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PostPosted: Wed Aug 27, 2014 10:47 am 
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Media reports describe transfer of WHO affiliated case who was Ebola infected in Sierra Leone and transferred to Hamburg Germany.

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PostPosted: Wed Aug 27, 2014 10:49 am 
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VIDEO
Ebola-infected people in Hamburg: "The patient is in a state that gives us hope"
REUTERS
From the request of the WHO to the reaction of the German authorities passed only four hours in the morning an ebola infected has reached the Hamburg University Hospital. His condition lets hope the doctors.


In Hamburg, a patient is first treated, who has been infected in West Africa with the Ebola virus. "The patient is in a state that gives us hope," said Stefan Schmiedel, supervising senior physician at the University Hospital Hamburg-Eppendorf (UKE), at a press conference. Currently there are no plans to use experimental therapies in the treatment of the patient. "We believe that the basic measures are sufficient," says Schmiedel.

The Senegalese epidemiologist was for the World Health Organization in Sierra Leone in use. After becoming aware of his infection, the WHO has withdrawn the short term all the helpers of the laboratory in Kaihalun.
To his therapy belongs now to treat symptoms such as diarrhea, nausea and fever, to treat pain and stabilize the fluid balance. An approved Ebola drug does not yet exist. Upon his arrival in Hamburg, the patient could - having regard to the part of physicians - independent increase in the Isolierrettungswagen.

Like decision within four hours

WHO request to bring the Senegalese to Germany, went according to a statement at the press conference on Saturday evening in Hamburg. Accordingly, all competent authorities were notified within four hours and had consented.

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7 BilderUni Clinic Eppendorf: Ebola patient arrived in Hamurg

Whether an Ebola patient can be treated in Germany, a decision on several levels: First, the WHO had asked the UKE, whether it is ready to receive the sick employee. In then discussed the competent authorities in Hamburg, said the Federal Ministry of Health.
This done in close coordination with the federal authorities, who are also responsible for visa or permission to land. Involved in the process in addition to the Foreign Office and the Federal Ministry of the Interior and - in cooperation - the Robert Koch Institute and the Federal Ministry of Health.

No danger for Germany

According to the experts, there is no risk that the patient more people infected with the virus in Germany. "A risk of infection is ruled out," said Rico Schmidt, Chairman of the Board of Health and Consumer Protection in Hamburg, on the transport of the patient from the plane to the sick house. The Senegalese is now in intensive care in a hermetically sealed building of the clinic.

"The outbreak of pathogens seems impossible," also said the attending doctor Schmiedel. The doctors and nurses were so well trained that the treatment of the patient for it does not present additional psychological burden, but a physical one. The medical staff must wear special protective clothing to prevent any contact with body fluids in treating the patient.

According Schmiedel has the special ward at the UKE total seating for six people. Whenever the WHO request, there was the readiness to accept more patients, the doctor said at the press conference. Work 50 nurses, 30 doctors, technicians and security forces, all of which are specially designed to the station.

Other patients abroad to receive experimental therapies

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Have been treated abroad already several Ebola patients from West Africa. In all known cases are helpers. In their home countries, UK, USA and Spain they were treated with the un-approved drug ZMapp.
A British nurse was brought in the night of August 25 from Sierra Leone to London, where he received the experimental drug ZMapp. He is still under treatment. Two ill Americans - a doctor and his assistant - came in early August in the USA. About three weeks later, they were declared cured. Both had received ZMapp. A Spanish priest died - after ZMapp therapy - 12 August in Madrid. He suffered, however, before the Ebola infection of typhoid fever, kidney and heart diseases.

The French government has their compatriots in the face of the epidemic advised to avoid the affected countries Sierra Leone and Liberia. She also called her airline Air France on to flights in the capital of Sierra Leone, Freetown adjust. But connections to Nigeria and Guinea could be maintained .

http://www.spiegel.de/gesundheit/diagno ... 88364.html

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PostPosted: Wed Aug 27, 2014 11:05 am 
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The Senegalese expert, contaminated Sierra Leone, was admitted to a hospital in Hamburg specializes in the treatment of highly contagious diseases.
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A WHO expert is hospitalized at the University Hospital Hamburg-Eppendorf (UKE), 27 August 2014 (Photo Fabian Bimmer. Reuters)

A Senegalese expert of the World Health Organization (WHO), contaminated with Ebola , was Wednesday admitted to a hospital in Hamburg (north) where it should be the first patient treated in Germany, according to German authorities and WHO.
"The plane landed at 10am local" (8am GMT), said the press service of the Hamburg Airport.

Specialist in epidemiology, the WHO expert was contaminated in Sierra Leone with the virus that causes hemorrhagic fever, according to WHO. The patient should be treated at the University Hospital Hamburg-Eppendorf (UKE). A press conference is local 14h (12h GMT).

UKE hospital specializes in the treatment of highly contagious diseases. In late July, the WHO had already sent a request for care at this institution for one of its employees. But the tainted doctor had died before being transported to Germany.

CONTAMINATED COLUMBIA HOSPITALIZED IN LONDON
The Ebola virus, which has spread in Liberia, Guinea, Sierra Leone and to a lesser extent in Nigeria, has killed more than 1,400 people since the start of the year.

No vaccine or treatment exists at present to destroy the virus, which is contracted through direct contact with body fluids.

A Briton living in Sierra Leone, infected with Ebola virus, was hospitalized Sunday in London.

AFP
http://www.liberation.fr/monde/2014/08/ ... ne_1087931

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PostPosted: Wed Aug 27, 2014 12:28 pm 
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Sierra Leone - The Ebola doctor wanted to help those infected until he has himself been infected with the dangerous virus ...
On Wednesday the special jet type III Gulfair from Sierra Leone landed at Hamburg Airport. The scientist was immediately brought under the highest security on the isolation ward of the Bernhard Nocht Clinic at UKE.
He is the first Ebola patient being treated in Germany!
The UKE will not use experimental drugs on him. Instead, you sit as a key therapeutic principle to a supportive treatment of tropical medicine Stefan Schmiedel said at a press conference on Wednesday.
In the treatment it relates to the supply base, such as a pain therapy, lower fever and fluid management.
Schmiedel: "We believe that even the mortality rate of Ebola disease can be significantly reduced by these simple measures.

Over the weekend, the epidemiologist should from Senegal in the laboratory center of the World Health Organization (WHO) have been infected in Kailahun (Sierra Leone). The town of Kailahun is located on the border with Guinea.
How did he become infected, which is still unclear, according to WHO!
Along with other scientists, the man had the Laboratory Centre examined the prevalence and causes of the Ebola virus. He had also worked with pathogen samples.
After had confirmed infection with the Ebola virus on Sunday, the WHO drew all their helpers from the laboratory into Kailahun.

Since this incident had the other helper "a traumatic time" through, said the WHO coordinator for Sierra Leone, Daniel Kertesz. "After weeks of heroic commitment to patients with Ebola they are exhausted. If one adds to such a stressful situation, the risk of accidents increases. "
Employees should only return to the laboratory, where the circumstances of the infection have been completely explained.
EnlargeFrom Sierra Leone 881 outbreaks have been reported so far, 333 people died of the virus

On Tuesday, the authorities reported in Sierra Leone 56 new Ebola cases. In total, 881 confirmed cases of the disease, only 417 of them in Kailahun.
And increasingly be doctors, nurses and helpers victim! According to WHO, have been infected with the Ebola epidemic in West Africa more than 240 workers. More than 120 of them have died. Only on Wednesday announced Ibrahim Ben Kargbo, an advisor to the President of Sierra Leone, that a third doctor had died.
Kargbo: "This is a major setback in the struggle of our country against the viral disease."
Since the outbreak of the disease in March died in Sierra Leone, Liberia, Guinea and Nigeria according to the World Health Organization, more than 1400 people.

http://www.bild.de/news/ausland/ebola/h ... .bild.html

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PostPosted: Wed Aug 27, 2014 2:42 pm 
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Ebola Patient Arrives in Germany for Treatment

Watch Ebola Patient Arrive at German HospitalNBC NEWS

A medical expert working for the World Health Organization who was infected with Ebola in Sierra Leone has arrived in Germany for treatment. The Senegalese epidemiologist is the first Ebola patient to be treated in Germany. Health workers are at high risk of Ebola infection, and officials in Sierra Leone announced Tuesday that a high profile doctor there, Dr. Sahr Rogers, died of Ebola caught while treating patients.

The Senegalese epidemiologist arrived on a specially equipped medical jet and taken to the University Clinic in Hamburg-Eppendorf, prepared for up to six patients simultaneously at a special isolation ward for the treatment of highly infectious diseases.“The patient independently got off the plane and got into the waiting ambulance by himself,” Rico Schmidt, spokesman for Hamburg health authorities said at a news conference.

Officials at the Hamburg facility said they won't try experimental drugs just yet. “We will start with basic supportive care and are confident that we can already achieve good results,” said attending doctor Stefan Schmiedel.

The hospital had arranged in July with the World Health Organization to take in an Ebola patient, but the infected physician died before he could be brought to Germany.

“We hope that our colleague will get the best health care treatment possible,” WHO spokeswoman Fadéla Chaib told NBC News.

http://www.nbcnews.com/storyline/ebola- ... nt-n190006

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PostPosted: Wed Aug 27, 2014 7:20 pm 
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CBS/APAugust 27, 2014, 12:16 PM

WHO scientist begins treatment for Ebola

A man in special protection suit sits in an ambulance in front of the entrance of Eppendorf hospital in Hamburg, Germany, Wednesday Aug. 27, 2014. Officials say a Senegalese epidemiologist who was infected with Ebola while working for the World Health Organization in Sierra Leone has arrived in Germany for treatment. GEORG WENDT/AP

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A scientist who was infected with Ebola while working for the World Health Organization in Sierra Leone began receiving treatment Wednesday in a Hamburg hospital after being flown overnight to Germany.

The man, whose name and condition are being withheld for patient privacy reasons, is being treated at the University Medical Center Hamburg-Eppendorf, home to the well-known Bernhard-Nocht Clinic for Tropical Medicine.

"Hamburg has a special expertise in caring for tropical diseases," said Internal Medicine director Ansgar Lohse. "That's the reason the request was addressed to us."

WHO spokeswoman Fadela Chaib identified the patient as a man from Senegal infected while working for the agency as a consultant on epidemiology.

To date, WHO says more than 240 health care workers have developed the disease in Guinea, Liberia, Sierra Leone and Nigeria; more than 120 have died. Early Wednesday morning, government officials reported that a third top doctor in Sierra Leone who contracted the virus has died.

Christy Feig, director of WHO communications, said a team of two experts was sent Tuesday to investigate how the infectious disease expert was exposed to the Ebola virus.
She said the epidemiologist was a surveillance officer, a job that typically involves coordinating the outbreak response by liaising with local health workers, lab experts and hospitals but not direct treatment of patients.

Dr. Stefan Schmiedel, who is helping oversee the treatment, said the clinic would not be using experimental medicine like the untested serum called ZMapp, which was given to two American aid workers earlier this month. Supplies of ZMapp have run out. Instead, the patient's treatment will concentrate on "supportive care" such as fever reduction and fluid management.

"In West Africa the patients die relatively quickly of the illness, or survive and then return to health," he said. "How that will go under our medical supervision, we can't yet estimate."

"He wasn't in treatment centers normally," she said by telephone from Sierra Leone. "It's possible he went in there and wasn't properly covered, but that's why we've taken this unusual measure - to try to figure out what happened."

She said the team is checking if there is an infection risk in the living and working environment that has not been uncovered.

"The international surge of health workers is extremely important and if something happens, if health workers get infected and it scares off other international health workers from coming, we will be in dire straits," she said.

http://www.cbsnews.com/news/who-scienti ... for-ebola/

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PostPosted: Wed Aug 27, 2014 8:02 pm 
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CDC staffer exposed to Ebola amid growing concerns for health workers
Filed Under: Ebola; VHF
Lisa Schnirring | Staff Writer | CIDRAP News | Aug 27, 2014

The Ebola virus threat to health workers and international responders in West Africa saw no letup today, with news of the US Centers for Disease Control and Prevention (CDC) returning one of its deployed staff members after contact with a patient and Canada pulling a lab team after infections were detected at their hotel.

CDC Director Tom Frieden, MD, MPH, is in West Africa this week getting a first-hand look at the steep challenges the affected countries and international health responders face. In Monrovia, Liberia, today he told CNN that the outbreak is worse than he feared. He said each day the outbreak continues increases the threat of exporting the disease to other countries.

"The sooner the world comes together to help Liberia and West Africans, the safer it will be," Frieden told CNN.

CDC staffer had low-risk exposure
In a statement today the CDC said it brought an employee back on a charter jet following low-risk contact with an international health worker who recently tested positive for Ebola virus disease (EVD). The CDC staff member worked within 3 feet of and in the same room with the infected health worker for a prolonged period when the international worker was symptomatic and capable of spreading the virus to others.

The CDC said its staffer practiced good personal infection control. The individual is not sick, does not have any disease symptoms, and does not pose a threat to others. Also, the CDC said the staff member is rotating back to the United States, as scheduled, from the assignment in West Africa.

The agency said it is handling the case based on its interim guidance for monitoring and moving people who have been exposed to the Ebola virus, which stipulates that contacts can travel long distances only by private means during a 21-day interval after last contact.

The restriction addresses the possibility that a person could start having symptoms during travel and ensures that individuals would have quick access to care if they had symptoms. The CDC also recommends that travelers who have visited Sierra Leone, Guinea, or Liberia monitor their health for 21 days and seek medical care if they start experiencing EVD symptoms during that time.

Once the CDC staffer returns to the United States, he or she will not be on home restriction and could return to duties at the CDC during the 21-day symptom monitoring period, the group said.

Canada pulls lab team from Sierra Leone field unit
In a related development, the Public Health Agency of Canada (PHAC) said yesterday that it has recalled a three-member mobile lab team that worked a field unit with a World Health Organization (WHO) employee who was recently infected with EVD, according to a Canadian Press report today. The PHAC also said people at a hotel complex where the Canadian lab team was staying were diagnosed with EVD.

The PHAC said the Canadian lab workers are not sick but will be in voluntary isolation during their flight home and after they return to Canada.

The WHO said yesterday that it was pulling its staff from a unit in Sierra Leone's Kailahun district after one of its deployed workers, a Senegalese epidemiologist, was sickened by EVD. It also announced that it would send another team to the area to review how the worker was infected. The field site is located in a part of West Africa that has been called one of the outbreak's most intense hot spots.

Christy Feig, WHO director of communications, told the Canadian Press that the unit where the epidemiologist and the Canadian lab team were working did not treat patients but rather supported operations at a nearby treatment center run by Doctors Without Borders.

ZMapp for one evacuated health worker
The Senagalese WHO worker, who was affiliated with the Global Outbreak Alert and Response Network (GOARN), was flown to Germany last night and is being treated today at a hospital in Hamburg, the University Medical Center Hamburg-Eppendorf, CBS News reported today. The city is home to the Bernhard-Nocht Clinic for Tropical Medicine.

Ansgar Lohse, MD, the hospital's internal medicine director, said the Hamburg area has expertise in caring for tropical diseases, which swayed the decision to treat the man at one of the city's hospitals.

Another doctor at the hospital who is helping coordinate the patient's treatment, Stefan Schmiedel, MD, said the clinic would not be using the experimental drug ZMapp, which was been given to some medical workers, including two Americans who were infected with EVD and have since recovered, according to the CBS report. He indicated that the supply of ZMapp has been depleted and that the patient's treatment will focus on supportive care, including fever reduction and fluid management.

However, Royal Free London, where a British nurse is being treated after being infected in Sierra Leone, said the man has decided after careful consideration that he would like to take the experimental drug ZMapp and took the first dose on Aug 25. The hospital said in a press release yesterday that the patient, William Pooley, is in good spirits and is sitting up and talking to his caretakers.

Mike Jacobs, MD, an infectious disease consultant at the hospital, said in the statement, "We are giving him the very best care possible. However, the next few days will be crucial. The disease has a variable course and we will know much more in a week's time."

See also:

Aug 27 CNN report

Aug 27 CDC statement

Aug 27 Canadian Press story

Aug 26 CIDRAP News story "WHO pulls Ebola team, probes site of staffer's infection"

Aug 27 CBS News story

Aug 26 Royal Free London press release
http://www.cidrap.umn.edu/news-perspect ... th-workers

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