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PostPosted: Sun Aug 17, 2014 11:30 am 
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PostPosted: Sun Aug 17, 2014 11:31 am 
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PostPosted: Mon Aug 18, 2014 2:02 am 
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Ebola patients ‘mingle’ with crowd at Liberia clinic
Bloodied mattresses taken from clinic in Monrovia by armed men amid efforts to contain virus
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Health workers wearing protective clothing prepare to carry an abandoned dead body presenting with Ebola symptoms at Duwala market in Monrovia in Liberia yesterday. Photograph: 2Tango/Reuters.
Health workers wearing protective clothing prepare to carry an abandoned dead body presenting with Ebola symptoms at
Mon, Aug 18, 2014, 06:53

An attack on an Ebola clinic in Liberia’s capital city is complicating already strained efforts there to contain the virus’s spread.
The Associated Press reported that bloodied mattresses were stolen by armed men at the centre in the West Point neighbourhood in Monrovia.
The patients began to “mingle” with the crowd and some did not return, Frank Sainworla, who runs Catholic radio station Veritas, said.
Cui bono? Ebola crisis brings black-and-white question into focus
A girl sells soap as women pray for an end of the Ebola epidemic in Monrovia, Liberia. Photograph: John Moore/Getty ImagesAfrican Ebola outbreak feels like ‘wartime’, says MSF president
Undated US Centers for Disease Control and Prevention photo of the ebola virus. Photograph: Frederick Murphy/CDC/PA WireNo confirmed or suspected Ebola cases in Ireland, says HSE
“The community residents in West Point went to the isolation centre to get mattresses placed at the newly established Ebola Isolation centre,” he said.
The incident shows the complex nature of an outbreak that’s killed more than 1,100 people.
Countries in the region are strengthening border security to limit the disease, and more airlines are discontinuing flights to some affected countries, further isolating them.
The actions come after a top official from Médecins Sans Frontières said it will take months to curb the outbreak, while the World Health Organisation said its running tally of Ebola cases and deaths underestimates the numbers medical workers are reporting.
Nigeria, with 12 confirmed Ebola cases so far, said it has placed almost 200 people under surveillance for the disease, trying to limit the outbreak. Nigeria is the fourth country where Ebola has been reported, following its spread in Guinea, Liberia and Sierra Leone. At least 2,100 people have been infected throughout West Africa, the WHO reported.
“We are not talking weeks; we’re talking about months to get an upper hand on the epidemic,” Joanne Liu, international president of Médecins Sans Frontières, said.
The WHO said in a statement that their staff members “at the outbreak sites see evidence that the number of reported cases and deaths vastly underestimate the magnitude of the outbreak.”
The World Food Programme also said that 1 million people are likely to need food aid in Guinea, Liberia, and Sierra Leone, the countries hardest hit by the epidemic. Food, including cooked meals, is being transported into the countries by truck, Steve Taravella, a spokesman, said.
Guinea is among the countries strengthening security at its borders, aiming to control the flow of people from Liberia and Sierra Leone. The country will deploy 42 added military doctors and 42 civilian doctors at crossings, Remy Lamah, Guinea’s minister of health, said in the capital of Conakry.
Kenya Air Lines will suspend flights to Liberia and Sierra Leone from tomorrow, the airline said, citing the risk assessments by Kenya’s ministry of health and the WHO.
Airlines from Gambia, Togo and Nigeria have already stopped flying to the Ebola-hit states, while Korean Air will end operations to Kenya on Wednesday.
Ebola, which can cause bleeding from the eyes, ears and nose, has killed as many as 90 per cent of those infected in the past. In this outbreak more than 40 per cent have survived.
Researchers are speeding up their efforts to test experimental medicines and vaccines for the virus. The WHO said it’s “coordinating a massive scaling up of the international response, marshaling support from individual countries, disease control agencies, agencies within the United Nations system, and others.”
Normal treatment involves keeping patients hydrated, replacing lost blood and using antibiotics to fight infections. The hope is that a patient’s immune system will eventually fight off the virus’s aggressive attack.
Two American health workers infected with the virus in Liberia have received an experimental medicine from Mapp Biopharmaceutical and appear to be improving. Mapp’s antibody is one of several experimental treatments in development.
A Nigerian citizen is being tested for Ebola in Spain after showing symptoms of the disease, the ministry of health said. Blood test results are expected today.

http://www.irishtimes.com/news/world/af ... -1.1900306

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PostPosted: Mon Aug 18, 2014 2:09 am 
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Published Date: 2014-08-17 21:32:07
Subject: PRO/AH/EDR> Ebola virus disease - West Africa (130): Nigeria, Liberia, more
Archive Number: 20140817.2698701

EBOLA VIRUS DISEASE - WEST AFRICA (130): NIGERIA, LIBERIA, MORE
***************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] Nigeria: attack on quarantine center
[2] Liberia: PPE shortage critical
[3] India, suspected
[4] Media reports (1)
[5] Media reports (2)

******
[1] Nigeria: attack on quarantine center
Date: Sun 17 Aug 2014
Source: CBS News [edited]
http://www.cbsnews.com/news/report-arme ... g-patients


Liberian officials fear EVD could soon spread through the capital's largest slum after residents raided a quarantine center for suspected patients and took items including bloody sheets and mattresses. The violence in the West Point slum occurred late Sat [16 Aug 2014] and was led by residents angry that patients were brought to the holding center from other parts of Monrovia, Tolbert Nyenswah, assistant health minister, said Sun [17 Aug 2014].

Local witnesses told Agence France Presse that there were armed men among the group that attacked the clinic. "They broke down the doors and looted the place. The patients all fled," said Rebecca Wesseh, who witnessed the attack and whose report was confirmed by residents and the head of Health Workers Association of Liberia, George Williams. Up to 30 patients were staying at the center, and many of them fled at the time of the raid, said Nyenswah [other reports put the number at 17. - Mod.JW]. Once they are located, they will be transferred to the EVD center at Monrovia's largest hospital, he said.

The attack comes just one day after a report of a crowd of several hundred local residents chanting "No Ebola in West Point" drove away a burial team and their police escort that had come to collect the bodies of suspected EVD victims in a slum in the capital, Reuters reports. West Point residents went on a "looting spree," stealing items from the clinic that were likely infected, said a senior police official, who insisted on anonymity because he was not authorized to brief the press. The residents took medical equipment and mattresses and sheets that had bloodstains, he said. EVD is spread through bodily fluids including blood, vomit, feces and sweat.

"All between the houses, you could see people fleeing with items looted from the patients," the official said, adding that he now feared "the whole of West Point will be infected." Some of the looted items were visibly stained with blood, vomit and excrement, said Richard Kieh, who lives in the area.

The incident creates a new challenge for Liberian health officials who were already struggling to contain the outbreak. New figures released by the World Health Organization show that Liberia has recorded more EVD deaths (413) than any of the other affected countries.

Liberian police restored order to the West Point neighborhood on Sun [17 Aug 2014]. Sitting on land between the Montserrado River and the Atlantic Ocean, West Point is home to at least 50 000 people, according to a 2012 survey. Distrust of government runs high in West Point, with rumors regularly circulating that the government plans to clear the slum out entirely. Though there had been talk of putting West Point under quarantine should EVD break out there, assistant health minister Nyenswah said Sunday [17 Aug 2014] that no such step has been taken. "West Point is not yet quarantined, as is being reported," he said.

While the armed attack is likely the most brazen attack on health workers trying to contain the deadly outbreak, it is far from the 1st in the region worst-hit by it. There have been numerous reports of locals attacking those trying to stop the disease by throwing stones at aid workers, blocking aid convoys, and forcibly removing patients from clinics. Many locals blame foreigners for bringing the disease, saying it had never been there before they arrived. The mistrust of central government and help from outside runs deep in this part of West Africa. All 3 countries worst-hit by the outbreak -- Liberia, Sierra Leone, and Guinea -- are relatively recently off decades of either brutal civil war or iron-fisted dictatorships.

--
Communicated by:
Ryan McGinnis
http://bigstormpicture.com

******
[2] Liberia: PPE shortage critical
Date: 7 Aug 2014
Source: Ministry of Health and Social Welfare (MOHSW) [edited]
http://www.mohsw.gov.lr/documents/Liber ... 202014.pdf


Liberia Ebola SitRep no. 84, 7 Aug 2014
------------------
[See Logistics/Supply Chain Highlights chart at end. Comment by Dr IM Mackay:

"This is appalling. It's been 8-days since PHEIC [Public Health Emergency of International Concern, WHO] announced & these are #liberia #PPE [personal protective equipment] stocks https://twitter.com/MackayIM/status/500813451564834816.

The most recent Sitrep I could find on the MOHSW website is No. 89 dated 12 Aug 2014 and does not contain a Logistics/Supply Chain Highlights chart: http://mohsw.gov.lr/documents/Liberia%2 ... 202014.pdf. I sincerely hope a few more tons of PPE have reached Liberia in the 10 days since the 6 Aug 2014 inventory. - Mod.JW]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

******
[3] India, suspected
Date: Sun 17 Aug 2014
Source: Times of India [edited]
http://timesofindia.indiatimes.com/city ... 325158.cms


The 3 Nigerians, aged 79, 37 and 4 years, had fever, and their tests were being done at the National Centre for Disease Control (NCDC), Delhi, an official release said here.

In addition to this, a 32-year-old Indian from Durg in Chhattisgarh who returned from Nigeria has been admitted to a hospital in Bhilai. His samples are also being tested at NCDC, the release said.

[Other reports say that only 29 out of 170 Indian subjects evacuated from Liberia gave valid contact phone numbers for contact tracing on arrival back in India. - Mod.JW]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

******
[4] Media reports (1)

http://www.nytimes.com/2014/08/17/world ... .html?_r=0

http://www.nytimes.com/2014/08/16/healt ... .html?_r=1

http://www.independent.co.uk/news/world ... 72546.html

Ethiopia Braces for Ebola Treatment [2 pages]
http://allafrica.com/stories/2014081600 ... e=acrdn-f0

http://www.independent.co.uk/news/educa ... 73861.html

SUSPECTED CASES
UAE: Nigerian who died in United Arab Emirates may have shown signs consistent with EVD
----------------------------------
17 Aug 2014: "... The 35-year-old woman was traveling to India from Nigeria via Abu Dhabi to seek treatment for advanced cancer when her health deteriorated during her time in transit at Abu Dhabi's airport, the authority said in a statement according to the state WAM news agency. ..."
http://www.reuters.com/article/2014/08/ ... LR20140817

GUINEA (and Liberia/Sierra Leone):
16 Aug 2014: Guinea reopens EVD clinic as sick spill over border http://www.reuters.com/article/2014/08/ ... I820140816

LIBERIA:
17 Aug 2014: Struggling Liberia creates "plague villages" in EVD epicenter http://www.reuters.com/article/2014/08/ ... EY20140817, http://www.nytimes.com/2014/08/18/world ... c=rss&_r=0

NIGERIA:
http://www.punchng.com/news/states-stra ... a-to-lagos
http://www.aljazeera.com/news/africa/20 ... 40296.html

How EVD patients survived - Experts
http://www.vanguardngr.com/2014/08/ebol ... d-experts/

Breaking the EVD infection cycle
http://www.vanguardngr.com/2014/08/brea ... tion-cycle

South Africa ex Liberia: suspected EVD
--------------------------------
17 Aug 2014: ... Johannesburg: A 37-year-old South African man, working as health and safety officer in a mining operation in Liberia, was admitted to hospital [in South Africa] on Sun [17 Aug 2014], the department of health said. ... Spokesman Joe Maila said the man arrived in the country on 6 Aug 2014. "He was scanned as normal routine in accordance with screening protocols for incoming travellers at the OR Tambo International Airport. ... He was healthy on arrival. ... On 16 Aug 2014, the man went to his general practitioner due to fever. ... http://www.ann7.com/article/16353-17082 ... _FC2YBdXL-

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

*******
[5] Media reports (2)

Spain: false alarm
----------------
15 Aug 2014: Health authorities in southeastern Spain activated EVD alert protocols after a young Nigerian man was admitted to hospital in Alicante with fever and vomiting.
UPDATE 2 (Sun [17 Aug 2014], 5:42 p.m.): Spanish news agency EFE, citing health ministry sources, reported the Nigerian patient did not have EVD. http://www.thespainreport.com/10398/spa ... bola-cases

U.N. will start flights for humanitarian workers
----------------------------------------
17 Aug 2014: Amid a growing number of airline cancellations, the U.N. will start flights for humanitarian workers on Sat [16 Aug 2014] to ensure that aid operations aren't interrupted. In the coming weeks, they will also ferry staff to remote areas by helicopter. http://www.cbsnews.com/news/report-arme ... g-patients [included at very end of above URL about the clinic attack. - Mod.JW]

Ebolavirus, pigs, primates and people
------------------------------
17 Aug 2014: This is a companion piece to the collaborative article, "Ebolavirus may be spread by droplets, but not by an airborne route: what that means," posted a couple of days ago. It is suggested to read both. URL 2) below includes: "If infection can happen between primates via the air, it is a very, very inefficient process, as a study of 78 people from 27 households with EVD cases during the 1995 Kikwit EVD epidemic revealed. Those 78 household members had no physical contact with the cases, and they did not get sick. Others who had physical contact got EVD [ref. (10) http://jid.oxfordjournals.org/content/1 ... 1/S87.long].
1) http://virologydownunder.blogspot.com.a ... plets.html [see ProMED archive 20140816.2696764].
2) http://virologydownunder.blogspot.com.a ... eople.html [URL 2) above is a serious and well-researched article. - Mod.JW].

--
Communicated by:
ProMED-mail
<promed@promedmail.org>


See Also
Ebola virus disease - West Africa (129): Nigeria, prevention, more 20140816.2696764
Ebola virus disease - West Africa (128): WHO, toll, Liberia, drug, more 20140816.2694748
Ebola virus disease - West Africa (127): Guinea, screening, more 20140815.2691736
Ebola virus disease - West Africa (126): WHO, Sierra Leone, index case, more 20140814.2688054
Ebola virus disease - West Africa (125): WHO, Nigeria, USA fear, CDC, more 20140812.2680534
Ebola virus disease - West Africa (124): WHO, Nigeria, USA fear, CDC, more 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 (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
[more
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
.................................................sb/jw/msp/ml

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PostPosted: Mon Aug 18, 2014 7:09 pm 
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