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Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two Days
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Author:  niman [ Fri Aug 15, 2014 12:19 pm ]
Post subject:  Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two Days

Latest WHO update includes 116 new Ebola cases (and 58 deaths) in Liberia in two days (August 12-13)


Author:  niman [ Fri Aug 15, 2014 12:25 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D

Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 13 August 2014

New (1) Confirmed Probable Suspect Totals

Cases 116 190 423 173 786
Deaths 58 154 190 69 413

Author:  niman [ Fri Aug 15, 2014 12:28 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D

Disease outbreak news
15 August 2014

Epidemiology and surveillance

Between 12 and 13 August 2014, a total of 152 new cases of Ebola virus disease (laboratory-confirmed, probable, and suspect cases) as well as 76 deaths were reported from Guinea, Liberia, Nigeria and Sierra Leone.

Health sector response

On 13-14 August, some airlines and social media and traditional media vehicles expressed concern that air travel to and from affected countries was a high-risk activity for the spread of Ebola. To correct this misunderstanding, WHO called a press conference at the UN Palais des Nations in Geneva on 14 August. Dr Isabelle Nuttall, speaking on behalf of WHO, said, “Air travel, even from Ebola-affected countries, is low-risk for Ebola transmission.”

Dr Nuttall further clarified modes of transmission for Ebola and emphasized that the disease is not an airborne virus, unlike influenza or tuberculosis. The infection is transmitted to others through direct contact with the bodily fluids of a sick person, such as blood, vomit, sweat, and diarrhoea. Even if an individual infected with EVD travels by plane, the likelihood of other passengers and crew coming into contact with the individual’s bodily fluids is very low.

WHO does not recommend any travel or trade restrictions be applied except in cases where individuals have been confirmed or are suspected of being infected with EVD or where individuals have had contact with cases of EVD. (Contacts do not include properly-protected health-care workers and laboratory staff.) Temporary recommendations from the Emergency Committee with regard to actions to be taken by countries can be found at http://who.int/mediacentre/news/stateme ... 140808/en/.

On 13 August, Heads of Global Information Systems (GIS) for WHO, UN agencies, intergovernmental agencies, and partners met to continue mapping the EVD crisis and create an interagency common operations picture. This will allow WHO and other organizations responding to the crisis in the affected countries to pinpoint where personnel and material should be concentrated for an effective end to the outbreak.

Disease update

Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 13 August 2014

New (1) Confirmed Probable Suspect Totals

Cases 9 376 133 10 519
Deaths 3 245 133 2 380
Cases 116 190 423 173 786
Deaths 58 154 190 69 413
Cases 0 11 0 1 12
Deaths 1 4 0 0 4
Sierra Leone
Cases 27 733 38 39 810
Deaths 14 309 34 5 348
Cases 152 1310 594 223 2127
Deaths 76 712 357 76 1145
(1) New cases were reported between 1 and 13 August 2014.

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 Ministries of Health.

Author:  niman [ Fri Aug 15, 2014 2:23 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D


http://www.recombinomics.com/News/08151 ... piral.html

Author:  niman [ Fri Aug 15, 2014 4:17 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D


Author:  niman [ Fri Aug 15, 2014 4:40 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D

Aid group: W. Africa Ebola outbreak like 'wartime'


The Associated Press
August 15, 2014 Updated 17 minutes ago

A security guard, center, stands outside the Connaught Hospital, where a leading doctor died from Ebola on Wednesday, in Freetown, Sierra Leone, Friday, Aug. 15, 2014. The Ebola outbreak that has killed more than 1,000 people in West Africa could last another six months, Doctors Without Borders said Friday, and a medical worker acknowledged that the true death toll is unknown. MICHAEL DUFF — AP Photo
MONROVIA, Liberia — The Ebola outbreak that has killed more than 1,100 people in West Africa could last another six months, the Doctors Without Borders charity group said Friday. One aid worker acknowledged that the true death toll is still unknown.

New figures released by the World Health Organization showed that Liberia has recorded more Ebola deaths — 413 — than any of the other affected countries.

Tarnue Karbbar, who works for the aid group Plan International in northern Liberia, said response teams simply aren't able to document all the erupting Ebola cases. Many of the sick are still being hidden at home by their relatives, who are too fearful of going to an Ebola treatment center.

Others are being buried before the teams can get to remote areas, he said. In the last several days, about 75 cases have emerged in Voinjama, a single Liberian district.

"Our challenge now is to quarantine the area (in Voinjama) to successfully break the transmission," he said.

There is no cure or licensed treatment for Ebola and patients often die gruesome deaths with external bleeding from their mouths, eyes or ears. The killer virus is transmitted through bodily fluids like blood, sweat, urine and diarrhea. A handful of people have received an experimental drug whose effectiveness is unknown.

Liberia's assistant health minister, Tolbert Nyenswah, said three people in Liberia were receiving the ZMapp on Friday. Previously, only two Americans and a Spaniard had gotten it. The Americans are improving, but it is not known what role ZMapp played. The Spaniard died.

The American doctor infected with Ebola while working in Liberia said Friday he is "recovering in every way" and holding onto the hope of a reunion with his family.

Dr. Kent Brantly remained hospitalized Friday at Emory University Hospital in Atlanta. His comments came in a statement issued through the Christian aid group Samaritan's Purse.

The World Health Organization has approved the use of such untested drugs but their supply is extremely limited.

The U.N. health agency has said the focus on containing the outbreak should be on practicing good hygiene and quickly identifying the sick and isolating them. That task is made harder, however, by the shortage of treatment facilities.

Beds in such centers are filling up faster than they can be provided, evidence that the outbreak in West Africa is far more severe than the numbers show, said Gregory Hartl, a spokesman for World Health Organization in Geneva.

There are 40 beds at one treatment center that Doctors Without Borders recently took over in one quarantined county in Liberia. But 137 people have flocked there, packing the hallways until they can be sorted into those who are infected and those are not, said Joanne Liu, the group's international president.

Nyenswah described a similar situation in a treatment center in Liberia's capital of Monrovia: In one ward meant to accommodate up to 25 people, 80 are now crowded in. Another treatment center with 120 beds is expected to open Saturday outside Monrovia.

"It's absolutely dangerous," said Liu, who recently returned from Guinea, Liberia and Sierra Leone. "With the massive influx of patients that we had over the last few days, we're not able to keep zones of patients anymore. Everybody is mixed."

Liu likened the situation to a state of war because the "frontline" was always moving and unpredictable. She said the outbreak could last six more months.

The death toll is now 1,145 people in four countries across West Africa, according to figures released Friday by the World Health Organization. At least 2,127 cases have been reported in Liberia, Sierra Leone, Guinea and Nigeria, WHO said.

Sierra Leone's president, Ernest Bai Koroma, told journalists Friday that the country has lost two doctors and 32 nurses to Ebola.

"We need specialized clinicians and expertise and that is why we are appealing to the international community for an enhanced response to our fight" against Ebola, he said.

The Ebola crisis is also disrupting food supplies and transportation. Some 1 million people in isolated areas could need food assistance in the coming months, according to the U.N. World Food Program, which is preparing a regional emergency operation.

Amid a growing number of airline cancellations, the U.N. will start flights for humanitarian workers on Saturday to ensure that aid operations aren't interrupted. In the coming weeks, they will also ferry staff to remote areas by helicopter.

DiLorenzo reported from Dakar, Senegal. Associated Press writers Clarence Roy-Macaulay and Krista Larson in Dakar, Senegal and contributed to this report.

Read more here: http://www.centredaily.com/2014/08/15/4 ... rylink=cpy

Author:  niman [ Fri Aug 15, 2014 4:49 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D

Ebola Epidemic Most Likely Much Larger Than Reported, W.H.O. Says


GENEVA — West Africa’s deadly Ebola epidemic is probably much worse than the world realizes, with health centers on the front lines warning that the actual numbers of deaths and illnesses are significantly higher than the official estimates, the World Health Organization said.

So far, 2,127 cases of the disease and 1,145 deaths have been reported in four nations — Guinea, Liberia, Nigeria and Sierra Leone — the W.H.O announced Friday. But the organization has also warned that the actual number is almost certainly higher, perhaps by a very considerable margin.

“Staff at the outbreak sites see evidence that the numbers of reported cases and deaths vastly underestimate the magnitude of the outbreak,” the group said in a statement on Thursday.

The epidemic is still growing faster than efforts to keep up with it, and it will take months before governments and health workers in the region can get the upper hand, Joanne Liu, the president of Doctors Without Borders, said on Friday, calling conditions on the ground “like a war.”

The situation “is moving faster and deteriorating faster than we can respond,” Dr. Liu told reporters in Geneva after returning a day earlier from a tour of the affected nations.

The epidemic’s front line “is moving, it’s advancing, but we have no clue how it’s going to go around,” Dr. Liu said. “Over the next six months we should get the upper hand on the epidemic,” she added, but this was only a “gut feeling” and it would happen only if sufficient resources were put in place.

Many deaths have occurred within local communities, not at health centers, and the known deaths are “likely the tip of the iceberg,” Dr. Liu said. “We are still having increasing numbers in most of the sites where we work.”

The W.H.O. announced last week that the Ebola epidemic constituted a public health emergency, in a bid to galvanize local and international action. But it has also emphasized that the risk of the epidemic spreading abroad is extremely low.

As countries around the world stepped up precautions for preventing the spread of the disease, the International Olympic Committee announced on Friday that athletes from the countries affected by the Ebola outbreak who are attending the Youth Olympic Games in the Chinese city of Nanjing would not be allowed to compete in contact sports or in the swimming pool.

Dr. Frederick Murphy was the first person to photograph and study Ebola up close in 1976. He reflects on disease he has come to know over the last 38 years. Jeffery DelViscio

In addition to this step, which would affect three athletes, it said team members from the affected countries would be subject to regular temperature checks and physical assessments throughout the games.

In its statement on Thursday, the W.H.O. said it was coordinating “a massive scaling up” in support from governments, disease control agencies and other organizations. Margaret Chan, the organization’s director general, met ambassadors in Geneva on Thursday to identify the most urgent needs and seek matching responses, it reported.

Dr. Liu cautioned that “we haven’t turned any corner yet” and that most of the international response was still at the level of promises.

Action to combat the epidemic was at different levels in each of the affected countries, Dr. Liu noted, singling out Liberia as a priority for urgent international attention as it strives to contain the spread of the disease in the capital, Monrovia, a city of 1.3 million people, where one overstretched health care center was providing care for Ebola patients.

“If we don’t stabilize Liberia, we will never stabilize the whole region,” Dr. Liu warned.

The United Nations reported that the World Food Programme was delivering food to more than one million people “locked down” in the quarantine zones where the borders of Guinea, Liberia and Sierra Leone intersect, but Dr. Liu was doubtful about the effectiveness of checkpoints intended to restrict people’s movements.

“I’ve seen it: People are fleeing, people are running around,” she said, describing a checkpoint she had passed where people were walking around it. The local population was not fully supportive and without that, she said, it would be difficult to make the measure effective.

http://www.nytimes.com/2014/08/16/world ... .html?_r=0

Author:  niman [ Fri Aug 15, 2014 7:51 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D

West Africa Ebola outbreak tops 2,000 infections
Filed Under: Ebola
Lisa Schnirring | Staff Writer | CIDRAP News | Aug 15, 2014

The Ebola virus disease (EVD) illness total in West Africa's outbreak has pushed past 2,000, as the World Health Organization (WHO) tempered expectations that experimental drugs and vaccines will play a role in ending the event and providing a bird's eye view of response activities, including food drops in quarantined areas.

In a statement late yesterday on the overall status of the outbreak, the WHO said the outbreak continues to escalate and that it expects the event to continue for some time. It offered a sobering assessment of the impact the disease has had on the region: "Staff at the outbreak sites see evidence that the numbers of reported cases and deaths vastly underestimate the magnitude of the outbreak."

Infections ebb in Nigeria, food and aid activities ramp up elsewhere
The WHO said one encouraging sign is that no new cases have been detected in Nigeria following detection of an EVD infection in an air traveler at the end of July that led to a chain of transmission in Lagos, the country's capital. Among the case-patients there were health workers who cared for the man, who had flown in from Liberia.

Intensive contact tracing, implemented with key help from the US Centers for Disease Control and Prevention (CDC), has helped limit Nigeria's case numbers, according to the WHO.

About 1 million people, the WHO estimates, are locked down in quarantine zones in the area where Guinea, Sierra Leone, and Liberia borders meet, which global health officials have called the outbreak's main hot spot. It said the World Food Program is using its logistics to deliver food to the area and that several countries have stepped forward to provide rations.

Efforts are under way to map the outbreak and to pinpoint areas of transmission and where supplies, isolation facilities, and health workers are needed, the group added. It said the CDC is providing the hardest hit countries with computer hardware and software to allow real-time reporting and surveillance analysis.

WHO Director-General Margaret Chan, MD, MPH, met with a group of United Nations ambassadors yesterday to match the most urgent needs with rapid international support.

Cooling expectations about experimental treatments
In a separate statement today, the WHO sought to scale back high expectations for experimental drugs and vaccines. Intense media coverage of the agents has fueled what are likely unrealistic hopes in the emotional climate of fear surrounding the outbreak.

The WHO emphasized that the effectiveness of the new drugs and treatments isn't yet backed by solid scientific evidence nor have they been approved by regulators. In addition, some of the experimental medicines are difficult to administer and facilities where they can be given safety are rare in West Africa's outbreak area, the agency said.

Though a WHO panel concluded that using experimental drugs in the outbreak is ethically acceptable, supplies are limited or exhausted, and even if companies can boost production, supplies will be too small to have a significant impact on the outbreak, the group warned.

It welcomed the Canadian government's donation of several hundred doses of an experimental Ebola vaccine, but the WHO said a fully tested and licensed product isn't expected before 2015.

Warning about fraudulent products and practices
The WHO also warned of fraudulent claims about products and practices that can prevent or cure EVD. It said the claims are mainly circulating on social media, especially in the outbreak areas.

Use of such products and methods can be dangerous, it warned. For example, at least two people in Nigeria have died from drinking salt water, which has been rumored to protect against Ebola.

Meanwhile, West African outbreak countries reported 152 new EVD infections and 76 more deaths between Aug 12 and 13, the WHO said today in its latest outbreak report. The new developments lift the overall case count to 2,127 illnesses and push the fatality count to 1,145.

Of the latest cases, Liberia reported 116 illnesses and 58 deaths, Sierra Leone reported 27 infections and 14 deaths, and Guinea notified the WHO of 9 more cases and 3 more deaths. Nigeria reported one more death.

The pace of new infections in Liberia puts it within a breath of replacing Sierra Leone as the country with the most EVD cases. So far, Sierra Leone has reported 810 cases, and Liberia's total has grown to 786.

With today's update, Liberia has replaced Guinea as the country with the most deaths from EVD. Liberia now has 413 deaths.

See also:

Aug 14 WHO statement on status of Ebola outbreak response

Aug 15 WHO statement on experimental Ebola drugs

Aug 15 WHO Ebola outbreak update

http://www.cidrap.umn.edu/news-perspect ... infections

Author:  niman [ Fri Aug 15, 2014 9:57 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D

Friday night special 11 PM EDT

Dr. Henry L. Niman, PhD
Shocking Jump In Ebola Cases

Author:  niman [ Fri Aug 15, 2014 10:19 pm ]
Post subject:  Re: Ebola Explodes In Liberia 116 Cases & 58 Deaths In Two D

A Painfully Slow Ebola Response

The outbreak of the Ebola virus in West Africa appears more out of control than ever. By Friday, the virus had infected more than 2,000 people in four countries and had killed more than half of them. The World Health Organization, which snoozed on the sidelines for months after the outbreak was first identified in March, has issued increasingly frantic warnings in recent days. On Aug. 8, it declared the spread of the virus “a public health emergency of international concern.” On Thursday, it warned that the reported numbers of people killed or sickened by the virus may “vastly underestimate the magnitude of the outbreak” because many sick people escape detection. The next day, it said that patients flooding into newly opened treatment centers were filling beds faster than they could be provided.

The current cases, like other Ebola outbreaks in past decades, are a regional problem that must be fought primarily by local African governments, which understand the cultural practices that foster the spread of the virus and inhibit patients from seeking help. This outbreak poses little or no danger to the United States or Europe. Unfortunately, the three countries most affected — Guinea, Liberia and Sierra Leone — are among the poorest and most war-racked in the world and have very weak health care systems. They desperately need help in organizing their responses.

The W.H.O. should be filling that role, but it has been shamefully slow. Its regional office for Africa, which should have acted first, is ineffective, politicized, and poorly managed, with staff members who are often incompetent, according to international health experts familiar with its operations. The central office of the W.H.O. in Geneva has belatedly tried to pick up the slack but is hampered by large self-imposed budget cuts, accompanied by a loss of talented professionals in its programs to control such outbreaks. These shortsighted cuts will need to be restored, perhaps by sacrificing less important items, to ensure that the next time there is an Ebola outbreak the agency can jump into action. The World Bank has said it plans to contribute up to $200 million to the fight.

There is still no drug or vaccine that has been proved safe and effective in human clinical trials, but progress is being made in pushing promising candidates forward. Two Ebola vaccines could begin initial safety testing in people as early as next month, and a drug has been judged safe enough to test in humans who are already infected. Even if these or other medicines prove effective, which is by no means a certainty, no one expects them to curb this outbreak. The goal is to find weapons to use when the next epidemic breaks out.

The battle against the Ebola virus in West Africa has been waged primarily by two nongovernmental health organizations with great experience in dealing with international health crises, namely Médecins Sans Frontières (a.k.a., Doctors Without Borders) and Samaritan’s Purse. Both have warned that their resources are stretched to the limit, their people are tiring and they can’t do much more. Samaritan’s Purse suspended its clinical care activities after an American doctor and a missionary from North Carolina were infected, given an untested drug, and brought back to this country for treatment.

The United States government has belatedly stepped in to provide help. The Centers for Disease Control and Prevention has sent 55 experts, backed by more than 300 at its Atlanta headquarters, to help the afflicted countries strengthen their systems to detect outbreaks and to trace, isolate and treat infected people. That is an unusually large effort by the agency, but its staff in the field will be spread thinly. The Agency for International Development is contributing more than $27 million to coordinate planning and logistics and pay for equipment and public awareness campaigns. The Defense Department has a small group of military and civilian personnel in Liberia and has set up diagnostic laboratories in that country and Sierra Leone. It could presumably do a lot more if it is not too distracted by its operations in Iraq and Syria.

The big unanswered question is who will be available to provide hands-on care as the number of cases continues to mount. Even without an effective drug, prompt supportive care — such as keeping patients hydrated, maintaining their blood pressure and treating any complicating infections — can keep patients alive who would otherwise die. The bulk of the health care workers will presumably have to come from the afflicted countries, but they will probably need to be helped by doctors and nurses from abroad. All must be provided with personal protective equipment and trained to recognize and treat a disease that could kill them if they are not careful.

http://www.nytimes.com/2014/08/16/opini ... .html?_r=0

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