Friday 10 October 2014

The Ebola epidemic - update - 10/09/2014

If we look a the bigger picture Ebola and pestilence is possibly one of the greatest threats to the human population as a result of 7+ billion humans living in close proximity; human-enduced climate change and destruction of natural habitat.


For the first time in human history we are looking at simultaneous outbreaks; at the same time as Ebola there has been an outbreak of Marburg's virus (with an 80 % fatality rate) in Uganda. What the northern hemisphere flu season will bring remains to be seen.

While it is clear that the Ebola virus has likely mutated into an airborne form it is highly contagious via contact with the skin (the body's largest organ).

Note that the Spanish nurse contracted the virus by touching her face with her glove.

Meanwhile the media and the authorities continue to downplay the outbreak and repeat the false mantra that it is difficult to contract.

The Australian nurse has been 'cleared' of the virus when, as  In understand it takes numerous tests over the 21-day incubation period (and 'the first test is always negative') to establish this.

  

Meanwhile these journalists caught off-guard probably indicate the real situation.   


Here are a few stories giving an update on a fast-developing story

---SMR

Latest updates from overnight about the worldwide Ebola outbreak.

A man looks out of a hotel in Skopje where a Briton is thought to have died, a health worker cleans an apartment of a hospitalised Spaniard and Spain's newspaper feature the infected nurse.

 A man looks out of a hotel in Skopje where a Briton is thought to have died, a health worker cleans an apartment of a hospitalised Spaniard and Spain's newspaper feature the infected nurse.


NZ Herald,

10 October, 2014


More contacts of Spanish nurse hospitalised

Seven more people have been admitted to a Spanish hospital for monitoring for Ebola, including two hairdressers who had contact with a nurse infected with the deadly disease, health officials say.
The nurse, Teresa Romero, helped treat two elderly Spanish missionaries who died after returning from west Africa with Ebola.
The 44-year-old tested positive for the disease on Monday, making her the first person known to have caught Ebola outside of Africa.
Romero went on leave after the second of her Ebola patients died on September 25 at Madrid's La Paz-Carlos III hospital, which Spain has designated to handle Ebola cases.
She started to feel ill on September 29 but was not admitted to hospital until seven days later, creating a large window of time in which other people may have been exposed.
Five women and two men were admitted to the hospital for monitoring today as a precaution, the hospital said in a statement.
They included three nurses and two hairdressers who had contact with Romero while she was on leave from her job.
Meanwhile one person who had previously been under observation at the hospital has been discharged.
In total there are now 14 people isolated at the hospital including Romero who is the only person confirmed to have the disease.

Australian nurse tests negative for Ebola

A Queensland nurse has been cleared of Ebola, Queensland Health says.
Cairns nurse Sue-Ellen Kovack had returned to Brisbane after spending a month volunteering at an Ebola hospital with the Red Cross in Sierra Leone.
The 57-year-old was admitted to Cairns Hospital yesterday with a "low-grade fever" raising fears she may have become infected with the deadly virus.Q
ueensland's Chief Health Officer said on Friday that blood tests had returned negative results and no virus was detected in Ms Kovack's blood.
However she will remain under observation.
Queensland Premier Campbell Newman said the negative test result was heartening but the World Health Organisation required three full days of negative tests.
"Let's keep our fingers crossed for the patient involved," he told reporters in Canberra.

Sue-Ellen Kovack did everything right in making sure she didn't endanger anyone else, Queenland's health chief says.

Dallas hospital defends actions

The Texas hospital that treated a Liberian man who died of Ebola defended its actions, saying the medical staff did all they could to save him.
The statement was issued a day after Thomas Eric Duncan died of Ebola and followed accusations of unfair treatment by members of Duncan's family.
Duncan was the first person diagnosed of Ebola in the United States and the first to die in a US hospital of the hemorrhagic fever that has killed 3,900 in West Africa this year.
Yesterday Duncan's nephew Joe Weeks told ABC News he felt Duncan had received "unfair" medical treatment.
Unlike three of the American patients who were infected with Ebola and transported back to the United States for treatment, Duncan was not given a blood transfusion from a survivor of Ebola.
The effectiveness of this treatment is unknown, but the World Health Organization supports it because it is believed to convey potent antibodies from a survivor to a patient."
Mr. Duncan did not receive the same type of serum transfusion as the patient in Nebraska (NBC freelance cameraman Ashoka Mukpo) because his blood type was not compatible with the serum donors," said Texas Health Presbyterian Hospital Dallas.
Duncan was given an experimental drug brincidofovir on Saturday, almost a week after he was first hospitalised.
"The investigative drug was administered as soon as his physicians determined that his condition warranted it, and as soon as it could be obtained," the statement said.

US military planes arrive at epicentre of Ebola

Six US military planes have arrived at the epicentre of the Ebola crisis, carrying more aid and American Marines into Liberia, the country hardest hit by the deadly disease that has devastated West Africa and stirred anxiety across a fearful world.
At a World Bank meeting in Washington, the presidents of several West African countries struggling with Ebola pleaded for help, with one calling the epidemic "a tragedy unforeseen in modern times".
Alpha Conde of Guinea said the region's countries are in "a very fragile situation."
"This disease is today an international threat and deserves an international response," he said, speaking through a translator.
Tom Frieden, director of the US Centers for Disease Control and Prevention, said he was reminded of the start of the Aids epidemic.
"We have to work now so this is not the next Aids," Frieden said.
The fleet that landed outside the Liberian capital of Monrovia consisted of four MV-22 Ospreys and two KC-130s. The 100 additional Marines bring to just over 300 the total number of American troops in the country, said Major General Darryl A Williams, the commander leading the US response.
- AP

'British national dies of deadly virus in Macedonia'

UK officials are investigating reports that a British national has died of a disease believed to be Ebola in Macedonia.
The patient was admitted to the Clinic for Infectious Diseases in Skopje showing symptoms associated with Ebola and died shortly afterwards. Tests to confirm the disease have yet to be completed.
The UK Foreign Office (FCO) are now looking into the reports from a senior Macedonian government official.
A second Briton had shown symptoms of the virus, the official told Reuters on a condition of anonymity.
"We are aware of the reports and are urgently looking into them," an FCO spokesman said.
If confirmed, the person would be the first UK national to die from the deadly virus, after British nurse Will Pooley was cured of Ebola last month.
It was unclear last night whether the British national was living in Macedonia or had recently travelled there from one of the African countries battling the outbreak of the disease.
The reports came as Downing Street announced that enhanced screening for Ebola will be introduced at Heathrow and Gatwick Airports and Eurostar terminals following advice from the Chief Medical Officer.
Two months ago the Macedonian authorities announced they had introduced prevention measures at all airports. Passengers with ebola-like symptoms were to be immediately isolated and taken to the Clinic for Infectious Diseases.
Macedonian airports commenced all necessary prevention measures confronting possible suspicious cases of Ebola on Wednesday, according to Macedonian Commission for Infectious Diseases, according to Dr Jovanka Kostovska, of the Commission for Infectious Diseases at the Ministry of Health.
- Independent

Guinea player leaves team for Ebola fears

Guinea forward Lass Bangoura says he left his national team to calm the fears of his Spanish club teammates who were worried about the Ebola outbreak.
Lass was called to play for Guinea in its 2015 Africa Cup of Nations qualifier against Ghana on Friday, which had been moved from Guinea to Morocco because of concerns about Ebola.
But Lass says "when they told me my teammates were worried, I made the decision to come back, speak with them, and tell them that they shouldn't be afraid."
The first cases of Ebola were confirmed in Guinea in March. The outbreak has killed more than 3,800 people, mainly in Guinea, Liberia and Sierra Leone.
Ebola has reached Spain also. A Spanish nursing assistant caught Ebola after treating a sick missionary brought back to Madrid.
- AP

Ebola: Nurse's costly mistake

The nurse in Madrid who became the first person infected with Ebola outside West Africa repeatedly reported her symptoms to health authorities but was fobbed off with paracetamol before being finally diagnosed with the deadly virus and put in isolation.
Maria Teresa Romero Ramos admits she probably caught the virus when she touched her face with a contaminated glove as she removed her protective suit after visiting the room of the infected missionary priest who was repatriated to Madrid from Sierra Leone.
Spanish health officials struggled to contain the virus and placed two more nurses in quarantine and dozens of others under observation for symptoms of Ebola.
Ms Romero is at "serious risk" of dying from the disease after her condition worsened, officials said.The nurse, so far the only person to have been diagnosed after catching the disease outside Africa, "is at this time very ill and her life is at serious risk as a consequence of the virus," the Madrid regional president Ignacio Gonzalez told parliament.
A spokeswoman for the La Paz-Carlos III hospital where Romero is being treated told reporters earlier: "Her clinical situation has deteriorated but I can't provide more information," because of the express wishes of the patient.

'Our people are dying'

The presidents of three Ebola-stricken West African nations have made urgent pleas for money, doctors and hospital beds and representatives of nations gathered for a World Bank meeting promised to send more aid quickly.
"Our people are dying," said President Ernest Bai Koroma. He spoke by video from Sierra Leone to an Ebola summit at the annual meeting of the International Monetary Fund and World Bank in Washington.Koroma described devastating effects of "this evil virus" - children made orphans, doctors and nurses dying, an overwhelmed medical system that can't keep up with the need.
The world's response hasn't kept pace with the spread of Ebola, Koroma said, and "a tragedy unforeseen in modern times" is threatening everyone.United Nations Secretary-General Ban Ki-moon called for a 20-fold surge in international aid to fight the outbreak and representatives gathered for a World Bank pledged medical evacuations for health care responders who catch the virus."For those who have yet to pledge, I say please do so soon," he said. "This is an unforgiving disease."

What you need to know

The toll: As of Wednesday, Ebola has killed about 3800 people in West Africa and infected at least 8000, according to the World Health Organisation. The virus has taken an especially devastating toll on health care workers, sickening or killing more than 370 of them in the hardest-hit countries of Liberia, Guinea and Sierra Leone - places that already were short on doctors and nurses.

The way it spreads: The virus that causes Ebola is not airborne and can only be spread through direct contact with bodily fluids - blood, sweat, vomit, feces, urine, saliva or semen - of an infected person who is showing symptoms.

The Treatments: There are no approved medications for Ebola, so doctors have tried experimental treatments in some cases, including drugs and blood transfusions from others who have recovered from Ebola. The survivor's blood could carry antibodies for the disease that will help a patient fight off the virus.

- AP

60 People Locked In Building After 4 Suspected Ebola Cases Near Paris

9 October, 2014

As The Local reports, it looks like Paris is all-clear



However later in the evening Nevache confirmed that the "suspicion was over" and the people were allowed to leave.
Le Parisien newspaper reported that the alarm was raised when one of four people "of African origin" who had recently visited Gunea fell ill in the building and two others showed flu-like symptoms.

Following news of the death of a British man in Macedonia from Ebola, RTL reports that 60 people are locked inside a Department of Medical and Social Coordination (DASS) building in Cergy-Pontoise (on the northeast edge of Paris) following Ebola-like symptoms in 4 people.

View image on Twitter
INFO RTL - Les locaux de la DDASS à Cergy-Pontoise bouclés, un cas d'Ebola suspecté > http://bit.ly/1yQrEU4 










The premises of the DASS in Cergy-Pontoise (Val-d'Oise) is currently curly.Authorities suspect an Ebola case and locked sixty people.
 An attending physician on the premises has been warning noting troubling symptoms in four people who had returned from Guinea.
Specific first aid arrived on the scene there for over an hour, a perimeter was set up and a crisis enabled prefecture.
Workforce of UAS equipped accordingly are expected on site a moment's notice.








A building of the DASS of Cergy -Pontoise , near Paris , was cordoned off tonight after the unrest in the premises of a person who may be from Guinea and features similar to those of Ebola like symptoms, a- was learned from sources.
The building, owned by the General Council , was completed " to carry out checks ," said the prefect of the Val- d'Oise , Jean -Luc Nevache . Besides the person who feels unwell a second person had flu-like symptoms , said Dr. Nevache , evoking a simple measure of "precaution" .
 According to RTL , the authorities shut sixty in total. A security perimeter has been established .

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It appears the reach of this deadly disease is growing..


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And then there's this...

View image on Twitter
BREAKING: British man suspected of contracting dies in Macedonia - reports http://on.rt.com/3s3llu 

Another UN staff tests positive for Ebola – U.S. to install quarantine stations in 5 airports


October 2014HEALTH – The UN Secretary-General’s spokesperson, Stephane DuJarric, on Wednesday, confirmed that an international member of staff who works for UN Mission in Liberia, UNMIL, tested positive for Ebola Virus Disease, EVD. Mr. DuJarric confirmed this while briefing UN Correspondents on Wednesday in New York. He said “this is the second case of Ebola in the mission. “An earlier probable case resulted in the death of a staff member on September 25. “The Mission has, therefore, taken all the necessary measures to prevent possible further transmission within or outside the mission. “In line with World Health Organization (WHO) protocols, the UNMIL Medical team has conducted immediate and robust contact tracing to ensure that all the people that came in contact with staff members if they were symptomatic are assessed and such staff quarantined. “All UNMIL staff considered at risk have been isolated and ambulances and other locations decontaminated,” he told reporters. The News Agency of Nigeria reports that the Head of UNMIL, Karin Landgren, had announced early on Wednesday that an international staff member tested positive for Ebola. WHO said that the total number of cases in the current Ebola outbreak in West Africa now stood at 7,178, with 3,338 reported deaths. Liberia alone recorded 2,210 deaths from Ebola as at Oct. 4, the government said. –Premium Times

Quarantine stations at 5 US airports: One person has come to the United States and come down with Ebola here. Authorities want to keep it that way. To that end, the Centers for Disease Control and Prevention announced Wednesday beefed-up measures at five of America’s biggest, busiest airports aimed at preventing the deadly virus’ further spread. While talk about preventing Ebola’s spread abounds everywhere from coffee shops to TV news, this intervention won’t affect a lot of people. It applies only to about 150 people a day, by CDC Director Dr. Tom Frieden’s estimate, arriving in the United States after having recently traveled from Ebolva-ravaged West African nations of Guinea, Liberia and Sierra Leone. These travelers will get special treatment, including having their temperature taken and answering questions about whether they’ve been exposed to anyone with Ebola. The idea is to stop anyone with warning signs from getting past the airport gates, and into the U.S. public, before they can possibly spread the virus any further. But, Frieden cautioned, this isn’t some sort of magic solution.
U.S. officials will likely discover some people have fevers or have had contacts with Ebola sufferers, only to find out they don’t have the virus. Someone can still unknowingly come to the United States and show no signs of it, since it can take up to 21 days for someone to feel sick. Plus, there are more ways than ever for people to cross communities, cross borders, cross oceans and spread a virus like Ebola. “We are stepping up protection for people, (and) we will continuously look at ways that we can increase the safety of Americans,” Frieden told reporters. “(But) whatever we do can’t get the risk to zero here in the interconnected world that we live in today.” –WTSP

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