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Sierra Leone records 121 Ebola deaths in a single day

REUTERS                                                OCT. 5, 2014

FREETOWN Reuters)  Sierra Leone recorded 121 deaths from Ebola and scores of new infections in one of the single deadliest days since the disease appeared in the West African country more than four months ago, government health statistics showed on Sunday.

The figures, which covered the period through Saturday, put the total number of deaths at 678, up from 557 the day before. The daily statistics compiled by Sierra Leone's Emergency Operations Centre also showed 81 new cases of the hemorrhagic fever.

Britain and China have sent personnel to Sierra Leone. Cuba dispatched a 165-member medical team, including specialists and nurses, to Sierra Leone last week. The country's deputy health and sanitation minister Madina Rahman said on Saturday that the Cuban team's mission would last at least six months.

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As Ebola patient in Texas fights for his life, his family copes with stigma and isolation

EBOLA VICTIM IN DALLAS IS IN CRITICAL CONDITION WHILE FAMILY MEMBERS SUFFER FROM STIGMA AND ISOLATION

WASHINGTON POST

By DeNeen L. Brown, Abby Phillip and Sean Sullivan October 5 at 8:05 PM

DALLAS — As a Liberian man diagnosed with Ebola was fighting to survive Sunday in a Texas hospital, his worried family members and others who were in contact with him said they are being ostracized by the local Liberian community, which is struggling to cope with fear, isolation and the stigma associated with the deadly disease.

A cleanup crew on Sunday sanitizes the apartment where Ebola patient Thomas Eric Duncan was staying before being admitted to a hospital in Dallas. (Joe Raedle/Getty Images)

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Ebola's shadow extends to would-be Mecca pilgrims

 

TWO ARTICLES ON EBOLA CONCERNS DURING THE HAJJ

 

Al Jazeera                              Oct 5, 2014

Millions of pilgrims from all corners of the world traveled to Saudi Arabia for the start of the hajj in the past week, but some West African Muslims will not be able to take part in the sacred journey this year because of public health fears surrounding the Ebola outbreak.

Saudi Arabia issued a travel ban on citizens of Liberia, Guinea and Sierra Leone as what it called a “precautionary measure,” saying the risk of Ebola infection is too high for travelers from those countries to be allowed entry now.

The Ebola-stricken countries each have sizable Muslim populations... Saudi authorities have turned down about 7,000 requests for hajj visas from the three countries because of Ebola concerns, according to the United Nations.

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OUT OF CONTROL: How the world’s health organizations failed to stop the Ebola Disaster

WASHINGTON POST's  detailed front page account of how the Ebola epidemic got out of control in West Africa.  Oct. 5, 2014

     by Lena Sun, Bradly Dennis, Lenny Bernstein and Joel Achenbach

The glow from a crematorium lights the sky as the bodies of people who died from Ebola are cremated last month in Monrovia

---Michel Du Cille, THE WASHINGTON POST

.... "The virus easily outran the plodding response. The WHO, an arm of the United Nations, is responsible for coordinating international action in a crisis like this, but it has suffered budget cuts, has lost many of its brightest minds and was slow to sound a global alarm on Ebola. Not until Aug. 8, 4 1 ⁄ 2 months into the epidemic, did the organization declare a global emergency. Its Africa office, which oversees the region, initially did not welcome a robust role by the CDC in the response to the outbreak.

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Germany received second Ebola patient

BBC            October 3, 2014

A hospital in the German city of Frankfurt-on-Main has taken in an Ebola patient after he was flown in during the night under tight security.

He is a Ugandan doctor who worked with Ebola patients in Sierra Leone. After arriving on a medical flight, the man was brought to Frankfurt University Hospital where he was placed in an isolation ward.

It is Germany's second case, with a man undergoing treatment in Hamburg after arriving from West Africa in August.

The Frankfurt hospital said the patient's arrival had gone well.

Hesse Minister of Social Affairs Stefan Gruettner said the patient had been working for an Italian aid organisation in Sierra Leone and had helped Ebola sufferers there before becoming infected himself.

Full Story
http://www.bbc.com/news/world-europe-29473623

Medical staff in protective equipment attend the arrival of the Ebola patient at Frankfurt University Hospital

 

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Ebola Victim's Air Journey shows weak spots in screening.

NEW YORK TIMES              October 3, 2014

MONROVIA, Liberia — The arrival in the United States of a Liberian man infected with the Ebola virus shows how difficult it is to control or restrict the disease from spreading, and how porous current procedures are in a world of globalized air travel.

Liberian officials said on Thursday that they planned to prosecute the passenger, Thomas E. Duncan, for lying on an airport questionnaire about not having contact with a person infected with Ebola before his travel — a pivotal part of the country’s screening process.

Mr. Duncan took three planes as he flew from Monrovia, the Liberian capital, to Dallas last month, connecting in Brussels and Washington.

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Dallas Hospital says software flaw led to initial release of Ebola patent

Update with additional information and text of the hospital statement  (scroll down).

 

5 NBC News Chicago

 Oct 3, 2014 • Updated at 7:53 AM CDT

The Dallas Hospital that sent Ebola patient Thomas Eric Duncan home said a software flaw, and not human error, caused doctors to miss the diagnosis, NBC News is reporting.

The electronic health records (EHR) system that the hospital uses has a separate workflow for physicians and nurses. The travel history of the patient was located in the nursing portion of the workflow within the EHR, but not in the physician's workflow.

“As result of this discovery, Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows," the hospital said.

Link to story

Source: http://www.nbcbayarea.com/news/national-international/Texas-Hospital-Software-Blame-Ebola-Patients-Misdiagnosis-277988141.html#ixzz3F5cyR89B

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U.S. Efforts to combat Ebola in Africa hampered by local conditions

NEW YORK TIMES                Oct 3, 2014
by Helene cooper

MONROVIA, LIBERIA

Detailed description of the delays and problems the U.S. military is facing in building hospital and other facilities to counter the Ebola epidemic.

Problems include breakdowns in equipment used by local contrators in preparing the sites and need to repair the battered runways of the main Liberian airport.

Read Full Report

http://www.nytimes.com/2014/10/03/us/us-effort-in-liberia-barely-gets-on-the-ground.html?_r=0

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NBC Cameraman stricken with Ebola in Liberia, being flown home

      NBC NEWS            October 2, 2014

An American freelance cameraman working for NBC News in Liberia has tested positive for Ebola and will be flown back to the United States for treatment.

...

The freelancer came down with symptoms on Wednesday, feeling tired and achy. As part of a routine temperature check, he discovered he was running a slight fever. He immediately quarantined himself and sought medical advice. On Thursday morning, the 33 year-old American went to a Medecins Sans Frontieres (MSF) treatment center to be tested for the virus. The positive result came back just under 12 hours later.

The cameraman, who also is a writer, is the fourth American to have contracted Ebola in Liberia. He has been working in Liberia on various projects for the past three years. NBC News is withholding the cameraman’s name at the request of his family.

Full Story

http://www.nbcnews.com/storyline/ebola-virus-outbreak/nbc-news-freelancer-africa-diagnosed-ebola-n217271

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WHO Situation Report: Few Signs Ebola is Coming Under Control

WHO: Ebola Response Roadmap Situation Report
1 October 2014  OVERVIEW
The total number of probable, confirmed and suspected cases (see Annex 1) in the current outbreak of Ebola virus disease (EVD) in West Africa reported up to 28 September 2014 is 7178, with 3,338 deaths. Countries affected are Guinea, Liberia, Nigeria, Senegal and Sierra Leone.
Figure 1 shows the total number of confirmed and probable cases in the three high-transmission countries (Guinea, Liberia, and Sierra Leone) reported in each epidemiological week between 30 December 2013 (start of epidemiological week 1) and 28 September 2014 (end of epidemiological week 39). For the second week in a row the total number of reported new cases has fallen. It is clear, however, that EVD cases are under-reported from several key locations. Transmission remains persistent and widespread in Guinea, Liberia and Sierra Leone, with strong evidence of increasing case incidence in several districts. There are few signs yet that the EVD epidemic in West Africa is being brought under control.
Read Full Report (with graphs)http://apps.who.int/iris/bitstream/10665/135600/1/roadmapsitrep_1Oct2014_eng.pdf

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