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Ebola Information And Updates

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Post Options Post Options   Thanks (0) Thanks(0)   Quote CRS, DrPH Quote  Post ReplyReply Direct Link To This Post Posted: July 28 2014 at 9:23pm
Originally posted by arirish arirish wrote:

CRS, DrPH - Why aren't they in West Virginia, the Appalachians or the southern Delta? They are evangelist trying to save souls. "People appear to have more confidence in witch doctors". I hope their God has mercy on them, the people they are serving don't seem to!

Yeah, I hear that!  The situation is just far too dangerous IMHO.  Not only Ebola, but hostile citizens, militias, God knows what else.  

I have no problem with missionary work, I have friends who have done that over in Africa.  However, Ebola is something altogether different.  No vaccine, no real treatment, contagious through surface contact etc.  

Let's hope nobody drags that virus over here.
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Surge in new cases.

Latest WHO figures (until 23.7.2014) show 108 new cases and 12 new deaths in the three days since the last report.

Totals 1 201 cases and 672 deaths.

http://www.who.int/csr/don/2014_07_27_ebola/en/#

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Be alert to the fact, that there seems to be contrary information on the various Ebola situations. Weed through everything you are presented, and try to make sense of it the best that you can.


http://www.dailymail.co.uk/news/article-2709180/Ebola-victim-sparked-fears-global-outbreak-American-Father-died-incurable-virus-Nigeria-taking-international-flight-going-visit-children-Minnesota.html


Ebola victim who sparked fears of a worldwide outbreak was American: Father who died of incurable virus in Nigeria after taking international flight was going to visit his children in Minnesota

  • It has been revealed that the Ebola victim who sparked fears of a global outbreak is a US citizen
  • Patrick Sawyer, 40, died of the deadly virus in Lagos, Nigeria, on Friday
  • His wife back in Coon Rapids, Minnesota, has revealed he was due home in August
  • Decontee Sawyer, 34, said her husband caught the virus from his sister in Liberia
  • The couple are originally from Liberia and have family in the US and West Africa
  • Nearly 700 people have been killed by the virus across West Africa
  • Two American aid workers in Liberia have also tested positive for the virus and are being treated there
  • Nancy Writebol, from Charlotte, North Carolina, has the incurable disease
  • Kent Brantly was treating Ebola patients in Monrovia, Liberia when he recognized he had the symptoms

By James Nye and Associated Press Reporter

Published: 23:54 EST, 28 July 2014 | Updated: 06:24 EST, 29 July 2014

The Ebola victim who sparked fears that a historic outbreak of the disease could spread globally was an American citizen, it was revealed last night.

Patrick Sawyer died this week after becoming noticeably ill on a flight from Liberia in West Africa, where the worst ever outbreak of Ebola is gathering pace, to the city of Lagos in Nigeria.

His case sparked alarm across the globe because he was able to board an international flight while carrying the incurable disease – potentially infecting other passengers who could fly across the world in a nightmare scenario for health experts.

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Bereaved: Decontee Sawyer, with her husband, Patrick, on their wedding day in 2008. Patrick was planning to come back to America in August for two of his girls birthdays
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Bereaved: Decontee Sawyer, with her husband, Patrick, on their wedding day in 2008. Patrick was planning to come back to America in August for two of his girls' birthdays

Patrick Sawyer, 40, was planning to return home to Coon Rapids, Minnesota, to be reunited with his children for two of his daughters' birthdays in August.

But his death in Lagos, Africa's most populous city, has health workers scrambling to trace those who may have been exposed to him across West Africa, including flight attendants and fellow passengers. 

 

His devastated wife, Decontee Sawyer, 34, shudders when she thinks how close Sawyer came to returning home to the States for his daughters' birthdays carrying the dreaded virus.

'It's a global problem because Patrick could've easily come home with Ebola,' Decontee said to KSTP. 'Easy. Easy. It's close, it's at our front door. It knocked down my front door.'

On the way home: Patrick Sawyer with his wife Decontee - the couple were expecting to be reunited next month for two of their daughters birthdays
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On the way home: Patrick Sawyer with his wife Decontee - the couple were expecting to be reunited next month for two of their daughters' birthdays

The risk of travelers contracting Ebola is considered low because it requires direct contact with bodily fluids or secretions such as urine, blood, sweat or saliva, experts say. Ebola can't be spread like flu through casual contact or breathing in the same air.

Patients are contagious only once the disease has progressed to the point they show symptoms, according to the WHO. And the most vulnerable are health care workers and relatives who come in much closer contact with the sick.

Still, witnesses say Sawyer, a 40-year-old Liberian Finance Ministry employee en route to a conference in Nigeria, was vomiting and had diarrhea aboard at least one of his flights with some 50 other passengers aboard. Ebola can be contracted from traces of feces or vomit, experts say.

Sawyer was immediately quarantined upon arrival in Lagos - a city of 21 million people - and Nigerian authorities say his fellow travelers were advised of Ebola's symptoms and then were allowed to leave. The incubation period can be as long as 21 days, meaning anyone infected may not fall ill for several weeks.

Health officials rely on 'contact tracing' - locating anyone who may have been exposed, and then anyone who may have come into contact with that person.

That may prove impossible, given that other passengers journeyed on to dozens of other cities.

Loss: Patrick Sawyer with one of his daughters at home in Coon Rapids, Minnesota, before he began to commute internationally between the United States and Liberia for work
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Loss: Patrick Sawyer with one of his daughter's at home in Coon Rapids, Minnesota, before he began to commute internationally between the United States and Liberia for work

Global worries: The death of Patrick Sawyer after an international flight between Liberia and Nigeria has sparked fears that he could have unwittingly spread the Ebola virus
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Global worries: The death of Patrick Sawyer after an international flight between Liberia and Nigeria has sparked fears that he could have unwittingly spread the Ebola virus

Sawyer, who worked for the Liberian Finance Ministry married his wife Decontee in December 2008, in Coon Rapids.

The couple, who both hold US citizenship are originally from Liberia and Decontee arrived in the country with her family in 1991 and Patrick came in the early 2000s.

The couple are part of the large Liberian community in Minnesota, who moved there in the aftermath of the nation's two civil wars in the 1980s and late 1990s.

His job had taken him back to West Africa to promote economic development there and he was last in the United States in September said Decontee to the Pioneer Press.

His long absences away from home had become common and before he boarded the plane to Lagos last week he had been caring for a sister who was ill with what was revealed to be Ebola, although according to Decontee, he and his family did not know that at the time.

Deadly errors: Dr. Kent Brantly of Samaritans Purse relief organization is shown wearing protective clothing as he works with Ebola patients in Liberia. Brantly is also being treated after somehow becoming infected with the virus. While the protective suits keep infectious fluids out, relief workers do often become victims
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Cautious: Dr Brantly of Samaritan's Purse relief organization is shown wearing protective clothing as he works with Ebola patients in Liberia. Brantly, who is an American doctor is now also being treated after somehow becoming infected with the virus

Surrounded by death: Liberian health workers in protective gear on the way to bury a woman who died of the Ebola virus from the isolation unit in Foya, Lofa County, Liberia
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Surrounded by death: Liberian health workers in protective gear on the way to bury a woman who died of the Ebola virus from the isolation unit in Foya, Lofa County, Liberia

Decontee learned he was ill with Ebola on Thursday and then on Friday she was told her husband of six years had passed away from the virus.

Distraught, Decontee said that she had come forward to share her husband's fate so that the public can understand how quickly the virus can spread.

'Patrick was coming here. What if he still wasn't displaying symptoms yet and came?' Sawyer asked, according to the Pioneer Press.

'He could have brought Ebola here. Someone else could bring Ebola here.'

Health experts say it is unlikely Sawyer could have infected others with the virus that can cause victims to bleed from the eyes, mouth and ears.

Still, unsettling questions remain such as how could a man whose sister recently died from Ebola manage to board a plane leaving the country?

Taking care: Medical staff working with Medecins sans Frontieres prepare to bring food to patients kept in an isolation area at the MSF Ebola treatment centre in Kailahun in Sierra Leone
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Taking care: Medical staff working with Medecins sans Frontieres prepare to bring food to patients kept in an isolation area at the MSF Ebola treatment centre in Kailahun in Sierra Leone

Caution: Sierra Leone now has the highest number of Ebola cases, at 454. The outbreak started in Guinea
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Caution: Sierra Leone now has the highest number of Ebola cases, at 454. The outbreak started in Guinea

U.S. health authorities have warned the deadly virus can spread 'like a forest fire'.

Stephan Monroe of the Centers for Disease Control and Prevention said yesterday that 'Ebola poses little risk to the general U.S. population.'

However, he told AFP: 'The concern is that the outbreak can be reseeded, much like a forest fire with sparks from one tree. That is clearly what happened in Liberia.'

Sawyer's death on Friday has led to tighter screening of airline passengers in West Africa, where an unprecedented outbreak that emerged in March has killed more than 670 people in Guinea, Sierra Leone and Liberia.

But some health authorities expressed little confidence in such precautions.

Map of West Africa showing areas that have confirmed and suspected cases of the deadly ebola virus; includes chart showing previous ebola virus outbreaks. Most border crossings in Liberia have been closed to try and halt the deadly virus
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Map of West Africa showing areas that have confirmed and suspected cases of the deadly ebola virus; includes chart showing previous ebola virus outbreaks. Most border crossings in Liberia have been closed to try and halt the deadly virus

EBOLA: DEADLY, CONTAGIOUS AND INCURABLE - COULD IT LEAVE AFRICA?

An Ebola virus virion

An Ebola virus virion

The current outbreak of Ebola has spread to at least four countries in West Africa since the start of the year. So far, it has claimed 672 victims, and infected 1,093. Countries affected include Liberia, Guinea, Sierra Leone, and Nigeria.

The disease spreads through contact with blood, body fluids or contact with tissue from infected people or animals. It has only a 10 per cent survival rate.

U.S. health authorities have warned the deadly virus can spread 'like a forest fire'.

Civil servant Patrick Sawyer collapsed at Lagos airport in Nigeria on July 20 after flying in from Liberia, where he had attended the funeral of his sister, who had also succumbed to the disease.

His plane also landed in Togo on its way to Nigeria, prompting fears that the virus may have also reached a fifth country.

Nigeria, Guinea, Liberia and Sierra Leone are now screening air passengers – but doctors say this may not be effective because Ebola has an incubation period of two to 21 days and cannot be diagnosed on the spot.

Symptoms include high fever, bleeding and damage to the nervous system. There is no vaccine or cure. It is spread by contact with infected blood or other bodily fluids.

All outbreaks since 1976 when Ebola was first identified have been in Africa, with the previous highest death toll being 280.

Unprecedented: The outbreak has spread to Guinea, Sierra Leone, Liberia and has now killed a man in far more densely populated Nigeria. The outbreak is the deadliest ever of the terrifying disease as the death toll crept past 700
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Unprecedented: The outbreak has spread to Guinea, Sierra Leone, Liberia and has now killed a man in far more densely populated Nigeria. The outbreak is the deadliest ever of the terrifying disease as the death toll crept past 700

'The best thing would be if people did not travel when they were sick, but the problem is people won't say when they're sick. They will lie in order to travel, so it is doubtful travel recommendations would have a big impact,' said Dr. David Heymann, professor of infectious diseases at the London School of Hygiene and Tropical Medicine.

Back home in Minnesota, Decontee is reeling from the news that her husband has passed away.

'I have three daughters who will never get to know their father,' Decontee Sawyer said in an interview with the Pioneer Press.

Recalling her husband, Decontee said told Kare11 he was 'larger than life' and that she is stills shocked that someone so strong could have their life ended so suddenly.

Brantly
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Nancy Writebol
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Missed: Brantly and Writebol, right, are both in isolation, which is devastating for their families, friends said

International travel has made the spread of disease via airplanes almost routine. Outbreaks of measles, polio and cholera have been traced back to countries thousands of miles away.

Even Ebola previously traveled the globe this way: During an outbreak in Ivory Coast in the 1990s, the virus infected a veterinarian who traveled to Switzerland, where the disease was snuffed out upon arrival and she ultimately survived, experts say.

Two American aid workers in Liberia have tested positive for the virus and are being treated there. U.S. health officials said Monday that the risk of the deadly germ spreading to the United States is remote.

One, Texas-trained doctor Kevin Brantly is said to be in grave condition as the virus takes hold of him.

According to his former colleague at John Peter Smith Hospital in Fort Worth, Dr. David Mcray, Brantly is 'terrified' the disease will progress further.

Still, colleagues and family members said Brantly, 33, knew of the risks associated with working in one of the world's poorest countries during an epidemic and did not regret his choice.

Infected: Nancy Writebol, pictured with her husband David, also became infected while working in Liberia
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Infected: Nancy Writebol, pictured with her husband David, also became infected while working in Liberia

'Kent prepared himself to be a lifetime medical missionary,' said his mother, Jan Brantly. 'His heart is in Africa.'

During his four-year family medicine residency, he accompanied Mcray on medical missions to Uganda and earthquake-devastated Haiti. He also spent several weeks working in Tanzania, where a cousin lives and works as a medical missionary, Mcray said.

Before contracting Ebola, Brantly and his family 'really enjoyed Liberia.'

Despite his fears, Brantly said earlier Monday that he's got no regrets about going to Africa.

Brantly is one of two Americans fighting for their lives. Married missionary Nancy Writebol, from Charlotte, North Carolina, is also sick at a Liberian hospital as the continent struggles against the worst outbreak in history.

Writebol had moved to Liberia with her husband. She worked as a hygienist, spraying protective suits worn by health care workers treating Ebola patients in Monrovia, the Charlotte Observer reported.

Writebol and her husband David are not medical personnel, but rather Christian missionaries with 15 years experience serving disease and poverty-stricken third world nations.

Devoted: Kent Brantly, pictured with his wife Amber and their two children, contracted Ebola while working with patients in Liberia. He and his family chose to stay in the country even after Ebola began to spread
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Devoted: Kent Brantly, pictured with his wife Amber and their two children, contracted Ebola while working with patients in Liberia. He and his family chose to stay in the country even after Ebola began to spread

Originally from Charlotte, North Carolina, the couple raised two sons before moving overseas, first to Ecuador and Zambia before moving to Liberia.

'It's just devastating news,' her pastor, Reverend John Munro, said. He described the couple as religious, humble people who were desperate to stay and help despite the congregation's fears.

Her husband, David, delivered the terrible news to the congregation over Skype, he said.

'He's devastated,' Munro said. 'He can't really be with his wife. She’s in isolation. Ebola is very contagious. She's not doing well. It's grim news.'

The outbreak started in Guinea in February and spread to neighboring Liberia and Sierra Leone in weeks.

Dr. Samuel Brisbane on Sunday became the first Liberian doctor to die in an outbreak the World Health Organization says. A Ugandan doctor working in the country died earlier this month.

The mere prospect of Ebola in Africa's most populous nation has Nigerians on edge.

In Nigeria's capital, Abuja, Alex Akinwale, a 35-year-old entrepreneur, said he is particularly concerned about taking the bus, which is the only affordable way to travel.

Dr. Kent Brantly is shown in this 2013 photo provided by JPS Health Network. A relief group official says Brantly is one of two American aid workers that have tested positive for the Ebola virus while working to combat an outbreak of the deadly disease at a hospital in Liberia. A spokesman said both Americans have been isolated and are under intensive treatment.(AP Photo/JPS Health Network)
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Brave words: Dr. David Mcray reads a recent message sent to him by his friend and colleague Dr. Kent Brantly during a news conference Monday, from Texas. Brantly is one of two American aid workers that have tested positive for the Ebola virus while working to combat an outbreak of the deadly disease at a hospital in Liberia. Brantly said hes terrified but doesnt regret moving to Africa as a missionary
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Brave words: Dr. David Mcray reads a recent message sent to him by his friend and colleague Dr. Kent Brantly during a news conference Monday, from Texas. Brantly is one of two American aid workers that have tested positive for the Ebola virus while working to combat an outbreak of the deadly disease at a hospital in Liberia. Brantly said he's terrified but doesn't regret moving to Africa as a missionary

'It's actually making me very nervous. If I had my own car, I would be safer,' he said. 'The doctors are on strike, and that means they are not prepared for it. For now I'm trying to be very careful.'

It's an unprecedented public health scenario: Since 1976, when the virus was first discovered, Ebola outbreaks were limited to remote corners of Congo and Uganda, far from urban centers, and stayed within the borders of a single country.

This time, cases first emerged in Guinea, and before long hundreds of others were stricken in Liberia and Sierra Leone.

Those are some of the poorest countries in the world, with few doctors and nurses to treat sick patients let alone determine who is well enough to travel.

In Sawyer's case, it appears nothing was done to question him until he fell sick on his second flight with Asky Airlines. An airline spokesman would not comment on what precautions were being taken in the aftermath of Sawyer's journey.

Liberian Assistant Health Minister Tolbert Nyenswah told The Associated Press last week that there had been no screening at Liberia's Monrovia airport.

A Liberian money exchanger wears protective gloves as a precaution to prevent infection with the deadly Ebola virus while transacting business with customers in downtown Monrovia, Liberia, yesterday
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A Liberian money exchanger wears protective gloves as a precaution to prevent infection with the deadly Ebola virus while transacting business with customers in downtown Monrovia, Liberia, on Sunday

That changed quickly over the weekend, when President Ellen Johnson Sirleaf said a new policy on inspecting and testing all outgoing and incoming passengers will be strictly observed.

She also announced that some borders were being closed and communities with large numbers of Ebola cases would be quarantined.

International travelers departing from the capitals of Sierra Leone and Guinea are also being checked for signs of fever, airport officials said. Buckets of chlorine are also on hand at Sierra Leone's airport in Freetown for disinfection, authorities said.

Still, detecting Ebola in departing passengers might be tricky, since its initial symptoms are similar to many other diseases, including malaria and typhoid fever.

'It will be very difficult now to contain this outbreak because it's spread,' Heymann said. 'The chance to stop it quickly was months ago before it crossed borders ... but this can still be stopped if there is good hospital infection control, contact tracing and collaboration between countries.'

Nigerian authorities so far have identified 59 people who came into contact with Sawyer and have tested 20, said Lagos State Health Commissioner Jide Idris.

Among them were officials from ECOWAS, a West African governing body, airline employees, health workers and the Nigerian ambassador to Liberia, he said. He said there have been no new cases of the disease.


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I'm Sorry - missed this thread somehow on iph - so I posted a couple ebola posts under the General discussion - please feel free to move them over/delete them.
I have now 're-joined' as (newbie1) as I could never get login to work for newbie so always had to post as guest - hopefully I can get in/out now with this 're-set/re-join'.
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From the symptoms of a common cold to bleeding out the ears and eyes: What happens when you are infected with the Ebola virus?

  • The first symptoms include a fever, headache and sore throat
  • Within days as the Ebola virus attacks the immune system, chronic abdominal pain, muscle aches, vomiting and diarrhoea take hold
  • The virus pierces blood vessels causing bleeding from the eyes, ears, mouth and other orifices
  • The whites of the eyes turn red and blood blisters form under the skin
  • Ebola is highly-infectious and has a death rate of up to 90 per cent
  • So far, 672 lives have been lost to the disease during this outbreak
  • The virus has spread from Guinea to Sierra Leone and Liberia
  • And on Friday the first victim was declared dead in Nigeria

By Lizzie Parry

Published: 11:21 EST, 29 July 2014 | Updated: 11:21 EST, 29 July 2014

You have a temperature and no appetite. Your head is aching and you're throat is sore.

It may appear as though a common cold is lurking, but unbeknownst to you the vicious Ebola virus has started to attack your immune system.

The virus destroys the same cells as those targeted by HIV, though the Ebola infection is more aggressive, wiping out the building blocks of the body's immune system.

It has an incubation period - that is the time from infection to when the first symptoms present themselves - of between two and 21 days, increasing the risk of the highly-infectious illness spreading.

A rising temperature, headache and sore throat are the first signs the Ebola virus is invading the body, attacking the building blocks of the immune system. As the disease progresses, victims suffer blood shot eyes, as tiny blood vessels burst, causing bleeding from the eyes, ears, mouth, and other orifices
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A rising temperature, headache and sore throat are the first signs the Ebola virus is invading the body, attacking the building blocks of the immune system. As the disease progresses, victims suffer blood shot eyes, as tiny blood vessels burst, causing bleeding from the eyes, ears, mouth, and other orifices

Where a victim has breaks in the skin, blood seeps out, as the disease takes hold. The virus has a death rate of up to 90 per cent, and is highly-contagious, spreading through contact with an infected persons blood, secretions, organs and other bodily fluids
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Where a victim has breaks in the skin, blood seeps out, as the disease takes hold. The virus has a death rate of up to 90 per cent, and is highly-contagious, spreading through contact with an infected person's blood, secretions, organs and other bodily fluids

As soon as a victim starts to suffer the sudden onset of the disease, the fever, crippling headache and muscle pain, they are already contagious.

The virus is transmitted through close contact with the blood, secretions, organs or other bodily fluids of infected animals.

Once a human is infected, the disease can spread quickly within a community, with health workers and family members of victims at particular risk.

The current outbreak rampaging through West Africa, began in a small village in Guinea and since February it has claimed 672 lives, leaving another 1,200 people infected.

It has spread into neighbouring Sierra Leone and Liberia.

 
And on Friday, U.S. citizen Patrick Sawyer died in the Nigerian capital of Lagos, having travelled there by plane after attending his sister's funeral, after she too died of the disease.

This is now the most prolific Ebola outbreak since the disease was first discovered in 1976.

The fact the virus mimics the symptoms of a common cold in its early stages, is the very aspect that makes the disease so difficult to diagnose.

Within a few days, the early symptoms give way to the next stage of the virus.

Disseminated intravascular coagulation causes clots and hemorrhaging, with clots in the liver, spleen, brain and other internal organs.

The virus pierces veins and capillaries, forcing the blood vessels to bleed into the surrounding tissue.

A patient will suffer aches all over the body, chronic abdominal pain, vomiting and diarrhoea.

The current outbreak, which has so far claimed 672 lives, started in a village in Guinea, spreading to Liberia and Sierra Leone. On Friday, a U.S. citizen Patrick Sawyer became the first victim to die in Nigeria, having flown to the capital Lagos after attending his sisters funeral in Liberia, after she succumbed to the disease
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The current outbreak, which has so far claimed 672 lives, started in a village in Guinea, spreading to Liberia and Sierra Leone. On Friday, a U.S. citizen Patrick Sawyer became the first victim to die in Nigeria, having flown to the capital Lagos after attending his sister's funeral in Liberia, after she succumbed to the disease

The latest outbreak is the worst since the disease was first discovered in 1976
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The latest outbreak is the worst since the disease was first discovered in 1976

Patrick Sawyer, 40, from the U.S. died in the Nigerian capital of Lagos on Friday. He collapsed after getting off a flight from Liberia on July 20 and was isolated at a hospital in the city
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Patrick Sawyer, 40, from the U.S. died in the Nigerian capital of Lagos on Friday. He collapsed after getting off a flight from Liberia on July 20 and was isolated at a hospital in the city

A rash then appears on the torso, quickly spreading to the limbs and head.

Within a few days tipping point is reached - the moment at which some lucky patients will recover, while others will develop the fatal phase, haemorrhaging fever.

The body's immune system turns on itself. Tiny blood vessels burst, causing patients to spontaneously bleed from their eyes, mouths, ears, and other orifices.

Internally bleeding is likely in the gastrointestinal tract and other internal organs.

The whites of a patient's eyes will turn red and blood spots appear in vomit and diarrhoea, as large blood blisters develop under the skin.

For those who succumb to the disease, death is usually the result of multiple organ failure, haemorrhaging or shock and typically occurs between eight and 17 days after a person first falls ill.

For those who survive, they must be regularly tested, to ensure the virus is no longer present within their bodily fluids, before it is safe to be discharged from hospital.

The virus can also be sexually transmitted for up to 40 days after a man has recovered.

There is currently no vaccine to protect against the Ebola virus. And in the absence of a specific treatment plan or drug to tackle the disease, it poses a real risk.

The highly-infectious disease is spread through contact with a victims blood, secretions, organs and other bodily fluids. Pictured are villagers in Kikwit, Zaire during an outbreak in August 1995
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The highly-infectious disease is spread through contact with a victim's blood, secretions, organs and other bodily fluids. Pictured are villagers in Kikwit, Zaire during an outbreak in August 1995

Liberian health workers wearing protective clothing carry the body of a woman who died of the Ebola virus away from an isolation unit in Foya, Lofa County for burial
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Liberian health workers wearing protective clothing carry the body of a woman who died of the Ebola virus away from an isolation unit in Foya, Lofa County for burial


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http://www.reuters.com/article/2014/07/29/health-ebola-doctor-idUSL6N0Q44YC20140729

Sierra Leone's top Ebola doctor dies from virus

FREETOWN, July 29 Tue Jul 29, 2014 1:07pm EDT


(Reuters) - Sierra Leone's top doctor fighting an outbreak of Ebola has died from the virus, the country's chief medical officer, Brima Kargbo, said on Tuesday.

Sheik Umar Khan, who was credited with treating more than 100 patients, was infected with Ebola this month and had been moved to a treatment ward run by medical charity Medecins Sans Frontieres in the far north of the country. (Reporting by Umaru Fofana and Adam Bailes; Writing by David Lewis)

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Doctor who contracted Ebola in grave condition

Published July 29, 2014
Associated Press


In this 2014 photo provided by the Samaritan's Purse aid organization, Dr. Kent Brantly, left, treats an Ebola patient at the Samaritan's Purse Ebola Case Management Center in Monrovia, Liberia. On Saturday, July 26, 2014, the North Carolina-based aid organization said Brantly tested positive for the disease and was being treated at a hospital in Monrovia. (AP Photo/Samaritan's Purse)
Kent Brantly always wanted to be a medical missionary, and he took the work seriously, spending months treating a steady stream of patients with Ebola in Liberia.

Now Brantly is himself a patient, fighting for his own survival in an isolation unit on the outskirts of Monrovia, Liberia, after contracting the deadly disease.

The Texas-trained doctor says he is "terrified" of the disease progressing further, according to Dr. David Mcray, the director of maternal-child health at John Peter Smith Hospital in Fort Worth, where Brantly completed a four-year residency.

"I'm praying fervently that God will help me survive this disease," Brantly said in an email Monday to Mcray. He also asked that prayers be extended for Nancy Writebol, an American co-worker who also has fallen ill.

Brantly "went into Ebola exhausted" from treating Ebola patients, Mcray said after speaking with him Monday. His prognosis is grave and efforts to evacuate him to Europe for treatment have been thwarted because of concerns expressed by countries he would have to fly over en route to any European destination, Mcray said.

There is no known cure for Ebola, which begins with symptoms including fever and sore throat and escalates to vomiting, diarrhea and internal bleeding. The disease spreads through direct contact with blood and other bodily fluids as well as indirect contact with "environments contaminated with such fluids," according to the World Health Organization.

Still, colleagues and family members said Brantly, 33, knew of the risks associated with working in one of the world's poorest countries during an epidemic and did not regret his choice.

"Kent prepared himself to be a lifetime medical missionary," said his mother, Jan Brantly. "His heart is in Africa."

Last October, Brantly began a two-year fellowship with Samaritan's Purse, a Christian aid group, to serve as a general practitioner, delivering babies and performing surgeries at a mission hospital in the Monrovia suburb of Paynseville.

When Ebola spread from neighboring Guinea into Liberia, Brantly and his wife, Amber, re-evaluated their commitment, but decided to stay in West Africa with their children, ages 3 and 5.

Brantly directed the hospital's Ebola clinic, wearing full-body protective gear in the Equatorial heat for upward of three hours at a time to treat patients.

He undertook humanitarian work while studying medicine at Indiana University, working in impoverished, inner-city neighborhoods, according to a medical school spokeswoman.

During his four-year family medicine residency, he accompanied Mcray on medical missions to Uganda and earthquake-devastated Haiti. He also spent several weeks working in Tanzania, where a cousin lives and works as a medical missionary, Mcray said.

Before contracting Ebola, Brantly and his family "really enjoyed Liberia."

"They were very well-adjusted," said Ken Kauffeldt, the country director for Samaritan's Purse in Monrovia.

Liberia's health ministry is investigating how Brantly contracted the virus.

"We're trying to figure out what went wrong because he was always very careful," said Tolbert Nyenswah, an assistant health minister in Monrovia.

Amber Brantly and the children departed for a wedding in the U.S. just days before Brantly fell ill and quarantined himself.

They are currently staying with family in Abilene and, while not subject to quarantine, are monitoring their temperatures for an early sign of viral infection, a City of Abilene spokeswoman said.

Their return has sparked questions about whether they might introduce the infection to the U.S.

However, Stephan Monroe of the Centers for Disease Control and Prevention said Monday that "Ebola poses little risk to the general U.S. population."

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Interesting political development regarding possible spread of Ebola to the UK.  For those who do not get the reference "Cobra" relates to the government committee to deal with emergency matters - so this is seen as serious.


http://www.bbc.com/news/uk-28558783


"The Ebola virus, which has killed more than 670 people in West Africa, is a "threat" to the UK, Foreign Secretary Philip Hammond has told the BBC.

He said he would chair an emergency Cobra meeting on the issue later.

No Britons had been affected so far and there were no cases in the UK, he said, adding that the government was viewing the outbreak very seriously.

It comes after Public Health England issued a national alert to UK doctors amid fears the virus could spread."

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Originally posted by Astrologic Astrologic wrote:

http://www.mirror.co.uk/news/world-news/ebola-man-tested-deadly-virus-3933743

Man Tests Positive For Ebola In UK-Increasing Fears Over Threat To Britons

July, 30, 2014






The UK man has not tested positive...

EBOLA: DOCTOR QUARANTINED IN CANADA
by BREITBART NEWS 30 Jul 2014, 5:15 AM PDT 36 POST A COMMENT
SHARE THIS: 425 18
Ebola fears hit close to home
Ebola fears hit close to home


(AFP) -- A Canadian doctor has put himself in quarantine as a precaution after spending weeks in West Africa treating patients with the deadly Ebola virus alongside an American doctor who is now infected, local media said Tuesday.
Azaria Marthyman of Victoria, British Columbia had worked in Liberia, one of four countries hit by an outbreak, with the Christian relief organization Samaritan's Purse.
He has not tested positive for the virus, nor shown any symptoms since returning to Canada on Saturday, but one of his American colleagues, doctor Kent Brantly, is being treated for the disease.
"Azaria is symptom-free right now and there is no chance of being contagious with Ebola if you are not exhibiting symptoms," Melissa Strickland, a spokesperson for Samaritan's Purse, told broadcaster CTV.
Brantly, 33, became infected with Ebola while working with patients in the Liberian capital of Monrovia as he helped treat victims of the worst Ebola outbreak in history.
He "is not doing well. He is still in the early stages of the Ebola infection but having some daily struggles," David McRay, a friend and family medicine doctor in Fort Worth, Texas, told AFP by phone.
"He has requested that I not talk in detail about his symptoms and what he is experiencing, but he is weak and quite ill."

http://www.breitbart.com/Big-Peace/2014/07/30/Canadian-doctor-quarantined-after-exposure-to-Ebola

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Two sick passengers were tested for Ebola in Hong Kong and the UK

By Adam Pasick @adampasick July 29, 2014
Precautions required. Reuters/Tommy Trenchard
 

Update: Both the Hong Kong and Birmingham patients have tested negative for Ebola.

+

Fears over West Africa’s Ebola outbreak have gone global following the death of a man in Lagos last week, as health authorities in Hong Kong and Birmingham, England, have quarantined passengers showing possible symptoms of the disease.

+

In Hong Kong, the state-run China Daily reported that a woman who recently returned from Africa with “symptoms similar to the Ebola virus”—which at the early stages include headache, fever, and stomach pain—is in a hospital isolation ward while she undergoes testing. Symptoms can take up to three weeks to materialize; the virus has a mortality rate of up to 90%.

+

In Birmingham, a man who arrived on a flight from Nigeria has also been taken to a hospital isolation unit after complaining of “feeling feverish.” The UK government is holding an emergency meeting on how to address the “new and emerging threat” of Ebola later today.

+

The heightened global alert comes after a man working for the Liberian government died of Ebola last week in Lagos, a megacity that is also an international air travel hub. As Quartz has reported, the presence of Ebola-exposed patients in Nigeria is especially worrying because of the city’s density and poor health care infrastructure. The country’s doctors are currently on strike over work conditions and pay.

+

The hospital where Patrick Sawyer—the lone confirmed Ebola victim in Lagos so far—died has been evacuated and is being decontaminated. Authorities have identified 59 people who had contact with Sawyer, but that does not include the passengers who shared two airplane flights with him (from Liberia to Ghana, then from Togo to Lagos); health workers are still trying to identify them. According to Canada’s CBC, witnesses said Sawyer “was vomiting and had diarrhea aboard at least one of his flights.”

+

Sawyer was an American citizen with a wife and three children living in the US. Decontee Sawyer told the Associated Press that her husband had been scheduled to fly to Minnesota in August.

+

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Is it true that Hospitals in Germany have agreed to take patients??? I only had about 2 hrs sleep in the last 48 so when I read an article stating this last night I was a little too 'out of it' to note which site I was on when I read it or to cross post it...
Why would a country (or hospital) choose to bring this disease into itself when it's killed half the health care workers who have been working on trying to save the ppl?
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Originally posted by newbie1 newbie1 wrote:

Is it true that Hospitals in Germany have agreed to take patients??? I only had about 2 hrs sleep in the last 48 so when I read an article stating this last night I was a little too 'out of it' to note which site I was on when I read it or to cross post it...
Why would a country (or hospital) choose to bring this disease into itself when it's killed half the health care workers who have been working on trying to save the ppl?

Better to isolate infectious cases of any disease within a hospital, than to have them walking around the community!!  Hospitals in the USA, EU, Canada etc. won't have a problem, as long as they recognize that they might have a potential Ebola case walking in. 

Hospitals and their workers are highly trained to handle nearly any emergency.  Remember when SARS surfaced in Toronto?  They did an amazing job of containing and stopping that outbreak in its tracks!  

Ebola can be dealt with, but when you have to wear the equivalent of BSL-3 safety gear in a humid, tropical environment, the stress on HC workers is amazing.  Also, the damn virus is being shed out of ever pore of these poor patients, so all surfaces become contaminated.  
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CDC: 3 to 6 months may be needed to stem Ebola outbreak

Thu July 31, 2014

(CNN) -- Nancy Writebol fought for her life against Ebola hemorrhagic fever on Thursday.
While she did, the virus that befell the American missionary in Liberia as she worked to save its victims continued on a rampage through West Africa.
It is believed to have killed 729 people in Guinea, Liberia, Sierra Leone and Nigeria from March through July 27, the World Health Organization said Thursday.
It is the worst Ebola outbreak in history. There is no cure and no vaccine, but care from medical workers so far has helped sustain the lives of nearly half of those stricken.
Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention, said Thursday that even in a best-case scenario, it could easily take three to six months to stem the epidemic in West Africa.
The outbreak also prompted the CDC to issue a warning against all "nonessential" travel to the countries coping with an outbreak, Frieden said.
As for Writebol, her family is praying that her life is spared, too.
U.S. government officials are in ongoing talks to bring Writebol and another Ebola-stricken American, fellow aid worker Dr. Kent Brantly, back from Liberia, an administration official and a State Department source said on Thursday.
Ebola triggers CDC travel warning Son of American battling Ebola speaks out Could Ebola makes its way to the U.S.? American doctor battling Ebola Fighting Ebola on the front lines
Writebol's husband, David, who is with the same mission as his wife, is near her, said their son Jeremy, who spoke with CNN's Chris Cuomo from the United States.
But she is isolated from him, and he has to wear head-to-toe protective clothing similar to a hazmat suit so that he does not contract a disease that starts out with similar symptoms as a strong flu but can end in internal bleeding and death.
"Mom continues in stable condition but it's very serious, and she's still fighting," her son said. "She's weak, but she's working through it."
Writebol gets 'experimental serum'
Both Brantly, a 33-year-old who last lived in Texas, and Writebol were caring for Ebola patients in Liberia, both affiliated with faith-based international charity Samaritan's Purse.
The two were in "stable but grave condition," though Brantly took a slight turn for the worse Wednesday night into Thursday, the charity said.
Writebol has been given an experimental serum, the charity said, without elaborating on what it was.
There was enough for only one person, and Brantly -- "still focused on the well-being of others," asked that Writebol get it instead of him, the charity said in a news release Thursday.
Late Wednesday, members of Writebol's church in Charlotte, North Carolina, met to pray for her struggle. Calvary Church sent her on the Liberia trip through missionary group Serving in Mission.
Map: The Ebola outbreak
Liberian Information Minister Lewis Brown said his country could ill afford to lose health care workers like Writebol and Brantly.
"We join the families in prayers that they can come through this and become ... shining examples that, if care is taken, one can come out of this."
Another physician in West Africa was not so fortunate; Dr. Sheik Humarr Khan fell ill early last week while overseeing Ebola treatment at a Sierra Leone hospital and died days later.
Record death toll
The current death toll that is the highest on record with the World Health Organization and still growing.
"This epidemic is without precedent," said Bart Janssens, director of operations for Doctors Without Borders, also known as Médecins Sans Frontières, a group of medical workers nursing victims through the disease as it runs its course. "It's absolutely not under control, and the situation keeps worsening."
Ebola fears hit close to home

The rate of infection has slowed in Guinea, but it has increased in neighboring Sierra Leone and Liberia. As infection accelerates, some aid groups are pulling out to protect their own.
Samaritan's Purse and the missionary group Serving in Mission have recalled all nonessential personnel from Liberia.
The Peace Corps announced Wednesday it is doing the same, removing its 340 volunteers from the three severely affected nations.
While there are no confirmed cases, a Peace Corps spokeswoman said two volunteers came into contact with someone who ended up dying from the virus.
Those Americans haven't shown signs of Ebola but are being isolated just in case. The spokeswoman said they can't return home until they get medical clearance.
Presidents doubling down
The swelling cases have prompted the heads of state of two countries to cancel travel plans on Thursday to direct their full attention toward fighting the outbreak of the virus that has crippled parts of Liberia, Sierra Leone and Guinea and stirred palpable concerns that it will spread around the region and the world.
Liberian President Ellen Johnson Sirleaf and Sierra Leone's President Ernest Koroma both canceled trips to the United States, and Koroma declared a state of emergency. He announced an action plan to tear down many barriers that international medical workers say they face while fighting disease.
Ebola patient's wife speaks out Ebola victim 'holding her own' Ebola concern around the world Ebola crisis is an international problem
Some residents in affected villages have accused medical workers of bringing the disease into the country and have barricaded their towns or otherwise blocked access to Ebola victims.
"The most challenging" aspect of trying to help people is that "we go into communities where we are not necessarily welcome," said Monia Sayah, a nurse with Doctors Without Borders.
People don't want to believe they or their loved ones have Ebola -- in part because "they understand now that the survival rate is not very high," she said.
Koroma said he will deploy police and military to accompany the aid workers.
They will search house to house for the infirm and enforce orders designed to curb the virus' spread.
American dies in Nigeria
One American, 40-year-old Patrick Sawyer, died in a Nigerian hospital earlier this month -- having come from Liberia. He was in a plane to Lagos, when he became violently ill. He was planning to go back home to Minnesota to celebrate his daughters' birthdays, but the disease took his life before he could.
The Nigerian government said Thursday it has located 10 more people who had contact with Sawyer, the first American who died in the Ebola outbreak. Meanwhile, none of the 67 people under surveillance and the two people in quarantine have shown symptoms of the disease, Nigerian Minister of Information Labaran Maku said.
A naturalized American citizen who worked in Liberia, Sawyer flew to Nigeria intending to attend a conference.
After exhibiting symptoms upon arrival July 20, he was hospitalized and died on July 25.
Nigeria's Minister of Health Onyebuchi Chukwu says the government is still searching for more people that had contact with Sawyer on his journey on a plane that stopped in Accra, Ghana and Lome, Togo, before traveling on to Lagos.
On Monday, the CDC issued an alert warning travelers to avoid hospitals with Ebola patients and funerals for those patients. The CDC also plans to send an additional 50 health specialists to help fight the outbreak, Frieden said
On Thursday, International Air Transport Association issued a calming statement, saying it was not recommending travel restrictions to affected areas. Referring to the WHO, it said travelers there faced "extremely low" risk of contracting Ebola.
As of now, the outbreak has been confined to West Africa. But it could spread via travel, especially since people who have Ebola may not know it; symptoms usually manifest two to 21 days. Further complicating matters, signs of Ebola include fever, headaches, weakness and vomiting -- symptoms that also define many other ailments, from malaria to the flu, that Brown notes often pop up "at this time of year."
Sawyer, for example, very well could have made it out of the region, perhaps to the United States, before showing symptoms of Ebola; it's only then that the virus spreads.
"If the situation does not improve fairly quickly, there is a real risk for new countries to be affected," Janssens said.
Ebola spreads through the transmission of bodily fluids. Those most at risk are loved ones of those infected, as well as health care workers tending to the ill.
Sawyer is believed to have been infected by his ailing sister, who he spent time with in Liberia, according to Brown. Neither likely knew she had Ebola.

http://www.cnn.com/2014/07/31/health/ebola-outbreak/index.html
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Heroic American doctor stricken with Ebola forgoes treatment for gravely ill colleague

July 31, 2014

Two gravely ill American medical workers in Nigeria who were infected with the Ebola virus are said to be in stable condition as the humanitarian organization Samaritan’s Purse works to bring them back to the U.S. for treatment.

Dr. Kent Brantly, the second American stricken by the disease, yesterday was offered an experimental serum but only one dose was provided.


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“Dr. Brantly asked that it be given to Nancy Writebol,” a nurse working with him who also infected, Franklin Graham, president of Samaritan’s Purse said in a press release. “However, Dr. Brantly received a unit of blood from a 14-year-old boy who had survived Ebola because of Dr. Brantly’s care. The young boy and his family wanted to be able to help the doctor that saved his life.”

Samaritan’s Purse is working with the government to bring Brantly and Writebol back to the U.S. for treatment. Graham told Fox News that all agreements are in place and that he hopes they will be on a specially-equipped aircraft back home in a few days. He also noted that the plane will likely have to make a stop for refueling.

The North Carolina-based missionary group ordered the evacuation of all their non-essential personnel from Liberia on Tuesday.

In a statement from Brantly’s family, his wife, Amber, asked for privacy at this time. Amber and the couple’s two children are currently staying at an undisclosed location while they are under “fever watch.” They have not shown any signs of the virus.

“We appreciate so much all the words of comfort and acts of kindness extended to our family,” Amber said in the statement. “This is a challenging time for our family. We will not be speaking to the media at this time. We ask that you respect our privacy.”

In a press conference Thursday, Centers for Disease Control and Prevention (CDC) director Dr. Tom Frieden stated that, for a patient who is infected, travel may be unsafe.

“There’s the potential that actual movement of the patient could do more harm than befit of more advanced, superior care outside the country [of infection],” he said.

According to Frieden, the decision whether to move infected patients is a “complicated question” the organization that has hired and placed the person must make.

“We would certainly work with them to facilitate whatever operation they wish to pursue,” he said.

With regards to the experimental serum and blood treatment administered to two American patients, Frieden said the CDC does not know the details of what was given. The CDC have not found any evidence that any treatments are effective against Ebola.

“There are no proven treatments, no proven vaccines and there is not likely to be one for at least a year, even in the best case scenario,” he said.

The Ebola outbreak in West Africa is worsening and is the largest known in history and it will take at least 3-6 months, if everything goes well, to manage the outbreak, Frieden noted.

“It’s not going to be quick, it’s not going to be easy, but we know what to do,” he said. “This is a marathon, not a sprint.”

http://www.foxnews.com/health/2014/07/31/humanitarian-group-arranging-to-bring-american-ebola-patients-to-us-for/
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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: July 31 2014 at 3:23pm
So we are now already about 60 more deaths above where we were just a few days ago. Classic compounding increase.
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Originally posted by onefluover onefluover wrote:

So we are now already about 60 more deaths above where we were just a few days ago. Classic compounding increase.

We truly do not know what is happening in the bush!  No doubt, many are ill & dying who are never counted.  
The eruption of Ebola in this part of Africa is a new phenomenon....previous outbreaks were in and near Uganda.  There is tremendous superstition, tribal customs & mistrust of government in play, and these are inducements for cases & contacts to hide/lay low/run for the hills, where they can infect even more.  

The withdrawal of Peace Corps volunteers is a very chilling sign for what is transpiring on the ground.  
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From the Chicago Tribune: 

Politics of Ebola as deadly as the virus

By Joshua Keating

July 31, 2014

The arrival of a man infected with Ebola virus in Lagos, Nigeria — Africa's largest city — last week was certainly an alarming development, but it's also in some ways a distraction. Nigeria has far more resources to throw at the problem than Guinea, Liberia and Sierra Leone. (Ebola has already killed almost 700 people in the region). The Nigerian government has already moved quickly to quarantine the hospital where the man was being held.

It's too soon to say for sure, but Ebola seem relatively unlikely to spiral out of control in Lagos the way it has elsewhere in West Africa. (And despite what some U.S. congressmen seem to believe, the likelihood of it spreading widely in the United States is extremely low.)

As the veteran foreign correspondent Howard French noted recently, there are "few subregions more prone to contagious epidemic than Liberia, Sierra Leone and Guinea." The main reason the death toll hasn't been even higher is, paradoxically, due to the virulence of the disease: Ebola kills too many of its carriers and too quickly for it to spread very widely.

As political scientist Kim Yi Dionne notes, a number of factors have combined to make this the most deadly Ebola outbreak in history, and most of them are political rather than biological.

For one thing, none of these countries has experienced an outbreak of the disease before, so knowledge of it is low. For another, the fact that it has spread to multiple countries makes a coordinated response more difficult. (Liberia has now shut almost all of its borders.)

As Dionne notes, all three countries have poor health infrastructure, due in part to years of civil war in Liberia and Sierra Leone. Liberia has just 0.014 doctors per 1,000 people, and a common joke is that JFK Medical Center, Monrovia's main hospital, has long had the unflattering nickname "Just For Killing."

Then there's the enormous public distrust of government authorities and international medical workers. The New York Times reported recently that in Guinea, "workers and officials, blamed by panicked populations for spreading the virus, have been threatened with knives, stones and machetes, their vehicles sometimes surrounded by hostile mobs."

These attitudes aren't exactly helped by the governments' threats of prosecution against those harboring Ebola cases.

It's never going to be an easy task to ask families to allow authorities to take their loved ones away for quarantine and likely death. The task is even harder in countries where the last three decades have given people very good reason to be mistrustful of government authorities.

As Laurie Garrett, senior fellow for global health at the Council on Foreign Relations, wrote in a CNN op-ed: "The nations of Guinea, Liberia and Sierra Leone have a shared, brutal history of civil wars that since 1989 have left more than 400,000 people dead, displaced half a million people from their traditional homes, seen rape used as a weapon against tens of thousands of girls and women, and put Liberia's former president behind bars as a war criminal. … In these three nations, few families have not experienced murders, rapes, torture, maiming, loss of homes and death."

An effective response to a problem like Ebola requires public trust of authorities in the midst of a terrifying situation. Despite some notable political and economic improvements since the war years, the authorities — including international agencies — still need to earn that trust.

Slate

Joshua Keating is a staff writer at Slate focusing on international affairs and writes the World blog.

Join in the discussion on the Chicago Tribune Editorial Board’s Facebook page or on Twitter by following @Trib_Ed_Board.

Copyright © 2014 Chicago Tribune Company, LLC

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Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: July 31 2014 at 9:30pm
Latest WHO update (up to 27th July) has 122 new cases and 57 deaths in a four day period.  The CFR is dropping and is now at  55%.  I expect to see the CFR start to climb again as many of the new cases will not make it back to health.

World Total:  1323 cases and 729 deaths

http://www.who.int/csr/don/2014_07_31_ebola/en/#
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I predict that the CFR will go down somewhat which will in turn cause it to expand to more people and then when it reaches a certain dynamic of abandoned hospitals and little treatment, it will shoot back up.
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US airports on high alert for travelers with signs of Ebola.
AMID fears of a global Ebola epidemic, the feds are keeping a close eye on passengers arriving at JFK and other international airports in the United States to quarantine anyone showing signs of the deadly virus.

And the city’s Health Department alerted doctors and other health providers to immediately report anyone they suspect might have the disease, reports The New York Post.

“Quarantine officers” at JFK and 19 other US airports are on alert, and airline personnel are trained to spot the symptoms, which include fever, red eyes, severe vomiting, diarrhea and internal bleeding, said a spokesman for the US Centers for Disease Control.


[link to www.heraldsun.com.au]
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Which means prepare for a number of false alarms.
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Originally posted by onefluover onefluover wrote:

I predict that the CFR will go down somewhat which will in turn cause it to expand to more people and then when it reaches a certain dynamic of abandoned hospitals and little treatment, it will shoot back up.

If you think like an epidemiologist, you wonder how many cases were never counted & subsequently died.  

I think the number of cases like this is likely to be huge, see my Chicago Tribune post (above) about the politics of Ebola in west Africa.  

It looks like rapid treatment of symptoms can help reduce the CFR substantially, which is good news for our medical workers being evacuated. 

Ebola doesn't freak me out as much as rabies, which has essentially a 100% CFR once the infection becomes established.  THAT is one nasty virus!  Only a few human cases are known to have survived a fulminant rabies infection.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 11:37am
I thought the survival rate for rabies was one: not one in 100 or 1000, but just one so far, ever.  Was I wrong?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Elver Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 1:06pm
Dr. Margaret Chan pulled no punches in her direct statement, "If the situation continues to deteriorate, the consequences can be catastrophic in terms of lost lives but also severe socio-economic disruption and a high risk of spread to other countries."

http://www.zerohedge.com/news/2014-08-01/who-warns-ebola-outbreak-out-control-high-risk-spread-other-countries

AP reports that this is moving faster than control efforts.
http://bigstory.ap.org/article/w-african-leaders-who-meet-address-ebola

Doctors Without Borders said its teams are overwhelmed with new Ebola patients in Sierra Leone and that the situation in Liberia is now "dire."
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Post Options Post Options   Thanks (1) Thanks(1)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 01 2014 at 9:05pm
Originally posted by CRS, DrPH CRS, DrPH wrote:

Originally posted by onefluover onefluover wrote:

I predict that the CFR will go down somewhat which will in turn cause it to expand to more people and then when it reaches a certain dynamic of abandoned hospitals and little treatment, it will shoot back up.


If you think like an epidemiologist, you wonder how many cases were never counted & subsequently died.  

I think the number of cases like this is likely to be huge, see my Chicago Tribune post (above) about the politics of Ebola in west Africa.  

It looks like rapid treatment of symptoms can help reduce the CFR substantially, which is good news for our medical workers being evacuated. 

Ebola doesn't freak me out as much as rabies, which has essentially a 100% CFR once the infection becomes established.  THAT is one nasty virus!  Only a few human cases are known to have survived a fulminant rabies infection.


There are undoubtedly an untold number of off the radar cases. Probably with a higher fatality rate. Which reminds me of something. I don't see anywhere where the actual statistics indicate a 90% death rate. I wonder where this number keeps coming from? It is still very high but the average of all cases over ~40 years seems to be in the high 70 percent.

Rabies made its mark on my family a long time ago. Amazing that it is still just as fatal:

"Eventually, Paul`s in-laws relocated to Healdsburg, Sonoma County, CA.
and Paul Hartwell Hagler relocated his family to that same county
where he made land purchases in the area of Geyersville in1860 and in
1862. One night Paul stepped outside barefooted to see what his dogs
were barking at and he was bitten by a rabid skunk. He died a horrible
death from hydophobia August 22, 1879. Four months later Elizabeth gave
birth to their eleventh child.

According to the obituary of Elizabeth S. Hagler she died at the home
of a daughter in Tulare, CA. on September 4, 1929."

My dad grew up in and near Tulare. Paul had the unfortunate distinction of being the first death of rabies in the western gold rush.

http://files.usgwarchives.net/nc/cabarrus/bios/hagler03.txt

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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 9:33am
Dr Brantley, the first, is en route.


Plane carrying U.S. aid worker with Ebola leaves Liberia
Reuters 2 hrs ago

DAKAR (Reuters) - A plane carrying one of two U.S. aid workers infected with the deadly Ebola virus has left Liberia for the United States, a spokesperson for the charity Samaritan's Purse said on Saturday.

The plane was carrying Dr. Kent Brantly, the spokesperson said, but could not provide a time for its arrival in the United States. The second Samaritan's Purse staff member, missionary Nancy Writebol, is due to be transported on a later flight, as the plane is only equipped to carry one patient at a time.

The charity said on Friday the medical evacuations should be completed by early next week.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Johnray1 Quote  Post ReplyReply Direct Link To This Post Posted: August 02 2014 at 9:50am
CRS,DrPH,you are correct about the number of undocumented deaths from Ebola in Africa is much larger than any one might even guess.I have been in many third world countries and the people who we would refer to the average citizen in one these countries,no one knows when they were born or when they die accept the people in their village and I understand that the relationship between the common people in Africa and White people is really not very good.Johnray1
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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 03 2014 at 3:20pm

Ebola fears: A passenger died at Gatwick after getting off a glight fromm Sierra Leone

Airport staff tonight told of their fears of an Ebola outbreak after a passenger from Sierra Leone collapsed and died as she got off a plane at Gatwick.

Workers said they were terrified the virus could spread globally through the busy international hub

from the West African country which is in the grip of the deadly epidemic.

The woman, said to be 72, became ill on the gangway after she left a Gambia Bird jet with 128 passengers on board. She died in hospital.

Ebola has killed 256 people in Sierra Leone. A total of 826 have died in West Africa since the outbreak began in February. Tests are now being carried out to see if the woman had disease.

The plane was quarantined as ­officials desperately tried to trace everyone who had been in contact with the woman.

Airport workers face an anxious wait to see if the woman had Ebola. One said: “Everyone’s just ­petrified.

“We’ve all seen how many people have died from Ebola, especially in Sierra Leone, and it’s terrifying.”



Speaking of the horrific moment the passenger collapsed, the shocked staff member added: “The woman was sweating buckets and vomiting.

“Paramedics arrived to try and help her. The next thing everybody was there… emergency crews, airfield operations, even immigration.

“They closed down the jet bridge and put the aircraft into quarantine.

“They took everyone’s details, even the guy who fuels the aircraft.”

The plane carrying the woman came from Freetown in Sierra Leone – a country with the highest number of victims from the disease.

It stopped at Banjul in The Gambia before landing in Gatwick at 8.15am on Saturday after a five-hour flight. Public Health England tried to allay fears of an Ebola ­breakout in Britain.

It said the woman showed no ­symptoms during the flight.



Out of Africa: A Gambia Bird jet

One ­official added: “Public Health England is aware a passenger arriving on a flight from The Gambia that landed at Gatwick airport on Saturday fell ill shortly after disembarking.

"The passenger was taken to hospital and sadly died.

“In line with standard ­procedures, tests are being undertaken to determine the cause of death.

“The patient’s symptoms suggest that Ebola is very unlikely but as a precaution this is one of the tests being undertaken.

"The patient was not symptomatic on the plane and therefore there is no risk of Ebola being passed on to either flight crew or other passengers.

“England has world class health care and disease control systems which are active permanently, ­regularly tested and proven to be effective.

“As such, if the UK does see a case of imported Ebola, this will not result in an outbreak in this country.”

PA



Killer: The Ebola virus

South East Ambulance Service confirmed it had dealt with the sick woman at the airport.

Communications chief Janine Compton said: “We attended Gatwick airport at 8.30am on Saturday to attend an adult female patient who was seriously ill. She was taken to East Surrey Hospital in Redhill where she subsequently died.”

A Gatwick airport spokeswoman added: “A passenger collapsed after disembarking a flight from the Gambia. She was treated by airport medical staff at the scene but died later in hospital. The cause of death is yet to be confirmed.”

There is no cure for Ebola. Symptoms in the later stages include external and internal bleeding, vomiting and diarrhoea.

At this point the disease is highly contagious.

Victims have a 90% chance of dying, although doctors said in this epidemic the rate is 60%.

The outbreak began in the forests of eastern Guinea in February. It quickly spread to Liberia and Sierra Leone.

A jump in the number of cases and the death toll has raised international concern and placed under-resourced health facilities in the West African nations under strain.



Last week, the Ebola crisis was described as out of control by World Health Organisation chief Margaret Chan and could be ­“catastrophic”.

At the same time, Sierra Leone declared a state of emergency and called in troops to quarantine victims. Liberia also imposed controls.

Ms Chan revealed 60 doctors, nurses and health care workers had now lost their lives trying to save others. She said: “This outbreak is moving faster than our efforts to control it.

“If the situation continues to ­deteriorate, the consequences can be catastrophic in terms of lost lives but also severe socio-economic disruption as well as a high risk of spread to

other countries.”

Ms Chan met the presidents of Guinea, Liberia, Sierra Leone and Ivory Coast. She told them: “This meeting must mark a turning point in the outbreak response."



"And then there were none."
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CRS, DrPH Quote  Post ReplyReply Direct Link To This Post Posted: August 03 2014 at 3:55pm
^Holy Crap!!  Thanks, something to watch for!  We'll be seeing more of this I'm sure.
CRS, DrPH
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: August 03 2014 at 4:31pm
Holy crap indeed!  WillobyBrat says;  "Do you know anyone who makes nappies to fit a 70 year old?  Does your government lie like ours does?"

I say I'm glad I look here, our media obviously "D-noticed" that.  Strangely our newscasters have started to look decidedly nervous.  I wonder why that could be....................................................
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: August 03 2014 at 4:51pm

Ebola test carried out after air passenger death in UK

Coloured transmission electron micro graph of a single Ebola virus, the cause of Ebola fever

A test for Ebola has been carried out on a female passenger who died after arriving in the UK from The Gambia.

The Department for Health said the test on the woman, who landed at Gatwick Airport on Saturday, came back negative on Sunday afternoon.

Some 728 people have died of Ebola in Guinea, Liberia and Sierra Leone this year, in the worst-ever outbreak of the disease.

Public Health England says the risk to the UK remains very low.

A Department of Health spokeswoman said the passenger's symptoms had not suggested she was an Ebola victim but the test was carried out because she had travelled from West Africa.

The South East Coast Ambulance Service NHS Foundation Trust said they were called to Gatwick at 8:27 BST on Saturday after the woman became unwell during the flight.

A spokeswoman said: "A single ambulance attended and transported the patient, an adult female, to East Surrey Hospital at Redhill where we understand she sadly later died."

line
A nurse sprays disinfectant at an isolation unit in Liberia A nurse sprays disinfectant at an isolation unit in Liberia
Ebola virus disease (EVD)
  • Symptoms include high fever, bleeding and central nervous system damage
  • Fatality rate can reach 90%
  • Incubation period is two to 21 days
  • There is no vaccine or cure
  • Supportive care such as rehydrating patients who have diarrhoea and vomiting can help recovery
  • Fruit bats are considered to be virus' natural host
line

The virus spreads through human contact with a sufferer's bodily fluids.

Initial flu-like symptoms can lead to external haemorrhaging from areas like eyes and gums, and internal bleeding which can lead to organ failure. The current mortality rate is about 55%.

Foreign Secretary Philip Hammond has said the government is taking the outbreak, and the threat to the UK, "very seriously".

Ministers have discussed what precautionary measures could be taken if any UK nationals in West Africa become infected with Ebola.

Public Health England has advised UK medical staff to watch out for unexplained illnesses in patients who have visited West Africa.

It said no cases of imported Ebola have ever been reported in the UK.

The US is to send at least 50 public health experts to the region to help fight the disease. They are expected to arrive in the next month.

Meanwhile, American Ebola patient Dr Kent Brantly is improving in hospital after returning to the US from Liberia. Another infected US citizen, aid worker Nancy Writebol, is expected to arrive in the US soon.

I love the way we do not hear of this until it is over!


Source:   http://www.bbc.co.uk/news/uk-28634903

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Post Options Post Options   Thanks (1) Thanks(1)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 03 2014 at 5:07pm
Yeah!

I watched that breaking news pop onto my iPhone screen from Drudge. So she is neg. that is good. Sorry for the false alarm. I suppose she could have just as easily been pos. either case we learned a great deal from this story. Unfortunately none of it very good.

Also there is an update of now 826 dead. That's double increase from just three days ago and those numbers were double the previous few days. If next week the new deaths (ugh) are two hundred...
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Post Options Post Options   Thanks (1) Thanks(1)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: August 03 2014 at 5:09pm
Good God onefluover, don't apologise!  I realy appreciated the post. For God's sake keep it up.  Thank You!!!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote MelodyAtHome Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 12:54am
How do you get updates from Drudge? Is that a separate app? I also wonder how accurate the tests are...can you have a false negative...I mean can you have it but the test shows negative? I thought that was possible. Just curious.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote MelodyAtHome Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 12:58am
Hi everyone. Haven't been here for a while, but when I heard about these latest cases, I knew there had to be more info and I knew I'd find it here. This is such an awesome group. Always has been.
I'll be checking in daily to see what's going on. :)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 1:31am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Jen147 Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 7:02am

Hi Melody :) Nice to see you.  I'm the same way... if there's any inkling of a rumor of anything happening, I come here first.  These guys rock!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 7:20am

Shipping bodies issue Ebola virus advice

Ebola virus Ebola virus

AUGUST 4, 2014 — Three global shipping organizations today issued guidance to their members on the risks posed to ships' crews calling in countries affected by the Ebola virus.

A spokesperson for the three organisations commented: "Everyone is deeply concerned for those suffering from the Ebola epidemic and supportive of a coordinated world response to help them. We particularly applaud all those medical staff who are risking their lives to help. In the meantime we want to make sure that those in the world shipping industry play our part in ensuring the safety of crews visiting the affected countries, and minimizing the risk of the virus spreading further."

The ICS (International Chamber of Shipping), IMEC (International Maritime Employers' Council), and the ITF (International Transport Workers' Federation) urgently advise that on all such vessels:

  • The Master should ensure that the crew are aware of the risks, how the virus can be spread and how to reduce the risk.
  • ISPS requirements on ensuring that unauthorized personnel do not board the vessel should be strictly enforced throughout the duration of the vessel being in port.
  • The Master should give careful consideration to granting any shore leave whilst in impacted ports.
  • The shipowner/operator should avoid making crew changes in the ports of an affected country.
  • After departure the crew should be aware of the symptoms and report any occurring symptoms immediately to the person in charge of medical care.

The advice is supplemented with information from the World Health Organization on the virus.


Source:   http://www.marinelog.com/index.php?option=com_k2&view=item&id=7099:shipping-bodies-issue-ebola-virus-advice&Itemid=231

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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 7:42am
Originally posted by MelodyAtHome MelodyAtHome wrote:

How do you get updates from Drudge? Is that a separate app? I also wonder how accurate the tests are...can you have a false negative...I mean can you have it but the test shows negative? I thought that was possible. Just curious.


Hi Melody from way back. Yeah, it's just an iPhone app. Usually the stories update in between clicking in and back out of reading the story but in this case it just poped up on top of the home page in red. Not sure if its official Drudge or not as I've had numerous ones on multiple iPhones and they're all from different owners I think and some may be live without having to refresh.

Haven't heard anything yet about false negative/posetives for Ebola. Chuck is going to start billing us I just know it but he may know the answer to this.
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Post Options Post Options   Thanks (1) Thanks(1)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 8:00am
Hi Melody and Jen good to see you guys back!   I am still around hope life is going good for you both. We have some great new people and some of our greats that are keeping us up on Ebola.

Let's face it AFT is the leading Forum when it comes to Viral/Biological SHTF.   Ebola will only get bad here in the US if we have undetected people not getting treatment. Most Americans go right to the Emergency room when very sick we will see how well our system will work!   

Good to have you guys back!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 8:27am
And I really hate to say this but I was just in my dads doctors office appointment and witnessed the nurse doing something with her gloves and equipment that would have clearly failed an inspection demo at any of my tattoo shops.

Our system is good here. No doubt. But it is not flawless.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote nc_girl Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 9:20am
and based on how ignorant our own hospitals and drs were regarding handling the H1N1 epidemic a few years back, I dunno.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote onefluover Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2014 at 11:04am
There can and probably will be many cases slip through the cracks here but concurring with JD, as long as there are no mutations or recombinations with the other filament virus(s) (if such hasn't already happened), I am confident it won't thrive here at all. But if it explodes in Africa and it appears to be in the infant stages of that as we speak then in my opinion these changes will take place with mathematical certainty.
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