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When Ebola hit U.S., CDC guidelines were weaker than those 15 years ago

THE DALLAS MORNING NEWS  by Sue Ambrose                                     Dec. 27, 2014

DALLAS, Texas --When Ebola surfaced in the U.S., federal guidelines to protect medical workers here were weaker than the ones that the Centers for Disease Control and Prevention had in place 15 years earlier, The Dallas Morning News has found.

It’s not known exactly how nurse Nina Pham contracted Ebola while caring for patient Thomas Eric Duncan. Shown here at Texas Health Presbyterian Hospital in Dallas, she was later successfully treated at a National Institutes of Health hospital in Maryland. Agence France-Presse

A review of CDC documents and archived Web pages shows that a 1998 protocol originally written for health care workers in Africa had more protective measures than the one for U.S. caregivers when Thomas Eric Duncan became the first patient diagnosed with Ebola in this country.

Two Dallas nurses were infected with the deadly virus while treating Duncan at Texas Health Presbyterian Hospital Dallas, where he died in early October....

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Ebola Survivor: "You Feel Like ... Maybe ... A Ghost"

Doctor who survived describes the misery of being an Ebola patient in Liberia

NATIONAL PUBLIC RADIO  by Didrik Schanoh and Sami Yenigun                              Dec. 25, 2014

Dr. Senga Omeonga met us under a huge mango tree outside the St. Joseph's Catholic Hospital in Monrovia, Liberia. Behind the main building, several dozens of disinfected rubber boots worn by health care workers were propped upside down on stakes planted on a patch of lawn.

Dr. Senga Omeonga pictured outside St. Joseph's Catholic Hospital in Monrovia. Dr. Omeonga moved to Liberia from DRC in 2011. He contracted Ebola but survived it. John W. Poole/NPR

This is the hospital where he works as general surgeon and the head of Infection Prevention Control. It's also where he came down with Ebola on August 2.

He says his days in treatment were "a living hell." And the experience has changed his view of the world — and the way he treats patients.

Read full interview.

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SES joins consortium to fight Ebola with mobile lab

BIOPREPWATCH   by Shaun Zinck                                                 Dec. 26, 2014

SES, a satellite communications company, announced on Monday that it was teaming up with a collaborative group that runs a mobile laboratory to improve response time in the fight against the Ebola virus.

B-LiFE, a mobile laboratory, is run through a consortium between the public, private and academic sectors in Belgium. The group is trying to increase identification of diseases for a quicker response to crisis situations such as the Ebola epidemic.

“B-LiFE demonstrates the relevance of satellite for medical purposes,” Gerhard Bethscheider, managing director of SES TechCom, said. ...It is anticipated that the lab, which left Belgium on Saturday, will be stationed at an Ebola treatment center in Guinea that was set up by ALIMA, a French non-government organization

http://bioprepwatch.com/news/ses-joins-consortium-to-fight-ebola-with-mobile-lab/340396/

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UN's Ban urges end to discrimination against Ebola workers

REUTERS --By Matthew Mpoke Bigg                                 Dec.20, 2014
CONAKRY--U.N. Secretary-General Ban Ki-moon on Saturday urged countries affected by the Ebola virus to avoid discriminating against healthcare workers fighting to end the disease.

U.N. Secretary General Ban Ki-moon has his temperature checked upon arrival at the Roberts International airport in Liberia's capital Monrovia December 19, 2014. Credit: Reuters/James Giahyue

Ban was speaking in Guinea on the second day of a whistle-stop tour aimed at thanking healthcare workers of the countries at the heart of the epidemic....

Ban's tour began in Liberia and Sierra Leone on Friday and will end later on Saturday in Ghana, site of the U.N. Ebola response mission (UNMEER), after a visit to Mali.

"There should be no discrimination for those who have been working or helping with Ebola. Those people are giving all of themselves," Ban told U.N. officials in Conakry.

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Time Magazine Person of the Year: the Ebola fighters

 

TIME MAGAZINE    by Nancy Gibbs                                                                                                      Dec. 10, 2014

They risked and persisted, sacrificed and saved. Editor Nancy Gibbs explains why the Ebola Fighters are TIME's choice for Person of the Year 2014

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http://time.com/time-person-of-the-year-ebola-fighters-choice/

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U.S. agency offers legal immunity to Ebola vaccine makers

REUTERS                                                                                                                    Dec. 9, 2014

CHICAGO -- The U.S. Department of Health and Human Services on Tuesday offered liability protections to drugmakers rushing to develop Ebola vaccines and urged other countries to follow suit.

Health and Human Services (HHS) Secretary Sylvia Burwell made the announcement as part of the Public Readiness and Emergency Preparedness (PREP) Act in a move aimed at encouraging the development and availability of experimental Ebola vaccines.

The declaration provides immunity under U.S. law against legal claims related to the manufacturing, testing, development, distribution, and administration of three vaccines for the Ebola virus. However, it does not provide immunity for a claim brought in a court outside the United States...

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http://www.reuters.com/article/2014/12/09/us-health-ebola-vaccine-idUSKBN0JN1S920141209

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ER doctor discusses role in Ebola patient’s initial misdiagnosis

DALLAS MORNING NEWS 

The Dallas emergency-room doctor who missed signs of Ebola in a Liberian man who later became the first to die of the disease in the U.S. describes the fateful night for the first time.

Dr. Joseph Howard Meier told The Dallas Morning News that when he treated Thomas Eric Duncan in the early morning hours of Sept. 26, he was unaware that Duncan had recently arrived from a country ravaged by the Ebola outbreak in West Africa. He also said he did not realize Duncan had such a high fever.

"I was unaware of a 103-degree fever," Meier said in written answers to questions from the paper, released by his attorney. "It appears in the chart, but I did not see it...."

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Evaluating Ebola Therapies — The Case for RCTs

THE NEW ENGLAND JOURNAL OF MEDICINE                                                                                 Dec. 3, 2014
By Edward Cox, M.D., M.P.H., Luciana Borio, M.D., and Robert Temple, M.D.

...Studying investigational therapies for EVD presents scientific, practical, and ethical challenges. Not surprisingly, there has been substantial debate about the best and most appropriate study approaches.2,3 It is generally agreed that a trial with a concurrent control group, in which patients are randomly assigned to receive the test drug plus the best available supportive care (BASC) or to BASC alone, would be the most efficient and reliable way to evaluate the safety and effectiveness of candidate products.

 Some people in the health care community, however, have argued against such trials, urging instead use of a historical control — that is, making investigational drugs as widely available as their supply allows and then comparing mortality rates among treated patients with rates that would have been expected absent the drugs, on the basis of past experience with EVD.

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World Bank announces $160m for Ebola-hit Sierra Leone

AFP                                                                                                                     Dec. 3, 2014

FREETOWN --World Bank chief Jim Yong Kim announced a $160 million two-year economic recovery plan on Wednesday to help impoverished Sierra Leone battle the worst Ebola outbreak on record.

Kim said after a closed-door meeting with President Ernest Bai Koroma in Freetown the cash would go towards regional operations centres and emergency response teams in the hard-hit west and north of the country.

The aid would also focus on the country's floundering farming sector and rural job creation, he told reporters...

Kim flew to Conakry later on Wednesday, where he was expected to meet government officials and health experts.
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http://www.straitstimes.com/news/world/more-world-stories/story/world-bank-announces-200-million-ebola-hit-sierra-leone-20141204

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Ebola crisis: French President Hollande to visit Guinea

French President Francois Hollande is to arrive in Guinea, becoming the first Western leader to visit a nation hit hard by the deadly Ebola virus.

He will deliver "a message of solidarity" to Guinea, where more than 1,200 have died of Ebola.

Meanwhile Guinea is to trial a new Ebola test that will deliver results six times faster than current methods.

The outbreak was now "stable" in the West African country, the World Health Organization (WHO) said last week.

France has pledged 100m euros (£79m; $125m) to help tackle the disease by opening several care centres in Guinea, a former French colony.

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http://www.bbc.com/news/world-africa-30241374

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