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Panel discussion on ethical considerations for use of unregistered interventions for Ebola viral disease

who.int - August 8th, 2014

The recent treatment of two health and workers infected with the Ebola virus with experimental medicine has raised questions about whether medicine that has never been tested and shown to be safe in people should be used in the outbreak, and, given the extremely limited amount of medicine available, if it is used, who should receive it.

A number of interventions have been through the laboratory and animal study phases of development. It is likely that ‘first in man’ studies will be conducted over the next 2-4 months. It is also likely that the number of doses available for further study and/or deployment from end 2014 onwards will remain insufficient to meet demand.

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Tracing Ebola’s Breakout to an African 2-Year-Old

      

Doctors Without Borders workers at an Ebola treatment center in Guinea in April, shortly after the virus was recognized. Credit Kjell Gunnar Beraas/Doctors Without Borders

nytimes.com - By DENISE GRADY and SHERI FINK - August 9, 2014

Patient Zero in the Ebola outbreak, researchers suspect, was a 2-year-old boy who died on Dec. 6, just a few days after falling ill in a village in Guéckédou, in southeastern Guinea. Bordering Sierra Leone and Liberia, Guéckédou is at the intersection of three nations, where the disease found an easy entry point to the region.

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WHO urged to allow experimental drugs in "dire" Ebola outbreak

 Volunteers prepare to remove the bodies of people who were suspected of contracting Ebola and died in the community in the village of Pendebu, north of Kenema August 2 , 2014. REUTERS/WHO/Tarik Jasarevic/Handout via Reuters

Image: Volunteers prepare to remove the bodies of people who were suspected of contracting Ebola and died in the community in the village of Pendebu, north of Kenema August 2 , 2014. REUTERS/WHO/Tarik Jasarevic/Handout via Reuters

trust.org - August 5th, 2014 - Kate Kelland

Three of the world's leading Ebola specialists called on Tuesday for experimental drugs and vaccines to be offered to people in West Africa, where a vast outbreak of the deadly disease is raging in three countries.

Noting that American aid workers who contracted the disease in Liberia were given an unapproved medicine before being evacuated back to the United States, the specialists - including Peter Piot, who co-discovered Ebola in 1976 - said Africans affected by the same outbreak should get the same chance.

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Video - Ebola - A Race Against Time | MSF

http://www.msf.org.uk/ebola

https://www.youtube.com/watch?v=F5nkkEwPaEA

msf.org - July 18, 2014

146 Ebola patients have fully recovered in MSF treatment centres in Guinea & Sierra Leone.

https://twitter.com/msf_uk/status/498047294143344643

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MSF - Doctors Without Borders - Ebola Guide

 msf.org

Ebola is one of the world’s most deadly diseases. It is a highly infectious virus that can kill up to 90 percent of the people who catch it, causing terror among infected communities.

Ebola is so infectious that patients need to be treated in isolation by staff wearing protective clothing. MSF has over 670 staff on the ground and we have brought in more than 40 tonnes of equipment and supplies to help fight the epidemic.

Read MSF's response to the World Health Organisation statement declaring the Ebola outbreak "an extraordinary event".

(CLICK HERE, THEN SCROLL DOWN TO VIEW THE MSF EBOLA GUIDE)

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Nigeria's President Declares State of Emergency Over Ebola Threat

news.xinhuanet.com - August 9, 2014

ABUJA, Aug. 7 (Xinhua) -- President Goodluck Jonathan declares a national emergency in a statement on Friday, saying 1.9 billion naira (11.6 million U.S. dollars) will be released to prevent further spread of the Ebola Virus.

He also urged Nigerians to desist from spreading rumors about the virus and advised school owners across the country to consider extending the current holiday.

He directed relevant government agencies to ensure that all possible steps are taken to effectively contain the threat of the Ebola virus in line with international protocols and best practices.

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Ebola: Official MSF Response to WHO Declaring Epidemic an "Extraordinary Event"

           

msf.org.uk - August 8, 2014

In a statement released today, the World Health Organization (WHO) declared that West Africa's Ebola epidemic is an "extraordinary event" and now constitutes an international health risk.

"A coordinated international response is deemed essential to stop and reverse the international spread of Ebola," the WHO said in a statement after a two-day meeting of its emergency committee on Ebola.

MSF reaction to WHO Ebola statement

In response, Dr Bart Janssens, Médecins Sans Frontières/Doctors Without Borders (MSF) Director of Operations said:

“Declaring Ebola an international public health emergency shows how seriously WHO is taking the current outbreak but statements won’t save lives

“Now we need this statement to translate into immediate action on the ground. For weeks, MSF has been repeating that a massive medical, epidemiological and public health response is desperately needed to saves lives and reverse the course of the epidemic.

“Lives are being lost because the response is too slow.

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WHO declares Ebola outbreak an international public health emergency

The World Health Organization has declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread.

It is the largest and longest outbreak ever recorded of Ebola, which has a death rate of about 50 per cent and has so far killed at least 932 people.

"Countries affected to date simply do not have the capacity to manage an outbreak of this size and complexity on their own," WHO chief, Dr. Margaret Chan, said at a news conference in Geneva. "I urge the international community to provide this support on the most urgent basis possible."

"Statements won't save lives," said Dr. Bart Janssens, director of operations for Doctors Without Borders. "For weeks, (we) have been repeating that a massive medical, epidemiological and public health response is desperately needed ... Lives are being lost because the response is too slow."

In the United States, the Centers for Disease Control and Prevention have already elevated their Ebola response to the highest level and have recommended against travelling to West Africa. On Thursday, CDC director Dr. Tom Frieden told a Congressional hearing that the current outbreak is set to sicken more people than all previous outbreaks of the disease combined.

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ZMapp - Information Sheet

                                                        

ZMapp TM is the result of a collaboration between Mapp Biopharmaceutical Inc. and LeafBio (San Diego, CA), Defyrus Inc. (Toronto, Canada), the U.S. government and the Public Health Agency of Canada (PHAC).

ZMapp TM is composed of three “humanized” monoclonal antibodies manufactured in plants, specifically Nicotiana.  It is an optimized cocktail combining the best components of MB-­‐003 (Mapp) and ZMAb (Defyrus/PHAC).

ZMapp TM was first identified as a drug candidate in January 2014 and has not yet been evaluated for safety in humans.  As such very little of the drug is currently available.  

Any decision to use an experimental drug in a patient would be a decision made by the treating physician under the regulatory guidelines of the FDA.

Mapp and its partners are cooperating with appropriate government agencies to increase production as quickly as possible.

CLICK HERE - ZMapp - Information Sheet (1 page .PDF file)

http://www.mappbio.com/

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