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Nigeria Confirms HCW - Ebola Total = 10
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Author:  niman [ Mon Aug 11, 2014 8:12 am ]
Post subject:  Nigeria Confirms HCW - Ebola Total = 10

Nigeria announced another Ebola confirmed case (newly married nurse with contact with Patrick Sawyer).

Author:  niman [ Mon Aug 11, 2014 8:13 am ]
Post subject:  Re: Nigeria Confirms HCW - Ebola Total = 10

The fear of the spread of Ebola virus Disease has continued generate fear among Nigerians as another nurse in Lagos state has tested positive to the virus. This is coming days after a nurse who had contact with the first victim, Patrick Sawyer died of the virus. Report says the nurse who is a newlywed was also among the medical experts that had direct contact with the late Liberian man, Patrick Sawyer. Minister of Health, Onyebuchi Chukwu, has confirmed that her husband was among the 177 people currently placed under scrutiny. He revealed that nine have so far developed the virus, therefore bringing the total number of cases in Nigeria to ten. DailyPost recalls that two of the infected persons have died; the Liberian and a nurse, while eight are alive and presently undergoing medical attention.

http://dailypost.ng/2014/08/11/ebola-an ... um=twitter

Author:  niman [ Mon Aug 11, 2014 8:13 am ]
Post subject:  Re: Nigeria Confirms HCW - Ebola Total = 10

Nigeria Confirms Eight Cases, Two Deaths From Ebola Virus
By Daniel Magnowski Aug 11, 2014 6:36 AM ET

A nurse in Nigeria suspected of contracting Ebola from a Liberian man who died of the virus has become the eighth person being treated in Africa’s most-populous nation, Health Minister Onyebuchi Chukwu said.

Patrick Sawyer, a Liberian state worker, died from Ebola five days after flying into Nigeria’s commercial hub of Lagos, while a healthcare worker who had been involved in his treatment later died of the virus. All the cases have been found in Lagos. About 177 people who may have come into contact with the virus are being monitored or isolated, Chukwu said.

Ebola has historically killed as many as 90 percent of those who contract it. The current outbreak has a fatality rate of about 60 percent, killing 961 people as of Aug. 8, according to the World Health Organization. The vast majority of cases are in Sierra Leone, Guinea and Liberia. Nigeria’s President Goodluck Jonathan last week declared Ebola a national emergency.

A panel of ethicists convened by the WHO will today begin weighing whether drugs that haven’t been widely tested for safety should be used in an outbreak. If so, the panel members must address who gets the treatments, which so far only exist in small amounts. Nigeria has applied to the U.S. Centers for Disease Control and Prevention for access to the experimental drug developed by Mapp Biopharmaceutical Inc., which was used to treat two Ebola-infected American health workers.

“Nigeria is reaching out to various laboratories and governments to see how some of those untried drugs and vaccines could be deployed in Nigeria,” said Chukwu.

To contact the reporter on this story: Daniel Magnowski in Abuja at dmagnowski@bloomberg.net

To contact the editors responsible for this story: Nasreen Seria at nseria@bloomberg.net Sarah McGregor, Ana Monteiro

http://www.bloomberg.com/news/2014-08-1 ... lagos.html

Author:  niman [ Mon Aug 11, 2014 8:19 am ]
Post subject:  Re: Nigeria Confirms HCW - Ebola Total = 10

Ebola cases hits 10 in Nigeria

on August 11, 2014 / in News 12:38 pm / Comments

By Sola Ogundipe

The Federal Government has confirmed another Ebola case in Lagos bringing the total number of Ebola Virus Disease victims to 10, even as 177 primary and secondary contacts of the index case have been placed under surveillance or isolation.

At a world media briefing in Abuja Monday, the Minister of Health Prof Onyebuchi Chukwu said of these 10 cases, 2 have died (the Liberian American and the Nigerian nurse) while 8 are alive and currently on treatment.

This is the situation 22 days since the dreaded EVD first landed in Nigeria.

At the sub regional level, the Ebola Virus Disease was discussed as a substantive agenda during the Summit of the Authority of Heads of State and Government in Accra Ghana.

Chukwu said Nigeria, as usual, played its leading, pioneering and compassionate role during the Summit with the first and only donation of USD3.5 million humanitarian and capacity building aid to the three affected countries of Liberia, Guinea and Sierra Leone, the West African Health Organization (WAHO), and the ECOWAS Ebola Fund.

- See more at: http://www.vanguardngr.com/2014/08/fg-c ... bcDT1.dpuf

Author:  niman [ Mon Aug 11, 2014 9:50 am ]
Post subject:  Re: Nigeria Confirms HCW - Ebola Total = 10

(Reuters) - Nigeria's Lagos has 10 confirmed cases of Ebola, up from seven at the last count, although only two so far have died, including the Liberian who brought the virus in, the health minister said on Monday.

All were people who had had primary contact with Patrick Sawyer, who collapsed on arrival at Lagos airport on July 25th and later died, Health Minister Onyebuchi Chukwu told a news conference. A nurse who treated him not knowing what it was and without protective gear also died.

"As at today, 77 primary and secondary contacts of the index case have been placed under surveillance or isolation," he added. The latest case was also a nurse who had had primary contact with Sawyer.

"When she got ill, we then brought her into isolation. We just tested her over the weekend."

She had been at home with her husband, who was also now under surveillance, Chukwu said.

The West African Ebola outbreak is the worst in history and the World Health Organization (WHO) said on Friday it represents an international health emergency that will likely continue spreading for months. It said 961 people have died during the outbreak and 1,779 have been infected.

The disease has strained health systems of affected states and governments have responded with measures including national emergencies declared in Sierra Leone, Liberia and Nigeria.

Nigeria faces the added problem that public doctors are on strike over pay and working conditions and have resisted calls by the government to end their strike to tackle the Ebola crisis.

The Nigerian Red Cross said it had provided 18 volunteers to work with the authorities to educate people on how Ebola is spread.

Ebola is one of the world's most deadly diseases, with no known vaccine or cure. The Zaire strain - the one currently spreading through West Africa - can kill up to 90 percent of sufferers, although in the latest outbreak the death toll has been around 55 percent.

(Reporting by Camillus Eboh; Writing by Tim Cocks; Editing by Jeremy Gaunt)

http://www.reuters.com/article/2014/08/ ... healthNews

Author:  niman [ Wed Aug 13, 2014 2:21 pm ]
Post subject:  Re: Nigeria Confirms HCW - Ebola Total = 10

niman wrote:
(Reuters) -

She had been at home with her husband, who was also now under surveillance, Chukwu said.

http://www.reuters.com/article/2014/08/ ... healthNews

Is this the nurse that went to Enugu?

Author:  niman [ Wed Aug 13, 2014 9:03 pm ]
Post subject:  Re: Nigeria Confirms HCW - Ebola Total = 10

Published Date: 2014-08-12 18:07:00
Subject: PRO/AH/EDR> Ebola virus disease - West Africa (125): WHO, Nigeria, USA fear, CDC, more
Archive Number: 20140812.2680534
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases

In this update:
[1] WHO update
[2] Nigeria: 10th case
[3] Sierra Leone: official
[4] USA: Ebola virus disease paranoia
[5] CDC & US DOD: useful information
[6] Media reports (1)
[7] Media reports (2)

[1] WHO update
Date: Mon 11 Aug 2014
Source: WHO Disease Outbreak News [edited]
http://www.afro.who.int/en/clusters-a-p ... -2014.html

Ebola virus disease update -- West Africa
Between 7-9 Aug 2014, 69 new cases (laboratory-confirmed, probable, and suspect cases) of EVD and 52 deaths were reported from the 4 countries as follows: Guinea, 11 new cases and 6 deaths; Liberia, 45 new cases and 29 deaths; Nigeria, 0 new cases and 0 deaths; and Sierra Leone, 13 new cases and 17 deaths.

[The table in the source gives confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 9 Aug 2014, and shows Total Cases 1848, Deaths 1013. On 10 Aug 2014, Nigeria reported one more death; see [2] below. - Mod.JW]

The recent treatment of 2 health workers, who were infected with EVD, with an experimental medicine has raised important questions about whether medicines or treatments that have never been tested or shown to be safe in humans should be used in this outbreak. Currently, quantities of the medicine are limited, which also raises questions about who should receive the treatment.

On 11 Aug 2014, WHO convened a panel of medical ethicists, scientific experts, and lay people from the affected countries to assess the role of experimental therapies in the Ebola outbreak response; 2 issues were considered:

1) Is it ethical to use unregistered interventions with unknown adverse effects for possible treatment or prophylaxis? If it is, what criteria and conditions need to be satisfied before they can be used?

2) If it is ethical to use these unregistered interventions in the current circumstances, then what criteria should guide the choice of an intervention and who should receive priority for treatment or prevention?

[The findings of this panel have been posted on WHO's website http://www.who.int on Tue 12 Aug 2014 -- see Summary on ProMED archive nnnnnnnn COPY-ED PLEASE ADD]

The total number of cases is subject to change due to ongoing reclassification, retrospective investigation, and availability of laboratory results. Data reported in the Disease Outbreak News are based on official information reported by the Ministries of Health.

Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[2] Sierra Leone: official
Date: Tue 12 Aug 2014
From: Emergency Operations Center (EOC), Ministry of Health and Sanitation, Sierra Leone
Via ProMED Submit Info tab on <www.promedmail.org> [edited]

Ebola Virus Disease, Sierra Leone: Press Release
Ebola outbreak update: As of today, 12 Aug 2014, we have a total of 184 patients who have survived Ebola Virus Disease and were subsequently discharged. The total number of new confirmed cases is 21: Kailahun 2, Kenema 15; Bombali 1; Port Loko 2 and Tonkolili 1.

The total number of cumulative number of deaths is 259 and cumulative number of confirmed cases is 703 with Kailahun 378, Kenema 250; Kono 1; Kambia 1; Bombali 7; Tonkolili 2; Port Loko 22; Pujehun 3; Bo 22; Moyamba 4; Bonthe 1; Western Area Urban [Freetown] 11; Western Area Rural 1. As of today, Koinadugu district is the only district that has not registered confirmed cases of EVD in Sierra Leone

The cumulative number of probable cases is 38 and probable deaths 34, while the total cumulative number of suspected cases is 39 and suspected deaths is 5.

The World Health Organization has approved the use of the unregistered intervention for EVD in the 3 Ebola affected Mano River Union Countries of Guinea, Liberia and Sierra Leone. Meanwhile, the Government of Sierra Leone through the Emergency Operations Center has written a formal letter to the Director General of the WHO to request the drugs and to ascertain the number of doses available to the country.

The Indian Mercantile Association has donated 500 bucket sets with attached taps and basins to the Ministry of Health and Sanitation as their contribution towards the fight against the Ebola Virus Disease, meanwhile World Vision Sierra Leone also donated 300 million Leones [nearly USD68 000] to the Ministry of Health and Sanitation on behalf of World Vision International as their contribution in the war against the Ebola Virus Disease. World Vision also informed the Ministry of Health and Sanitation that it is in the process of procuring protective gear to be supplied to frontline health workers in health facilities across the country.

Ebola Viral Disease Situation Report: Ministry of Health and Sanitation, Sierra Leone
For more information please contact: District Health Management Team at District level
National level - Directorate of Disease Prevention and Control
Mobile:- +23276913000

Sidie Yahya Tunis
Director, Information Communication Technology (ICT)
Ministry of Health and Sanitation, Sierra Leone

[3] Nigeria: 10th case
Date: Mon 11 Aug 2014
Source: Agence France-Presse in Lagos [edited]

Nigeria has confirmed a new case of EVD in the financial capital, Lagos, bringing the total number of people in the country with the virus to 10.

The health minister, Onyebuchi Chukwu, said the latest confirmed case was a female nurse who came into contact with a Liberian-American man, PS, who died of EVD in a Lagos hospital on 25 Jul 2014. Another nurse who had contact with him died last week, while 7 other people have been confirmed to have the virus in the city, he added.

The 10th case actually was one of the nurses who also had primary contact with the index case. When he [PS] got ill, we then brought her into isolation," the minister told a news conference in Abuja. "We just tested her over the weekend. So, that's what made it 10. So, between Friday and today [8-11 Aug 2014], we had one additional case. That brings it to 10, and the 10 include the index case." Chukwu said the nurse was undergoing treatment and her husband was under surveillance.

The World Health Organisation (WHO) said on Friday [8 Aug 2014] there were 13 probable and suspected cases of Ebola, including 2 deaths, in Nigeria. The minister did not comment on the discrepancy in the figures.

[11 Aug 2014: Lagos State Governor Babatunde Fashola reported today [11 Aug 2014] that all the 8 people currently infected with the deadly Ebola virus disease (EVD) are in stable condition and responding to treatment.
http://thenewsnigeria.com.ng/2014/08/11 ... ys-fashola

Officials are now monitoring 177 people for symptoms of the disease.
http://www.voanews.com/content/nurse-is ... 09916.html

Communicated by
ProMED-mail Rapporteur Mary Marshall

[4] USA: Ebola virus disease paranoia
Date: Sun 10 Aug 2014
Source: Avian Flu Diary [edited]
http://afludiary.blogspot.co.uk/2014/08 ... -hole.html

[At the end of a long debunking of YouTube videos forecasting the end of the world with the eruption of the Yellowstone "supervolcano" in the USA is the following comment]:

[M]any of those [EVD videos] on the paranoid end of the scale were receiving extensive views, some as many as 10 000 a day. ... These are the same internet scare tactics that have been successfully used by some activists to demonize childhood and flu vaccines. For their core audiences, their messages strongly resonate, and their impact shouldn't be underestimated. It is against this background of distrust that any public health campaign against future disease outbreaks must be waged. For every CDC statement rationally explaining why EVD is unlikely to spread efficiently in the Western world, there are a hundred videos screaming "cover up." ... The bad news is that 35 percent of those polled still ranked [CDC] as "only fair" or "poor," leaving more than a little confidence gap.

Just as fear, distrust, and superstition have greatly interfered in the identification, isolation, and treatment of EVD cases in West Africa, one has to seriously wonder just how much differently things would play out in [the USA] should EVD, MERS, or avian flu ever seriously threaten. Here's hoping we never find out.

[Byline: Michael Coston]

Communicated by:

[5] CDC & US DOD: useful information
Date: Sun 10 Aug 2014
Source: CDC [edited]

10 Aug 2014: Ebola Virus Disease Information for Clinicians in U.S. Healthcare Settings
8 Aug 2014: West Africa Outbreak Infographic Adobe PDF file [PDF - 1 page]
8 Aug 2014: Outbreak Update
8 Aug 2014: Stopping the Ebola Outbreak Infographic Adobe PDF file [PDF - 2 pages]
7 Aug 2014: Updated Case Definition for Ebola Virus Disease (EVD)
7 Aug 2014: Interim Guidance for Monitoring and Movement of Persons with Ebola Virus Disease Exposure
1 Aug 2014: Guidelines for Evaluation of US Patients Suspected of Having Ebola Virus Disease [This is an official CDC HEALTH ADVISORY
[The 2 infographics in color poster form are especially clear and concise. - Mod.JW]

Instruction booklet, Ebola Zaire (EZ1) rRT-PCR (TaqMan(R)) Assay
On ABI 7500 Fast Dx, LightCycler, and JBAIDS, Version 1.0, 5 Aug 2014. For Use Under an Emergency Use Authorization (EUA) Only; Manufactured by the Naval Medical Research Center for The U. (EUA); Only Manufactured by the Naval Medical Research Center for the U.S. Department of Defense http://www.fda.gov/downloads/MedicalDev ... 408334.pdf

Communicated by:

[6] Media reports (1)

Canada: suspect case negative
Today [10 Aug 2014], Eric Hoskins, Minister of Health and Long-Term Care, issued the following statement on a patient testing negative for Ebola virus disease in Ontario: "I can now confirm a recent case that underwent testing at the National Microbiology Laboratory in Winnipeg was found to test negative for Ebola virus disease."
http://news.ontario.ca/mohltc/en/2014/0 ... ntari.html

China: The National Health and Family Planning Commission (NHFPC) will send health experts to the 3 West African countries affected by Ebola. Media sources report that 3 teams will be sent to Guinea, Liberia and Sierra Leone with medical supplies and to assist in the prevention and control of EVD. They will also help train local health care workers and assist the Chinese embassy officials in distributing medical supplies.

[11 Aug 2014: 8 Chinese medical workers are currently quarantined in Ebola-hit Sierra Leone [Twitter by @AFP - Mod.JW]

Cote d'Ivoire travel ban
Ivory Coast has not reported any cases of Ebola, and government spokesman Bruno Kone said they want to keep it that way. The government said in addition to the ban on flights, authorities at the Abidjan airport will be screening all arriving passengers for fever, using infrared thermometers. Ivory Coast's defense minister said in recent days that border authorities have already repatriated "nearly 100 people" who have tried to cross illegally from Guinea or Liberia. The Ivory Coast government said it continues to train health workers and will be holding a simulation drill later this week for 1st responders.
https://mail.google.com/mail/u/0/#searc ... a3ecdf8ac5

Cyprus prepared
10 Aug 2014: Health Ministry: Cyprus has taken all measures against Ebola virus disease. Furthermore, instructions have been given to ports and airports on how to recognise symptoms and deal with such cases. Cyprus has fully complied with World Health Organisation (WHO) recommendations concerning the ebolavirus, and its action plan to address the disease is ready to be activated if necessary. ... Regarding the Turkish occupied areas of the Republic, the Ministry of Health says there appears to be no danger from travellers, who are mainly Turkish Cypriots crossing the ceasefire line, and that no suspicious cases of disease have emerged. Furthermore, the Ministry of Health is in close contact with the Ministry of Foreign Affairs regarding measures that must be taken on both sides, and the government's action plan has been conveyed to the Turkish Cypriot side.
http://famagusta-gazette.com/health-min ... 792-69.htm
Guinea-Bissau closes border
12 Aug 2014: Guinea-Bissau closes border with Guinea because of Ebola virus disease. Government will also create special treatment centers at various strategic points of the country. "Hundreds of people cross the border every day coming from Guinea and, therefore, we must take effective precautions before it is too late," Prime Minister Domingos Simoes Pereira said at a news conference.
http://noticias.r7.com/saude/guine-biss ... a-12082014 [in Portuguese]

Malawi, screening, quarantine
In Malawi, health authorities said the government was taking measures to prevent the spread of the Ebola virus into the country, including airport screenings of international passengers. ... Charles Mwansambo, director of health services in the Ministry of Health, told journalists in Lilongwe that the government was screening international passengers at the airports and had set up quarantine centers at Kamuzu International Airport in the capital, Lilongwe, and Chileka Airport, in the commercial capital of Blantyre.
https://mail.google.com/mail/u/0/#searc ... a3ecdf8ac5

Romania: suspected case
9 Aug 2014: A man suspected of being infected with ebolavirus was transferred Sunday [10 Aug 2014] to the National Institute "Matei Bals," Bucharest and brought into Ploiesti. He recently returned from Nigeria, the [4th] African country which has been given a national alarm about an outbreak of EVD. The man worked for several months in the West African state.
http://www.curierulnational.ro/Evenimen ... in+Nigeria [in Romanian, machine trans.]
http://www.tricities.com/news/national/ ... b2370.html

Rwanda: suspected case improving
Following Sunday's report [10 Aug 2014] of a patient who was identified in Rwanda with EVD-like symptoms, the ministry of health has announced that the patient's condition is improving. The patient, a European medical student who has recently been in West Africa, was put in isolation while at King Faisal hospital with malaria when he developed EVD-like symptoms. He is currently in the isolation facility in Kanombe while doctors wait for the results of medical tests to determine whether the man is actually infected with the hemorrhagic fever. On Monday [11 Aug 2014], however, Minisante [Ministry of Health] reported that the patient's temperature had significantly gone down and that he is recovering well from the malaria and other symptoms.
http://focus.rw/wp/2014/08/ebola-suspec ... -minisante

[Severe malaria can progress to blackwater fever; the red to brownish color of urine in blackwater fever is due to hemoglobin in the urine (hemoglobinuria) as a result of severe intravascular hemolysis. The red to brownish color of urine due to hemoglobinuria can be misinterpreted as blood in the urine (hematuria). - Mod.ML]

South Africa: thermal scanners
10 Aug 2014: South Africa announced on Thu [7 Aug 2014] that it was in the process of outfitting airports with thermal scanners to detect feverish passengers. In many ways, it's a repeat of 2009, when airports around the world brought in thermal scanners to look for passengers who were presenting with fever and suspected bird flu.
http://www.theminorityreportblog.com/20 ... -for-ebola

12 Aug 2014: Suspected EVD case at Istanbul airport. Mother and son are put under medical supervision after the woman developed a fever and vomiting on the journey to Istanbul. "Since they are coming from an EVD-affected country, Nigeria, the Health Ministry is taking every possibility into account," the statement said.
http://www.aa.com.tr/en/rss/372427--sus ... ul-airport

EVD Drug Supply Is Exhausted After Doses Sent to Africa
11 Aug 2014: The EVD drug given to 2 Americans and a Spanish priest has been sent to a West African country that requested it, and the supply of the medicine is now exhausted, its manufacturer said. Mapp Biopharmaceutical Inc., based in San Diego, said it was told by U.S. health officials that the countries, including Nigeria and Liberia, had requested the drug, called ZMapp. The company said it has complied with every request for the drug that was authorized by legal and regulatory authorities. It said it provided the drug at no cost. ... The additional patients allocated the drug include medical doctors in 2 West African countries as well as the Americans and the Spanish priest.
http://www.businessweek.com/news/2014-0 ... -to-africa

[In fact for 2 doctors in Liberia. - Mod.JW]

Ebola virus disease & world economy
9 Aug 2014: Caterpillar has evacuated a handful of employees from Liberia. Canadian Overseas Petroleum Ltd. has suspended a drilling project. British Airways has canceled flights to the region. ExxonMobil and Chevron are waiting to see whether health officials can contain the danger. ... http://www.tricities.com/news/national/ ... b2370.html

Twitter Analytics Project HealthMap Outperforming WHO in EVD Tracking
10 Aug 2014: HealthMap, a collaborative data analytics project launched in 2006 between Harvard Medical School and Boston Children's Hospital, has been quietly tracking the recent EVD outbreak in Western Africa with notable accuracy, beating the World Health Organization's own tracking efforts by 2 weeks in some instances. HealthMap aggregates information from a variety of online sources to plot real-time disease outbreaks. Currently, the platform analyzes data from the World Health Organization, Google News, and GeoSentinel, a global disease tracking platform that tracks major geography changes in diseases carried through travelers, foreign visitors, and immigrants. The analytics project also got a new source of feeder-data this February [2014] when Twitter announced that the HealthMap project had been selected as a Twitter Data Grant recipient, which gives the 45 epidemiologists working on the project access to the "fire hose" of unfiltered data generated from Twitter's 500 million daily tweets. ...
http://histalkmobile.com/twitter-analyt ... a-tracking
Communicated by:

[7] Media reports (2)
Date: Mon 11 Aug 2014
Source: International SOS [edited]
https://www.internationalsos.com/ebola/ ... age_id=ENG

Suspected imported cases
Many locations are testing people who have travelled to countries with EVD and return with a fever and other symptoms. So far, none of these have proven to be EVD. International SOS is monitoring these closely.

Bangladesh: Media sources have reported that an alert has been issued in the country as a response to the EVD situation in West Africa. Officials plan to enhance monitoring for 90 days at the airports in Dhaka, Chittagong and Sylhet and at the seaport at Chhittagong. A medical facility has been identified for isolation and treatment of suspected EVD patients in the outskirts of Dhaka.

Benin: 7 August 2 cases, one in Cotonou, who travelled from Nigeria and the other in Porto-Novo - tests sent to Senegal.

China (Hong Kong): A traveller arriving from Lagos, Nigeria on 9 August, has tested negative for EVD on 10 August.

Germany: A traveller from Sierra Leone who was quarantined has tested negative for Ebola.

Ghana: 4 suspected cases reported, in isolation at Nsawam Government hospital in the Eastern region. Test results from all 4 suspected cases are negative. Ghanian Ministry of Health has issued a red alert in the country over EVD. Health officials have urged citizens to avoid using public swimming pools, practise and maintain strict hygiene.

[When I worked for the New York State Health Dept., I personally observed that after a child vomited in a public swimming pool it was closed, emptied and cleaned before refilling. - Mod.JW]

India: 9 August A traveller from Guinea, kept under observation at a government hospital in Chennai, found healthy. Officials will monitor his health.

Iran: The Ministry of Health has issued a travel warning for its citizens against travelling to EVD affected countries.

Liberia: News sources are reporting that the Liberian army has put a 3rd province, Lofa county, under quarantine. According to the President Ellen Johnson Sirleaf "we want to protect areas that have not been yet affected." Boma and Grand Cape Mount counties, the most northern affected counties, were quarantined earlier.

Mexico: 7 August The Ministry of Health advises that there are NO EVD cases, and news reports of a suspected case are false.

Nigeria: News sources have reported that officials have banned the transport of corpses within the country. Other sources mention that wildlife hunting and other recreational activities have also been banned [in some areas]. They have also reported another case in Lagos, a nurse who was involved in caring for the 1st case [the man from Liberia].

Romania: A traveller who returned to the country from Nigeria on 25 July [2014] is in isolation at a hospital in Bucharest. The man's wife and son have placed themselves under voluntary quarantine at home but do not have any symptoms. Results are awaited.

Saudi Arabia: One suspected case detected 5 August, proved to be negative on 9 August. Over 7000 visa requests for Hajj from Guinea, Sierra Leone and Liberia have been turned down in a bid to contain EVD spread, as per media sources. Saudi embassy officials are awaiting communication from the WHO on the pilgrims from affected countries travelling for Hajj.

Senegal: A traveller from Liberia, hospitalised in Dakar 9 August, tested negative for EVD on 10 August.

Spain: 12 Aug 2014: "Spanish priest Miguel Pajares, who was infected with ebolavirus, has died from the virus, hospital in Madrid says." -- CNN <www.cnn.com>.

[It is not clear whether the serum actually did the 2 Americans any good. One patient started recovering within an hour, too soon to be true, and the other showed no effect - see ProMED archive 20140807.2669718, and was given a 2nd dose. - Mod.JW]

Sudan: Authorities have started implementing precautionary measures at Khartoum airport for passengers arriving from EVD affected countries. New sources report that health care workers have been placed at border areas and have initiated awareness campaigns by distributing health materials.

USA: Missionaries returning home to North Carolina after working with infected cases of EVD in West Africa will be placed under quarantine. Media source reported that the cases will be quarantined for 3 weeks from the last exposure to an infected case. This is been done out of an abundance of caution. Currently, the 2 positive cases of Ebola under treatment in the country are from North Carolina based aid groups.

Zimbabwe: Unverified sources are reporting that all travellers arriving at the Harare International Airport from the EVD affected countries are being monitored, probably for a 21-day period.

Communicated by

[WHO has also posted on its website: Barriers to rapid containment of the Ebola outbreak: Overview - 11 Aug 2014 http://www.who.int/csr/disease/ebola/ov ... st-2014/en - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/8854.]
See Also
Ebola virus disease - West Africa (124): WHO statement 20140812.2682604
Ebola virus disease - West Africa (123): Sierra Leone, more, CDC 20140810.2677007
Ebola virus disease - West Africa (122): Sierra Leone lessons learned 20140809.2675385
Ebola virus disease - West Africa (122): Sierra Leone lessons learned 20140809.2675385
Ebola virus disease - West Africa (121): WHO, Nigeria emergency, more 20140809.2674333
Ebola virus disease - West Africa (120): MSF, Sierra Leone, drug, PAHO, aid 20140808.2673098
Ebola virus disease - West Africa (119): WHO -- International Emergency 20140808.2671013
Ebola virus disease - West Africa (118): Liberia, Sierra Leone, CDC, drugs, more 20140807.2669718
Ebola virus disease - West Africa (117): WHO, Nigeria, more 20140806.2666073
Ebola virus disease - West Africa (116): Morocco NOT, Nigeria, bushmeat, more 20140805.2663054
Ebola virus disease - West Africa (115): Morocco ex Liberia, Nigeria appeal 20140805.2661180
Ebola virus disease - West Africa (114): USA (NYC) susp. more 20140804.2659805
Ebola virus disease - West Africa (113): Nigeria 20140804.2658338
Ebola virus disease - West Africa (112): WHO, USA case repatriated, more 20140803.2656749
Ebola virus disease - West Africa (111): WHO, Sierra Leone, vaccine, screening 20140802.2655022
Ebola virus disease - West Africa (110): WHO, Sierra Leone, Liberia, MSF, alerts 20140801.2652884
Ebola virus disease - West Africa (109): Sierra Leone, MOH statement 20140801.2652930
Ebola virus disease - West Africa (108): WHO, situation, Guinea-Bissau alert 20140731.2650008
Ebola virus disease - West Africa (107): WHO, China & UK NOT, Nigeria, airlines 20140730.2646645
Ebola virus disease - West Africa (104): WHO, Nigeria, Togo alert, Sierra Leone 20140727.2638658
Ebola virus disease - West Africa (102): Nigeria, Sierra Leone, drugs & vaccine 20140726.2636858
Ebola virus disease - West Africa (101): Nigeria ex Liberia, WHO, Sierra Leone 20140726.2636095
Ebola virus disease - West Africa (100): Cote d'Ivoire,Tanzania, Nigeria alerts 20140724.2633437
Ebola virus disease - West Africa (99): WHO, Sierra Leone, Liberia 20140724.2632442
Ebola virus disease - West Africa (98): Nigeria susp, alert 20140724.2632831
Ebola virus disease - West Africa (97): Sierra Leone, Liberia, tests 20140723.2630441
Ebola virus disease - West Africa (95): FAO alert, Sierra Leone 20140722.2626215
Ebola virus disease - Congo DR: susp 20140721.2624831
Ebola virus disease - West Africa (94): Sierra Leone 20140720.2623966
Ebola virus disease - West Africa (93): Sierra Leone, WHO underfunded 20140719.2622727
Ebola virus disease - West Africa (92): Sierra Leone, drugs, EU disease ctr. 20140718.2620802
Ebola virus disease - West Africa (91): WHO, Guinea,Sierra Leone,Liberia, border 20140717.2618525
Ebola virus disease - West Africa (90): Sierra Leone, Ghana meeting, historical 20140716.2615640
Ebola virus disease - West Africa (89): WHO update, Sierra Leone, Liberia, risk 20140715.2613043
Ebola virus disease - West Africa (88): WHO, Liberia, prevention, challenges 20140713.2607118
Ebola virus disease - West Africa (87): Liberia, Sierra Leone, MSF, drugs, vaccine 20140712.2605570
Ebola virus disease - West Africa (86): WHO, UNSC, ECOWAS, Guinea, Liberia 20140711.2603448
Ebola virus disease - West Africa (85): Guinea, Liberia, region 20140710.2601330
Ebola virus disease - West Africa (84): WHO update 20140708.2596192
Ebola virus disease - West Africa (83): Ghana susp, Guinea, S. Leone, Liberia 20140708.2593018
Ebola virus disease - West Africa (82): Guinea, prevention, Tanzania, UK 20140706.2591433
Ebola virus disease - West Africa (81): Guinea, Sierra Leone, Liberia, overseas 20140705.2589463
Ebola virus disease - West Africa (80): WHO update, meeting 20140704.2587114
Ebola virus disease - West Africa (79): Guinea, Nigeria prevention, drug testing 20140703.2586162
Ebola virus disease - West Africa (78): Guinea, Sierra Leone, Liberia 20140702.2583396
Ebola virus disease - West Africa (77): WHO, meeting, Sierra Leone, Liberia 20140701.2579682
Ebola virus disease - West Africa (74): CDC summary 20140626.2566502
Ebola virus disease - West Africa (73): WHO update, Sierra Leone 20140625.2566397
Ebola virus disease - West Africa (72): WHO update 20140624.2562337
Ebola virus disease - West Africa (71): Guinea, Sierra Leone, Nigeria serology 20140622.2558446
Ebola virus disease - West Africa (70): Sierra Leone, Liberia, travel advice 20140621.2556770
Ebola virus disease - West Africa (69): Guinea, Sierra Leone, region 20140621.2555351
Ebola virus disease - West Africa (68): Liberia, One Health approach 20140619.2553035
Ebola virus disease - West Africa (67): WHO update, Liberia, Sierra Leone 20140618.2550323
Ebola virus disease - West Africa (66): Liberia (Monrovia), Sierra Leone 20140617.2547352
Ebola virus disease - West Africa (63): Sierra Leone 20140613.2538970
Ebola virus disease - West Africa (58): Sierra Leone, challenges 20140607.2526192
Ebola virus disease - West Africa (57): WHO update, challenges 20140607.2525234
Ebola virus disease - West Africa (56): Sierra Leone, Liberia, WHO 20140604.2518983
Ebola virus disease - West Africa (55): MSF report, Sierra Leone 20140603.2517388
Ebola virus disease - West Africa (54): WHO update, Sierra Leone 20140603.2515262
Ebola virus disease - Guinea (04): WHO update, Conakry conf., alerts 20140328.2364547
Ebola virus disease - Liberia ex Guinea: susp. alert, RFI 20140326.2360265
Ebola virus disease - Guinea (03): WHO update, travel health advisories 20140326.2359361
Ebola virus disease - Guinea (02): bat eating banned 20140326.2359281
Ebola virus disease - West Africa: Guinea, Zaire ebolavirus suspected 20140322.2349865
Ebola - Sierra Leone: susp. alert, RFI 20140322.2349697
Undiagnosed viral hemorrhagic fever - Guinea (02): Ebola conf. 20140322.234969
Undiagnosed viral hemorrhagic fever - Guinea: (NZ) RFI 20140319.2342420


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