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Fighting Ebola, and the Mud

NEW YORK TIMES                         Oct. 21, 2014

Op-ed in Today's New York Times by Karen Huster, a nurse working in Liberia for Last Mile Health says that Liberia’s dysfunctional transportation system is standing in the way of fighting the Ebola epidemic and suggests some solutions
 

"Patients have died on grueling journeys to treatment units. Blood samples have sat waiting for days, eventually becoming invalid....

 "The best solution is removing the need to travel altogether by building more easily accessible treatment centers all over the country, where patients with confirmed or suspected cases of Ebola can be housed and treated. The United States military is building these structures, but it is taking time. Nimbler nongovernmental organizations must also step in. Save the Children has already done so and is also building smaller community care centers — sort of homes away from home, where families can continue to care for their sick loved ones safely removed from the community. A makeshift center with tents instead of permanent structures could be set up within a week.

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Ebola crisis: Worst-hit African nations get key supplies

BBC                                                                                   Oct. 20, 2014

Vital supplies and resources to tackle Ebola are beginning to arrive in the three worst-hit West African countries, Ghana's President John Mahama has said.

Mr Mahama, who heads the regional bloc Ecowas, also told the BBC that treatment centres were being set up in Guinea, Liberia and Sierra Leone. But he called for proper co-ordination between agencies to avoid duplication.


Red Cross workers are among those fighting the outbreak in Sierra Leone

Mr Mahama told the BBC that the World Food Programme was airlifting humanitarian aid to Liberia, Sierra Leone and Guinea.

"Vehicles, motorcycles and other means of transport are going in there. There's more protective clothing being provided," he said.

"But there's no need for us to duplicate each other and have more treatment centres when we do not have volunteers and health workers to treat the people in the treatment centres.

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Rwanda to screen U.S. visitors for Ebola

USA TODAY                                  Oct. 21, 2014
By Doug Stanglin

The East African nation of Rwanda is requiring all visitors from the United States and Spain to self-monitor, fill out an extensive questionnaire and report their medical condition for the first 21 days of their visits because of the Ebola cases that have surfaced in the two Western countries.

Coincidentally or not, the new screening follows an embarrassing uproar in a New Jersey school over the imminent enrollment of two Rwanda children that initially prompted their parents to keep them at home for 21 days.

The U.S. and Spain have both recorded deaths from Ebola. In Dallas, a Liberian national died of the virus two weeks ago and two nurses who treated him tested positive for the virus. At least two Spanish missionaries died in Spain after contracting the disease in West Africa. One Spanish nurse also tested positive for the virus.

Rwanda,  located about 2,600 miles east of Liberia, the closest of the three West African countries with the Ebola outbreak...  has reported no cases of the virus.

The dust-up in New Jersey involving two Rwanda children took a new turn Monday with an apology by the superintendent of the Maple Shade School District in Burlington County.

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DHS requires West Africa travelers to arrive at five airports

USA TODAY                                                                                     Oct. 21, 2914By Bart Jansen

WASHINGTON — The Department of Homeland Security announced Tuesday that all travelers from Ebola outbreak countries in West Africa will be funneled through one of five U.S. airports with enhanced screening starting Wednesday.

                                                                       (Photo: Melissa Maraj, AP)

Customs and Border Protection within the department began enhanced screening — checking the traveler's temperature and asking about possible exposure to Ebola — at New York's John F. Kennedy International Airport on Oct. 11.

Enhanced screening for travelers from Liberia, Sierra Leone and Guinea was expanded Oct. 16 to Washington's Dulles, Chicago's O'Hare, New Jersey's Newark and Atlanta's Hartsfield-Jackson international airports.

Those airports were supposed to screen 94% of the average 150 people per day arriving from the three countries. But lawmakers from other states asked for enhanced screening at their airports, too.

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CDC's Frieden: U.S. not ruling out Ebola travel ban

UPDATE

CONGRESSIONAL HEARING ON EBOLA: STORIES  AND LINK TO TESTIMONY BEFORE A HOUSE  ENERGY AND COMMERCE SUBCOMMITTEE   (scroll down)

By Will Duham

(Reuters) - Congressional lawmakers criticized the government's response to Ebola in the United States on Thursday as some called, at a congressional hearing probing efforts to contain the virus, for a ban on travel from epidemic-stricken West Africa.

Federal Aviation Administration chief Michael Huerta told reporters separately that the United States is assessing whether to issue a travel ban "on a day-to-day basis" but that the U.S. Centers for Disease Control and Prevention (CDC) had determined that a ban would not address the challenges posed by Ebola.

...Several schools in Ohio and Texas were closed after concerns that a nurse with Ebola traveled on a plane with people with ties to the schools.

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France announces Ebola screenings at Paris airport

FRANCE 4 INTERNATIONAL NEWS          OCT. 16, 2014

PARIS French health officials tday said screening measures for Ebola among passengers arriving from Guinea would start Saturday at Charles de Gualle airport in Paris.

 France became the fourth country –after Britain, the United States and Canada–to announce screening checks for the virus at its main international airport, as the United Nations warned Ebola was outpacing efforts to combat the epidemic.

The announcement came as Spanish authorities said they had isolated an Air France plane at Madrid airport and activated emergency health procedures after one of the passengers was reported to have a fever and shivers in what is being treated as a suspected Ebola case, officials said Thursday.

... French President François Hollande held a video conference Wednesday with his US counterpart Barack Obama, German Chancellor Angela Merkel, British Prime Minister David Cameron and Italian premier Matteo Renzi to discuss their response to the virus.

EU health ministers are meeting in Brussels on Thursday to discuss measures to deal with the epidemic....

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http://www.france24.com/en/20141016-ebola-france-airport-screening-eu-health/

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New Texas nurse with Ebola had slight fever on airliner

REUTERS                                                          Wed Oct 15, 2014 5:10pm EDT

By Lisa Maria Garza and Terry Wade 

DALLAS  A second Texas nurse who had contracted Ebola flew on a commercial flight from Ohio to Texas with a slight temperature the day before she was diagnosed, health officials said on Wednesday, raising new concerns about U.S. efforts to control the disease.

Chances that other passengers on the plane were infected were very low, but the nurse should not have been traveling on the flight, U.S. Centers for Disease Control and Prevention (CDC) Director Dr. Thomas Frieden told reporters.

The woman, Amber Vinson, 29, was isolated immediately after reporting a fever on Tuesday, Texas Department of State Health Services officials said. She had treated Liberian patient Thomas Eric Duncan, who died of Ebola and was the first patient diagnosed with the virus in the United States.

Vinson, a worker at Texas Health Presbyterian Hospital in Dallas, had taken a Frontier Airlines flight from Cleveland, Ohio to Dallas/Fort Worth International Airport on Monday, officials said.

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Ebola Fight in Africa Is Hurt by Limits on Ways to Get Out

NEW YORK TIMES

The nurse survived, but according to the aid group that sent her to Liberia and arranged to get her out, Europe’s failure to establish a swift evacuation service for infected medical workers has become a serious hurdle impeding the battle against Ebola in West Africa.

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Second health worker infected with Ebola flew the day before reporting symptoms

WASHINGTON POST                           Oct. 15, 2014

By Abby Phillip and Fred Barbash

A second Texas Health Presbyterian Hospital worker who tested positive for Ebola flew on a commercial flightfrom Cleveland to Dallas on Monday, the day before she reported symptoms of the virus, the Centers for Disease Control and Prevention said.

The health worker, who has not been named, cared for an Ebola-stricken Liberian man at the hospital, then tested positive for the disease in a preliminary test, Texas health officials announced Wednesday morning.

She flew on Frontier Airlines Flight 1143 at around 6 p.m. on Oct. 13. There were 132 passengers on board, according to the airline and health officials. The CDC said it is working to reach out those passengers and is also asking them to call a hotline.

The agency and the airline also said that the health-care worker did not exhibit any symptoms while on the flight. A person infected with Ebola is only contagious once the person becomes symptomatic.

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Ebola: UK cancels resumption of direct flights to Sierra Leone

THE GUARDIAN                                 Oct, 2014
By Lisa O'Caroll

The first direct flights to resume from the UK to Sierra Leone have been cancelled after the British government revoked Gambia Bird’s recently granted permit because of fears over Ebola.

The Department of Transport cited the deteriorating public health situation for the revocation when it notified the German-owned airline on Friday evening.

The airline said it would appeal against the decision, especially as its licence was only granted on 26 September.

Cuban health workers unload medical supplies at Freetown's airport to help fight Ebola in Sierra Leone. Charities say the UK flight decision closes a vital humanitarian corrider to the country. Photograph: Florian Plaucheur/AFP/Getty Images

The decision closed what charities and non-governmental organisations (NGOs) said was a vital humanitarian corridor to Sierra Leone, which is struggling to cope with the Ebola outbreak.

Médecins sans Frontières...criticised the decision. It said if the government was going to stop commercial airlines flying to the region it would have to put in place state alternatives.

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