Friday 17 October 2014

More on Ebola - 10/16/2014

More, thanks to the Extinction Protocol

The next disease outbreak might start with New York’s insanely diseased rats


October 2014 – NEW YORK - Here’s a shocking fact for you: Rats, the cute, cuddly creatures you sometimes see around your city, are actually kind of gross. And to find out just how gross, researchers at New York’s Columbia University decided to do some tests, and the answer is clear: They’re dangerously gross. The researchers examined the pathogens present in 133 rats in Manhattan and found food-borne illnesses, diseases never-before seen in New York and undiscovered viruses. Peter Daszak, the president of EcoHealth Alliance, told the New York Times it’s a “recipe for a public health nightmare.” The background: Scientists set traps in a few Manhattan buildings to catch the pests. “New York rats are a lot wilier than rats in other cities,” researcher Cadhla Firth told the New York Times. “We had to bait traps and just leave them open for a week.” Once they had their quota, they were able to extract tissue and look for pathogens. Some of the highlights include salmonella, vicious strains of E. coli and Seoul hantavirus, which had never before been found in New York. They even discovered 18 new viruses, including some that seem similar to the virus that causes hepatitis C.


While that may seem scary, scientists are calling it a good thing — now they can figure out how humans might be affected. The takeaway: The big health scares often deal with pathogens in other parts of the world coming here — Ebola comes to mind, along with our old friends SARS and bird flu. That’s why politicians get worked into a tizzy tying disease outbreaks to immigration. But one quick look at some rats and it becomes clear that the U.S. is far from some hygienic paradise that can only be spoiled by foreigners. “Everybody’s looking [for pathogens] all over the world, in all sorts of exotic places, including us,” Columbia professor Ian Lipkin told the New York Times. “But nobody’s looking right under our noses.” When the next big illness comes, it has as good a chance of as any of coming from the rats in your city. So give a little thanks that some researchers have started the dirty work. And maybe ask your roommate to stop leaving food out. -
MIC



Belize confirms patient with Ebola symptoms on cruise ship off its coast

October 2014 – BELIZE - Reports tonight are that two individuals possibly infected with the Ebola virus are in Belizean waters. Local TV station Channel 7 monitored in Belmopan tonight, reported having credible reports that a couple from a Texas-based cruise ship presently anchored off Belize City, is on a ship tender, unable to return to the cruise ship, while being refused entry to Belize City to catch an air ambulance awaiting at the International Airport to take them to the their country of origin, the U.S.A. The television station in its broadcast tonight said Belize health authorities contacted tonight have so far refused to deny or confirm the report. Later tonight in breaking news,  Channel 5 Belize is reported that it has: “Confirmed with representatives of the Ministry of Health that they have indeed received a report that there is at least one passenger on board the cruise ship, Carnival Magic, showing symptoms similar to that of the Ebola virus. According to the report made to MOH, the person exhibiting the symptoms did not come ashore today. The ship is reportedly carrying 3652 passengers and a total population of 4633 persons. “The Carnival Magic departed from Galveston Texas on Sunday, October 12 arrived in Mahogany Bay, Honduras on Wednesday October 15 and arrived in Belize this morning, Thursday October 16.


The ship was scheduled to leave Belize en route to Cozumel this evening at 5pm. However, it is still anchored in Belizean waters near State Bank Caye.” “We have also have confirmed that the Coast Guard has been deployed to prevent anyone from leaving the ship; including the Belizean pilot on board.” In a press conference held last weak, Belize’s Ministry of Health stated that in the event of an outbreak of Ebola in Belize, no patient would be allowed into the commercial capital Belize City, where most of the Belize government cabinet officials reside. The MOH stated that the government hospital, the Karl Heuesner Memorial Hospital has but one Intensive Care Unit and they would not allow this to be overrun with Ebola patients. Belize is a a very poor country that depends to a large extent on tourism for its foreign exchange income. Belize City is currently the main port of call for cruise ships. –Belizean
Ebola banner
Spain quarantines four: The emergency protocol for dealing with a possible case of the Ebola virus was activated at Madrid’s Adolfo Suarez-Barajas Airport on a day that saw four people hospitalised with possible symptoms of the Ebola virus. The airport protocol was activated after a Nigerian passenger on an Air France flight (AF1300) from Paris, but who had started his journey in Lagos, complained of fever, headache, shivering and sweating, causing the plane crew to alert Spanish authorities, Xinhua reported. The aircraft, which was carrying 156 passengers and seven crew, was taken to a designated area at Barajas airport, the possible Ebola suspect was then taken to the Carlos III Hospital in Madrid, while the remaining passengers were allowed to disembark from the plane after having their details taken and instructed to get in contact with the hospital should they develop signs of fever. Thursday also saw two further people taken to the Carlos III Hospital, where nursing auxiliary Teresa Romero is being treated for the virus. The first of these was confirmed as someone who had been carried in the same Ambulance as Romero, after she had originally been taken to hospital in Alcorcon Oct 6.


The ambulance carried no special protection against the virus and after taking Romero to hospital was not disinfected for 12 hours during which it carried a further 7 people. The patient, who health authorities confirm is not a medical worker, had formed part of a group of over 50 people considered to be “low risk” of being infected with Ebola. The third person taken to the Carlos III is a Spanish missionary from the “San Juan de Dios” order, the same as Manuel Garcia Viejo, who died in Madrid of the virus in September. The missionary, who returned from Liberia Tuesday was taken to the hospital after developing a fever. Finally a person who abandoned Sierra Leone eight days ago has also been taken to hospital in Tenerife as a precautionary measure after developing a fever. Meanwhile Romero’s state continues to give ground for optimism and Fernando Simon, the Director of the Center for Alerts and Sanitary Emergencies, informed on Thursday that: “the level of the virus in her body has diminished…Her immune system is being able to control the infection.”Simon added that Romero’s internal organs were “improving” and there were “clear signs for hope,” 17 days after first developing symptoms of the disease. –Daijworld


Escalation of Ebola epidemic could trigger major food crisis

October 2014 – AFRICA - The global famine warning system is predicting a major food crisis if the Ebola outbreak continues to grow exponentially over the coming months, and the United Nations still hasn’t reached over 750,000 people in need of food in West Africa as prices spiral and farms are abandoned. On the eve of World Food Day on Thursday, U.N agencies and non-governmental organizations are scrambling to scale up efforts to avert widespread hunger. “The world is mobilizing and we need to reach the smallest villages in the most remote locations,” Denise Brown, the U.N. World Food Program’s regional director for West Africa, said in a statement Wednesday. “Indications are that things will get worse before they improve. How much worse depends on us all.” WFP has said it needs to reach 1.3 million people in need in hardest-hit Liberia, Sierra Leone and Guinea. So far, the U.N. agency has provided food to 534,000 people, and it expects to reach between 600,000 and 700,000 this month, Bettina Luescher, WFP’s chief spokesperson in North America, told AP. “And we are working hard to reach and scale up to 1.3 million eventually.” WFP is providing food to patients in Ebola treatment centers, survivors of the virus who have been discharged, and communities which have been quarantined or have seen widespread transmission, including the families of those affected.


It is also helping with logistics and is managing the U.N. Humanitarian Air Service between the three affected countries and nearby Dakar, Senegal and Accra, Ghana to help humanitarian workers rapidly deploy to the field. We are assessing how families are coping as the virus keeps spreading,” Luescher said. “We expect to have a better understanding of the impact of the Ebola outbreak on food availability and farming activities by the end of October.” WFP said its first survey using mobile telephones showed that people living in the Kailahun and Kenema districts of Sierra Leone — where most Ebola cases have been reported — are finding it harder to feed their families than people in other parts of the country and are resorting to more desperate measures to cope. More than 80 percent of people in those areas said they ate less expensive food, and 75 percent reported that they have reduced the number of daily means and were serving smaller portions. Kanayo Nwanze, president of the U.N. International Fund for Agricultural Development, said Monday that up to 40 percent of farms have been abandoned in the worst-affected areas of Sierra Leone and there are already food shortages in Senegal and other countries in West Africa because regional trade has been disrupted. He said preliminary reports suggest that “trade volume in these markets is half of what it was at this time last year.”

Andrea Tamburini, CEO of the non-governmental organization Action Against Hunger which operates in the hardest-hit West African countries, said in an interview Wednesday that his two main concerns are the spike in food costs and the shortage of manpower due to restrictions on movement. This has led to farmers abandoning their crops to seek refuge in locations considered less exposed to the Ebola virus, he said. –ABC News

Ebola epidemic spreads to the last untouched district in Sierra Leone

October 2014 – FREETOWN, Sierra Leone –  The deadly Ebola virus has infected two people in what was the last untouched district in Sierra Leone, the government said Thursday, a setback in efforts to stop the spread of the disease in one of the hardest-hit countries. The Emergency Operations Center in its report covering Wednesday announced the two Ebola cases in the Koinadugu district, in Sierra Leone’s far north, which had taken aggressive measures to keep the virus out of its mountainous territory since the outbreak early this year. “It was the only place we are counting on where you can go and breathe a sigh of relief and to know that now in the whole country no district is safe, is heartrending,” said John Caulker, the executive director of the nonprofit Fambul Tok, a group that worked on keeping Ebola out of the district. “Now we will increase our activities in the district and take the necessary measures to make sure the area is safe and it does not spread,” he told The Associated Press, noting it was just in a single chiefdom so far. Ebola is rampant in the rest of the country, with 425 new cases just in the last week and a health care system that is struggling to deal with the onslaught of the disease. The World Health Organization said there have been more than 3,000 infections in Sierra Leone with nearly 1,200 deaths.


Last week, the Koinadugu district’s health team received word of people dying in the village of Fakonya, some 60 miles over very rough terrain from the town of district center of Kabala, said Abdul Sesay, a local health official. Some 15 people had died and then two of the six samples tested came back as positive for the virus — the deaths had originally been attributed to witchcraft, according to Sesay. The town has now been isolated and nearby communities have been put under observation. Momoh Konte, a businessman born in the district and educated in the United States who has been very active in protecting Koinadugu, told local press Thursday that the dead and their homes would be cremated to protect the living. Under the system put in place by Konte and Caulker, movement in and out of the district was through a strict pass system and protective equipment and chlorine were brought in to stem the transmission of the disease. The deadly Ebola virus is transmitted by bodily fluids and has hit hardest in Sierra Leone, Liberia and Guinea.

Koinadugu survived infection free for so long in part because it cut itself off from infected areas, but the affected countries have been begging their neighbors and the international community to maintain ties and help them fight the disease, amid increased discussions of cutting off all contact. Planes can’t fly to the affected countries because they are afraid they will be refused landing elsewhere, said the African Union chair Nkosazana Zuma on Thursday and airlines that wanted to restart service couldn’t. Currently only Moroccan airlines and Brussels Air fly to all three countries. Sierra Leone’s Finance Minister Kaifalah Marah on Thursday warned that border closures and cutting flights were “killing our economies,” describing the isolation as a de facto economic embargo. Sierra Leone had growth rates of 9 percent before the outbreak. “It’s critically important that these countries stay connected to the rest of the world, part of the reason for making this trip is that if you take the proper precautions, it is safe to travel and work here,” U.S. Agency for Development director Rajiv Shah told AP during his trip through Sierra Leone Wednesday. International agencies and countries are trying to boost the capacity of the countries to fight the disease where overstretched health care systems and minimal sanitation have allowed transmission to rage almost unchecked. –Fox News

Ebola epidemic may not end without developing vaccine, scientist warns

October 2014 – AFRICA - The Ebola epidemic, which is out of control in three countries and directly threatening 15 others, may not end until the world has a vaccine against the disease, according to one of the scientists who discovered the virus. Professor Peter Piot, director of the London School of Hygiene and Tropical Medicine, said it would not have been difficult to contain the outbreak if those on the ground and the UN had acted promptly earlier this year. “Something that is easy to control got completely out of hand,” said Piot, who was part of a team that identified the causes of the first outbreak of Ebola in Zaire, now the Democratic Republic of Congo, in 1976 and helped bring it to an end. The scale of the epidemic in Sierra Leone, Liberia and Guinea means that isolation, care and tracing and monitoring contacts, which have worked before, will not halt the spread. “It may be that we have to wait for a vaccine to stop the epidemic,” he said. On Thursday night, a Downing Street spokesman said a meeting of the government’s emergency response committee, Cobra, was told the chief medical officer still believed the risk to the UK remained low.


There was a discussion over the need for the international community to do much more to support the fight against the disease in the region,” the spokesman said. “This included greater coordination of the international effort, an increase in the amount of spending and more support for international workers who were, or who were considering, working in the region. The prime minister set out that he wanted to make progress on these issues at the European council next week.” Dr Tom Frieden, director of the Centers for Disease Control (CDC), in evidence to Congress, said he was confident the outbreak would be checked in the US, but stressed the need to halt the raging west African epidemic. “There are no shortcuts in the control of Ebola and it is not easy to control it. To protect the United States we need to stop it at its source,” he said. “One of the things I fear about Ebola is that it could spread more widely in Africa. If this were to happen it could become a threat to our health system and the healthcare we give for a long time to come.” There are three vaccines now being fast-tracked through early safety trials in volunteers in the UK, the US and in unaffected Mali to ensure that they do no harm.

The results should be available by the end of November or start of December. If they are acceptable, it is likely that healthcare workers – who are at highest risk of being infected and over 200 of whom have died – will be offered a vaccination before Christmas. But the only proof that any of them works will be if there is a significant drop in the number of deaths among vaccinated people on the front line. “If the epidemic is not going to be stopped in these three countries, it will definitely spread to adjacent countries such as Ivory Coast, Guinea Bissau and Mali,” said Piot. He was speaking at a seminar in Oxford as the World Health Organization (WHO) warned that 15 countries, neighboring or trading with those where the epidemic is raging, were at risk. They are Ivory Coast, Guinea Bissau, Mali, Senegal, Benin, Burkina Faso, Cameroon, Central African Republic, the Democratic Republic of Congo, Gambia, Ghana, Mauritania, Nigeria, South Sudan and Togo. Nigeria and Senegal have both succeeded in halting an outbreak. Nonetheless, Dr Isabelle Nuttall of the WHO said all needed to be better prepared. “The objective is to stop the transmission from occurring in these countries. They may have a case but after one case we don’t want more cases,” she said at a briefing. –Guardian

Has Marburg or Ebola made it to Kenya? Suspect case of woman who died of hemorrhagic fever awaits test

Kenya
October 2014 – KENYA – Bungoma is a town in Bungoma County of Kenya, bordered by Uganda in the west. Bungoma town was established as a trading centre in the early 20th century. The town is the headquarters of Kenya’s Bungoma County and it hosts a municipal council. As the Ebola virus continues to shake the world, residents at the Kenya Unganda border in Busia have expressed concerns about the measures in place to screen those crossing into Kenya from neighboring countries. This coming just hour after the Marburg scare in Bungoma after a woman died of suspect symptoms. KTN’s Ian Wafula is at the border from where he filed this story. – Standard Digital


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