Ebola is circulating in this highly mobile region, no area is safe, said Tezera, and cases continue to rise in Guinea and Sierra Leone. There were 40 new Ebola cases in and around the Sierra Leonean capital of Freetown in the preceding 24 hours, authorities there said late Sunday.

A key component to stopping transmission everywhere is gaining the trust and cooperation of villagers, Tezera added. That has been a problem in Jenewonde.
Abdullai Kamara, a burial team leader for Grand Cape Mount County, said the people of Jenewonde have been stubborn and in constant denial, which he cites as the reason the disease is still spreading.
Ebola is contracted through direct contact with the bodily fluids of the sick and the dead. For weeks, residents of Jenewonde have been chasing away safe-burial teams and hiding the sick from outside health workers, he said.
"Our people played deaf ear to what was happening," Kamara said. "They denied the truth."
James Jallah Paul says people in the town are terrified to help the sick. On this recent day, a man in a protective suit sprayed a house with a virus-killing solution where a woman died from Ebola. Health workers carried a body into the forest for burial. Paul said more help is needed.
"If the government does not come to our rescue, we will finish (die) here," he said. "This place will be an empty space."  http://abcnews.go.com/International/wireStory/liberia-village-ebola-epicenter-26802843?page=2

Wednesday, November 5, 2014

Ebola may be deadlier and more widespread than we think

Ebola may be deadlier and more widespread than we think

The current Ebola outbreak in West Africa has grown exponentially since May, indicating inadequate global response. A new analysis indicates that the outbreak's fatality rate is over 70%—rather than 50% as previously claimed by the World Health Organization—and that the total number of affected individuals could exceed 1 million by early next year.
As long as the number of infected people rises exponentially, the likelihood of exporting Ebola to other countries does as well.
"The disease itself hasn't changed, with essentially the same and transmissibility as ever. What is different is the number of sickened individuals," said Dr. Allen Hunt, author of the Complexity paper. "If trends continue a few more months, the global community could be forced into a terrible ethical dilemma—either risking the escape of Ebola to other poor, war-torn countries, or sealing off borders to countries in West Africa, with unimaginable humanitarian consequences."
More information: Hunt, A. G. (2014), Exponential growth in Ebola outbreak since May 14, 2014. Complexity, 20: 8–11. DOI: 10.1002/cplx.21615       

http://medicalxpress.com/news/2014-11-ebola-deadlier-widespread.html

Tuesday, November 4, 2014

New Ebola Outbreak Raises Fears In Sierra Leone

on
An outbreak of Ebola in an area of Sierra Leone that had avoided cases of the deadly virus is raising fears of a new chain of infections. The people of Koindagu, located in Sierra Leone's rural north, were proud they had been free of Ebola, employing a quarantine of themselves in hopes of remaining so, according to the Guardian. But that has all changed.
On Tuesday, the Red Cross responded to the district's capital, Kabala, to collect the dead bodies of  30 suspected Ebola patients and bury them under medical protocols aimed at stopping the disease from spreading further during traditional burials, the Guardian reported. Sierra Leone -- which has seen 5,338 cases of Ebola and 1,510 deaths from the virus -- has become the face of the ongoing epidemic, as the rate of deaths in Liberia appears to have shown signs of slowing.
A Red Cross spokesman told the British newspaper that there were reportedly 25 more people sick with Ebola and 255 being monitored for the illness in Koindagu, and the country's national Ebola hotline says it is fielding reports of four cases per day from people in the district. The rapid spread of the disease within the district has raised alarms about the disease spreading further in the region, located on the border with Guinea, which is also struggling to battle Ebola.
While Koindagu appears to have lost its long battle to remain the last district untouched by Ebola in Sierra Leone, it it is something of a miracle that it made it this long in the first place.
Momoh Konte, a 43-year-old, American-educated businessman from Sierra Leone, is credited with being the face of that long-successful but ulimately doomed effort. Konte, who lives in Washington, D.C., flew to his home country in June to roll out a plan aimed at limiting the movement of Sierra Leonians living in his home district of Koindagu, according to the Washington Post.
Working with local leaders, he helped impose the quarantine that for months kept the people of Koindagu safe from the Ebola outbreak. But the virus had its way in the end, as it so often does.
http://www.ibtimes.com/new-ebola-outbreak-raises-fears-sierra-leone-1718900

Two Guilford Co. Patients Monitored For Ebola


Two people in Guilford County are being monitored for Ebola, according to the Guilford County Department of Public Health. WFMY News 2

Thousands break Ebola quarantine to find food


Thousands of people in Sierra Leone are being forced to violate Ebola quarantines to find food because deliveries are not reaching them, aid agencies said. Large swaths of the West African country have been sealed off to prevent the spread of Ebola, and within those areas many people have been ordered to stay in their homes. The government, with help from the U.N.’s World Food Program, is tasked with delivering food and other services to those people. But there are many “nooks and crannies” in the country that are being missed, said Jeanne Kamara, Christian Aid’s Sierra Leone representative.
Food is becoming scarce, which has led to prices increasing beyond the reach of ordinary people.
Jeanne Kamara, Christian Aid’s Sierra Leone representative
The Ebola outbreak in West Africa has killed nearly 5,000 people, and authorities have gone to extreme lengths to bring it under control, including the quarantines in Sierra Leone. Similar restrictions have also been used in Liberia and Guinea, the two other countries hardest hit by the epidemic. The World Health Organization said much more is needed to battle the outbreak. There are currently 16 treatment centers up and running, and 58 more planned. To staff those centers, 500 foreign health care workers and 4,000 national ones are still needed.
The quarantine of Kenema, the third-largest town in Sierra Leone, is having a devastating impact on trade—travel is restricted so trucks carrying food cannot freely drive around.
President Ernest Bai’s address to political leaders in Sierra Leone

Monday, November 3, 2014

Suspected Ebola case found at Brussels Airport



   The plane landed in Brussels at around 4:30 a.m. (0330 GMT).
The person became ill while she was on a flight from Freetown, Sierra Leone


by 
03.11.2014 - 10:31 
 
A person suspected of carrying the Ebola virus was detected Monday morning at Brussels Airport, Belga news agency reported.
The person was immediately transferred to St. Peter's Hospital in Brussels for further tests. She was placed in quarantine and test results are expected in the afternoon.
According to Brussels Airport spokesman Muls Florence, the person became ill while she was on a flight from Freetown, Sierra Leone.
The plane landed in Brussels at around 4:30 a.m. (0330 GMT). When the suspect case was known, airport staff activated the procedure that has been put in place to identify and deal with possible Ebola victims as they enter Belgian territory.
Other passengers also went through additional checks at the airport, said a spokesman for the Federal Public Health of Belgium.   http://www.neurope.eu/article/suspected-ebola-case-found-brussels-airport

Patient is being tested for Ebola at a London hospital after walking in with 'haemorrhagic fever' and a history of travel in west Africa


  • She went to hospital in Tooting, south London, with a high temperature
  • Undergoing 'series of tests' at St George’s Hospital today, officials say
  • Patient is being treated in isolation in hospital's clinical infections unit
A patient admitted to a London hospital last night is being tested for Ebola, it has been confirmed.
The person, believed to be a woman, has a history of travel in west Africa and is described as suffering from a ‘haemorrhagic fever’.
It is thought she presented herself to St George’s Hospital in Tooting, south London, with a high temperature. The patient is being treated in isolation in the clinical infections unit.

Today, a woman visiting her father at the hospital told how the accident and emergency department was cordoned off following the arrival of the patient being tested for Ebola.
The visitor had popped out to phone a relative as she saw her father, who had been taken in to A&E. But when she returned, the corridor was blocked - and staff were not letting people through.
The woman, who did not wish to be named, said: ‘When I went back in, the A&E section was closed off with a big sign saying "do not enter" with staff standing nearby to make sure no-one got through.

‘I heard someone saying something about a woman having Ebola. I was worried as I had to get back to my dad and the corridor was now blocked. A&E is split into major and minor and it was the major that was cordoned off.’
A spokesman from St George’s Healthcare NHS Trust said: ‘A patient has been admitted to St George’s Hospital with a haemorrhagic fever and is currently undergoing a series of tests, as a precaution one of which is for Ebola.
‘The trust has followed national guidance and moved the patient to our clinical infections unit where they are being cared for in isolation, away from other patients.
‘Infection control procedures remain in place while we await the results. We are confident that all appropriate actions have been taken by our staff to protect the public and the patient.’
The A&E section was closed off with a big sign saying "do not enter" with staff standing nearby to make sure no-one got through 
Visitor to St George's Hospital
And a Public Health England spokesman said: ‘PHE can confirm it will undertake precautionary tests relating to a patient presently at St George’s Hospital in Tooting, who has a history of travel to West Africa.
‘Ebola is considered unlikely but testing is being done as a precaution, as is our usual practice in these circumstances. We are confident that all appropriate actions are being taken to protect the public’s health.
‘It is important to remember that as yet, there has not been a case of Ebola diagnosed in the UK and the infection can only be transmitted through contact with the bodily fluids - such as blood, vomit or faeces - of an infected person.
‘We have advised all front line medical practitioners and NHS call handlers to be alert to signs and symptoms of Ebola in those returning from affected areas and following such advice we would expect to see an increase in testing.’....  http://www.dailymail.co.uk/news/article-2818515/Patient-history-travel-west-Africa-tested-Ebola-London-hospital-walking-haemorrhagic-fever.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

Sunday, November 2, 2014

— The North Carolina Department of Health and Human Services is monitoring a patient at Duke Unversity Hospital who traveled from Liberia and has developed a fever.
Officials said the patient departed Liberia and arrived Friday at Newark (NJ) Liberty International Airport, which is one of five airports in the nation that has begun screening travelers from Liberia, Guinea and Sierra Leone for fever and other signs of illness linked to the Ebola virus.
The patient had no symptoms upon arrival and had no known exposure to Ebola while in Liberia, officials said.
The patient, whose age and gender were not released, took a bus from New Jersey to Durham County, according to Dr. Megan Davies, state epidemiologist. The person arrived in Person County on Saturday and developed a fever Sunday.
"Keep in mind, this person did not have symptoms while traveling on the bus," Davies said. "Also keep in mind, this person has not been diagnosed with any specific condition yet."
The person was transferred to Duke University Hospital in Durham “using the appropriate health and safety protocols,”officials said in a statement. The transferred was made in a specialized EMS vehicle with staffers wearing protective gear.
“It is important to note that the patient’s fever could indicate other illnesses,” officials said. “The patient will be evaluated for possible causes of fever, including testing for Ebola.”
A blood sample will be taken to the State Laboratory of Public Health for testing, and the patient will be isolated in a secured unit a t the hospital until results are completed.
Results are expected early Monday morning.
DHHS Secretary Aldona Wos said Gov. Pat McCrory has been in touch with New Jersey Gov. Chris Christie about the patient, and that her department is "committed to an open line of communication and will share with the public" any new information.
The patient is undergoing contact tracing as a precaution.

Read more at http://www.wral.com/patient-at-duke-hospital-being-monitored-for-possible-ebola/14141848/#DdMRrIyHh0hw0Pdx.99

The traveler came to North Carolina after leaving Liberia and arriving in the United States on Oct. 31 via Newark Liberty International Airport.

The individual did not have any symptoms upon arrival in the United States, according to the Department of Health, and had no known exposure to Ebola while in Liberia.

The person was taken from from Person County using the appropriate health and safety protocols.

The individual will remain in a contained, isolated and secured unit until the results of testing are known.

A blood sample from the patient will be sent to the State Laboratory of Public Health, in the N.C. Department of Health and Human Services, for preliminary testing.

The preliminary results of the patient's first Ebola test are expected to be completed early Monday morning.

Pentagon: DOD personnel to handle Ebola bodies

Pentagon: DOD personnel to handle Ebola bodies

Memo describes training for troops, civilians making contact with 'exposed remains'


Read more at http://www.wnd.com/2014/10/pentagon-dod-personnel-to-handle-ebola-bodies/#Y8MD65hWgmva2ll8.99
WASHINGTON – A Department of Defense memo confirms DoD personnel – which could include civilians and/or troops – will have direct contact with “exposed remains” of Ebola victims.
While the DoD has issued new guidance on how military personnel and civilians will undergo pre- and post-deployment training while in the Ebola-affected areas of West Africa, buried in the 19-page memorandum in an attachment is an indication that the personnel will have direct exposure to the affected population.
The statement is in a memorandum from Jessica L. Write, undersecretary of defense for personnel and readiness. Broken down into three levels, Level II training will be for personnel who “interact with the local populace,” and Level III training for personnel “assigned to supporting medical units or expected to handle exposed remains.”
The memo does not indicate whether both DoD civilians and troops will be required to complete Levels II and III of training. If military members must complete the training, it appears to be contrary to previous statements from DoD that the 4,000 deployed U.S. troops will not be exposed to Ebola patients but will undertake only a “supportive role.”
For such exposure, there is a more intense level of training for U.S. military and civilian personnel than the minimally required training for all deployed service members.
The following are screenshots of Level II and Level III training requirements as outlined in the memo:
Level2
Level3
Civilian personnel returning from the Ebola-affected areas won’t be required to undergo the 21-day mandatory quarantine described as “controlled monitoring for military members.”
Instead, civilian personnel will have the option either of undergoing the 21-day required “controlled monitoring regimen” for military personnel or undergo an “active monitoring” regimen while being allowed to go about their daily business. Monitoring will include checking the individual’s temperature.
At a news conference, Pentagon spokesman Rear Adm. John Kirby said civilians cannot be forced to undergo the post-deployment “controlled monitoring regimen.”
“Because they’re civilian employees and not uniformed service members, we legally can’t force them to undergo a controlled monitoring regimen the way we can with uniformed troops,” Kirby said.
WND recently reported that the estimated 4,000 U.S. troops being deployed in response to the Ebola crisis would undertake a “supportive” role to the Center for Disease Control and the U.S. Public Health Service in a mission officially dubbed Operation United Assistance.
In that capacity, the troops would construct a command center and treatment and training centers along with housing for U.S. military and civilian personnel.
In exclusive interviews recently with WND, retired U.S. Army Lt. Gen. William “Jerry” Boykin and retired U.S. Army Maj. Gen. Paul E. Vallely condemned Obama’s decision to deploy troops to West Africa, arguing they could bring the virus to the United States or to other units.
The generals said the mission of U.S. troops is to fight wars, not disease.
The concern is that these soldiers, who will be exposed to the environment where the virus is prevalent, could bring it to the U.S. and potentially spread Ebola as they return home and are assigned to other units.
Kirby had said the soldiers would not be exposed to patients, except for Navy units that will maintain labs to test samples for the Ebola virus. Already two such portable labs have been set up. They can process some 100 samples in one day.
“This is a president who thinks like a community organizer and not like a commander in chief who takes his responsibility for his troops seriously,” Boykin said of President Barack Obama.
“At a time when our military has been at war for 13 years, suicide is at an all-time high, [post-traumatic stress disorder] is out of control and families are being destroyed as a result of 13 years of war, the last thing the president should be doing is sending people into West Africa to fight Ebola.”
Echoing Boykin’s concern over the use of the military to fight Ebola, Vallely not only said it’s a “bad idea,” but he also warned the U.S. military already has been “put through so much.”
“There are plenty of other assets that America has if it wants to go over there and build hospitals and clearing centers and things like that,” Vallely said. “So, I think it is a very bad misuse especially when [U.S. troops] now are being asked to step up to the plate again in Iraq. So, I think it is a very bad decision on Obama’s part.”
For emergency leave while deployed or following deployment, Wright’s memo said only that requests will be handled on a “case-by-case” basis.
“This requires compliance with CDC, State and local public health authorities’ guidance and twice daily self-monitoring of temperature and symptoms,” Wright wrote in her Oct. 31 memo.
In a second attachment, Wright said there would be no force health protection measures such as with Ebola for malaria and dengue fever, which also are prevalent in the region. Malarone will be the primary anti-malarial medication used.
She said exposure to yellow fever should be minimal since deployed personnel will receive the required immunization.
Prior to departure, all personnel also will receive immunizations for hepatitis A and B, tetanus-diphtheria, measles, polio virus, seasonal influenza, varicella, typhoid, meningococcal and rabies.

Read more at http://www.wnd.com/2014/10/pentagon-dod-personnel-to-handle-ebola-bodies/#Y8MD65hWgmva2ll8.99

Two Nigerians diagnosed with Ebola in Sierra Leone

Two Nigerians diagnosed with Ebola in Sierra Leone

 
Posted 2 days, 6 hrs ago | October 31, 2014 (8:42 pm)
 
 
 
Two Nigerians resident in Freetown, Sierra Leone have been diagnosed to have been infected with Ebola Virus Disease (EVD).

The two Nigerians included a 27-year-old indigene of Abia stated and a 22-year old indigene of Edo state.

Supervisory Minister for Health, Khaliru Alhassan, disclosed these on Thursday while declaring open the National Council for Health, (NCH), meeting in Uyo, Akwa Ibom State.

According to him “Official information reaching the Ministry from Sierra Leone Health Officials confirmed that two Nigerians resident in Free Town were recently diagnosed with Ebola Virus Disease.

They include a 27 year old indigene of Abia State, while the other is a 22 year old indigene of Edo State.

“Details of these two cases shall be made available when a detailed investigation of their status is concluded. Both Nigerians received treatment in isolation centres in Free Town, Sierra Leone and one of them has indeed been successfully treated and is technically cured and has returned to Nigeria”, he said.

The Minister however assured that Nigeria borders will continue to remain open for the free movement of people and goods within the region despite the Ebola threats.

He said that recent developments in the country and in the sub-region regarding the spread of Ebola Virus Disease have vindicated government stand that leaving the borders open and strengthening surveillance is the key to promote detection of any potential threats.

Alhassan maintained that government has taken conscious and informed decisions that although our borders will continue to remain open for the free movement of people and goods within the region, government will continue to strengthen and sustain proactive vigilance and surveillance in all its borders – air, sea and land.

Against this back drop, the Minister appealed to the countries already infected to strengthen their surveillance and quarantine network to minimize the escape from such networks people already put under surveillance to other non-infected countries.
- See more at: http://www.nairapark.com/1414784539/173092/31-10-2014/daily-independent-newspaper/news-headline/two-nigerians-diagnosed-with-ebola-in-sierra-leone#sthash.6aZ2zx0R.dpuf
 October 31, 2014 (8:42 pm) 
  Two Nigerians resident in Freetown, Sierra Leone have been diagnosed to have been infected with Ebola Virus Disease (EVD).  The two Nigerians included a 27-year-old indigene of Abia stated and a 22-year old indigene of Edo state.  Supervisory Minister for Health, Khaliru Alhassan, disclosed these on Thursday while declaring open the National Council for Health, (NCH), meeting in Uyo, Akwa Ibom State.
 According to him “Official information reaching the Ministry from Sierra Leone Health Officials confirmed that two Nigerians resident in Free Town were recently diagnosed with Ebola Virus Disease.  They include a 27 year old indigene of Abia State, while the other is a 22 year old indigene of Edo State.  “Details of these two cases shall be made available when a detailed investigation of their status is concluded. Both Nigerians received treatment in isolation centres in Free Town, Sierra Leone and one of them has indeed been successfully treated and is technically cured and has returned to Nigeria”, he said.
 The Minister however assured that Nigeria borders will continue to remain open for the free movement of people and goods within the region despite the Ebola threats.  He said that recent developments in the country and in the sub-region regarding the spread of Ebola Virus Disease have vindicated government stand that leaving the borders open and strengthening surveillance is the key to promote detection of any potential threats. 
Alhassan maintained that government has taken conscious and informed decisions that although our borders will continue to remain open for the free movement of people and goods within the region, government will continue to strengthen and sustain proactive vigilance and surveillance in all its borders – air, sea and land.  Against this back drop, the Minister appealed to the countries already infected to strengthen their surveillance and quarantine network to minimize the escape from such networks people already put under surveillance to other non-infected countries.  http://www.nairapark.com/1414784539/173092/31-10-2014/daily-independent-newspaper/news-headline/two-nigerians-diagnosed-with-ebola-in-sierra-leone

Two Nigerians diagnosed with Ebola in Sierra Leone

 
Posted 2 days, 6 hrs ago | October 31, 2014 (8:42 pm)
 
 
 
Two Nigerians resident in Freetown, Sierra Leone have been diagnosed to have been infected with Ebola Virus Disease (EVD).

The two Nigerians included a 27-year-old indigene of Abia stated and a 22-year old indigene of Edo state.

Supervisory Minister for Health, Khaliru Alhassan, disclosed these on Thursday while declaring open the National Council for Health, (NCH), meeting in Uyo, Akwa Ibom State.

According to him “Official information reaching the Ministry from Sierra Leone Health Officials confirmed that two Nigerians resident in Free Town were recently diagnosed with Ebola Virus Disease.

They include a 27 year old indigene of Abia State, while the other is a 22 year old indigene of Edo State.

“Details of these two cases shall be made available when a detailed investigation of their status is concluded. Both Nigerians received treatment in isolation centres in Free Town, Sierra Leone and one of them has indeed been successfully treated and is technically cured and has returned to Nigeria”, he said.

The Minister however assured that Nigeria borders will continue to remain open for the free movement of people and goods within the region despite the Ebola threats.

He said that recent developments in the country and in the sub-region regarding the spread of Ebola Virus Disease have vindicated government stand that leaving the borders open and strengthening surveillance is the key to promote detection of any potential threats.

Alhassan maintained that government has taken conscious and informed decisions that although our borders will continue to remain open for the free movement of people and goods within the region, government will continue to strengthen and sustain proactive vigilance and surveillance in all its borders – air, sea and land.

Against this back drop, the Minister appealed to the countries already infected to strengthen their surveillance and quarantine network to minimize the escape from such networks people already put under surveillance to other non-infected countries.
- See more at: http://www.nairapark.com/1414784539/173092/31-10-2014/daily-independent-newspaper/news-headline/two-nigerians-diagnosed-with-ebola-in-sierra-leone#sthash.CU7ntvic.dpuf

Patient being evaluated for potential Ebola virus at Duke University Hospital


As of Sunday evening, November 2, a patient has been admitted to Duke University Hospital for further evaluation and testing for potential Ebola virus infection. We expect to know the results of this test from the N.C. Department of Health and Human Services sometime Monday morning. Meanwhile, the patient is being cared for in the same confined, isolated and secured space in which an actual Ebola patient would be treated. The patient is receiving care from a seasoned team of Duke clinical professionals who have completed extensive training to treat such a patient. We have anticipated this possibility for several weeks now and have a plan in place to manage this situation.. http://sites.duke.edu/ebolainfo/

What is Ebola? Ask the nation's frontline health workers

What is Ebola? Ask the nation's frontline health workers
Sanchita Sharma, Hindustan Times
November 01, 2014
First Published: 17:44 IST(1/11/2014)
Last Updated: 08:58 IST(2/11/2014)

Nurse Rina Kumari, 26, is the only one who's heard of Ebola among six nurses at Dhanarua Primary Health Centre (PHC) in the outskirts of Patna in Bihar. She takes a while to place the word 'Ebola', but when I prompt her with 'virus', she says, "yes, yes, I know. It's a deadly disease that is killing everyone in Africa."
Her source of information is television. The word 'Ebola' has never been mentioned at Dhanarua PHC, which is part of India's frontline health delivery system. The older nurses haven't heard of it because they spend less time watching television.
Kumari hasn't bothered to find out more. She's busy delivering 5-10 babies a day at the six bedded PHC. For her, an virus in Africa is as alien as the little green man on Mars.
Her boss, Dr Uday Pratap Narain Singh, PHC head and joint secretary of the Bihar Health Services Association, is better informed, but not worried. "Yes, we've got some information from the Centre, but the virus hasn't come to Bihar," he says.
His reaction pretty much sums up preparedness outside India's half a dozen metros. "We'll deal with it when it reaches us. And till it does, it's not my problem. I have enough of my own."
Given Bihar's disease burden and high fertility rate -- the average number of children a woman has in her lifetime -- of 3.6, Singh and his team have their hands full with births, infections and vaccinations. Which is what makes it vital to keep frontline doctors and health workers like him informed.
For if an infected passenger slips through airport screening and surveillance, it will be the Kumaris and Singhs in the healthcare service who will be expected to battle the infection with rubber gloves and soap for protection. And by the time the cavalry arrives from New Delhi with hazmat suits and diagnostic kits, the infection would have spiralled out of control.
If nothing is done, a person with Ebola typically infects about two more people, so tracking people who've been in contact with an infected person and isolating them the moment they develop symptoms that begin with fatigue, fever and headache -- people becomes infectious only after symptoms begin -- is the only way to stop it. Ebola has infected 523 healthcare workers and killed 269, so establishing airtight medical protocols is equally vital.http://www.hindustantimes.com/Images/popup/2014/11/shutterstock_210071419.jpg
(Shutterstock)
The West Africa outbreak is believed to have begun in December last year, when a two year old boy died of a mysteries illness in Guinea, but it wasn't till March 22 that the disease was identified as Ebola. By then, 50 people had died.
Since then, Ebola has infected 13,567 and killed 4,951 in eight counties, with only Nigeria and Senegal being declared Ebola-free after they did not have any new cases in 42 days -- twice the incubation period for the virus.
What stopped the virus in Nigeria, Africa's most populous country with 174 million people, and Senegal, one of Africa's poorest countries was systematic tracing, isolating and treating the patients and all their close contacts in isolation wards to stop spread of infection. What also worked in Nigeria were intense awareness campaigns -- quite like India's Pulse Polio campaigns -- that included using hoardings, radio and television spots, text messaging and house-to-house calls.
Till there's a vaccine, what we know for sure is that treatment works. People dying of Ebola virus disease have plummeted from 90% of those infected at the beginning of the outbreak to 35%. This means that symptoms management is now saving the lives of two in three patients, instead of one in 10 just six months ago.
India has its contingency plan ready. Passengers from West Africa are being screened and tracked, isolation wards have been set up in designated hospitals, rapid response teams from each state have been trained, Biosafety levels 3 and 2 laboratories have been identified for diagnosis, but the tracking plan still depends on infected persons reporting symptoms to designated hospitals. If they inadvertently fail to do so -- as they did in the H1N1 'swine flu' outbreak -- the virus will create havoc in populations where 'mystery diseases' are more common than two meals a day.

Patient in isolation at Milwaukie hospital tests negative for Ebola


Posted: Nov 02, 2014 5:16 PM EST Updated: Nov 02, 2014 5:51 PM EST
MILWAUKIE, OR (KPTV) - A Portland woman who recently visited Africa and was being monitored at a Milwaukie hospital for possible Ebola has tested negative for the virus.
Providence Health & Services announced Sunday that no further testing was required for the patient.
“Based on test results and an evaluation of her clinical condition, I'm pleased to say there are no cases of Ebola in Oregon. The CDC has advised us that no further testing is required,” says Paul Lewis, M.D., Tri-County health officer. “We are satisfied that the system worked and continues to work well.”
On Friday, health officials announced the woman was put in isolation at Providence Milwaukie Hospital after developing a sustained fever.
The patient, who has not been identified, had visited one of the three Ebola-stricken countries (Guinea, Sierra Leone and Liberia). The specific country and a timeline of her travels were not released.
The patient is continuing to receive inpatient care and monitoring. She will remain in a separate unit at the hospital. Physicians, nurses and other caregivers will continue to follow all infectious disease and safety protocols.
No additional details about her condition or potential release from the hospital were immediately announced Sunday.
A press conference was set for 3:15 p.m. Sunday at Providence Milwaukie Hospital.

UN Ebola victim being treated in France

Paris (AFP) - France is treating a United Nations employee who contracted Ebola in Sierra Leone, the health ministry said on Sunday.
"This person, who worked in Sierra Leone in the fight against Ebola, has undergone a secure medical evacuation by specialised aircraft," the ministry said in a statement.
The victim has been placed in isolation under high security in an army training hospital in Saint-Mande near Paris.
A French nurse, who worked for Doctors Without Borders (MSF) in Liberia, was treated for Ebola at the same hospital in September and recovered.
Despite around 500 reports of possible Ebola infections in France since June, not one has so far tested positive, the ministry added.
France has 12 research hospitals ready to take in suspected Ebola cases.
The Ebola epidemic had killed at least 4,922 people out of 13,703 cases up to October 27, almost all in the west African countries of Liberia, Sierra Leone and Guinea, according to the latest World Health Organization figures   http://news.yahoo.com/un-ebola-victim-being-treated-france-011244163.html

Ebola rapidly advancing in rural Sierra Leone

A woman walks past signs warning of Ebola in Freetown, an area which has been hit hard with the spread of the deadly virus, on August 13, 2014
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View photo
A woman walks past signs warning of Ebola in Freetown, an area which has been hit hard with the spread of the deadly virus, on August 13, 2014 (AFP Photo/Carl de Souza)
London (AFP) - Ebola is spreading up to nine times faster in parts of Sierra Leone than two months ago, a report by the Africa Governance Initiative (AGI) said on Sunday.
"Whilst new cases appear to have slowed in Liberia, Ebola is continuing to spread frighteningly quickly in parts of Sierra Leone," said the AGI report.
On average, 12 new cases a day were seen in the rural areas surrounding Freetown in late October, compared with 1.3 cases in early September, the report said, a nine fold increase.
Transmission was also increasing rapidly in the capital Freetown, with the average number of daily cases six times higher than two months ago.
The analysis was based on three-day averages of new cases recorded by Sierra Leone's health ministry.
It emerged after the United States envoy to the United Nations welcomed slowing infection rates in some areas, and improved burial practices.
AGI, a support initiative set up by former British prime minister Tony Blair, said that while the picture was changing, the situation was still "a full-blown crisis".
"The Government of Sierra Leone is making real strides in tackling transmission by speeding up access to treatment and safe and dignified burial," AGI chief executive Nick Thompson said.
"But we can't rest until Ebola has nowhere to hide. And we can see from growth in new cases in some rural parts of Sierra Leone that we still have no time to lose if we’re going to get on top of this."
Almost 5,000 people have been killed by the virus, according to data from the World Health Organization, which has recorded more than 13,000 cases but admits the real number of infections and deaths could be much higherhttp://news.yahoo.com/ebola-rapidly-advancing-rural-sierra-leone-201756826.html

Saturday, November 1, 2014

Teresa Romero exits the strict isolation


Day 01/11/2014 - 6:46 p.m.

The analysis did not detect the virus and its fluids and will be moved to the ward

The nursing assistant Teresa Romero is taken from the strict isolation and therefore moves to plant.
Recent analyzes of the nursing assistant Teresa Romero confirmed that remain not in their body fluids signs of Ebola virus, why has finally taken out of isolation, Efe reported.
As ABC reported yesterday, the Hospital Carlos III de Madrid was preparing to move Teresa Romero room and get out and strict isolation in which it was since joining last October 6. From now on, the precautions that health workers will be lighter, ie, the suit will not need maximum security but other measures such as gloves.
Some samples of bodily fluids Romero had been sent to Germany to be able to detect if the fluids present in virus Teresa was alive or dead.

CDC Removed Info On Coughing And Sneezing From Ebola Q&A (UPDATE)


Posted: Updated:

WASHINGTON -- The Centers for Disease Control and Prevention has quietly removed some Ebola information from its website. The changes follow claims from news outlets and conservative blogs that the agency hasn't been forthcoming about how the virus spreads, but it was not clear on Thursday afternoon whether the removal was related to the reports.
The New York Post reported Tuesday that the agency "admitted" Ebola can be contracted through casual contact with a doorknob, seemingly contrary to the CDC's insistence that Ebola is only transmissible through direct contact with bodily fluids from a person sick with the disease. The Post cited a page on the CDC's website that said Ebola spreads through droplets that can travel short distances when a sick person coughs or sneezes.
Meryl Nass, an internal medicine physician in Ellsworth, Maine, first highlighted the page on her own blog over the weekend.
The page was a PDF document that explained the difference between infections spread through the air or by droplets. The PDF had been taken down as of Thursday afternoon, with this message in its place: "The What’s the difference between infections spread through air or by droplets? Fact sheet is being updated and is currently unavailable. Please visit cdc.gov/Ebola for up-to-date information on Ebola."
An earlier version of the page is still available in Google's cache. It said that while Ebola is not "airborne" like chickenpox or tuberculosis, it can travel a few feet in the air inside droplets emitted when someone coughs or sneezes.
"A person might also get infected by touching a surface or object that has germs on it and then touching their mouth or nose," the document said.
The CDC has also changed an Ebola Q&A, deleting the below question about coughing and sneezing (which are not typical Ebola symptoms):
Can Ebola spread by coughing? By sneezing?
Unlike respiratory illnesses like measles or chickenpox, which can be transmitted by virus particles that remain suspended in the air after an infected person coughs or sneezes, Ebola is transmitted by direct contact with body fluids of a person who has symptoms of Ebola disease. Although coughing and sneezing are not common symptoms of Ebola, if a symptomatic patient with Ebola coughs or sneezes on someone, and saliva or mucus come into contact with that person’s eyes, nose or mouth, these fluids may transmit the disease.
The version of the Q&A still online notes that Ebola can survive on doorknobs for several hours. The removed question is available in Google's cache from Oct. 29.
What's strange about removing the coughing-and-sneezing question is that it has been reposted all over the internet, including at news outlets like the Washington Post in early October, on state public health agency websites, and on blogs like Democratic Underground and Daily Kos.
A CDC official said the agency is continually updating its website. "This particular Q&A is being updated to ensure people understand that Ebola is not an airborne virus like the flu and will be reposted soon," the official said in an email.
Asked about the possibility of Ebola becoming airborne at an Oct. 7 press conference, CDC Director Tom Frieden said Ebola hasn't spread that way before and is unlikely to mutate into an airborne form.
"Ebola spreads by direct contact with someone who is sick or with the body fluids of someone who is sick or died from it," Frieden said. "We do not see airborne transmission in the outbreak in Africa. We don’t see it elsewhere in what we’ve seen so far."
UPDATE: 10/31/14, 7:41 a.m. -- The CDC has added a new answer about coughing and sneezing to its Ebola Q&A. The new answer emphasizes that the virus doesn't spread that way:
Can Ebola be spread by coughing or sneezing?
There is no evidence indicating that Ebola virus is spread by coughing or sneezing. Ebola virus is transmitted through direct contact with the blood or body fluids of a person who is sick with Ebola; the virus is not transmitted through the air (like measles virus). However, droplets (e.g., splashes or sprays) of respiratory or other secretions from a person who is sick with Ebola could be infectious, and therefore certain precautions (called standard, contact, and droplet precautions) are recommended for use in healthcare settings to prevent the transmission of Ebola virus from patients sick with Ebola to healthcare personnel and other patients or family members.
UPDATE: 10/31/14 2:00 p.m. -- The CDC has replaced the document describing the difference between airborne infections and ones that spread via droplet. A key change is that the airborne section stresses that airborne germs "can be inhaled even after the original person is no longer nearby." Droplet germs, by contrast, "travel shorter distances, less than about 6 feet from a source patient." Ebola is the latter type of germ.
This article has been updated to include the CDC's response. http://www.huffingtonpost.com/2014/10/30/cdc-ebola_n_6078072.html?&ncid=tweetlnkushpmg00000016