Category Archives: Medicine

EbolaWatch: Politics, woes, and warnings


We begin with high politics from the Yomiuri Shimbun:

U.S. submits Ebola draft to UNSC

The U.S. Mission to the United Nations has presented to U.N. Security Council members a draft of a Security Council resolution on the Ebola outbreak in West Africa, calling for a coordinated international response to the deadly virus.

The draft of the resolution obtained by The Yomiuri Shimbun on Tuesday calls on nations to provide urgent aid and lift travel restrictions that could isolate the Ebola-infected region.

The United States seeks to hold an emergency Security Council session on the Ebola outbreak on Thursday and have the resolution adopted at the meeting.

It is unusual for the Security Council to adopt a resolution on public health.

A video report covers some of the reasons for the finally aroused anxieties of the North, via CCTV America:

WHO assessing which countries can deal with Ebola virus

Program notes:

There are worrying reports for Ebola–Free African nations. The World Health Organisation has been assessing which African countries could handle in case there’s an outbreak. As CCTV America’s Jane Kiyo reports, apparently only two countries are up to the challenge.

Star Africa News has one nation’s death toll:

Liberia Ebola-related deaths at 1,424 – Report

Liberia’s Ebola-related deaths since the epidemic began in the country in March has reached 1, 424, according to a report by the Ministry of Health.

The report released on Wednesday showing the latest update on the situation of the epidemic in the country, said the figure concerns deaths in confirmed, probable and suspected cases of Ebola.

The report entitled the Ebola Situation Report covers March 22 through September 13, 2014.

And from France 24, we get the all-too-usual emphasis on non-Acfrican sufferers:

French MSF volunteer contracts Ebola in Liberia

A French volunteer working for Medecins Sans Frontieres (Doctors Without Borders) in Liberia has contracted the Ebola virus, the medical charity said in a statement on Wednesday.

This is the first confirmed case of a French national catching the disease in the current outbreak. The volunteer was put in quarantine on Sept.16 when the first symptoms of the illness appeared.

She will be evacuated to a specialised treatment centre in France.

From Joel Pett, editorial cartoonist of the Lexington Herald-Leader, anxieties expressed:

BLOG Cartoon pett

Reuters covers preventative efforts:

West African powerhouse Ivory Coast battles to keep out Ebola

The worst recorded outbreak of the virus has killed over 2,400 people in Liberia, Sierra Leone and Guinea, wreaking havoc on their fragile economies, and has also spread to Nigeria and Senegal.

If it reaches Ivory Coast, the powerhouse of French-speaking West Africa, the economic consequences could be yet worse. The country of 20 million people exports 40 percent of the world’s cocoa, the raw material for chocolate, and supplies its landlocked neighbors with everything from rice to fuel.

Ivory Coast is taking the kind of aggressive anti-infection measures that its poorer, smaller western neighbors were slow to adopt. Hand washing stations have appeared at the entrances of government buildings and office towers in Abidjan, the bustling economic capital. People have abandoned the traditional three-kiss greeting.

The Guardian covers a radical measure:

Ebola lockdown in Sierra Leone: nationwide three-day curfew

  • Unprecented national shutdown, with health workers going house-to-house to identify Ebola cases; MSF raises concerns about capacity to cope

Residents across Sierra Leone, one of three countries at the centre of the biggest ever Ebola outbreak, scrambled on Wednesday to prepare for a three-day, unprecedented nationwide “lockdown” in a radical step intended to curb the spread of the killer virus, but which some health experts believe could worsen the epidemic.

Citizens will not be allowed to leave their homes from Thursday until Sunday. Known as “ose to ose” in the widely-used local Krio, health workers will also go house-to-house identifying cases and raising awareness. More than 2,300 have died across Guinea, Liberia and Sierra Leone in the nine-month epidemic that the World Bank warned this week could lead to deaths in the “tens of thousands” if unchecked by the end of the year.

Some 21,000 people have been recruited to enforce the lockdown, bulking up thousands of police and soldiers already deployed to quarantine districts in the worst-hit regions near the border with Guinea. But some international health experts have advised against the move, citing both practical concerns and disastrous attempts at the mass quarantine of the biggest slum in neighbouring Liberia.

Ghana lends a hand, via the Liberian Observer:

Accra to Serve as Transit Point for Flights

  • President Mahama Discloses; Frowns on Isolation of Ebola-affected Countries

The President of Ghana, John Dramani Mahama, has been in consultation with the United Nations secretary General, Ban Ki-Moon, to allow Accra to serve as a transit center for international flights that might be bringing in logistics, medicines and other relief items for the affected countries.

Accra is the capital of Ghana, but President Mahama said his consultation is in his capacity as chair of the regional body, Economic Community of West African States (ECOWAS). This is a  demonstration of how Ghana is prepared to help affected the countries.

He spoke on Monday September 15, when he paid a one-day solidarity visit with President Ellen Johnson Sirleaf in Monrovia.

The New York Times covers financial alarms:

Ebola Could Devastate West African Economies, World Bank Says

The three West African countries most affected by Ebola could experience a “potentially catastrophic blow” to their economies because of the epidemic, the World Bank Group warned Wednesday.

The outbreak could cut gross domestic product by nearly 12 percent in Liberia and nearly 9 percent in Sierra Leone in 2015 if it is not curbed, according to the report. The impact to Guinea would be less severe, at around 2 percent.

A fear of contagion and what the bank referred to as “aversion behavior” is driving most of the economic losses. Places of employment are being closed, transportation is being disrupted, and vital links with other nations by air and sea are being cut, the analysis found.

Reuters hints at purse strings loosening:

IMF proposes $127 million for three Ebola-hit countries in West Africa

Guinea, Liberia and Sierra Leone could receive an additional $127 million from the International Monetary Fund to help them deal with the worst-ever outbreak of the Ebola virus, the IMF said on Wednesday.

The funds, which must still be approved by the IMF’s executive board, would help cover an estimated $300 million financing gap in the West African countries over the next six to nine months, when the IMF expects the impact of the outbreak to be most acute.

“The Ebola outbreak is a severe human, social and economic crisis that requires a resolute response from the international community,” IMF Managing Director Christine Lagarde said in a statement. “The governments of the three countries have requested additional IMF support to help cover the acute financing needs they are facing as a result of the outbreak.”

The IMF on Wednesday proposed a $40 million loan for Guinea, $48 million for Liberia and $39 million for Sierra Leone. It has said economic growth in Liberia and Sierra Leone has been hurt in particular by the epidemic’s impact on agriculture, mining and the services sectors.

Punch Nigeria precludes:

World Bank excludes Nigeria from $105m W’African fund

The World Bank Group’s Board of Executive Directors has approved a $105m grant to finance Ebola-containment efforts in West African countries infected with the dreaded Ebola Virus Disease.

A statement issued by the bank in Washington on Wednesday to announce the development, however, excluded Nigeria as a beneficiary of the fund.

The bank said the fund would help families and communities in Guinea, Liberia and Sierra Leone to cope with the economic impact of the Ebola crisis as well as rebuild and strengthen essential public health systems in the three worst-affected countries to guard against future disease outbreaks.

The Hill covers cash-inducing anxiety:

Congress worries Ebola could hit US, become more contagious

Lawmakers are increasingly concerned about the spread of Ebola and worry that it could jump to the United States and become more contagious.

President Obama on Tuesday unveiled new plans to surge U.S. support to West Africa that includes sending thousands of U.S. military personnel to the region and establishing a command-and-control center, and new hospitals to aid in the fight.

But lawmakers worry the president’s efforts might not be enough to contain the outbreak. Already, an estimated 2,400 have died from the disease, and the United Nations estimates $1 billion could be necessary to limit the epidemic.

And from Sky News, another vaccine trial, held in the North:

Former Nurse Tests Experimental Ebola Vaccine

  • A former NHS nurse has become the first person to be injected with an experimental ebola vaccine.

Ruth Atkins was given the jab in her arm and then carefully monitored by doctors for any side effects.

She is the first of 60 healthy volunteers to take part in a clinical trial at Oxford University’s Jenner Institute.

She was paid just £380 – not for the risk, but for any loss of earnings.

A video report from the London Telegraph:

British woman first to test Ebola vaccine

Program notes:

Ruth Atkins becomes the first volunteer to be injected with a potentially life-saving new vaccine that scientists hope will tackle Ebola

Another wake-up call received, via TheLocal.de:

Merkel promises help for Liberia in Ebola fight

Chancellor Angela Merkel has promised that Germany will send help to Liberia to tackle the Ebola crisis in response to a personal appeal by the country’s president, Ellen Johnson-Sirleaf.

“We will act quickly and stand ready with everything we have available,” Merkel told journalists in Berlin on Wednesday. “The situation in Liberia is in fact very dramatic.”

German help to the stricken West African nation could include air transport, secure return flights for doctors and other workers from international organizations, help building hospital wards and support for the World Health Organization (WHO).

A Merkel spokeswoman said earlier that the German army was also examining what kind of help it might be able to offer Liberia.

African boots on the ground from the Liberian Observer:

AU to Deploys 200 Health Workers in Ebola Affeted Countries

The African Union (AU) is expected to deployed 200 health workers and other professionals,including nurses and doctors to Liberia, Guinea and Sierra Leone to help combat the deadly Ebola virus in the sub-region.

Africa Union’s Special Representative to Liberia, Amb. Toyin Solaja,said the deployment is a part of a joint AU-led military and civilian humanitarian mission code named African Union Support to Ebola Outbreak in West Africa (ASEOWA).

He puts the cost of the operation to more than 25 million United States Dollars. The Ambassador said a total of two hundred (200) professionals are expected to be deployed in the three countries.

More from Star Africa News:

Namibia gives $1m to Ebola countries

The Namibia government says it is contributing $1 million as a solidarity support to the West African countries currently battling the Ebola outbreak, the permanent secretary in the ministry of information Mbeuta Ua-Ndjarakana announced on Tuesday.

Ua-Ndjarakana told journalists that the contribution will be channeled through the World Health Organisation (WHO) to the African Public Health Emergency Fund for the containment of Ebola in Nigeria, Liberia, Sierra Leone and the Democratic Republic of Congo.

“Namibia is heeding the call made by the African Union to its member states and the international community to make contributions in cash or kind to assist its fight against the Ebola outbreak in some West African countries,” Ua-Ndjarakana said.

WHO needs an estimated $I billion to bring the epidemic under control, its officials said in Geneva earlier on Tuesday.

Updating a patient from the North with the Associated Press:

Doctors expect Nebraska Ebola patient to recover

An American aid worker infected with Ebola who’s being treated in Nebraska is now expected to make a full recovery, his doctors said Wednesday.

The medical team treating Rick Sacra also said it’s optimistic that the 51-year-old from Worcester, Massachusetts, will soon be able to leave the Nebraska Medical Center in Omaha.

“However, we are still somewhat cautious because of the severity and unknown factors of this disease,” said Dr. Angela Hewlett, associate medical director of the isolation unit housing Sacra, who contracted Ebola while working in Liberia. “We know from experience how other patients look as their condition improves, but since we have so little experience treating patients with Ebola, that tempers our optimism a little bit.”

The Independent covers another extraordinary measure up North:

Ebola outbreak: Survivor William Pooley flown to US to give doctor with virus emergency blood transfusion

William Pooley, the British nurse who was cured of the Ebola, has been flown to America on a life-saving mission to give blood to a new victim of the deadly virus.

Mr Pooley has travelled to Atlanta for an emergency blood transfusion which could save the life of a doctor who contracted the disease while working in Sierra Leone.

The 29-year-old, who became the first Briton to contract Ebola, could help the US victim fight off the virus because his blood carries antibodies for the disease, the Evening Standard reports.

Mr Pooley was put on a flight on Friday night, paid for by the World Health Organisation, to Atlanta where the doctor is being treated in an isolation unit at Emory University Hospital.

Evangelicals ignoring border bans, with Star Africa News:

Batswana disregard travel ban to Ebola nations

Botswana citizens are defying a ban imposed by the Ministry of Health on travel to countries affected by Ebola, an official said Wednesday.Ministry of Foreign Affairs spokesperson Diadi Mmualefe told private radio station Gabz FM that some Batswana continued to visit West Africa despite warnings by the Ministry of Health against travelling to Ebola-affected countries.

He revealed that two Batswana travelled on Tuesday night to Nigeria where they want to attend a church service at the Synagogue Church of All Nations (SCOAN) led by televangelist TB Joshua.

Botswana is one of southern African countries that have banned travel to Nigeria, Guinea, Senegal, Sierra Leone and Liberia that are at the epicentre of an Ebola outbreak that has so far killed more than 2,000 people in the region since March.

From Agence France-Presse, a graphic look inside an Ebola treatment center, based on a plan from Medicine sans Frontieres:

BLOG Ebola center

From the Guardian, a protest from Down Under:

$7m Ebola contribution is not enough, says Australian Medical Association

  • Brian Owler says additional $7m in Ebola aid should be bolstered by deployment of Australian health workers

Australia’s contribution to fighting the Ebola virus is still inadequate despite the promise of another $7m, the head of the Australian Medical Association has warned.

Brian Owler said last week that the government’s commitment of $1m to the World Health Organisation to control the outbreak in west Africa was inadequate, and on Wednesday the government pledged an extra $7m.

WHO and Médecins Sans Frontières will each receive $2.5m, while $2m will be given to Britain to help combat the disease in Sierra Leone, the foreign minister, Julie Bishop, said.

Punch Nigeria covers classroom concerns:

Ebola: Senate urges schools to take precautionary measures

The Senate on Wednesday urged all schools in Nigeria to take precautionary measures to contain the spread of the Ebola virus.

The Senate also appealed to the African Union and the Economic Community of West African States to create regional and continent wide containment programmes to avoid further spread of the deadly virus.

The Senate made this appeal as part of resolutions reached after a debate on a motion, entitled, “The Ebola Virus Disease in Nigeria,” sponsored by Senator Ifeanyi Okowa and 106 others.

Punch Nigeria again, with more classroom concerns:

Ebola outbreak: Parents still worry about possible outbreak

All appears set for the September 22 resumption date as directed by the Federal Government. But, in spite of the dramatic change of mind exhibited by the Nigerian Medical Association, parents and guardians are still apprehensive of a possible outbreak and the devastating effects it would have on children and teenagers.

While the NMA said its latest decision that pupils could go back to schools was based on the fact that no confirmed case of EVD in the country again, the Nigerian Union of Teachers has directed its members not to report to work unless safety gadgets are provided for them though it remained to be seen how far the union could go in view of the fact that the government in some states have asked the schools to reopen on Sept 22.

Parents who spoke with our correspondent on Wednesday expressed diverse opinions on the resumption date.

Punch Nigeria again, with still more:

Niger to reopen schools October

THE Niger State Government has decided that all schools in the state will reopen for the new academic year in October, contrary to the Sept 22 date declared by the Federal Government.

The Federal Government had shifted the resumption dates for all private and public schools in the country to next Monday as a result of the recent outbreak of the Ebola Virus Disease in the country.

However, in announcing the new resumption date for public schools in the state on Wednesday, the Niger State Government said it had taken into account the forthcoming Eid-el Kabir Muslim festival expected to hold worldwide in the first week of October.

And for our final Nigerian school item, again from Punch Nigeria, a union call:

Sept 22: Ekiti NUT tells teachers to stay away

The Nigeria Union of Teachers in Ekiti State has asked its members to comply with the directive of its national body to shun the September 22 resumption date for the 2014/2015 academic session.

Chairman of the union in Ekiti, Samuel Akosile, on Wednesday, said his members would not resume work until certain preventive measures capable of curtailing the Ebola Virus Disease had been put in place .

He urged government to organise seminars and workshops on Ebola for teachers in the state, saying “This will broaden their horizons on what the virus is all about and precautions to be taken to engender safety.”

The NUT chairman urged the state government to procure Infra-red thermometers and provide pipe-borne water and sanitisers in all the state-owned primary and secondary schools in order to give the assurances that government was committed to safety in school environments.

Next, from the Liberian Observer, a growing phenomenon:

Orphaned by Ebola

September 15, 2014, an unidentified toddler is seen standing unaware of the commotion going on around her. She and her gravely sick mother had just disembarked few minutes ago, from a taxi cab. Her mother struggled to take few steps, she collapsed and died. The innocent child was pulled away from her. The woman’s “lifeless body” was immediately dumped over other dead bodies already in a pickup truck waiting to transport the dead either for burial or to the crematorium.

She’s still unidentified.

According to witnesses standing in front of Redemption Hospital, which has quite recently become an Ebola holding center, the little girl and her said mother came to the hospital for treatment.

“Just how they arrived, the mother died in the car and her body was added to the bodies that were being taken out of the hospital today,” stated an LNP officer, who asked not to be named.

And for our final item, Defense One covers the American national security perspective:

Africa Needs the US Military To Fight Ebola

Both civilian and military public health experts understand how to contain highly transmissible infectious diseases, such as SARS, avian influenza, the MERS Coronavirus, and other pandemic-prone diseases. These diseases are threats to global security that could lead to outbreaks with significant costs including massive loss of life, a weakened work force, geopolitical instability, and economic disruption and losses. But given the relative successes in responding to these diseases, it has been surprising and disappointing that collective international actions against Ebola have thus far proven largely unsuccessful.

As Laurie Garrett, senior fellow for global health at the Council on Foreign Relations, rightly points out, Ebola won’t be stopped with principles of global solidarity and earnest appeals. Disjointed and erratic funding efforts, dozens of volunteer health workers, and closing national barriers in West African states is either too little, too late, or too ineffective. Like Heracles slaying the many-headed Hydra, cutting off the beast’s individual heads was not enough; only by cauterizing the stumps was he able to contain the threat. Like Heracles, we must evaluate our futile tactics and engage an asymmetric advantage to bring to a halt this unprecedented yet containable Ebola outbreak.

Changing the dynamics of the West African outbreak requires behavioral changes including adjustments to burial practices and sanitation issues that are particularly conducive to the spread of Ebola. The consumption of bushmeat—that is, animal meat from the wild rather than domestically farmed—is also a significant risk factor. On a societal level, there are more broad-based cultural factors at play including a serious mistrust of health aid workers and the national government.

EnviroWatch: Dengue, coal, water, whales


And more. . .

First up, seeking profit in a spreading ailment via Nikkei Asian Review:

Japanese drugmakers get serious about tackling dengue

Pharmaceutical companies have largely been unwilling to develop vaccines and treatment for dengue fever, citing small demand due to the disease primarily occurring in emerging nations. But as the disease spreads, with the current outbreak in Japan already topping 100 cases, major drugmakers are now rushing to tackle the threat.

“I suddenly felt a chill and had a fever of nearly 40 degrees. It was an unimaginable experience,” said a Japanese trading house official based in Jakarta who contracted dengue fever for the first time earlier this year.

The disease is transmitted to humans by mosquitoes carrying the dengue virus. It is estimated that more than 50 million people develop the disease every year worldwide, primarily in tropical areas.  Sufferers typically experience headaches and joint pain, with fever lasting a week or so. In the most severe cases, patients die due to plasma leakage.

And the accompanying graphic, showing the global occurrence of the disease:

BLOG Dengue

Coughing up cash with The Contributor:

Two Senators Who’ve Received Nearly $2M from Dirty Energy Complain About the Impact of EPA Regulations on Regular Folks

Two Republican members of the Senate Energy and Natural Resources Committee will be releasing a white paper later this week that will allegedly make the case that “regulations” and legislation that “raises energy costs” are damaging America’s underclass.

Senators Lisa Murkowski (Alaska) and Tim Scott (South Carolina) have teamed up with the conservative Manhattan Institute for Policy Research to once again push the bogus theory that government regulations and environmental safeguards are costing American consumers too much money and destroying jobs. The paper will officially be released at a Manhattan Institute event on September 18.

According to The Hill, a representative from Murkowski’s office said that the Senators will be speaking about “the economic, political, and social consequences of allowing energy insecurity to rise in America.”

From the Louisville, Kentucky, Courier-Journal, coughing up their lungs:

Severe black lung returns to 1970s levels

Coal miners in Kentucky and other parts of Appalachia are contracting serious cases of black lung disease at rates not seen since the early 1970s — just after preventive regulations were enacted, according to a study published Monday.

Only 15 years ago, progressive massive fibrosis — an advanced form of black lung for which there is no cure — was virtually eradicated, health researchers say. But now, the prevalence of the disease in Kentucky, Virginia and West Virginia is at levels not seen in 40 years. .

“Each of these cases is a tragedy and represents a failure among all those responsible for preventing this severe disease,” wrote researchers for the National Institute for Occupational Safety and Health in the latest issue of the American Journal of Respiratory and Critical Care Medicine.

BBC News calls foul on David Cameron’s hypocrisy, rivaled on by Barack Obama’s promise the The Most Transparent Administration in History™:

Red card on environment for ‘greenest government ever’

The government is failing to reduce air pollution, protect biodiversity and prevent flooding, a cross-party body of MPs has said.

The Environmental Audit Committee dished out a “red card” on these three concerns after examining efforts made since 2010. The MPs said on a further seven green issues ministers deserved a “yellow card” denoting unsatisfactory progress.

The government said it strongly disagreed with the findings.

From the Guardian, playing for time:

Obama delays key power plant rule of signature climate change plan

  • A week before major UN talks on climate change, EPA extends comment period for rule to cut carbon pollution from plants

Barack Obama applied the brakes to the most critical component of his climate change plan on Tuesday, slowing the process of setting new rules cutting carbon pollution from power plants, and casting a shadow over a landmark United Nations’ summit on global warming.

The proposed power plant rules were meant to be the signature environmental accomplishment of Obama’s second term.

The threat of a delay in their implementation comes just one week before a heavily anticipated UN summit where officials had been looking to Obama to show leadership on climate change.

From the Guardian, no longer so pumped-up:

California dumps ‘pump-as-you-please’ groundwater rules amid drought

  • Governor Jerry Brown signs bill into law to overhaul policy in state stricken by drought, sinking land and drying basins

California will no longer be the only western state with a “pump-as-you-please” approach to groundwater.

Governor Jerry Brown signed legislation on Tuesday overhauling the state’s management of its groundwater supply, bringing it in line with other states that have long regulated their wells.

Groundwater makes up nearly 60% of the state’s water use during dry years but is not monitored and managed the same way as water from reservoirs and rivers.

Supporters of the legislation say the worst drought in a generation inspired them to rethink California’s pump-as-you-please approach, which has led to sinking land and billions of dollars in damage to aquifers, roads and canals.

From the Los Angeles Times, and we resist the obvious puns:

Wildfire engulfs Northern California logging town as residents flee

Officials plan to send a damage assessment team to the Northern California community of Weed on Tuesday, where a wildfire destroyed or severely damaged more than 100 buildings, including a church and the town sawmill.

More than 1,500 residents were evacuated to the Siskiyou County fairgrounds as the Boles fire, last reported at 350 acres, tore through the town.

The fire broke out about 1:30 p.m. Monday near the town, which is about 50 miles south of the California-Oregon border. Daniel Berlant, a spokesman for the California Department of Forestry and Fire Protection, said the flames were fueled by 40 mph winds and dry conditions.

The San Francisco Chronicle chronicles an immigrant:

Australian mosquito appears in California

Officials say an Australian mosquito has made what is believed to be its first U.S. appearance in the Los Angeles area.

Los Angeles County vector control officials said in a statement Tuesday that the mosquito that goes by the nickname Aussie Mozzie has been found in Monterey Park and nearby Montebello.

The mosquito can transmit the nonfatal Barmah Forest and Ross River viruses to humans, though neither has ever been reported in the county. It also can give heartworm to dogs.

From the Guardian, maybe there’s cetacean hope after all?:

IWC ‘has majority’ to curb Japanese whale culls

New Zealand proposing that world’s whale conservation body also add strict conditions to any future scientific whaling permits

A narrow majority of delegates at the International Whaling Commission (IWC) summit support moves to extend a ban on Japan’s scientific whaling plans until at least 2016 in a vote due on Wednesday.

Despite fierce opposition from Japan, New Zealand is proposing that the IWC endorse a ruling by the international court of justice (ICJ) and add strict conditions to any future permits it issues for scientific whaling.

Whaling nations such as Japan, Norway and Iceland, supported by a clutch of African and Caribbean states, claim that lethal research can be the most effective form of marine science.

But until then, via JapanToday:

Season’s first dolphins slaughtered at Taiji

The first dolphins of the season were slaughtered on Tuesday in the small town of Taiji, Wakayama Prefecture, campaigners said, commencing an annual cull repeatedly condemned by animal rights groups.

Activists from the environmentalist group Sea Shepherd have been monitoring a bay in Taiji since the six-month dolphin hunting season began earlier this month.

“First pod of 2014-2015 being driven into cove now,” the activists from Sea Shepherd, who call themselves “Cove Guardians”, tweeted at 10:33 a.m.

From the Guardian, water woes Down Under:

Sydney’s waters could be tropical in decades, here’s the bad news…

  • Our research points to a widespread ‘tropicalisation’ of temperate coastlines such as Sydney within the next few decades. This may sound pleasant, but it might not be

Climate models suggest that ocean temperatures off Sydney are just decades away from becoming “tropical”. A “business as usual” scenario of increasing CO2 emissions suggests winter sea surface temperatures will consistently exceed 18C between 2020 and 2030. And summer sea surface temperatures will consistently exceed 25C between 2040 and 2060.

Eastern Australian waters represent a climate change hotspot, with warming rates occurring twice as fast as the global average. A key reason for this is a strengthening of the East Australian current, which pushes warm tropical water southwards.

Other oceanic hotspots around the world include southern Japan, south-east US, south-east Africa and eastern South America. All these regions have in common the influence of strong ocean currents running close to the shore bringing warm tropical water.

With that, on to Fukushimapocalypse Now!, with this from ENENews:

Ocean hits record high for radioactive Strontium at all 6 locations near Fukushima reactors — Levels up to 20 times higher than reported last week — Officials: Contamination from highly radioactive ‘debris’ is seeping into ground and flowing out to sea

This newly published data shows record levels of Strontium-90 have been detected at all 6 seawater monitoring locations in front of the destroyed reactors. At 3 of 6 locations levels are around triple the previous record set last year.

Yet a report released by TEPCO days later on Sept. 12, 2014 claims: “Results indicate efforts to protect water are succeeding… inside the port area, concentrations of radioactivity have been steadily decreasing… Strontium… nearest the reactors… show levels of 70-100 Bq/L … Strontium 90 has been reduced to approximately a third of earlier levels [and] are projected to further reduce… Strontium 90 outflows to one-fortieth of the current estimated amount of outflow.”

According to a TEPCO document from last month: “Groundwater around reactor buildings (Unit 1 to 4) is confirmed to contain radioactive materials which have mixed with rainwater having been contacted with contaminated debris left on the ground surface due to the accident… contaminated water in the buildings theoretically does not mix with the groundwater flowing around the buildings.”

And to close, this from NHK WORLD:

Panel starts discussion on nuclear fuel recycling

An expert panel of Japan’s economy and industry ministry is studying whether the government should provide financial support for nuclear fuel recycling.

The panel began their discussions on Tuesday. Its members say they can’t decide what kind of role nuclear power should play in the nation’s energy policy until they have a clear idea about how to operate costly fuel recycling.

Some say power companies are shouldering the cost of fuel recycling at present, but the government needs to be involved because the electricity market is undergoing liberalization. Others express doubt about government involvement, saying the public will have to pay for the cost.

EbolaWatch: Money, misery, fight, flight, woes


First up, a belated move from Washington via BBC News:

Obama says Ebola outbreak a ‘global security threat’

President Barack Obama has called the West Africa Ebola outbreak “a threat to global security” as he announced a larger US role in fighting the virus.

“The world is looking to the United States,” Mr Obama said, but added the outbreak required a “global response”. The measures announced included ordering 3,000 US troops to the region and building new healthcare facilities.

Ebola has killed 2,461 people this year, about half of those infected, the World Health Organization said.

More from the New York Times:

Obama Urges World Powers to Bolster Ebola Response

President Obama on Tuesday challenged world powers to ramp up the global response to the Ebola outbreak that is ravaging three West African countries, warning that unless health care workers, medical equipment and treatment centers are deployed quickly, the disease could take hundreds of thousands of lives.

“This epidemic is going to get worse before it gets better,” Mr. Obama said at the Centers for Disease Control and Prevention, where he met with doctors who had just returned from West Africa. But “right now, the world still has the opportunity to save lives.”

He said “the world is looking” to the United States to lead the fight against Ebola. “This is a responsibility that we embrace,” he said. But he called on other nations to respond as well.

Still more from the Washington Post:

U.S. military will lead $750 million fight against Ebola in West Africa

President Obama will announce Tuesday that the U.S. military will take the lead in overseeing what has been a chaotic and widely criticized response to the worst Ebola outbreak in history, dispatching up to 3,000 military personnel to West Africa in an effort that could cost up to $750 million over the next six months, according to senior administration officials.

By the end of the week, a general sent by U.S. Africa Command will be in place in Monrovia, Liberia — the country where transmission rates are increasing exponentially — to lead the effort called Operation United Assistance. The general will head a regional command based in Liberia that will help oversee and coordinate U.S. and international relief efforts while a new, separate regional staging base will help accelerate transportation of urgently needed equipment, supplies and personnel.

In addition, the Pentagon will send engineers to set up 17 treatment centers in Liberia — each with a 100-bed capacity — as well as medical personnel to train up to 500 health-care workers a week in the region.

Here’s Obama’s statement, via PBS NewsHour:

President Obama announces plan to combat Ebola in Africa

Program notes:

President Obama spoke from the Centers for Disease Control today after a debriefing from doctors there. The President pledged support in the form of personnel, setting up an “air bridge” into regions difficult to reach, and the establishment of a mobilization center in Senegal.

From The Hill, gettin’ the word:

Obama, Ebola survivor meet in Oval Office

President Obama met in the Oval Office Tuesday with a U.S. doctor who contracted Ebola while treating patients in Liberia, a spokesman said.

Obama met with Kent Brantly, the Ebola survivor, and his wife, Amber, White House press secretary Josh Earnest told reporters traveling with the president aboard Air Force One.

The meeting occurred shortly before Obama left Washington to announce an escalated U.S. response to the virus at the Centers for Disease Control and Prevention (CDC) in Atlanta.

Brantly and another American medical worker, Nancy Writebol, were successfully treated for Ebola at Emory University Hospital in Atlanta. Both were given an experimental therapy called ZMapp and fully recovered from the virus, which kills roughly half of those who contract it.

The Christian Science Monitor asks a question:

Why is US deploying the military to fight Ebola?

On Tuesday, White House officials outlined a new plan to assign 3,000 members of the American armed forces to supply medical and logistical support to help treat Ebola epidemic victims.

Why is the Defense Department fighting the war on Ebola? The short answer is because it is the largest and most capable US organization available for emergency action, and has money to pay for the effort.

The military’s extensive airlift and health-care infrastructure can quickly plug holes in the current international fight to try and contain the Ebola outbreak. US personnel should be flowing into the area in force in about two weeks, according to the White House.

Meanwhile, the Pentagon plans to move some $500 million of unspent funds within its budget into an account to fund Ebola action. The US has already spent some $175 million and moved 100 civilian experts from the Centers for Disease Control into West Africa.

And what are those soldiers learning about the invisible enemy they’re being dispatched to fight? Here’s the answer in the from of a video just posted [we were viewer 116] by the U.S. Army Public Health Command:

EVD: Ebola Virus Disease Outbreak

Program note:

Information for service members deploying in response to the West African Ebola virus disease outbreak.

It’s concise and hits most of the key points, though we’d be a little more comfortable if they hadn’t used that gunsight graphic a bit too often. . .

From the New York Times, a price tag:

U.N. Sees Need for $1 Billion to Fight Ebola

The Ebola virus outbreak in West Africa risks ballooning into a humanitarian catastrophe without a major surge in international efforts to contain it, senior United Nations officials said Tuesday, estimating the cost of this effort at $1 billion.

The number of people affected by the disease is still rising at an “almost exponential” rate, Bruce Aylward, an assistant director general of the World Health Organization, said at a news conference in Geneva. He said the number of reported cases had climbed to 4,985, including 2,461 deaths. Half of the infections and deaths occurred in the past 21 days, he said, underscoring the acceleration of the outbreak. “We don’t really know where the numbers are going with this,” Mr. Aylward said.

A road map he announced nearly three weeks ago to guide the international response had called for the capacity to manage 20,000 cases, but “that does not seem like a lot today,” he said.

“The numbers can be kept in the tens of thousands,” he said, “but that is going to require a much faster escalation of the response if we are to beat the escalation of the virus.”

Deutsche Welle admonishes:

WHO warns Ebola cases could double every three weeks

The World Health Organization has warned that the number of Ebola cases could double every three weeks, with medics stressing it could soon become too late to contain the disease

The number of Ebola cases in West Africa could begin to double every three weeks, according the UN’s official health agency, with doctors warning that the likelihood of limiting the spread of the outbreak is becoming progressively smaller.

In a report released on Tuesday, the WHO claimed $987.8 million (770 million euros) was needed to cover expenses already incurred, including the payment of health workers and the cost of supplies.

At a meeting of the UN in Geneva, the medical charity Doctors Without Borders (MSF) urged governments to act to halt the spread of the disease.

“The response to Ebola continues to fall dangerously behind,” said MSF President Joanne Liu. “The window of opportunity to contain this outbreak is closing. We need more countries to stand up, we need greater deployment, and we need it now.”

The Associated Press avers:

Ban: UN ‘taking lead’ on global fight of Ebola

The head of the United Nations said Tuesday that the world body is “taking the lead now” on international efforts to fight the Ebola outbreak in West Africa that has killed some 2,400 people and could spread further.

Secretary-General Ban Ki-moon said at a press briefing that the U.N. General Assembly next week will follow-up with a high-level meeting — the disease, he said, taking on “a special focus” at an event that will welcome more than 140 heads of state and government. Before that, an emergency meeting will be held Thursday in which Ban and World Health Organization director general Margaret Chan plan to “outline the international action plan to contain this threat.”

The U.N.’s response so far has drawn criticism, with the president of France-based humanitarian group Doctors Without Borders on Tuesday calling it “dangerously behind.”

The World Health Organization gives thanks:

WHO welcomes Chinese contribution of mobile laboratory and health experts for Ebola response in west Africa

WHO welcomes the commitment from the Government of the People’s Republic of China to dispatch a mobile laboratory team to Sierra Leone to enhance the laboratory testing capacity for Ebola virus disease (EVD) in the country.

The contribution comes in response to WHO’s appeal for further assistance to Ebola response efforts in Africa and requests by the government of Sierra Leone. In addition to laboratory experts, the 59-person team from the Chinese Centre for Disease Control will include epidemiologists, clinicians and nurses. They will support Ebola response efforts at the China-Sierra Leone Friendship Hospital, which was built in 2012 with assistance from the Chinese Government.

“The most urgent immediate need in the Ebola response is for more medical staff,” says Dr Margaret Chan, Director-General of the World Health Organization. “The newly announced team will join 115 Chinese medical staff on the ground in Guinea, Liberia and Sierra Leone virtually since the beginning. This is a huge boost, morally and operationally.”

Liberian Observer offers optimism:

“We can Win This fight”, UNICEF Deputy

In support of the fight against the deadly Ebola virus in Liberia, United Nations International Children’s Emergency Fund (UNICEF) has opened a five-day Training of Trainers (TOT) of social workers and mental Health clinicians across Liberia.

At the opening of the workshop yesterday at the Corinna Hotel in Sinkor, the Deputy Representative, Dr. Fazlul Haque, said the training is intended to provide the relevant skills and ability to roll out the needed psychosocial services to meet the needs of the Ebola-affected  communities.

“We are fully delighted to provide support to the government of Liberia to train these social workers and mental health clinicians of various counties to ensure that we meet the necessary needs of affected communities,” Dr. Haque stated.

StarAfrica decries:

Kenya lashes out at West over slow Ebola response

Kenya president Uhuru Kenyatta on Tuesday called for concerted efforts against Ebola, saying the global reaction to the deadly disease would not have been the same if it had happened in Europe or America.Speaking during a round table discussion panel of high level delegates comprising of Heads of States and leaders of Government in Malabo, Equatorial Guinea, Kenyatta said time has come for African leaders to look for homegrown solutions to the continent’s problem.

He said the global response to Ebola outbreak is a wakeup call to African leaders to partner and set aside resources to tackle health challenges facing the continent.

He urged African leaders to work in solidarity in tackling various challenges facing the continent, including health and security problems.

StarAfrica again, with another number:

Kenya: $7m sets aside to ward off Ebola

Kenya’s Director of medical services, Dr. Nicholas Muraguri said on Tuesday the country has set aside $7 million as part of its contingency plan to prevent the entry of Ebola into the country, local media reported.This was revealed at the ongoing regional health minister’s conference in Nairobi seeking to address the challenges in tackling the spread of the Ebola virus in the continent.

He was quoted saying by the Kenya Broadcasting Corporation Television that the country remains on high alert to ensure the disease is kept at bay.

At the same the government has maintained that the ban on travelers from Sierra Leone, Liberia and Guinea, the epicenters of the epidemic remains in force.

From Punch Nigeria, partial border closure continues:

Kenya maintains flight ban to Ebola-hit nations

The Kenyan government will not lift a travel ban to West African countries affected by an outbreak of Ebola virus until the risk reduce to a manageable level, state officials said on Tuesday

Director of Medical Services, Nicholas Muraguri, told journalists that Kenya remains vulnerable to Ebola transmission, and hence needs to intensify surveillance at ports of entry.

“The travel ban to Ebola-hit countries is temporal and since we are not convinced the risk levels are low, the ban will stay. However, we are closely monitoring the situation,” Muraguri said in Nairobi during the regional ministerial meeting on preparedness and response to Ebola.

From the Liberian Observer, a call from Ghana:

In Order to Eradicate Ebola, Ghanaian Prexy Wants Supports Expedited

The Chairman of the Economic Community of West African States (ECOWAS), President John Dramani Mahama of Ghana, has called on international partners and friendly countries that have pledged to assist Liberia with human, financial and material resources in the fight against the dreadful Ebola virus to expedite the process.

President Mahama said though several promised donations would adequately help in combating the virus in the Mano River sub-regions, the problem is that those resources are very slow in coming and as such, there is the need for the process to be fast-tracked in order to augment the government efforts in the fight.

The ECOWAS’s Chair spoke Monday, September 15, when he paid “a solidarity visit” with President Ellen Johnson Sirleaf. He was addressing a joint press briefing along with President Sirleaf in the Foyer of the Ministry of Foreign Affairs. The Ghanaian leader revealed at the briefing that he had held talks with United Nations (UN) Secretary General, Ban Ki Moon, on the issue of expediting support to the governments of Ebola affected countries if the virus is to be fought effectively and contained. President Mahama revealed that his visit is to show solidarity from the people of Ghana to Liberia as the country goes through this difficult period.

More from the Monrovia Inquirer:

Ghanaian Leader Braves Ebola Storm…Pays One-Day Visit To Liberia

In spite of fear amongst citizens of non-affected countries in the wake of the deadly Ebola outbreak in Liberia, Guinea and Sierra Leone, Ghanaian President, John D. Mahama has ended a one day visit to Liberia.   President Mahama is the first President to visit the West African country that now has the highest number of Ebola cases since the outbreak of the epidemic in Liberia in early March. The Ghanaian leader briefly met his counterpart, President Ellen Johnson-Sirleaf at the Ministry of Foreign Affairs before addressing a joint press conference yesterday.

President Mahama, who spent less than two hours in the country, expressed optimism that with determination, awareness, the Liberian people will be able to reciprocate. President Mahama said his visit is mainly about the observation of the guidelines by the Ministers of Health of the Economic Community of West African State (ECOWAS).

He added, “From the onset of the outbreak of this disease, actions and measures were taken out of panic. Now that we have a clearer understanding of the disease and how it spreads and all of the ramifications; we should not panic or take measures that will isolate countries that are affected by this outbreak because by doing that will make it more difficult for the disease to be brought under control.”

A video report from FrontPageAfrica:

FPA WEB TV: Standing in Solidarity with Liberia

Program note:

Ghanaian President John Mahama, also the current ECOWAS Chairman, on a stop in Monrovia, Monday, outlines a number of measures and review mechanisms underway to end the isolation of countries hit by the deadly Ebola outbreak.

The Liberian Observer hears the shout of fire in a crowded political theater:

Ebola Fear Grips Lawmakers

The fear of the deadly Ebola virus has forced the House of Representatives to suspend its Extra Ordinary Sitting for Tuesday, September 16, 2014.

According to a statement issued from the House’s Press Bureau, leadership of the House took the decision based “on medical advice.” “The House Chambers and surrounding offices are expected to be disinfected due to a probable case of Ebola,” the statement said.

“Members and chamber staff have been asked to stay away for 48 hours after the fumigation.  “The Chief Clerk of the House, Madam Mildred Siryon, has been instructed to communicate the House’s decision to the Liberian Senate. The House took the decision after one of the Chamber’s doorkeepers, Captain James Morlu suddenly died.

From the Liberian Observer again, a call for action:

Health Advocacy Group Wants GOL Improves Its Ebola Response

The National Health Advocacy Network of Liberia (NHANL) has called on the Liberian Government to focus on improving responses on the removal and burial of bodies.

The group also urged the GOL to trace people who have made contacts with infected persons. The National Coordinator of the NHANL, Mark Marvey, spoke to newsmen Monday at his Sinkor offices.

Marvey said his organization has encouraged the government to prioritize the re-opening of health facilities in order to avoid preventable deaths and maternal mortality.

Punch Nigeria pleads:

Ebola: Jonathan begs NUT to shelve strike

President Goodluck Jonathan has appealed to the Nigerian Union of Teachers to shelve its plan to embark on strike in protest against government’s directive that schools should resume on September 22.

The NUT had maintained that it would be unsafe for schools to resume on September 22 until the country was completely rid of the Ebola Virus Disease.
But President Jonathan, who spoke with state house correspondents in Abuja on Tuesday, said instead of going on strike, the NUT should commend government on its handling of the outbreak of the Ebola disease.

He said, “I will plead with NUT and other unions that this does not require industrial action. They should commend government. They worked with us, they are Nigerians; all Nigerians must work together to make sure that we contain Ebola. Why do we want to create problems while it is not necessary? It is uncalled for.”

Punch Nigeria again, covering the deplorable:

NAFDAC impounds expired hand sanitisers, Ebola kits

The National Agency for Food and Drug Administration and Control, has impounded 104 brands of expired hand sanitisers and fake Ebola testing kits at various borders in the country.

The NAFDAC Director-General, Dr. Paul Orhii, who spoke at a press briefing in Lagos, where importers of the fake products were paraded on Tuesday, warned that counterfeiters have flooded the Nigerian market with expired hand sanitisers and  fake Ebola testing kits

Orhii said,”So far, we have quarantined 104 brands that were illegally imported into the country without certification by NAFDAC. It is worrisome to observe that some unscrupulous businessmen have turned the country into a dumping ground by bringing in all sorts of products including expired hand sanitisers.

And for our final item, via the Liberian Observer, market mobilization:

ABIC Takes Ebola Awareness to Markets

The Angie Brooks International Center (ABIC) with support from the United Nations Population Fund (UNFPA) Liberia office yesterday launched a massive Ebola Awareness campaign at the Rally Time Market on UN Drive in Monrovia.

Yesterday’s activities were in collaboration with the youths and marketers, and are expected to include all markets in Monrovia as well as in the counties.

The ABIC Ebola awareness campaign was launched under the theme “Spread the Word, not the Virus.”

The center is run on the basis to unite women to lift the world with the latest intention to stop the Ebola’s denial and to join the fight against the EVD together.

EbolaWatch: Religion, promises, measures, death


We open with a rather chilling video, shot on the streets of Liberia’s capital, in which Christian fundamentalists conduct a very risky [note the touching] faith-healing prayer session around a prone Ebola patient.

From RadioAfrica:

LIBERIA:(RELIGION AND THE FIGHT AGAINST EBOLA)

Program notes:

Group of Liberians Evangelist prays over a suspected Ebola patient. All facing the possibility of contracting the deadly virus.

On to the hard news, first with the Associated Press:

UN Security Council to meet on Ebola

The United States called an emergency meeting of the U.N. Security Council Thursday on the Ebola crisis in West Africa, saying the situation on the ground is “dire” and getting worse every day.

U.S. U.N. Ambassador Samantha Power said the United States has asked the 193 U.N. member states to come to the meeting with “concrete commitments” to tackle the outbreak, especially in hardest-hit Liberia, Sierra Leone and Guinea.

“The trendlines in this crisis are grave, and without immediate international action we are facing the potential for a public health crisis that could claim lives on a scale far greater than current estimates, and set the countries of West Africa back a generation,” Power told reporters on Monday. “This is a perilous crisis but one we can contain if the international community comes together to meet it head on.”

Word from Washington leaked, via Reuters:

Obama to detail plans on Ebola offensive on Tuesday: WSJ

U.S. President Barack Obama is expected to detail on Tuesday a plan to boost his country’s involvement in mitigating the Ebola outbreak in West Africa, the Wall Street Journal reported on Sunday.

The plan would involve a greater involvement of the U.S. military in tackling the worst recorded outbreak of the deadly Ebola virus, the Journal reported, citing people familiar with the proposal.

The U.S. government has already committed around $100 million to tackle the outbreak by providing protective equipment for healthcare workers, food, water, medical and hygiene equipment.

Obama could ask Congress for an additional $88 million to fund his proposal, the WSJ reported. Plan details are expected during Obama’s visit Tuesday to the Centers for Disease Control and Prevention in Atlanta.

More from Science:

U.S. government set to announce surge of help for Ebola epidemic

A week after sharp criticism met the U.S. military’s announcement that it planned to help Liberia combat its Ebola epidemic with a “deployable hospital” that has a mere 25 beds, U.S. President Barack tomorrow plans to unveil dramatic new efforts to assist the West African countries besieged by the disease.

Obama, who will be visiting the U.S. Centers for Disease Control and Prevention in Atlanta to discuss the U.S. response, likely will announce plans to send more deployable hospitals, critical medical supplies like personal protective gear, and doctors and other healthcare workers who can care for infected people and help contain spread. (A  U.S. Senate hearing on Ebola will also take place tomorrow with testimony from key public officials and Ebola survivor Ken Brantly.)

Nicole Lurie, assistant secretary for preparedness and response at the U.S. Department of Health and Human Services (HHS), spoke with ScienceInsider on Friday and said she expected there would be “a substantial surge” in the U.S. government’s assistance. She particularly wants to see more attention paid to providing infected people with good care. “There’s a very, very wide variability in what’s being delivered as clinical care,” says Lurie, noting that case fatality rates differ dramatically  in different locations. “We know that simple interventions are likely to save the most lives.”

From the Associated Press, a question:

US works to step up Ebola aid, but is it enough?

The American strategy on Ebola is two-pronged: Step up desperately needed aid to West Africa and, in an unusual step, train U.S. doctors and nurses for volunteer duty in the outbreak zone. At home, the goal is to speed up medical research and put hospitals on alert should an infected traveler arrive.

Amid criticism that the world still is not acting fast enough against the surging Ebola epidemic, President Barack Obama travels Tuesday to the Centers for Disease Control and Prevention to discuss the outbreak with health officials who’ve been there.

Also Tuesday, a Senate hearing will examine the U.S. response. An American missionary doctor who survived the disease is scheduled to testify.

The administration hasn’t said how big a role the military ultimately will play — and it’s not clear how quickly additional promised help will arrive in West Africa.

Trooping in, via the Monrovia [Liberia] Inquirer:

U.S. Military To Build 25-Bedroom Ebola Hospital

It has been disclosed in Monrovia that the United States (US) Military will build a 25-bedoom hospital in the country to buttress efforts aimed at fighting the Ebola virus.     United State Ambassador accredited near Monrovia, Madam Debra Malac, said discussions are ongoing as where the hospital should be built but was certain that it would be constructed in Montserrado County.

Ambassador Malac addressing the weekly Press Briefing at the Ministry of Information said the unprecedented outbreak of the Ebola Virus Disease (EVD) in West Africa is an International Security priority for the U.S. Government and as such they will continue to be engaged in the region to eradicate the disease.

The U.S. Envoy said, “This is the worst outbreak of this virus in 40 years since it was first discovered. We defeated it and this time we will defeat it again. We will stop Ebola and it will take more work.”

Here’s a video report on her press conference from FrontPageAfrica:

FPA WEB TV: Uncle Sam’s Ebola AID

Program note:

U.S. Ambassador to Liberia Debora Malac outlines how much financial assistance in kind and in dollars the U.S. has contributed to the West Africa Ebola Outbreak.

From the Monrovia Inquirer, another hospital inaugurated:

Save The Children Constructs Central Region 1st Ebola Treatment Unit

Save the Children has turned over a 50-bed Ebola Treatment facility in Suakoko, Bong County worth about US$170,000 intended to serve the central region as part of its contribution to the national fight against the spread of the virus in other parts of the country.

The construction of the ETU which is a project solely undertaken by Save the Children according to its acting Country Director, Mercy Gichuhi who turned over the unit, was as a result of a request made to them from the local health team of Bong County.

Madam Gichihi said Save the Children believes that the construction of the health facility will go a long way in responding to the health need in that region and that Phebe Hospital focuses more on primary health care and at the same time give confidence to the health workers who will know that they have a place to refer confirmed Ebola patients.

Al Jazeera English covers critical context:

Nigeria’s weak health sector confronts Ebola

Spread of Ebola contained, but health system is having trouble dealing with treatable diseases which kill thousands.

Africa’s biggest oil producer and largest economy has one of the world’s highest child and maternal mortality rates. In 2012, an estimated 827,000 children under five died, while the reported maternal mortality rate was 550 per 100,000 live births, according to UNICEF.

Most of Nigeria’s childhood deaths are due to preventable or curable diseases: mainly malaria, pneumonia, and diarrhoea. Primary healthcare, run by local governments – Nigeria’s smallest unit of government – is tasked with handling these common illnesses.

The level of care in each centre varies, but generally, primary facilities do not have enough health workers, supplies, equipment, training, or transport – including ambulances to take patients to state or federal hospitals, says Michael Asuzu, a public health and epidemiology professor at the University of Ibadan.

From BBC News, a Brit on the scene:

Ebola virus: ‘Biological war’ in Liberia

With warnings from officials that the Ebola virus is “spreading like wildfire” in Liberia, Sarah Crowe, who works for the UN children’s agency (Unicef), describes her week on the Ebola front line:

Flights into disaster zones are usually full of aid workers and journalists. Not this time.

The plane was one of the first in after some 10 airlines stopped flying to Liberia because of Ebola, and still it was empty.

When I was last in Liberia in 2006, it was to work on reintegration of child soldiers in a time of peace. Now the country is fighting a “biological war” from an unseen enemy without foot soldiers.

As we enter the airport, an unnerving sight – a team of health workers kitted out with masks and gloves asks us to wash our hands with a chlorine solution and takes our temperatures.

A parallel set of American eyes from the Washington Post:

A virus hunter faces the big one: Ebola

Joseph Fair hunts viruses. That’s his thing. The 37-year-old American loves chasing dangerous pathogens, studying them in secure labs or searching for them in jungles where the microbes lurk.

And one virus has always loomed as the big one — Ebola. The scientists who first chased this dreaded microbe back in the ‘80s and ‘90s became legends, inspiring a generation of virologists like Fair. He read their books and papers. He studied how they contained the pathogen’s spread. And the scientists always won. The outbreaks ended, Ebola driven away.

So when the call came in March to travel to Sierra Leone, Fair was excited. He loved Mama Salone, as locals know the nation. He’d worked here for years. His new job: to advise Sierra Leone’s government on a tiny Ebola outbreak in neighboring Guinea, at the behest of the U.S. Defense Department. He set up an Ebola emergency operations center. He trained medical staff. He drew up just-in-case plans. By mid-May, the outbreak seemed on its way out. Fair packed his bags and left.

Then Ebola exploded.

From FrontPageAfrica, high-level visitors take a pre-opening hospital tour:

FPA WEB TV: ‘Liberia Will Beat Ebola’

Program notes:

World Health Organization (WHO) team tours the soon-to-be completed 120-Bed Ebola Clinic at the Island Clinic in Monrovia. WHO and its partners have supported construction of this new centre, which will be able to provide treatment for 120 patients at a time. Additional centers for about 400 more patients will be completed in the coming weeks.

BBC News covers a donation:

Ebola outbreak: Malaysia sends W Africa medical gloves

Malaysia plans to donate more than 20 million protective rubber gloves to five African countries affected by the Ebola outbreak, the government says.

They will be distributed among medical workers in Liberia, Sierra Leone, Guinea, Nigeria and the Democratic Republic of Congo.

A shortage of protective equipment has been one factor in the virus spreading.

Joseph Harker asks a question we’ve also entertained, via the Guardian:

Why are western health workers with Ebola flown out, but locals left to die?

  • The death of Dr Olivet Buck after the WHO refused to fly her out of Sierra Leone is not just wrong: it’s making the Ebola epidemic worse

My brother-in-law, Albert, is a GP based in the West Midlands. His sister Olivet Buck was a doctor too: though her work was quite different. She practised in the land of their birth, Sierra Leone. For the past few months she was fighting in the desperate battle against Ebola ravaging parts of her country. Last Tuesday came the awful news that she’d caught the virus.

To save her life, local campaigners called for her to be evacuated to Germany to receive treatment – all three previous doctors who had caught the disease in the country had died. Sierra Leone’s president backed her, saying that a hospital in Hamburg was “in readiness to receive her”. Last Friday, though, the World Health Organisation said it would not allow her to leave Sierra Leone, and refused to fund the move. Desperate attempts were made to try to overturn this decision but on Sunday came the news everyone was dreading: Olivet had died.

Albert, distraught, told me: “I shall never stop weeping at all our loss. Olivet was a truly remarkable person. She died because she would not forsake her service to others.”

But the death of Olivet, a 59-year-old mother of three, raises wider questions about how the world responds to the Ebola crisis, and how it protects those working closest to stop its spread.

Despite the fate of the previous doctors, the WHO had said merely that it would work to give Buck “the best care possible” in Sierra Leone.

However, foreign health and aid workers have been sent abroad from Sierra Leone and Liberia for treatment – including the British nurse William Pooley, who survived and now wishes to go back to Sierra Leone to continue helping to fight the disease. Only last Friday, two Dutch doctors were flown home after coming into contact with infected patients.

But so far no local health workers have been evacuated: even though, according to the WHO, in west Africa 301 have so far caught Ebola and 144 have died. Dr Sheik Humarr Khan, Sierra Leone’s top Ebola doctor, was being considered for evacuation to a European country when he died of the disease in late July.

More from the Associated Press:

Sierra Leone: WHO too slow to help doc with Ebola

Sierra Leone accused the World Health Organization on Monday of being “sluggish” in facilitating an evacuation of a doctor who died from Ebola before she could be sent out of the country for medical care.

Dr. Olivet Buck died Saturday, hours after the U.N. health agency said it could not help evacuate her to Germany.

Buck is the fourth Sierra Leonean doctor to die in an outbreak that has also touched Guinea, Liberia, Nigeria and Senegal. The West African outbreak has been blamed for more than 2,400 deaths, and experts say it is out of control. The U.S. has called an emergency meeting of the U.N. Security Council for this week to discuss the crisis.

At a heated news conference Monday, a Sierra Leonean government official read a statement saying that the Buck is the second doctor from that country to die because negotiations on evacuation had dragged on. Dr. Sheik Humarr Khan, the country’s top Ebola expert, was being considered for evacuation when he died of the disease in July.

From the Kampala, Uganda, Daily Monitor, a warning:

Tanzania at high risk of Ebola outbreak

Last week, the Tanzanian government assured the public of its unwavering commitment to keeping Ebola out after standard thermal scanners to detect Ebola suspects were installed at four major airports-Julius Nyerere International Airport in Dar-es-Salaam, Kilimanjaro International Airport, Zanzibar and Mwanza.

At the weekend, Health ministry authorities were hard at work allaying fears of an outbreak in Tanzania. But a new study titled “Mapping the zoonotic niche of Ebola virus disease in Africa” has raised the alarm in Tanzania and other countries across Africa where Ebola has never been reported.

It suggests that governments in those countries should start thinking of new ways to deal with the Ebola threat beyond targeting major airports and seaports. The researchers, who published the findings in eLife Journal this week, believe the Ebola virus is thriving in wild animals, which are its major reservoir. Tanzania, Burundi and 13 other African countries where no case of Ebola has been reported so far are home to wild animals.

Public Radio International makes that critical point:

This American doctor says racism is to blame for the slow response to the Ebola outbreak

Why has the global response to the Ebola outbreak been so slow? “I think it’s racism,” says Dr. Joia Mukherjee.

“I think it’s easy for the world — the powerful world, who are largely non-African, non-people of color — to ignore the suffering of poor, black people,” says Mukherjee, a professor at Harvard Medical School and chief medical officer at the Boston-based non-profit Partners in Health.

Race isn’t the only reason she believes it’s easy to dismiss the issues. “I think it’s also classism,” she says. “These are not countries that contribute massively to the global economy, so it’s easy to just otherize this problem.”

In that context, consider this from a country where a disproportionately large percentage of those in need of assistance are African American, via Salon:

Arizona GOPer quits after disgusting comment — but there’s a catch

  • Russell Pearce called for sterilizing Medicaid recipients. It’s gross, but here’s why the problem’s bigger than him

Pearce’s proposal was abhorrent, but it also laid bare the dehumanizing logic of Republican programs that punish the poor. If the GOP wants to distance itself from punitive and invasive policies that hurt low-income families, they should look in the mirror and start slowly backing away from their reflections.

A few things here. Pearce’s idea isn’t new. The United States has an ugly history of forced or otherwise coerced sterilization against people of color, the poor and others considered “unfit to procreate,” including rape victims and people with disabilities. Between 1907 and 1980, nearly 65,000 Americans were sterilized under state-sponsored programs. In total, 31 states had sterilization programs that directly targeted welfare recipients. North Carolina recently acted to compensate victims of its forced sterilization program, which specifically targeted black women and children. (And last year, the Center for Investigative Reporting revealed that nearly 150 women in California’s prison system were sterilized between 2006 and 2010, often without their knowledge or consent. The state legislature acted this year to end the program.)

That said, Pearce isn’t the only Republican to float the idea of coercively sterilizing welfare recipients in recent years. And his proposal is hardly the only assault on low-income families in the state. Arizona, you’ll remember, is where Shanesha Taylor was arrested after leaving her children in the car so she could attend a job interview.

From Punch Nigeria, help wanted:

ECOWAS seeks support for research

The Economic Community of West African States has appealed to its partners to support the regional initiatives aimed at strengthening epidemiological and therapeutic research as well as surveillance and improvements in health facilities in order to prevent and control the Ebola Virus Disease.

The sub-continental body called for support for the Regional Solidarity Fund to fight Ebola and welcomed the pledges made by some multilateral and bilateral partners to support some of the affected countries.

Speaking at the opening of the 10th edition of the ECOWAS/Development Partners Annual Coordination meeting at the ECOWAS Secretariat on Monday, in Abuja, President of the Commission, Mr. Kadre Ouedraogo, said the group welcomed the coordinated approach adopted to combat the viral disease through the World Health Organisation.

StarAfrica covers another donation:

China donates 80mn francs worth of Ebola prevention materials to Mali

The Malian president, Ibrahim Boubacar Keita has returned from his trip to China with a CFA 80 million francs worth medical material aimed at backing his government’s efforts to prevent the Ebola virus from entering the country, the Malian presidency disclosed Sunday.

The Chinese donation includes 1,000 sprays, 1,000 protective gears, 30 medically-equipped isolation tents, 600 protective masks, 600 shoes and 1,000 thermometers.

The Malian press reported recently the complaints of the medical staff deployed in Bamako road station where passengers from Ebola-hit neighboring Guinea are hosted.

The medical staff had lamented a lack of protective means which increases the risk of contagion.

From Punch Nigeria, a reminder about a key player:

Private sector in the first line of battle

The management of the Ebola Virus Disease has cost the Federal Government N2.1bn so far. Last month, a sum of N1.9bn was released to the Federal Ministry of Health for disbursement to the 36 states and the Federal Capital Territory. Lagos State, as the first epicentre of the outbreak, also got a separate N200m support from the Federal Government.

The funds, no doubt, are a drop in the ocean in providing Personal Protective Equipment discarded daily after use by health workers in isolation centres across the country; intravenous fluid and other drugs for infected people, diagnostic machines, daily payment for volunteers and other sundry expenses attached to the management of the virus.

Ahead of the September 22 resumption date for all primary and post primary schools in the country, a coalition of players in the private sector are seeking for an active participation in preventing a future outbreak of the EVD, especially in congested communities across the country.

The Guardian questions:

As Ebola closes schools in Africa, how do we help children learn?

  • As Ebola robs children of schooling, the seeds are being sown for continued problems. Vigilance and flexibility may be our best response to the virus

In response to the growing threat of Ebola across west Africa, the governments of Nigeria, Liberia, Sierra Leone and Guinea have closed their schools. The closures are only temporary, but that could change if the spread of the virus continues and accelerates.

As of 12 September, the World Health Organization (WHO) reports that Liberia, Sierra Leone and Guinea are facing widespread and intense transmission of Ebola (about 100 to 200 new cases per country per week). In other affected countries, the outbreak has been more localised. But in each affected areas the threat could expand rapidly, and there are credible predictions that Ebola could migrate to 15 additional countries and infect more than 20,000 people.

With that prognosis, closing schools is an understandable and prudent step to protect children and their families from exposure. The most immediate priority is to put out a raging and growing fire that threatens to affect more lives and territory.

And the Kampala, Uganda, Daily Monitor throws another handful of sand into gearbox:

Residents uproot cassava in fear of floods

Farmers in Omoro Sub-county, Alebtong District have begun uprooting their cassava, fearing it might rot in gardens. The move follows persistent rains that have caused flooding in the area.

Farmers who spoke to Daily Monitor said uprooting the cassava might save them from totally losing out as other crops have been washed away by floods.

As a measure, residents are drying their crops on roof tops and others have constructed high raise houses where they can temporarily sleep as they wait for floods to reduce.

And from StarAfrica, our final item and another critical bit of context:

Namibia ropes in Ethiopian pharmacists to address shortage

Currently, Namibia has 55 pharmacists working in the public health sector, of which ten are Namibians while the rest are expatriates.

With the population of just over two million, the country needs at least 1000 pharmacists, as in accordance with the World Health Organization (WHO) recommended ration.

In 2012, the University of Namibia established a School of Pharmacy, an edition to the Medical School, which the Health Minister said are part of the country’s long-term effort to address the shortage of qualified health personnel.

Ebola crisis, deaths vastly underestimated


Finally, a journalist gets it right.

We’ve been focused intensely on the Ebola crisis for two reasons: The sad relative neglect given the crisis by mainstream medium in the U.S. and Europe [except, that is, when a Westerner/Northerner gets sick or when there's a false alarm] and because it is our conviction that the current Ebola is the biggest news story of the year.

Yes, what’s happened in the Mideast is atrocious, but the flaws in the global health system and the instinctive ethnocentrism exhibited by the industrialized nations revealed by the crisis are a harbinger of things to come. And the wide-scale spread of the outbreak and the resulting horrendous human tragedy demand far more than our own sadly diminished news media have thus far been able to give.

Thus, it’s left to alternative media such as Democracy Now! to give the crisis the attention it merits, as in this interview with Pulitzer-winning public health journalist Laurie Garrett.

From Democracy Now!:

Underestimated and Ignored, Growing Ebola Epidemic Requires Unprecedented Global Mobilization

Program notes:

The World Health Organization is warning that the number of new Ebola cases in West Africa is growing faster than relief workers can manage. The organization says that thousands are at risk of contracting the virus in the coming weeks and more medical professionals are urgently needed to help contain the outbreak. So far, Ebola has claimed some 2,400 lives and continues to ravage Liberia, Sierra Leone and Guinea. It is the worst outbreak since the virus was discovered in 1976. Meanwhile, Sierra Leone has lost a fourth doctor to Ebola after efforts to transfer her abroad for treatment failed. The loss is a major setback for the impoverished country, which is already suffering from a shortage of healthcare workers. Since the Ebola outbreak began, approximately 144 healthcare professionals have died while serving affected populations. We speak to Pulitzer Prize-winning journalist Laurie Garrett, senior fellow for Global Health at the Council on Foreign Relations.

EbolaWatch: Alarms, shortages, communities


We open with the apocryphal via the London Daily Mail:

U.S. scientists say Ebola epidemic will rage for another 12 to 18 months

  • U.S. scientists say the Ebola crisis is worsening
  • They predict the virus will rage for another 12 to 18 months
  • As of September 7, there had been 4,366 Ebola cases including 2,218 deaths, more than half of them in Liberia
  • The most recent figures from Liberia reported 400 new cases as of September 7 – almost double the number reported the previous week

Epidemiologists have been creating computer models of the Ebola epidemic for the National Institutes of Health and the Defense Department.

The model they have created is a far less optimistic estimate than that of the World Health Organization (WHO), which last month said it hoped to contain the outbreak within nine months and 20,000 total cases.

The McClatchy Foreign Staff covers tragic contribution:

UN: Doctors, nurses play role in both treating, spreading Ebola

Margaret Chan, director-general of the World Health Organization, told reporters Friday at the agency’s headquarters in Geneva that “the number of new patients is moving faster than the capacity to manage them.” She said the world health community needs three to four times as many resources at it has committed “to catch up with the outbreaks.”

As of Friday, 4,784 people have fallen ill with Ebola, of whom more than 2,400 have died, she said. The most affected countries are Sierra Leone, Guinea and Liberia, where, Chan said, “there is not a single bed available for an Ebola patient in the entire country.”

Sarah Crowe, an official of the U.N. Children’s Fund, better known as UNICEF, said there were 370 beds occupied by Ebola victims in Liberia. “There’s a real sense this virus is taking over the whole country,” she said via a teleconference hookup from Monrovia, the Liberian capital.

Chan said the WHO still is seeking 500 to 600 doctors from abroad and at least 1,000 more nurses to dispatch to Africa to counter the epidemic. But with 301 health workers known to be infected with the virus _ almost half of whom have died _ finding volunteers has been difficult.

StarAfrica covers the military front:

ECOWAS defence chiefs join anti-Ebola crusade

Regional security chiefs in West Africa have made a joint declaration, registering their unequivocal backing for the ongoing crusade against the Ebola epidemic which has ravaged the region since February.In a statement on Sunday, the ECOWAS Committee of Chiefs of Defence Staff (CCDS) described the outbreak as a threat to regional security which requires an emergency response.

The CCDS said every material and human resource must be deployed in the campaign to banish the disease from West Africa where some 2, 400 people have died as the epidemic goes on the rampage in Guinea, Liberia, Sierra Leone and Nigeria.

“The military is ever ready and always the first to respond to any emergency such as this outbreak, which is a threat to regional security,” the CCDS declared.

The Guardian covers another casualty:

Ebola outbreak: fourth doctor dies in Sierra Leone

  • Country, which has a shortage of healthcare workers, asked for Dr Olivet Buck to be treated abroad but was turned down

Sierra Leone has lost a fourth doctor to Ebola after efforts to transfer her abroad for treatment failed, a government official said Sunday.

The death is a huge setback to the impoverished country, which is battling the virulent disease amid a shortage of healthcare workers.

Dr Olivet Buck died late Saturday, hours after the World Health Organisation (WHO) said it could not help medically evacuate her to Germany, Sierra Leone’s chief medical officer Dr Brima Kargbo confirmed to the Associated Press.

Sierra Leone had requested funds from WHO to transport Buck to Europe, saying the country could not afford to lose another doctor. WHO said it could not meet the request but instead would work to give Buck “the best care possible” in Sierra Leone, including possible access to experimental drugs.

From the Washington Post, the sad reality:

As Ebola cases accelerate, Liberia’s sick must fend for themselves.

With each day, the small group of caregivers trying to cope with the worst outbreak of Ebola on record falls further and further behind as the pace of the virus’s transmission rapidly accelerates. Health facilities are full, and an increasing number of infected people are being turned away, left to fend for themselves.

The epidemic has killed more than 2,200 people in five African countries and now poses a threat to Liberia’s “national existence,” according to its defense minister. The World Health Organization says the epidemic’s growth has been “exponential” in recent weeks, especially in Liberia.

The Doctors Without Borders center in Paynesville, on the outskirts of Monrovia, has 160 beds and is scheduled to add 25 on Monday. It needs 1,200 — and a corresponding increase in staff — to cope with the epidemic, said Sophie-Jane Madden, a spokeswoman for the organization. As Ebola begins to race through this city, that number is certain to increase.

“We’re just running behind the virus, aren’t we?” Madden said. “And taking the sickest people because we don’t have the capacity” for more. On Friday, 23 people were admitted, 25 were turned away, nine died and seven were released after recovering, she said.

From the Liberian Observer, local initiative:

Alfalit, LGM Ebola Staff Storm Johnsonville Community

  • Promises Solid Structures for Ebola Burial Site Hand washing Reservoir

Phase 2 of Alfalit-Liberia and Liberia/Ghana Missions Ebola virus outreach drive support kicked off last week, leading staff and officials of the entities to storm the Johnsonville community with sensitization and awareness messages.

In an emotional encounter with the weary Ebola news residents and officials last Thursday, the group donated 300 bags of safe drinking water and awareness T-shirts as initial assistance.

The LGM and Alfalit-Liberia’s officials were quick to disclose that following intensive discussions among members of the leadership, the entities decided to construct a solid structure to memorialize the Ebola virus dead bodies.

Besides, the officials also promised to make available 1000 bags of pure drinking water to residents and citizens of Johnsonville Community up to December 31, 2014 due to the bad nature of well water in the area.

BBC News punishes deserters:

Ebola outbreak: Liberia ‘sacks absentee officials’

Liberian President Ellen Johnson Sirleaf has sacked 10 government officials who have been “out of the country without an excuse,” amid a national Ebola crisis.

She said the officials had shown “insensitivity to our national tragedy and disregard for authority”.

The 10 were given a one-week ultimatum more than a month ago to return home. The 10 officials include two commissioners, six assistant ministers and two deputy ministers at the justice ministry, Wheatonia Dixon-Barns and Victoria Sherman-Lang.

From the Liberian Observer, more local initiative:

Bomi Ebola Taskforce Receives Anti-Ebola Materials

A local-based non-governmental organization under the auspices of Bomi Citizens against Ebola (BCAE) has donated anti-Ebola materials to the county’s Ebola Taskforce and Health Team in Tubmanburg.

BCAE donation comes against the backdrop of the ongoing fight against the deadly Ebola virus that has spread across the country.

The donated items included chlorine, Clorox, faucets bucket, mattresses and fuel.

Presenting the items, BCAE’s steering committee chair, Mr. Kederick F. Johnson, informed the County Superintendent Samuel Brown and Acting County Health Officer, Dr. Gabriel Logan, that the materials valued US$1,000 and is the organization’s initial contribution toward the county’s taskforce efforts to eliminate the disease.

The Liberian Observer again, with more local initiative:

FTP Identifies With LBS, JFK in Ebola Fight

The Flomo Theater Production, a local dramatic group, last Friday donated an amount of L$10,000 to the Liberia Broadcasting System (LBS) and several bottles of mineral water to the Ebola Treatment Unit within the compound of the John F. Kennedy Memorial Hospital.

The donation according to the authority of FTP is meant to intensify the fight against Ebola as the media and hospital have cardinal roles to play.

Presenting the items on behalf of the group, Siafa Ballah, Executive Director of FTP, said the donation is their own way of identifying with the station as well as people who had been infected with the virus and currently undergoing treatment at the Ebola Treatment unit at JFK.

From CBC News, a Canadian’s fears:

Ebola crisis: Nursing student returns from ‘terrifying’ aid trip

  • Ian MacKay, 23, spent a month in quarantine after 2 aid workers at his clinic contracted Ebola

A 23-year-old nursing student’s trip to Liberia to try and help contain the spread of Ebola has left him haunted by the memories and compelled to return.

“It was absolutely terrifying,” Ian MacKay told CBC’s Chris Brown. “I’ve never feared for my life as much as I did in Liberia.”

“Knowing that I had been exposed to the virus … and it was a bloody, painful death was the scariest part of it all,” he said.

Der Spiegel covers a German’s fears:

‘His Father Had Lied to Us’: German Doctor Shares Harrowing Ebola Encounter

After the discovery of Ebola at the only children’s hospital in Sierra Leone, nurses and doctors alike fled. German physician Werner Strahl of the aid organzation Cap Anamur, who stayed behind to provide care amidst the chaos, shares his story.

Werner Strahl, 70, is chairman of the Cologne, Germany-based medical aid organization Cap Anamur. The organization has operated Sierra Leone’s only children’s hospital in the capital city of Freetown for the past five years. Strahl, a pediatrician who has worked for Cap Anumur for three decades, visited the Ola During Children’s Hospital in August just as its staff unwittingly admitted its first Ebola-infected child. In the following account, compiled from an interview Strahl conducted with SPIEGEL reporter Katrin Elger, the doctor describes the chaos that ensued. Strahl says he has never returned from a trip feeling as “glum” as he did his harrowing visit to Freetown.

We were sitting in the morning meeting when it dawned on us that something must have gone terribly wrong. A few days earlier, a four-year-old boy with a high fever had been brought to us at the hospital. As a matter of course, a nurse responsible for admissions asked the father if he had been in contact with anyone who had suddenly fallen ill. Had anyone in the family been buried recently? Any suspected cases of Ebola?

The father answered “no” to every single question and a blood test also confirmed that Melvin-Vincent, his gravely ill son, was suffering from Malaria.

StarAfrica demands oversight:

S/Leone: MP wants NGOs Ebola funds monitored

The Majority Leader in Sierra Leone’s parliament Sunday urged fellow citizens to be vigilant in monitoring NGOs over funds they received on behalf of the nation to deal with the Ebola pandemic, rather than focusing all their attention on Mps.

Ibrahim Bundu, member of parliament for the governing All Peoples Congress (APC), said some $26M has been received by NGOs from international donors and that these funds were solicited in the name of Sierra Leoneans.

He said citizens must ensure that such funds were spent accordingly.

He however expressed frustration that despite the huge amount of money pouring into the hands of the NGOs, people keep complaining of the unavailability of gloves and personal protective gears, among others, for health workers.

From the Daily Monitor in Kampala, Uganda, the plight of those who help:

Health staff live in classrooms

This was revealed by the Kalangala District chairman, Mr Willy Lugoloobi, after Daily Monitor had asked him to comment on the state of the health sector in the district.

Kalangala- Lack of housing facilities in Kalangala District has forced a number of health workers in the area to sleep in school classrooms, health centre kitchens and dilapidated houses.

Those most affected include nurses and clinical officers in the district.

This was revealed by the Kalangala District chairman, Mr Willy Lugoloobi, after Daily Monitor had asked him to comment on the state of the health sector in the district.

Mr Lugoloobi told Daily Monitor that even the few which house staff such as Bukasa Health Centre IV, can only take a few of their staff. But can only sufficiently accommodate nine staff out of 29 health workers.

Punch Nigeria urges caution:

‘Don’t subject yourself to victimisation’

Nigerian pilgrims travelling for the 2014 Hajj have been warned not to display unnecessary panic about the Ebola Virus Disease at Saudi Arabia airports.

The Operations Manager of Hajj Mabrur Ventures Limited, Alhaji Zulkifli Adewunmi, gave the warning during a seminar organised by the HMVL for intending pilgrims.

Adewunmi explained that showing fear would result to stigmatisation of the pilgrims.

He noted that the use of sanitisers had become more pronounced in Nigeria because of the positive cases recorded in the country.

StarAfrica covers a call:

S/Leone: Minority leader urges ban on religious gatherings

The leader of the minority party in Sierra Leone’s parliament has called for the banning of all large religious gathering until the end of the prevailing state of emergency.The MP, Dr Bernadette Lahai, is concerned that despite the prohibition of all public gatherings across the country due to the state of emergency prompted by the Ebola epidemic, Christian and Muslim worshippers were still assembling.

The opposition Sierra Leone Peoples Party parliamentary lawmaker said Sunday that this poses high risk of spreading the Ebola virus. She was speaking on national TV, SLBC, during a live talk show aimed at defending the government’s decision to declare a state of emergency.

The government is preparing for a nationwide shutdown which it plans to use to sensitize the general public on the disease and seek to identify sick people for treatment.

For our final item, from the London Daily Mail, hailing money from the North:

Microsoft to the rescue: Co-founders Paul Allen and Bill Gates donate nearly $62 MILLION to fight Ebola in West Africa and stop the spread of the deadly disease

  • Co-founder Paul Allen has pledged a donation of $9 million just a month after donating $2.8 million to fight Ebola
  • Allen’s donation joins that of the Bill and Melinda Gates Foundation, which has pledged $50 million to support the cause

The good people from Microsoft Corp are at it again.

The tech giant’s co-founder, Paul Allen, says his charitable foundation is donating $9 million to support the fight against the Ebola outbreak in West Africa, just a month after donating $2.8 million to the American Red Cross for its work on the outbreak.

The gift to the Centers for Disease Control and Prevention comes at a time when international groups, including Doctors Without Borders and the World Health Organization, have said resources to contain the epidemic and treat those affected are falling tragically short.

EbolaWatch: Fears, help, hope, despair


We open today’s news from Africa and elsewhere with an assessment from the New York Times:

U.S. Scientists See Long Fight Against Ebola

The deadly Ebola outbreak sweeping across three countries in West Africa is likely to last 12 to 18 months more, much longer than anticipated, and could infect hundreds of thousands of people before it is brought under control, say scientists mapping its spread for the federal government.

“We hope we’re wrong,” said Bryan Lewis, an epidemiologist at the Virginia Bioinformatics Institute at Virginia Tech.

Both the time the model says it will take to control the epidemic and the number of cases it forecasts far exceed estimates by the World Health Organization, which said last month that it hoped to control the outbreak within nine months and predicted 20,000 total cases by that time. The organization is sticking by its estimates, a W.H.O. spokesman said Friday.

But researchers at various universities say that at the virus’s present rate of growth, there could easily be close to 20,000 cases in one month, not in nine. Some of the United States’ leading epidemiologists, with long experience in tracking diseases such as influenza, have been creating computer models of the Ebola epidemic at the request of the National Institutes of Health and the Defense Department.

Another alarm, via the Daily Climate:

Ehrlich: Ebola, population and evolution whip up a wicked recipe for disaster

  • The 1918 influenza pandemic infected one-fifth of the world’s population. On an increasingly hot, overcrowded planet, could Ebola be our next global scourge?
  • Stanford University Professor Paul Ehrlich calls for a holistic defense.

We have a problem with “emergent” diseases, ones that are becoming potentially serious to a larger and more vulnerable human population. Ebola and Marburg viruses, because of their high death rates, could become this generation’s version of the flu pandemic that swept the globe at the end of World War I.

If it does, we have only to blame ourselves: Our degraded environment, our unchecked population growth, our nonchalance at global poverty, hunger and disease and our jet-setting ways.

The filoviruses are native to Africa and commonly infect non-human primates (don’t eat chimpanzee meat) and some bats, which may be the main natural reservoir. The favorable conditions for transfer are directly related to human population size. The more people who come into contact with animal reservoirs and the more people who need “bushmeat,” the higher the odds of a virus transferring into people.

NBC News poses a question:

Just Who Is Leading the Fight Against Ebola?

The Ebola toll is fast approaching 5,000, with 2,400 people dead in the space of a few months, the World Health Organization said Friday. It’s getting worse and not better. Yet aid is not pouring into West Africa.

It mystifies Sophie Delaunay, executive director of the U.S. office of Medecins Sans Frontieres (MSF or Doctors Without Borders). “We know what needs to be done but we don’t know why it’s not being done. It’s incomprehensible to us,” she told NBC News.

Dr. Oliver Johnson of the King’s Sierra Leone Partnership at Connaught Hospital in Freetown echoes the sentiment. “The international response to the outbreak remains virtually non-existent, in terms of actual impact on the ground,” Johnson wrote in a plea to international infectious disease specialists. “At Connaught … our isolation unit is full with adult and pediatric cases and we have suspected cases in the waiting area and emergency room that we can’t isolate — I don’t know how much longer the hospital will be able to stay open in these circumstances.”

CBC News carries a plea:

Ebola outbreak: Sierra Leone asks for outside help for sick doctor

  • 4th doctor from African country to be infected with deadly virus

Sierra Leone has requested funds from the World Health Organization to evacuate a doctor sick with the deadly Ebola disease.

Dr. Olivet Buck is the fourth doctor from Sierra Leone to come down with Ebola, which has been blamed for 2,400 deaths in West Africa, according to the World Health Organization. Liberia, Sierra Leone and Guinea have recorded the vast majority of cases.

Buck, a citizen of Sierra Leone, would be the first doctor from one of the countries hit hardest by Ebola to receive treatment abroad. The other three doctors from Sierra Leone died in the country.

A letter from President Ernest Bai Koroma’s office said he had approved Buck’s evacuation to a hospital in Hamburg, Germany, “where they are in readiness to receive her.”

From the New York Times on the ground in Monrovia, Liberia:

Back to the Slums of His Youth, to Defuse the Ebola Time Bomb

The girl in the pink shirt lay motionless on a sidewalk, flat on her stomach, an orange drink next to her, unfinished. People gathered on the other side of the street, careful to keep their distance.

Dr. Mosoka Fallah waded in. Details about the girl spilled out of the crowd in a dizzying torrent, gaining urgency with the siren of an approaching ambulance. The girl’s mother had died, almost certainly of Ebola. So had three other relatives. The girl herself was sick. The girl’s aunt, unable to get help, had left her on the sidewalk in despair. Other family members may have been infected. Still others had fled across this city.

Dr. Fallah, 44, calmly instructed leaders of the neighborhood — known as Capitol Hill, previously untouched by Ebola — how to deal with the family and protect their community. He promised to return later that day, and send more help in the morning. His words quelled the crowd, for the moment.

Another report from Monrovia, this time from the Washington Post:

As Ebola cases accelerate, Liberia’s sick must fend for themselves

Steps from a chance at salvation, or at least a less excruciating death, Comfort Zeyemoh walked slowly from the Ebola treatment center on Saturday. It was one of only three in a city devastated by the lethal virus. And it was nearly full.

Zeyemoh, 22, was not sick enough to gain entry, though she had started vomiting the night before and was feeling weak. Those are telltale signs of Ebola.

“They sent us here for a checkup,” her boyfriend, Moses Sackie, said outside the facility run by the aid group Doctors Without Borders. “Now they are telling us to wait for three days.”

With each day, the small group of caregivers trying to cope with the worst outbreak of Ebola on record falls further and further behind as the pace of the virus’s transmission rapidly accelerates. Health facilities are full, and an increasing number of infected people are being turned away, left to fend for themselves.

From Punch Nigeria, an act of despair:

Ebola hospital workers down tools over pay in Sierra Leone

Local workers have gone on strike in an overcrowded Ebola ward at a major district hospital in Sierra Leone’s disease-stricken east over claims the government is failing to pay them.

Up to 80 workers crowded the entrance compound to the hospital on Friday, deserting their posts and bringing operations at the Ebola treatment ward to a standstill. The workers were peaceful but frustrated.

The workers were recruited nationally to boost staff numbers at Kenema Government Hospital where they operate inside a tented ‘high-risk’ zone as nurses and support staff tasked with treating the sick, disinfecting contaminated equipment, cleaning faeces, vomit and blood and removing and burying dead bodies.

“I started working here one month ago and we have been paid nothing for the last two weeks,” Umaru, a hygienist, told Al Jazeera. “We have stopped everybody from working until we receive our risk incentive.”

The New York Times conveys a plea:

Liberian President Pleads With Obama for Assistance in Combating Ebola

The president of Liberia, Ellen Johnson Sirleaf, has implored President Obama for help in managing her country’s rapidly expanding Ebola crisis and has warned that without American assistance the disease could send Liberia into the civil chaos that enveloped the country for two decades.

In a letter on Tuesday to Mr. Obama, Ms. Johnson Sirleaf wrote that “I am being honest with you when I say that at this rate, we will never break the transmission chain and the virus will overwhelm us.” She urgently requested 1,500 additional beds in new hospitals across the country and urged that the United States military set up and run a 100-bed Ebola hospital in the besieged capital, Monrovia.

Infectious disease experts have sharply criticized as inadequate the Obama administration’s response to the Ebola crisis, particularly in Liberia, a country founded by freed American slaves. Global agencies like the World Health Organization and the United Nations have also come under criticism for responding too slowly to the Ebola outbreak.

From Reuters, military assistance:

U.S. to train Liberian armed forces to help tackle Ebola crisis

The United States said on Friday it would train Liberia’s security forces to assist in isolation operations to tackle an Ebola epidemic ravaging the West African nation, after a boy was killed when soldiers opened fire on a protest last month.

The worst Ebola outbreak on record has killed more than 2,400 people in West Africa – more than half of them in Liberia. Liberian officials have called the outbreak the greatest threat to national stability since a 1989-2003 civil war.

Many in the country, founded by descendants of freed American slaves, have looked to Washington for support, as they did during the civil war, which killed nearly 250,000 people.

The New York Times covers another cost:

Rampant Ebola Fear Takes Toll on Africa Tourism

Ebola is thousands of miles away from Kenya’s pristine Indian Ocean beaches, but the deadly disease appears to be discouraging tourism there and elsewhere in this vast continent.

Harald Kampa, a hotelier near Mombasa, says the Ebola outbreak in West Africa is hurting his business.

For two weeks in August he had no international arrivals at his Diani Sea Resort, leading him to suspect that Ebola had frightened away his clients. He noticed an improvement only after Kenya Airways canceled flights to the Ebola-hit West African nations of Sierra Leone and Liberia, action that the local tourism fraternity said was necessary to assure tourists of Kenya’s determination to keep Ebola out.

Kampa is not alone. Tour operators across Africa say they face difficulties as the Ebola outbreak, which has killed more than 2,200 people in four countries, continues to defy international efforts to control it. Tourism, a major source of revenue for many African countries — especially Kenya and South Africa — is increasingly being hurt as some potential visitors hesitate over visiting the continent which is home to the disease.

And from Reuters, a helping hand:

Cuba answers WHO’s call for more Ebola help

Program notes:

The communist island nation of Cuba is sending 165 healthcare workers to West Africa to help fight Ebola, said to be the biggest commitment of personnel from any one country against the current outbreak. Mana Rabiee reports.

TheLocal.fr mixes in the politics:

French minister ‘first’ in Africa Ebola zone

The French development secretary said Friday she was the first minister in a European government to visit any of west Africa’s Ebola-hit nations as she prepared to fly to Guinea.

The French development secretary said Friday she was the first minister in a European government to visit any of west Africa’s Ebola-hit nations as she prepared to fly to Guinea.

Annick Girardin will visit Ebola units and healthcare workers in the Guinean capital Conakry on Saturday to discuss France’s contribution to the battle to halt an epidemic which has taken 2,400 lives in Guinea, Liberia and Sierra Leone.

A video report Deutsche Welle covers another effort, potentially profitable:

German researchers help in fight against Ebola

Program notes:

In Eastern Germany’s Halle, a team of scientists is producing antibodies from tobacco plants. They will be used in the manufacture of a new drug that researchers hope can be used to treat ebola.

Punch Nigeria reports other assistance:

FIFA to set up Ebola treatment centres in Liberia, others

President of the International Federation of Football Associations, Sepp Blater, on Saturday said the organization would give full support to three West African countries heavily hit by the Ebola Virus Disease.

According to “Inside Games,” an online news provider, Blater made the pledge at FIFA headquarters in Zurich, Switzerland.

The publication stated that the world football’s governing body said that the issue would be discussed and agreed upon at its next Finance Committee meeting which would hold in France on Sept. 25.

And for our final item, another Westerner saved, via the Associated Press:

Ebola patient in Omaha eating ice cream

Officials at the Nebraska Medical Center where an American aid worker infected with Ebola is being treated say the patient is getting his appetite back.

Dr. Rick Sacra was flown to the Omaha, Nebraska, hospital on Sept. 5 for treatment in the hospital’s specialized 10-bed isolation unit.

Sacra’s doctors and his wife, Debbie, have said the 51-year-old doctor’s condition has steadily improved since he arrived.