Category Archives: Medicine

An Ebolaphobic’s nightmare: The ISIS factor


From RT America, something to keep you sweating at night [and then wondering if you've caught something]:

FBI is wrong: Pentagon says ISIS could use Ebola

Program notes:

FBI Director James Comey recently said at a press conference that ISIS can’t use Ebola as a WMD, but he clearly didn’t check with the Pentagon’s lead chemical weapons specialist, Andrew Weber. Because he recently said that, in fact, YES, there of course is a possibility that ISIS could weaponize Ebola. Now, since Ebola isn’t airborne, the likelihood of Ebola being used on a mass scale remains small. But with more cases popping up in the US, at this point, it’s time for people to take Ebola a little more seriously. The Resident discusses.

EbolaWatch: Phobia, pols, meds, & Africa


Always Africa, though news from the continent is slow today.

First from the London Daily Mail, which gets it about right:

Ebola hysteria sweeps US schools: Teacher who visited Dallas told not to come to work as hundreds of Mississippi parents pull kids school because principal visited Zambia… 3,000 miles from countries hit by the disease

  • Maine elementary teacher stayed 9.5 miles from Ebola hospital in Texas
  • She has been ordered into isolation for 21 days amid ‘parents’ concerns’
  • In Mississippi, hundreds of parents pulled kids from middle school after principal visited Zambia – a country 3,000 miles from Ebola-hit nations
  • Parents at nearby high school also removed children to ‘avoid risk’

CNN reports on the growing American Ebolaphobia:

U.S. public ‘very worried’ about Ebola

Program notes:

The fear of Ebola is fraying nerves and ringing false alarms across the country. Ted Rowlands reports.

From AllAfrica, the silver lining in the Ebolaphobia cloud:

How Ebola Could Save Thousands of U.S. Lives

If media coverage of the three Ebola cases in the United States – some of it calling attention to the far greater danger of influenza – causes more people to ask their doctors about a flu shot, Ebola could end up saving many lives

Have you had your flu shot this year?

The highly contagious respiratory infection is linked to as many as 50,000 annual deaths in the United States, according to the Centers for Disease Control and Prevention (CDC). An estimated 20,000 children under five are hospitalized.

If media coverage of the three Ebola cases in the United States – some of it calling attention to the far greater danger of influenza – causes more people to ask their doctors about a flu shot, Ebola could end up saving many lives. Strong statements by Fox news anchor Scott Shepherd and New York Times columnist Frank Bruni (Scarier Than Ebola) are examples of what could prove to be life-saving reporting.

The Pentagon gets busy, via the Los Angeles Times:

Pentagon announces Ebola rapid-response team for U.S. cases of virus

The Pentagon announced Sunday it is putting together a 30-person rapid-response team that could provide quick medical support to civilian healthcare workers if additional cases of the Ebola virus are diagnosed in the United States.

Defense Secretary Chuck Hagel ordered U.S. Northern Command Commander Gen. Chuck Jacoby to assemble the team, which was requested by the Department of Health and Human Services, said Pentagon spokesman Rear Adm. John Kirby.

The team will consist of 20 critical-care nurses, five doctors trained in infectious disease, and five trainers in infectious-disease protocols.

CBC News covers measures to the north:

Canada’s Ebola response gets fresh test in Nova Scotia

  • One of 5 rapid response teams ready to aid local health authorities

Nova Scotia has been chosen for a second test of Canada’s response to Ebola.

On Sunday, a team from the federal Public Health Agency arrived to brief health-care providers on the techniques they will be reportedly practising on Monday should a confirmed case of Ebola arrive in Canada.

“Drills, dry runs, and practising are important to ensuring that our teams are able to respond without hesitation in the event of a case of Ebola,” Health Minister Rona Ambrose said in a news release.

The agency says if a case of Ebola is ever confirmed in Canada, one of the five Ebola rapid response teams would work with local health authorities to prevent its spread.

Each team comprises a field epidemiologist, an infection control expert, a bio-safety expert, a laboratory expert, a communications expert and a logistics expert. Aircraft are stationed in Winnipeg and Ottawa.

And a video report from the Public Health Agency of Canada:

PHAC Rapid Response Team

Program note:

Ebola Rapid Response Team practices deploying to a simulated case of Ebola

From The Hill, czarist politics:

Praise, criticism for Obama’s Ebola czar pick

President Obama’s selection to lead the administration’s Ebola response drew both praise and criticism from guests on the Sunday morning political shows.

Dr. Anthony Fauci, who is the head of the National Institute of Allergy and Infectious Diseases, pushed back at GOP opposition to Obama’s new czar, Ron Klain, calling him an “excellent manager.”

Klain, a former chief of staff to Vice President Al Gore and later Vice President Joe Biden, will take the reins of the administration’s Ebola strategy next week. He was named to the position on Friday.

When asked if a healthcare professional would be a better choice, Fauci said “not necessarily.”

From the Washington Post, surprise, surprise:

Why Democrats are sounding like Republicans on Ebola and the GOP is moving into overdrive

Democrats are beginning to sound more like Republicans when they talk about Ebola. And Republicans are moving into overdrive with their criticism of the government’s handling of the deadly virus.

The sharpened rhetoric, strategists say, suggests Democrats fear President Obama’s response to Ebola in the United States could become a political liability in the midterm election and Republicans see an opportunity to tie increasing concerns about the disease to the public’s broader worries about Obama’s leadership.

“This is feeding into the Republican narrative that Democrats don’t know how to govern and government is too large,” said Jim Manley, a former aide to Senate Majority Leader Harry M. Reid (D-Nev.). Democrats, Manley said, “are desperate to try to demonstrate that they have tough ideas to respond to the crisis.”

Failure acknowledged, via the Los Angeles Times:

Fauci acknowledges that Ebola guidelines failed to protect caregivers

A top federal health official conceded Sunday that the government-recommended protective gear worn by nurses and doctors caring for patients sickened by Ebola has been inadequate to protect caregivers from infection.

The official, Dr. Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases, said that medical professionals need gear that would provide complete, head-to-toe coverage, shielding their skin from contact with an Ebola patient’s body or its fluids.

Serving as the Obama administration’s sole spokesman for Ebola on five national television talk shows Sunday, Fauci indicated that new guidelines for “personal-protective’‘ gear were about to be issued by the federal Centers for Disease Control and Prevention. He acknowledged that two nurses in Dallas may have been infected by their exposure to an Ebola-infected patient that they cared for who ultimately died, Thomas E. Duncan.

The original guidelines, Fauci said, “did have some exposure of skin in the sense you had a mask—but there was some skin that was exposed and some hair that was exposed.’‘ Speaking on CBS’ “Face the Nation,’‘ Fauci added, “we want to make sure that’s no longer the case.’‘

More failure acknowledged, via the New York Times:

C.E.O. of Texas Hospital Group Apologizes for Mistakes in Ebola Cases

The head of the group that runs the Texas hospital under scrutiny for mishandling Ebola cases apologized Sunday in full-page ads in local Dallas newspapers, saying the hospital “made mistakes in handling this very difficult challenge.”

Barclay E. Berdan, chief executive of the Texas Health Resources, which operates a network of 25 hospitals here, said in an open letter that hospital officials were deeply sorry for having misdiagnosed symptoms shown by Thomas Eric Duncan, the Liberian man who was sent home after his first visit to the emergency room of Texas Health Presbyterian Hospital, but was later readmitted and then died of the virus two weeks later.

“The fact that Mr. Duncan had traveled to Africa was not communicated effectively among the care team, though it was in his medical chart,” Mr. Berdan wrote. “On that visit to the Emergency Department, we did not correctly diagnose his symptoms as those of Ebola. For this we are deeply sorry.”

And a diagnosis from the Progressive:

Top Doc Says Ebola Shows Skewed Priorities

The Ebola crisis has revealed severe deficiencies in how the American health care system works, experts say.

Dr. Walter Tsou, past president of the American Public Health Association and the former health commissioner for Philadelphia, says that the Ebola crisis shows the skewed priorities of the U.S. health care system.

“Our chronic disease-oriented health care system is ill-equipped to address an acute infectious disease outbreak,” Dr. Tsou, a board adviser to Physicians for a National Health Program, tells The Progressive. “We don’t have enough biocontainment units, sufficiently trained experts on how to control for highly infectious disease agents, trained sanitation crews who can clean up and properly handle waste disposal.”

Tsou says that the Ebola epidemic has uncovered big flaws in the global health system, too.

The Los Angeles Times covers Golden State preparations:

Gov. Brown to meet with nursing groups to discuss Ebola preparations

Leaders of two nursing organizations say they plan to meet Tuesday with Gov. Jerry Brown to call on the state to upgrade Ebola training and safety precautions for California health professionals.

The California Nurses Assn. and National Nurses United are asking state regulators to formally adopt what they called “optimal safety standards,” including requirements for Hazmat suits and accelerated hands-on training programs.

“California hospitals have been appallingly slow in moving to enact any effective protocols, much less the highest standards, in response to this virulent Ebola threat that has already infected two nurses in Dallas,” NNU and CNA Executive Director RoseAnn DeMoro said in a statement.

And from the New York Times, their ship just came in:

Ebola Watch Lists in U.S. to Shrink, Cruise Passenger Cleared

Some of the dozens of people who are being watched for possible exposure to Ebola in the United States are expected to be cleared on Sunday and Monday, potentially easing concerns about the spread of the disease after two nurses were infected.

A Dallas lab worker who spent much of a Caribbean holiday cruise in isolation tested negative for the deadly virus and left the Carnival Magic liner with other passengers after it docked at Galveston, Texas, early on Sunday morning.

The precautions taken for the cruise passenger reflected widespread anxiety over Ebola in the United States, including calls from some lawmakers for a travel ban on West Africa.

The McClatchy Washington Bureau covers the post-quarantine question:

As 21-day Ebola quarantine ends, what’s to fear?

The first wave of people, including the fiance of Ebola victim Thomas Eric Duncan, will emerge from a state-ordered, 21-day Ebola quarantine Monday, which should probably spark relief in a region that desperately wants to escape the shadow of the epidemic.

But church officials are considering extra security for Louise Troh and her children amid ongoing fears about Ebola across Dallas-Fort Worth _ and throughout the United States.

Experts who study psychology say the release of 48 people from the Ebola watchlist back into society, and the expected onslaught of news coverage about them shopping at local grocery stores and returning to schools, could fuel another wave of irrational fears.

From the London Daily Mail, doubly devastated:

‘They are left with nothing’: Devastated girlfriend of Ebola patient zero Thomas Eric Duncan to be released from quarantine after Hazmat teams destroyed almost all their belongings

  • The fiancée of Ebola victim Thomas Eric Duncan will be released from quarantine at midnight tonight – but will emerged with hardly any possession after they were destroyed by hazmat teams.
  • Louise Troh, 54, missed her boyfriend’s funeral while she was locked away for the duration of the deadly virus’s 21-day incubation period, which expires tonight.
  • During the frantic operation to seal off Duncan’s apartment in Dallas and eliminate all traces of the disease, she also lost the majority of her belongings.
  • Only a few personal documents, some photographs, and a single Bible escaped the cleansing operation.

The McClatchy Washington Bureau covers the latest form of prejudice:

In Texas, Liberian Americans weary of Ebola stigma

When Otto Williams opened his mouth last week to say that he’d be happy to work a new job installing home heating and air conditioning units, the contractor listened to Williams’s accent and asked where he was he from.

“Liberia,” said Williams, 42, an HVAC technician. Knowing the concerns some people have about the Ebola virus, he made sure to smile.

But soon, the contractor mentioned he was in a hurry, excused himself and promised to call Williams back. He didn’t.

“It’s gotten to the point where you don’t want to mention you’re Liberian,” Williams said.

More from the Washington Post:

West Africans in Washington say they are being stigmatized because of Ebola fear

Alphonso Toweh was riding a bus when a man sitting next to him politely asked where he was from.

“Liberia,” said Toweh, a writer from Monrovia who is visiting the Washington area, home to the nation’s second-largest population of African immigrants.

“At that point, the man went far from me,” he said. “He did not want to come close to me. People, once they know you are Liberian — people assume you have the virus in your body, which is not the case.”

The Japan Times covers a patient recovered:

Spain: Nursing assistant clear of Ebola virus

An initial test shows that a nursing assistant who became infected with Ebola in Spain is now clear of all traces of the virus nearly two weeks after she was hospitalized, authorities said Sunday.

Teresa Romero, 44, is the first person known to have contracted the disease outside West Africa in the current outbreak when she tested positive for the virus Oct. 6. She has been in quarantine at Carlos III hospital in Madrid since then.

A statement Sunday said a blood test revealed that Romero’s immune system had eliminated the virus from her body. The statement came from the Spanish government committee in charge of the nation’s Ebola crisis. A second test in the coming hours is needed to absolutely confirm Romero’s recovery, said Manuel Cuenca, microbiology director at Madrid’s Carlos III health care complex.

From the Associated Press, another screening program launched:

Belgium’s main airport to begin Ebola screening

Brussels Airport says it will begin screening passengers arriving from Ebola-stricken countries Guinea, Liberia and Sierra Leone.

The airport operator says passengers arriving from these three countries will have their temperatures taken starting Monday.

Four flights a week from the area concerned arrive weekly at Brussels Airport. Similar measures were begun Saturday at Paris’ Charles de Gaulle airport, where one daily flight arrives from Conakry, Guinea.

And from the Guardian, a renewed push for Aussie medical aid:

Ebola: Labor renews calls for health workers to be sent to west Africa

  • Tanya Plibersek says Australia would be in ‘big trouble’ if it waited for virus to spread to Asia Pacific before offering help

Australia would be in “big trouble” if it waited for the Ebola virus to spread to the Asia-Pacific region before acting, the opposition has said, as the government called for bipartisanship on the serious health issue.

The health minister, Peter Dutton, said on Sunday the government continued to talk with other countries about what support could be provided if Australian medical teams were dispatched to west Africa and later needed to be evacuated.

Dutton accused Labor of “playing politics with a very important issue” and indicated that Australia was “ready to rapidly deploy support” if an outbreak occurred in near neighbours such as Papua New Guinea or the Solomon Islands.

Questions from the Associated Press:

Effectiveness of Ebola travel ban questioned

A ban on travel from West Africa might seem like a simple and smart response to the frightening Ebola outbreak there. It’s become a central demand of Republicans on Capitol Hill and some Democrats, and is popular with the public. But health experts are nearly unanimous in saying it’s a bad idea that could backfire.

The experts’ key objection is that a travel ban could prevent needed medical supplies, food and health care workers from reaching Liberia, Sierra Leone and Guinea, the nations where the epidemic is at its worst. Without that aid, the deadly virus might spread to wider areas of Africa, making it even more of a threat to the U.S. and the world, experts say.

In addition, preventing people from the affected countries from traveling to the U.S. could be difficult to enforce and might generate counterproductive results, such as people lying about their travel history or attempting to evade screening.

After the jump, China and Japan mull partnerships with Washington, front line nurses speak out, the problem with bushmeat, the sorrows of surviving, a continent’s image tarnished, Washington’s military point man hails progress, the WHO plans an African meet, Nigeria to get an all-clear, troubling news for a British survivor, defenses bolstered in the Gambia, a troubling sign in Zimbabwe, and the African Union sends help, on to Liberia and a presidential cry for help, a hopeful sign, and survivors mask a plea for help — plus a suggestion we really like. . . Continue reading

Chart of the day II: A matter of perspective


Time for another reminder, via the Los Angeles Times, that Ebola is just the highest-profile killer stalking Africa:

BLOG African deaths

EbolaWatch: Scares, pols, meds, Africa


And more.

We begin with a video report that lends credence to suspicions we’ve long harbored. From CCTV America:

Ebola outbreaks associated with deforestation

Program notes:

Experts have been trying to figure out what’s behind the recent rise in Ebola cases. Some have turned to nature, specifically the trees, for a possible answer. Some scientists argue that the shrinking size of forests could put people in closer contact with disease carrying wildlife and that possibility is causing global concerns. For more on the impact of global deforestation, CCTV America interviewed Susanne Breitkopf, the Senior Political Advisor for Greenpeace International.

And next to two notable and sad instances of Ebolaphobia, first from FrontPageAfrica, a Liberian paper doing an exceptional job of covering the crisis:

Georgia U. Cancels FPA Newsroom Chief’s McGill Lectures Over Ebola

The University of Georgia in Athens, Georgia has rescinded the decision of the University’s journalism school Grady College to invite FrontPageAfrica newsroom editor Wade C. L. Williams for its McGill Lecture slated for October 22, 2014.

All was set for the trip as the college had already purchased a round trip plane ticket and made hotel reservations for the journalist’s visit when it was forced to cancel last minute to time because of fear she could get sick while visiting the US thereby exposing students to the deadly Ebola virus.

The McGill Lecture, which is free and open to the public is sponsored by the Grady College of Journalism and Mass Communication and will be held October 22 at 4 p.m. in Room 250 of the Miller Learning Center but with a new speaker Antonio Mora, a prominent Hispanic journalist who is a two-time winner of the Peabody Award.

“I received a call from Georgia just days before my trip. A woman with a pleasant voice delicately told me that parents were panicking and the general public was against my coming to the university,” stated Williams in a blog post published days after the university reached the decision.

And the second incident, via the Star in Nairobi:

Parents in a British school threatens to pull children out over teachers trip to Kenya fearing Ebola

Parents from a British school have threatened to pull their children from school over a planned trip to Kenya by teachers for fear they will contract Ebola.

The Mirror reports that a 60-signature petition has been circulated at Berkeley Primary School in Crewe in Cheshire demanding that the two teachers planning the trip to Kenya for an exchange programme.

They want the teachers isolated for a three-week ebola incubation period.

But the alarm has baffled the school because Kenya is far away from the ebola danger zone of West Africa.

Now on to the gravely serious, first from the Independent:

Ebola outbreak could be ‘definitive humanitarian disaster of our generation’, warns Oxfam

Ebola is poised to become the “definitive humanitarian disaster of our generation”, Oxfam has warned, with more troops, funding and medical aid urgently needed to tackle the outbreak.

In an “extremely rare” move, the charity is calling for military intervention to provide logistical support across West Africa.

It says the world has less than two months to counter the spread of the deadly virus, which means addressing a “crippling shortfall” in military personnel.

Oxfam said troops are now “desperately needed” to build treatment centres, provide flights and offer engineering and logistical support. While Britain was leading the way in Europe’s response to the epidemic, it said countries which have failed to commit troops were “in danger of costing lives”.

Next, analysis from the Associated Press:

Mission Unaccomplished: Containing Ebola in Africa

Looking back, the mistakes are easy to see: Waiting too long, spending too little, relying on the wrong people, thinking small when they needed to think big. Many people, governments and agencies share the blame for failing to contain Ebola when it emerged in West Africa.

Now they share the herculean task of trying to end an epidemic that has sickened more than 9,000, killed more than 4,500, seeded cases in Europe and the United States, and is not even close to being controlled.

Many of the missteps are detailed in a draft of an internal World Health Organization report obtained by The Associated Press. It shows there was not one pivotal blunder that gave Ebola the upper hand, but a series of them that mounted.

Nearly every agency and government stumbled. Heavy criticism falls on the World Health Organization, where there was “a failure to see that conditions for explosive spread were present right at the start.”

WHO — the United Nations’ health agency — had some incompetent staff, let bureaucratic bungles delay people and money to fight the virus, and was hampered by budget cuts and the need to battle other diseases flaring around the world, the report says.

Al Jazeera English covers a reassessment:

WHO promises to review Ebola response

UN agency pledges to review its efforts to contain outbreak after internal document hints at its failings.

The World Health Organisation (WHO) has promised to undertake and publish a full review of its handling of the Ebola crisis after a leaked document appeared to show the UN agency had failed to do enough to contain the epidemic.

The WHO said in a statement on Saturday that it would not comment on an internal draft document obtained and released by the Associated Press news agency, in which the organisation blamed incompetent staff, bureaucracy and a lack of reliable information for its allegedly slow and weak response to the outbreak that has reportedly killed more than 4,500 people since May.

“We cannot divert our limited resources from the urgent response to do a detailed analysis of the past response. That review will come, but only after this outbreak is over,” WHO said.

And the Associated Press covers te case that has Americans on edge:

Ebola lapses persisted for days at Dallas hospital

Just minutes after Thomas Eric Duncan arrived for a second time at the emergency room, the word is on his chart: “Ebola.” But despite all the warnings that the deadly virus could arrive unannounced at an American hospital, for days after the admission, his caregivers are vulnerable.

The Centers for Disease Control and Prevention has pointed to lapses by the hospital in those initial days. And Duncan’s medical records show heightened protective measures as his illness advanced. But either because of a lag in implementing those steps or because they were still insufficient, scores of hospital staffers were put at risk, according to the records.

The hospital’s protective protocol was “insufficient,” said Dr. Joseph McCormick of the University of Texas School of Public Health, who was part of the CDC team that investigated the first recorded Ebola outbreak in 1976. “The gear was inadequate. The procedures in the room were inadequate.”

While Defense One covers a regulatory disaster:

Dallas Hospital Had the Ebola Screening Machine That the Military Is Using in Africa

The military is using an Ebola screening machine that could have diagnosed the Ebola cases in Texas far faster, but government guidelines prevent hospitals from using it to actually screen for Ebola.

It’s a toaster-sized box called FilmArray, produced by a company called BioFire, a subsidiary of bioMérieux and it’s capable of detecting Ebola with a high degree of confidence — in under an hour.

Incredibly, it was present at Texas Health Presbyterian Hospital in Dallas when Ebola patient Thomas Eric Duncan walked through the door, complaining of fever and he had just come from Liberia. Duncan was sent home, but even still, FDA guidelines prohibited the hospital from using the machine to screen for Ebola.

While the Guardian covers desperate ass-covering:

Texas hospital mounts ‘#PresbyProud’ fightback as Ebola criticism mounts

  • Dallas hospital where nurses were infected engages PR firm
  • Union chief says: ‘There has been no leadership’

The hospital in Texas where two nurses became the first people to contract Ebola inside the US is mounting an aggressive public relations campaign to rescue its image, as nursing representatives call for its top executives to be held accountable for the crisis.

Texas Health Presbyterian hospital in Dallas hired Burson-Marsteller, a New York-based PR firm, to direct a fightback against sharp criticism it received after Thomas Eric Duncan, a Liberian man who was first sent home by the hospital, died there from Ebola.

It has since published slick video clips of smiling nurses praising their managers and hosted a brief “rally” of medics wielding pro-hospital placards outside the emergency room for television news cameras. Amid fears patients might stay away, the hospital has tried to flood social media with the hashtag “#PresbyProud” and issued rebuttals to allegations about its practices after nurses Nina Pham and Amber Vinson were infected while treating Duncan, who died on 8 October.

From the New York Times, politics as usual, with a desperate edge:

The Partisan Divide on Ebola Preparedness

After a second case of Ebola was discovered among the staff of a Dallas hospital that treated an infected patient, public concerns are likely to increase about whether the United States health care system can properly respond to an outbreak.

Data from surveys suggest, however, that those views — like so many others — are being shaped by people’s partisan affilations as much as by news about the outbreak itself.

According to a new ABC News/Washington Post survey, only 54 percent of Republicans are confident in the federal government’s ability to respond effectively to Ebola — far fewer than the 76 percent of Democrats who expressed confidence. This finding represents a striking reversal from the partisan divide found in a question about a potential avian influenza outbreak in 2006, when a Republican, George W. Bush, was president. An ABC/Post poll taken at the time found that 72 percent of Republicans were confident in an effective federal response compared with only 52 percent of Democrats.

From the Washington Post, Obama urges:

Obama: ‘We can’t give in to hysteria or fear’ of Ebola

President Obama on Saturday sought to tamp down fears of an Ebola outbreak and defend his administration from Republican critics who have called for a more aggressive response to the disease, including sealing off U.S. borders to visitors from countries battling widespread outbreaks.

“We can’t just cut ourselves off from West Africa, where this disease is raging,” Obama said in his weekly radio address. “Trying to seal off an entire region of the world — if that were even possible — could actually make the situation worse.”

Such actions would make it harder for American health-care workers, soldiers and supplies to reach stricken areas, Obama said. It could also cause residents of countries in West Africa where Ebola is still spreading to try to evade screening on their way to the United States or Europe.

The president’s main message was one of calm, coming at a time of growing worry in communities throughout the country. “We can’t give in to hysteria or fear, because that only makes it harder to get people the accurate information they need,” Obama said. “If we’re guided by science — the facts, not fear — then I am absolutely confident we can prevent a serious outbreak here in the United States.”

From the White House, here’s the address:

Weekly Address: What You Need to Know About Ebola

Program notes:

In this week’s address, the President discussed what the United States is doing to respond to Ebola, both here at home and abroad, and the key facts Americans need to know.

Making a list and checking more than twice, via the Associated Press:

More than 100 monitored for Ebola symptoms in Ohio

Health officials in Ohio are monitoring more than 100 people following the visit by a Dallas nurse who tested positive for Ebola shortly after returning to Texas from the Cleveland area.

Officials said Saturday that none of those being monitored are sick.

State officials previously said 16 people Amber Vinson had contact with were being monitored. Officials say the sharp increase is a result of the identification of airline passengers who flew with Vinson between Dallas and Cleveland and the identification of people who also visited the dress shop where her bridesmaids were trying on dresses.

Vinson’s stepfather is quarantined in his home in the Akron suburb of Tallmadge. That is where Vinson stayed during her visit. The stepfather is the only person in the state under such a restriction.

Golden State preparations from the San Francisco Chronicle:

Gov. Jerry Brown says state is working on Ebola safeguards

Gov. Jerry Brown said Friday that the state is drawing up plans to protect nurses, other health care workers and the public from Ebola, saying California must avoid mistakes made in Texas in dealing with the disease.

The governor said he has met with public health officers and spoken with national nurses representatives to devise guidelines that hospitals must follow should an Ebola patient be diagnosed in California.

“We’ve got work to do,” Brown said in an interview with The Chronicle. “It’s a fast-moving story.”

He said Dr. Ron Chapman, director of the state Department of Public Health, is heading up the effort, and that health officials will meet with Cal/OSHA on Tuesday to discuss “issues of workers’ safety.”

From the Miami Herald, preparations in another state:

CDC responds to Florida’s requests for help with potential Ebola outbreak

The federal Centers for Disease Control agreed Saturday to some — but not all — of Gov. Rick Scott’s Ebola-related requests.

The CDC will hold a conference call with Florida hospitals next week on best practices, Scott said Saturday. The organization has also given Florida the green light to spend about $7 million in federal grant funding on protective suits for health care workers.

“The CDC indicated that we will receive formal approval next week, but based on this preliminary approval, we have already begun using these funds to enhance our Ebola preparedness efforts,” Scott said in a statement.

The governor is still waiting on the CDC to contact passengers on a plane that stopped in Fort Lauderdale after carrying a nurse who was later diagnosed with Ebola.

He also has yet to receive 27 of the 30 Ebola testing kits he requested.

From the Associated Press another oversight failure:

Ebola monitoring inconsistent as virus spread

The inconsistent response by health officials in monitoring and limiting the movement of health workers has been one of the critical blunders in the Ebola outbreak. Friends and family who had contact with Duncan before he was hospitalized were confined to homes under armed guard, but nurses who handled his contagious bodily fluids were allowed to treat other patients, take mass transit and get on airplanes.

“I don’t think the directions provided to people at first were as clear as they needed to be, and there have been changes in the instructions given to people over time,” said Rep. Michael Burgess, R-Texas, a doctor who did his residency in Dallas.

Local health authorities have said repeatedly throughout the response that their guidance and direction can change.

“Please keep in mind the contact list is fluid, meaning people may fall off the list or new people may be added to the list depending on new information that could arise at any time on any given day,” said Dallas County health department spokeswoman Erikka Neroes on Friday when asked how many people are even being monitored.

From The Hill, a case where Republicans and businesses are on the outs:

Businesses quietly push back at Ebola travel ban

Businesses are pushing back against lawmakers’ calls to impose a ban on travelers from the three West Africa nations at the center of the Ebola epidemic.

Public opposition is coming from U.S. airlines, who have seen their stocks hit because of fears the Ebola scare will lead to a drop in travel.

Other business groups are quietly telling the White House to stand firm in opposing a ban.

They echo arguments from the Centers for Disease Control and Prevention that a ban would isolate Sierra Leone, Guinea and Liberia, potentially making it tougher to slow the epidemic in those countries.

From the New York Times, the first of two stories of life in limbo:

Life in Quarantine for Ebola Exposure: 21 Days of Fear and Loathing

As the Ebola scare spreads from Texas to Ohio and beyond, the number of people who have locked themselves away — some under government orders, others voluntarily — has grown well beyond those who lived with and cared for Mr. Duncan before his death on Oct. 8. The discovery last week that two nurses at Texas Health Presbyterian Hospital here had caught the virus while treating Mr. Duncan extended concentric circles of fear to new sets of hospital workers and other contacts.

Officials in Texas said Thursday that nearly 100 health care workers would be asked to sign pledges not to use public transportation, go to public places or patronize shops and restaurants for 21 days, the maximum incubation period for Ebola. While not a mandate, the notices warn that violators “may be subject” to a state-ordered quarantine.

When officials revealed that one of the infected nurses had flown from Dallas to Cleveland and back before being hospitalized, nearly 300 fellow passengers and crew members faced decisions about whether to quarantine themselves. The next day, a lab technician who had begun a Caribbean cruise despite possible exposure was confined to a stateroom. Medical workers, missionaries and journalists returning from West Africa — especially from Guinea, Liberia and Sierra Leone, where Ebola is rampant — are also staying home.

Dr. Howard Markel, who teaches the history of medicine at the University of Michigan, said the quarantines recalled the country’s distant epidemics of cholera, typhus and bubonic plague.

“Ebola is jerking us back to the 19th century,” he said. “It’s terrible. It’s isolating. It’s scary. You’re not connecting with other human beings, and you are fearful of a microbiologic time bomb ticking inside you.”

The second, from Bloomberg, covers another woe:

Ebola Fears Stymie Home Quest for Quarantined in Dallas

Louise Troh and the three other people in her household have spent much of their isolation on laptops and mobile phones, playing video games, tossing a football, speaking to relatives and reading the Bible.

The activities have been welcome diversions for Troh, her son and two young men she considers family — “the boys,” as she refers to her housemates. She’s the girlfriend of Thomas Eric Duncan, the first person to die in the U.S. from Ebola.

When they are released from their 21-day, state-ordered quarantine on Oct. 20, they face an uncertain future in Dallas, owing to continued fears about their closeness to the deadly virus. A new-apartment deal busted up after Troh had already made a deposit, and Dallas’s top county official and Troh’s pastor say people are reluctant to rent to someone who was so close to Ebola.

From New York Times, another complication:

Waste From Ebola Poses Challenge to Hospitals

When the Centers for Disease Control and Prevention assured the public this month that most American hospitals could treat cases of Ebola, it was technically correct. Hospitals routinely treat highly contagious diseases, and top-tier ones are extensively equipped to isolate patients who pose special risks.

But the infection over the past week of two Texas hospital workers betrayed what even many of the best hospitals lack: the ability to handle the tide of infectious waste that Ebola generates.

Ebola’s catastrophic course includes diarrhea, vomiting and hemorrhaging of blood, a combination difficult enough to contain in less-communicable illnesses. When they are highly contagious, disposing of the waste and cleaning up what is left behind require expertise and equipment that some specialists said are lacking even in highly regarded medical facilities.

Those shortcomings are compounded, they said, by surprising gaps in scientists’ knowledge about the Ebola virus itself, down to the time it can survive in different environments outside the body.

And from RT, an offer that’s bound to cause heartburn in Foggy Bottom:

Fidel Castro offers cooperation with US in fight against Ebola

Fidel Castro has expressed Cuba’s readiness to cooperate with the US in the global fight against Ebola. Cuba has been on the frontline of international response to the worst outbreak in the disease’s history.

In his article “Time of Duty,” which was published on Saturday, the retired Cuban leader said that medical staff trying to save lives are the best example of human solidarity. Fighting together against the epidemic can protect the people of Cuba, Latin America, and the US from the deadly virus, he added.

“We will gladly cooperate with American [medical] personnel in this task – not for the sake of peace between the two states which have been adversaries for many years, but for the sake of peace in the world,” wrote Castro.

And Sky News covers a plea for help:

Cameron Presses EU Leaders On Ebola Fund

  • The PM urges the EU to double its funding in the fight against the deadly virus, saying “much more must be done”

David Cameron has called for European Union leaders to double their contribution to help tackle ebola, demanding a combined 1bn euro (£800m) pledge.

The Prime Minister has written to the other 26 leaders and European Council president Herman van Rompuy calling for agreement to an “ambitious package of support” at a Brussels summit next week.

He made clear his frustration that other countries are failing to shoulder their share of the burden of international efforts to deal with the epidemic in West Africa which has killed more than 4,500.

Britain has committed £125m to its contribution – the second highest sum after the US. Downing Street said the total contribution from the EU is 500m euros (£400m).

After the jump, the travel industry enters a potential tailspin, cruise ship woes, French flight attendants demand an end to Paris/Conakry flights as France introduces airport screenings, ship screenings in Sweden, travel warnings in Cairo and confidence {SARS-inspired?] in China and a false alarm, a vaccine production delay, Canadian drugs dispatched, on to Africa and a chilling question, Kenyan doctors dispatched, on to Sierra Leone with food on the way, youth join the fight, a street battle with police over a corpse in the street, and an angry bureaucratic shakeup, on to Liberia an a construction shutdown, WHO offers a prescription, a plea for more aid and a promise from Washington, and a warning that things are worse than the press reports, a suicidal leap and an escape in Guinea as contagion spreads into a gold mining region, and from Nigeria, hope accompanied by a warning. . . Continue reading

Chart of the day: The partisan disease divide


From the New York Times based on a Washington Post-ABC News poll:

BLOG Ebola trust

EnviroWatch: Ills, seas, animals, & nukes


First up the latest on an ongoing tragedy from CCTV America:

Number of polio cases in Pakistan highest in 14 years

Program notes:

This month Pakistan broke a 14-year record for the highest number of polio cases in a year. Militants continue to block vaccination efforts. CCTV America’s Danial Khan reports.

And an Asia outbreak continues to grow, via Want China Times:

Record-high number of dengue fever cases expected in Taiwan this year

Over the next few days, the accumulated number of dengue fever cases reported in Taiwan could surpass the previous high of 5,336 such cases recorded in 2002, the Centers for Disease Control (CDC) said Thursday.

With a rate of 900 new cases per week since the beginning of October, it is only a matter of time before Taiwan sees the worst dengue fever outbreak in its history, CDC Deputy Director Chou Jih-haw said.

According to the CDC, there have been 4,750 indigenous dengue fever cases as of Oct. 13, 47 of which were the more severe hemorrhagic dengue fever, Chou said.

From BBC News, a South Seas climate protest:

South Pacific climate activists blockade Australia port

Hundreds of climate change protestors have attempted to disrupt shipments of coal from a port north of Sydney using their canoes, kayaks and surfboards to form a blockade.

The group included people from countries in the South Pacific who said they wanted to highlight the effects of climate change on their nations. They said the burning of coal mined in Australia was causing sea levels to rise which will impact low-lying Pacific islands.

About 30 Pacific Climate Warriors, as they call themselves, took to the water in traditional canoes. They had come from countries including Fiji, Papua New Guinea, the Solomon Islands, Vanuatu and Tokelau.

From the Guardian, they’re doing it on porpoise:

UK is breaking EU’s conservation laws on porpoises

  • European commission could take Britain to court within two months for failure to protect harbour porpoises

Britain is facing a referral to the European Court of Justice within two months unless it designates more protection sites for harbour porpoises, a threatened species in the North Sea.

Harbour porpoises are the most common, and smallest, cetacean species found in UK waters. Similar in appearance to bottlenose dolphins, they are very social animals, rotund in shape with a small dorsal fin that shows above the waves.

Although they are still relatively abundant, their numbers are thought to be falling fast under pressure from human activities such as fisheries bycatch, starvation, underwater noise and injuries from boats.

Salon casts doubt on a serial killer:

EPA: Bee-killing pesticides used on soy crops don’t even do what they’re supposed to

  • A federal study finds “negligible benefits” to the widespread use of neonicotinoid seed coatings

The EPA has yet to do much about neonicotinoids, the class of pesticides implicated in the United States’ mass bee die-offs, but it has started looking into them. And the results of an extensive review into one such pesticides, commonly applied to soybean seeds, presents another compelling reason to ban them: using them, the agency found, isn’t any better than using no pesticides at all.

“These seed treatments provide negligible overall benefits to soybean production in most situations,” the report concludes; at most, they up revenue by $6, or less than 2 percent, per acre, but the more likely estimate is $0. Part of the problem is that the insecticides are only effective within the first few weeks of planting, while the insects they’re intended to combat aren’t typically active during that time. And if attacks do occur, the study the study identified a whole assortment of other, non-bee-killing alternatives that are both effective and comparable in cost.

Colony collapse disorder, on the other hand, has cost the U.S. an estimated $2 billion in lost hives and, as a result, some $30 billion in crops.

From the Guardian, good on ‘em:

China tests outright logging ban in state forests

  • China has halted commercial logging by state firms in forests in Heilongjiang, a move experts see as a significant step to curb over-exploitation of timber, reports chinadialogue

China has launched a trial ban on commercial logging in state-owned forests in the vast north-eastern province of Heilongjiang bordering Russia, home to much of the country’s timber industry. Forestry experts have hailed the ban as a major step forward, predicting it will enable timber supplies to recover and shift the industry’s focus towards improved forestry management.

To make the ban stick, the central government has allocated 2.35bn yuan a year to cover forestry workers’ living costs between 2014 and 2020, chinadialogue has learned from the State Forestry Administration (SFA). If the trial ban is successful, the policy may be extended throughout north east China and Inner Mongolia.

Sheng Weitong, a forestry expert and former advisor to China’s cabinet-level state council, told chinadialogue that some laid-off loggers “will become forest rangers and learn how to manage forests because the vast numbers of young and semi-mature trees in these districts need management. Workers here neglected forest management in the past.”

And off to Fuksuhimapocalypse Now!, first with NHK WORLD:

Survey: More Fukushima evacuees give up returning

A survey shows more evacuees from the 2011 Fukushima nuclear accident have given up returning home. The Reconstruction Agency and local municipalities released on Friday the results of the annual survey conducted in August.

Almost half of respondents from 2 towns designated as an evacuation zone said they decided they will not go back. The percentage of people who gave this answer is up 11 points from last year in the town of Namie and up 3 points in Tomioka town.

Officials say some of the people who were undecided in last year’s survey have made up their mind.

A delay from the Asahi Shimbun:

ANALYSIS: TEPCO behind schedule to eliminate contaminated water despite extra measures

Thanks to the newly set up ALPS units and the improved model to be introduced, it is estimated that the radioactive water processing ability of the plant will rise from the current maximum of 750 tons per day to 1,960 tons, according to TEPCO.

But many problems have been reported with ALPS since it first became operational, repeatedly forcing the plant operator to halt its operations. The utilization rate for the system between January and August was just 35 to 61 percent.

Although TEPCO replaced some components of ALPS with improved parts, problems occurred with some replaced components in late September, forcing the utility to suspend operations of some units of the system.

Whereas TEPCO has set a goal of completing the purification of all highly radioactive water stored on site, it would still be difficult to achieve that goal even if TEPCO could operate all the processing systems day and night.

A state broadcaster rebels, via Public Radio International’s The World:

Japan’s timid coverage of Fukushima led this news anchor to revolt — and he’s not alone

It’s been three-and-a-half years since 83-year-old Kamematsu left his home, with its rice patties, vegetable fields and 10 cows, fleeing the disaster at the nearby Fukushima Daiichi nuclear reactor. He still can’t go back.

When will it be ready for people again? No one seems to know — or be interested in telling him. “I can’t take my land with me,” he says, “so I don’t know what to do. I can’t see ahead.”

Kamematsu is one of about 80,000 people in Japan still officially displaced by the nuclear crisis. Questions remain about radiation levels, the clean-up process and when residents can return home. Yasuhiko Tajima, a professor of media studies at Tokyo’s Sophia University, says many Japanese are frustrated by what they see as a lack of information.

Japanese journalists did what Tajima calls “announcement journalism” in reporting on the crisis. He says they were reporting the press releases of big companies and the people in power. And he’s not the only one who thinks so.

“I am a newscaster, but I couldn’t tell the true story on my news program,” says Jun Hori, a former anchor for NHK, the Japanese state broadcaster.

Hori says the network restricted what he and other journalists could say about Fukushima and moved more slowly than foreign media to report on the disaster and how far radiation was spreading. The attitude in the newsroom was not to question official information

Another reactor stress from the Japan Times:

Utilities pressed to make quick decision on scrapping aged reactors

The government called on Friday for utilities to swiftly decide whether to scrap aging reactors that would be particularly vulnerable in the event of a natural disaster.

The pro-nuclear government, which is seeking to reactivate the nation’s idled reactors as soon as possible despite a glut of solar and other renewable energy that is being boycotted by the utilities, is pushing the them to decide quickly in the hope that shutting old facilities will help mitigate public concern so restarts can proceed.

Under new, tighter safety standards adopted because of the 2011 core meltdowns at the Fukushima No. 1 nuclear plant, utilities are not allowed to operate reactors for longer than 40 years, in principle.

And here’s one to give you nightmares, from JapanToday:

Expert says 2 Sendai reactors in danger from active volcano

A prominent volcanologist disputed Japanese regulators’ conclusion that two nuclear reactors were safe from a volcanic eruption in the next few decades, saying Friday that such a prediction was impossible.

A cauldron eruption at one of several volcanos surrounding the Sendai nuclear power plant in southern Japan could not only hit the reactors but could cause a nationwide disaster, said Toshitsugu Fujii, University of Tokyo professor emeritus who heads a government-commissioned panel on volcanic eruption prediction.

Nuclear regulators last month said two Sendai reactors fulfilled tougher safety requirements set after the 2011 Fukushima disaster. The regulators ruled out a major eruption over the next 30 years until the reactors’ reach the end of their usable lifespan.

More from Reuters:

Japan’s volcanoes made more jittery by 2011 quake, expert says

Japan’s massive 2011 earthquake may trigger more, and larger, volcanic eruptions over the next few decades, perhaps even that of Mount Fuji – but predicting them remains close to impossible, a volcano expert said on Friday.

The nation last month suffered its worst volcanic disaster in nearly 90 years when Mount Ontake, its second tallest active volcano at 3,067 meters (10,062 feet), suddenly erupted, raining down ash and stone on hikers crowding the summit.

The eruption killed 56 people, exceeding the deaths in the 1980 eruption of Mount St Helens in the United States. Seven victims remain missing, and recovery efforts have been suspended until the spring.

Japan may well be moving into a period of increased volcanic activity touched off by the 9.0 magnitude earthquake of March 11, 2011, said Toshitsugu Fujii, a volcanologist and professor emeritus at the University of Tokyo.

“The 2011 quake convulsed all of underground Japan quite sharply, and due to that influence Japan’s volcanoes may also become much more active,” Fujii told reporters.

And we close with another nightmare from NHK WORLD:

Shimomura criticizes Monju operator

Science minister Hakubun Shimomura has criticized the operator of the Monju fast-breeder prototype reactor for its failure to properly maintain equipment. It recently came to light that a number of monitoring cameras at the reactor are not working.

Shimomura told reporters on Friday that it is very regrettable that the operator, the Japan Atomic Energy Agency, lacks a sense of responsibility. More than 50 cameras, or about one-third of those monitoring coolant pipes, were found to be broken when Monju was inspected in September.

Shimomura said reassuring the public about Monju’s safety is the minimum requirement for restarting the experimental reactor. He said the prototype reactor may be stopped forever if the operator’s poor management continues.

EbolaWatch: Fear, czar, alarms, meds, Africa


And a whole lot more, given the pace at which the outbreak is moving.

We begin with this from JapanToday:

World fears mount that Ebola battle being lost

The World Bank warned Friday the fight to stop Ebola was being lost, as the U.N. pleaded for more money to combat the escalating epidemic and global travel fears mounted.

As the death toll from the world’s worst-ever outbreak of the virus shot past 4,500, a glimmer of hope came from Senegal, which was declared Ebola-free by the World Health Organization.

The United States, meanwhile, named an “Ebola czar” to coordinate its response, after criticism of how a Texas hospital handled a Liberian victim, with two nurses who treated him now infected.

And a researcher at British pharmaceuticals giant GlaxoSmithKline said a vaccine may not be ready for commercial use until late 2016.

“We are losing the battle,” World Bank chief Jim Yong Kim warned, blaming a lack of international solidarity in efforts to stem the epidemic. “Certain countries are only worried about their own borders,” he told reporters in Paris.

And a continuing alarm from BBC News:

Ebola crisis: No impact from pledges of help, MSF says

International pledges of deployments and aid for Africa’s Ebola-hit regions have not yet had any impact on the epidemic, a major medical charity says.

Christopher Stokes of Medecins Sans Frontieres (MSF) said the disease was still out of control. He said it was “ridiculous” that volunteers working for his charity were bearing the brunt of care in the worst-affected countries.

The disease has killed about 4,500 people so far, mostly in West Africa.

MSF runs about 700 out of the 1,000 beds available in treatment facilities Liberia, Sierra Leone and Guinea. The BBC’s Mark Doyle, at the UN Ebola logistics base in Ghana, says it is generally agreed that at least three times that number are needed.

Shanghai Daily covers a concession:

WHO admits it botched response to Ebola outbreak in West Africa

THE World Health Organization has admitted that it botched attempts to stop the Ebola outbreak in West Africa, blaming factors including incompetent staff and a lack of information.

“Nearly everyone involved in the outbreak response failed to see some fairly plain writing on the wall,” WHO said in a draft internal document, noting that experts should have realized traditional containment methods wouldn’t work in a region with porous borders and broken health systems.

The UN health agency acknowledged that, at times, even its own bureaucracy was a problem. It noted that the heads of WHO country offices in Africa are “politically motivated appointments” made by the WHO regional director for Africa, Dr Luis Sambo, who does not answer to the agency’s chief in Geneva, Dr Margaret Chan.

Dr Peter Piot, co-discoverer of the Ebola virus, said WHO acted far too slowly, largely because of its Africa office. “It’s the regional office in Africa that’s the frontline,” he said. “And they didn’t do anything. That office is really not competent.”

Piot also questioned why it took WHO five months and 1,000 deaths before the agency declared Ebola an international health emergency in August.

And Kyodo News covers a summit:

Asian, European leaders pledge at Milan summit to stop Ebola

Asian and European leaders wrapped up a two-day summit Friday, highlighting in the chair’s statement their determination to stop the Ebola virus from spreading.

“The spread of the Ebola virus constitutes a serious threat to global health and security,” the leaders of 51 countries attending the Asia-Europe Meeting, or ASEM, said in the statement released after the 10th biennial summit in Milan, Italy.

“They acknowledged the efforts by ASEM partners in providing aid to affected areas and called for further urgent action and greater national, regional and international collaboration to end the Ebola outbreak in a comprehensive and coordinated manner including an exchange of best practices,” the statement said.

From Britain comes another alarm, this one from the Tory-in-chief, via the London Telegraph:

Ebola is the ‘biggest health threat to our world in a generation’ – David Cameron

  • Prime Minister tells other world leaders to ‘look to their responsibilities’” in fighting ebola as Royal Navy sets sail for West Africa

Ebola is the “biggest health problem facing our world in a generation”, David Cameron has said, as he urged foreign leaders to “step forward” with more resources to fight the crisis.

The Prime Minister urged other leaders to “look to their responsibilities” to help tackle the Ebola epidemic ravaging parts of West Africa.

Britain, he said, was “leading the way” in providing assistance to the region as he backed a call by United Nations secretary-general Ban Ki-moon for other countries to deliver more funding.

Speaking as he arrived at the Asia Europe summit in Milan, Italy, he said: “This is the biggest health problem facing our world in a generation. It is very likely to affect a number of the countries here today.”

The New York Times crowns a czar:

Ron Klain, Chief of Staff to 2 Vice Presidents, Is Named Ebola Czar

President Obama on Friday named Ron Klain, a seasoned Democratic crisis-response operative and White House veteran, to manage the government’s response to the deadly virus as public anxiety grows over its possible spread.

Mr. Klain, a former chief of staff for Vice Presidents Al Gore and Joseph R. Biden Jr., is known for his ability to handle high-stakes and fast-moving political challenges. He was the lead Democratic lawyer for Mr. Gore during the 2000 election recount, and was later played by Kevin Spacey in the HBO drama “Recount” about the disputed contest.

“Obviously right now, the news is dominated by Ebola, and we’ve got an all-hands-on-deck approach across government to make sure that we’re keeping the American people safe,” Mr. Obama said on Friday at the Consumer Financial Protection Bureau, where he was announcing new antifraud measures for government-issued debit cards.

The McClatchy Washington Bureau backgrounds:

Obama’s Ebola czar is a government insider with no medical background

“He is a brilliant strategist and is known for his ability to manage large, complex operations,” said Sen. Chris Coons, D-Del., chairman of the Senate Foreign Relations Subcommittee on African Affairs.

But Klain’s lack of medical expertise also drew complaints.

“I think it’s a pretty pathetic gesture to appoint a non-medical person to be in charge of this response, which has already been dangerously futile,” said Richard Amerling, president of the Association of American Physicians and Surgeons and associate clinical professor at Icahn School of Medicine at Mount Sinai Hospital in New York.

“This guy knows nothing about Ebola,” said Robert Murphy, director of the Center for Global Health and a professor of medical and biomedical engineering at Northwestern University. “He’s probably a smart insider political guy. He has no credibility in the field of public health and he has no credibility in Africa, where the Ebola crisis began. . . . I really think that this is a very inappropriate choice.”

From the Guardian, presidential backtracking:

Obama not ruling out travel bans as experts watch for more cases

  • President considers further interventions and appointing crisis leader, while concern grows over infected woman’s air travel

Barack Obama has hinted at possible policy shifts in US efforts to contain Ebola, revealing he is considering fresh leadership to co-ordinate the federal response and is open to implementing travel bans if expert advice on its merits were to shift.

Speaking to reporters at the White House after his second two-hour meeting with advisers in as many days, the president also said extra disease control specialists were being sent to Ohio amid fears that a second nurse infected with the disease may have been contagious for longer than originally suspected.

“It is very important that we are monitoring and tracking anyone who was in close proximity to this second nurse,” said Obama, who earlier spoke with the Ohio governor about sending more experts from the Centers for Disease Control to the Cleveland area.

Others disagree, via the New York Times:

Experts Oppose Ebola Travel Ban, Saying It Would Cut Off Worst-Hit Countries

Fear of Ebola is spreading faster than the disease itself, and the growing paranoia in the United States is fueling calls to impose a travel ban on people coming from the three West African nations struggling with the outbreak.

In a politically tense climate, with the Nov. 4 elections just weeks away, the issue is being supercharged by partisan considerations with prominent Republicans calling for a ban, including John Boehner, the House speaker.

But public health officials say a travel ban would be ineffective and difficult to carry out and would not entirely prevent people in Ebola-hit countries from entering the United States.

Ultimately, health specialists said, a ban would do more harm than good because it would isolate impoverished nations that are barely able to cope with the outbreak, and possibly cut them off from the international aid workers who provide critical help to contain the disease.

Bans legislation tabled from The Hill:

Texas lawmakers to introduce Ebola travel ban legislation

Two Texas Republican lawmakers plan to introduce legislation banning travel between the U.S. and Ebola-stricken countries in West Africa.

The Friday announcement from Reps. Kenny Marchant and Sam Johnson was made the same day the White House disclosed President Obama would appoint Democratic operative Ron Klain to oversee the interagency response to Ebola.

Marchant said the U.S. is “behind the curve” for combatting the spread of the deadly virus and called the pair’s bill, dubbed the Stop Ebola Act, a “proactive approach” to preventing more cases of Ebola in the U.S.

From Science, another surprise Obama move:

U.S. halts funding for new risky virus studies, calls for voluntary moratorium

The White House today stepped into an ongoing debate about controversial virus experiments with a startling announcement: It is halting all federal funding for so-called gain-of-function (GOF) studies that alter a pathogen to make it more transmissible or deadly so that experts can work out a U.S. government-wide policy for weighing the risks. Federal officials are also asking the handful of researchers doing ongoing work in this area to agree to a voluntary moratorium.

The “pause on funding,” a White House blog states, applies to “any new studies … that may be reasonably anticipated to confer attributes to influenza, MERS, or SARS viruses such that the virus would have enhanced pathogenicity and/or transmissibility in mammals via the respiratory route.” The government also “encourages those currently conducting this type of work—whether federally funded or not—to voluntarily pause their research while risks and benefits are being reassessed.” Research and testing of naturally occurring forms of these pathogens will continue.

An accompanying document describes plans for a two-stage “deliberative process” to determine the risks and benefits of GOF experiments and to develop a U.S. policy for approving new studies. It will begin next week when the National Science Advisory Board for Biosecurity (NSABB), an advisory group that has not meet for 2 years, convenes on 22 October to begin designing a study to assess the risks and benefits of GOF research. The National Academies’ National Research Council (NRC) and Institute of Medicine (IOM) will also hold a symposium to discuss the scientific issues, then later review the NSABB’s recommendations, which are due within 6 months.

And from the New York Times, the fury:

Amid Assurances on Ebola, Obama Is Said to Seethe

Beneath the calming reassurance that President Obama has repeatedly offered during the Ebola crisis, there is a deepening frustration, even anger, with how the government has handled key elements of the response.

Those frustrations spilled over when Mr. Obama convened his top aides in the Cabinet room after canceling his schedule on Wednesday. Medical officials were providing information that later turned out to be wrong. Guidance to local health teams was not adequate. It was unclear which Ebola patients belonged in which threat categories.

“It’s not tight,” a visibly angry Mr. Obama said of the response, according to people briefed on the meeting. He told aides they needed to get ahead of events and demanded a more hands-on approach, particularly from the Centers for Disease Control and Prevention. “He was not satisfied with the response,” a senior official said.

From The Hill, a false alarm in Washington on sensitive ground:

Woman rushed to hospital from Pentagon does not have Ebola

A woman who was rushed to the hospital Friday after vomiting in a Pentagon parking lot has been cleared for Ebola, Arlington Country official Mary Curtius confirmed Friday.

The hospitalization of the woman, whom officials believe had recently traveled to Africa, set off a chain reaction of preventive measures by Pentagon and Arlington County officials.

Pentagon officials confirmed reports that the woman, a civilian, had briefly boarded a bus with Marines on their way to a change-of-command ceremony for the Marine Corps commandant, where Defense Secretary Chuck Hagel was expected to be in attendance.

From ABC News 2 in Baltimore, a condition report on America’s first homegrown Ebola patient:

Condition of nurse treated in Maryland for Ebola updated to ‘fair but stable’

The Ebola patient recovering here in Maryland was downgraded to fair condition today.

Nina Pham is a nurse from Dallas. Overnight, she was flown to Frederick Airport and driven to the National Institutes of Health (NIH) in Bethesda.

When Pham left Texas, she was listed in good condition. Now, she’s in fair but stable condition.

And from USA Today, more allegations about the hospital where she contracted the disease:

Dallas nurse blasts her hospital’s Ebola response

Program notes:

A Dallas nurse is coming forward to describe the “extreme chaos” following the death of her hospital’s first Ebola patient. She’s now monitoring herself for Ebola symptoms and worried for her colleagues.

A denial from the Washington Post:

Mexico fails to grant access to cruise ship carrying Texas health worker

The cruise ship carrying a Texas health-care worker who “may have” handled lab specimens from Dallas Ebola victim Thomas Eric Duncan is headed back to the United States after Mexican authorities failed to grant permission for the ship to dock off the coast of Cozumel, according to a Carnival spokeswoman.

The Carnival Magic had been waiting off the Mexican coast since Friday morning for its scheduled port visit. Mexican authorities still hadn’t given clearance by noon, so the ship continued to its home port of Galveston, Tex., where it was due back on Sunday, according to Carnival.

The health worker, a lab supervisor who has not been named, has shown no symptoms of the disease but remains on board and in voluntary isolation, according to Carnival. “We greatly regret that this situation, which was completely beyond our control, precluded the ship from making its scheduled visit to Cozumel and the resulting disappointment it has caused our guests,” read a statement from Carnival.

From the Los Angeles Times, the American Ebola watch list:

Ebola in the U.S.: 1,000 people under some level of watch

Whether by land, sea or air, the fear of Ebola has been spreading at a pace far faster than the growth in the number of people diagnosed with the disease.

In recent days, the number of people who have been asked to monitor themselves for symptoms has been steadily growing, especially among healthcare workers who were involved in the original treatment of Thomas Eric Duncan, the Liberian who died from Ebola on Oct. 8 at Texas Health Presbyterian Hospital in Dallas.

As of Friday, a pool of about 1,000 people are being watched for symptoms, have been asked to monitor themselves or have been urged to check with a counselor at the Centers for Disease Control and Prevention. The group includes a handful of people who have been ordered into quarantine, a larger group that is being closely watched with temperatures taken at least daily and a much larger group of travelers who may haven flown on a Frontier Airlines jetliner used at some point by an Ebola patient traveling with a low-grade fever.

The Guardian covers a condolence call:

Ebola: Liberian president phones Dallas mayor about infected nurses

Exclusive: Mike Rawlings said President Ellen Johnson Sirleaf had said she felt accountable for the situation in the Texan city

The president of Liberia telephoned the mayor of Dallas and apologised for the fact that the Ebola virus had transferred from her country to his city and infected Americans, the mayor said during a conference call with religious leaders in Texas on Friday.

The mayor, Mike Rawlings, said President Ellen Johnson Sirleaf had said she felt accountable for the situation in the Texan city, where a man who had recently returned from Liberia infected two nurses who treated him before he died, according to two people on the conference call.

“The mayor said that there was a call to him personally, and that the Liberian president had mentioned apologies, and, in his words, a little bit of responsibility that this was even happening,” Rex Howe, a pastor at Scofield Memorial church, told the Guardian.

And right here on San Francisco Bay, via the Oakland Tribune, the nurses who cared for esnl are marching over perceived lack of training and equipment at the same hospital where we lost bladder and prostate to cancer:

Nurses march in Oakland to demand greater safety for treating Ebola

Kaiser Permanente nurses marched Thursday morning in downtown Oakland to call for increased resources and training to treat Ebola patients.

Zenei Cortez, co-president of the California Nurses Association, said nurses are asking for the same kind of safety and training provided to hazardous materials workers who treat Ebola infected homes.

Following recent reports of nurses who became infected with ebola after treating a patient, nurses are asking for hands-on interactive training in how to handle possible Ebola cases, rather than the classroom training Kaiser is currently offering, Cortez said. They want to learn how to safely put on and take off gear, and the protocol to properly dispose of contaminated gear.

And if a hospital gets a patient, nurses want enough staff to be present to monitor the nurses to keep them safe, Cortez said.

The Washington Post covers a surprising case of Ebolaphobia:

Syracuse University disinvites Washington Post photographer because he was in Liberia 3 weeks ago

Washington Post photojournalist Michel du Cille, who returned from covering the Ebola epidemic in Liberia 21 days ago, has been disinvited by Syracuse University from participation in a journalism workshop this weekend.

Du Cille and his wife, Nikki Kahn, both Pulitzer prize-winning Post photojournalists, were scheduled to take part in portfolio reviews and critique sessions at the university’s Newhouse School of Public Communications. The school’s dean, Lorraine Branham, said a student who was researching du Cille prior to the workshop found out he had recently returned from Liberia and expressed concern. Provost Eric Spina spoke with health officials and made the call.

“It’s a disappointment to me,” du Cille said. “I’m pissed off and embarrassed and completely weirded out that a journalism institution that should be seeking out facts and details is basically pandering to hysteria.”

CBC News covers another one:

Ebola outbreak: diagnosis delayed after Air Canada refuses to transport blood sample

  • Lab tests were not completed for more than 24 hours after being collected in Edmonton

Air Canada refused to fly a blood specimen from a patient suspected of Ebola from Edmonton to Winnipeg last weekend, CBC News has learned.

Officials are blaming poor communication and unclear protocols for the delay of more than 24 hours between when the sample was collected in Edmonton and when it finally arrived in Winnipeg’s National Microbiology Lab.

Sources tell CBC News the patient in question came in to the emergency room of an Edmonton-area hospital midday last Saturday.

A British extension from BBC News:

Ebola screening extended to Manchester and Birmingham airports

Passenger screening for Ebola is to be extended to Manchester and Birmingham airports, Public Health England says.

Staff at the two airports will begin checking passengers from at-risk countries after it is introduced at Gatwick and Eurostar next week.

Screening of arrivals from West Africa, where 4,500 have died in the outbreak, started at Heathrow on Tuesday.

And the Russian screens are nearly up, via RT:

Russian govt orders extra airport facilities to prevent Ebola

Airports in Russia will be equipped with extra facilities to prevent the Ebola virus from spreading, the government’s press service reported on Friday. Over a thousand African students are already under special medical control.

Cabinet discussed the Ebola outbreak with Prime Minister Dmitry Medvedev on Friday. As the result of the meeting, Russian airports will soon receive special equipment to be installed, to prevent any possible spread of the deadly virus in the country.

According to press service, Russia’s top officials also discussed the vaccine development and medicine for extreme preventive care. Head of Russia’s Rospotrebnadzor health watchdog reported on the work of its special team in Guinea.

After jump, a Canadian vaccine heads for trials, a production push [assisted by Bill Gates] for another drug, a stark prognosis for India, false alarms in Costa Rica and Spain, on to Africa and a celebrity video campaign, a grim food warning for the hot zone, a Rwandan medical assist, East Africa promises medics and money, more Latin American assistance promised, medical staff recruitment problems remain, hot zone religious succor sought, South Sudan takes precautions, WHO outlines plans for African countries thus far spared, the plight of hot zone children, athletes stigmatized, on to Liberia and a stricken family, American/Liberian military bonding as the opening all promised treatment centers is delayed, numbers for one treatment unit, and heightened political divisions. . . Continue reading