Category Archives: Poverty

Quote of the day: America’s imperiled kids


From the abstract of a stunning new analysis published in JAMA Pediatrics:

Children account for 73.5 million Americans (24%), but 8% of federal expenditures. Data on health and health care indicate that child well-being in the United States has been in decline since the most recent recession. Childhood poverty has reached its highest level in 20 years, 1 in 4 children lives in a food-insecure household, 7 million children lack health insurance, a child is abused or neglected every 47 seconds, and 1 in 3 children is overweight or obese. Five children are killed daily by firearms, 1 in 5 experiences a mental disorder, racial/ethnic disparities continue to be extensive and pervasive, and major sequester cuts and underfunding of pediatric research have damaged our global leadership in biomedical research and hobbled economic growth.

EbolaWatch: Panic, pols, Africa, fear & drugs


And much, much more.

We begin on the lighter side, given what follows.

From Reuters Plus:

Cuddly Ebola toy almost wiped out

Program note:

It’s probably the only time you’ll find Ebola associated with “Add to Wishlist”. Giantmicrobes.com’s fluffy rendition of the deadly virus is completely sold out.

A more serious note — much more serious — from Agência Angola Press:

World must stop Ebola in West Africa or face ‘pandemic’ – Cuba’s Castro

The world must confront Ebola in West Africa to prevent what could become one of the worst pandemics in human history, Cuban President Raul Castro said on Monday.

“I am convinced that if this threat is not stopped in West Africa with an immediate international response … it could become one of the gravest pandemics in human history,” Castro told a summit of the leftist ALBA bloc of Latin American and Caribbean countries in Havana.

Cuba is sending 461 doctors and nurses to West Africa, the largest medical contingent of any single country to fight the worst Ebola outbreak on record.

Another warning from the Independent:

Ebola outbreak: Nowhere is safe until virus is contained in Africa, claims the top doctor who beat it in Nigeria

Dr Faisal Shuaib, the incident manager for Nigeria’s Ebola response, told The Independent that Nigeria was still under threat, and that no state could afford to be complacent.

“Yes we have contained an outbreak, but there’s always a threat that we could be infected again by individuals travelling from affected states,” he said. “The outbreak in West Africa is two different stories, a success story in Nigeria, and a story of human tragedy [in the worst-affected states].

“There are still lot of resources required in Sierra Leone and Liberia to contain the outbreak. We need international clarity that as long as the outbreak continues in West Africa, then no country, no individual in the world is safe from contracting the disease. We need to mobilise resources – human, material and financial – to these countries to contain the outbreak there,” he said.

“Then and only then can we say we have dealt with this as a global community as one human race.”

From Shanghai Daily, a key reason for the win:

Nigeria declared Ebola-free thanks to doctor who died from the virus

The first case in Nigeria was imported from Liberia when Liberian-American diplomat Patrick Sawyer collapsed at the main international airport in Lagos on July 20.

Authorities were caught unawares, airport staff were not prepared and no hospitals had an isolation unit, so he was able to infect several people, including health workers at the hospital where he was taken.

But they acted fast after the doctor on duty, who later herself died of the disease, quarantined him against his will and contacted officials.

Ameyo Adadevoh, the doctor at the First Consultants hospital in Lagos, kept him in the hospital despite his protests and those of the Liberian government, preventing the dying man spreading it further, said Benjamin Ohiaeri, a doctor there who survived the disease.

“We agreed that the thing to do was not to let him out of the hospital,” Ohiaeri said, even after he became aggressive and demanded to be set free. “If we had let him out, within 24 hours of being here, he would have contacted and infected a lot more people … The lesson there is: stand your ground.”

From South China Morning Post, a promise:

WHO chief pledges ‘transparent’ review of its handling of Ebola crisis

  • WHO chief Margaret Chan says agency will be upfront about how it handled disease, after damning internal report details its initial failings

The head of the World Health Organisation said the agency would be upfront about its handling of the Ebola outbreak after an internal report detailed failures in containing the virus – while a senior WHO official praised the precautions China has taken.

In a draft document, the WHO says “nearly everyone” involved in the Ebola response failed to notice factors that turned the outbreak into the biggest on record.

It blames incompetent staff, bureaucracy and a lack of reliable information.

WHO director general and former Hong Kong director of health Margaret Chan Fung Fu-chun said on Monday that the report was a “work in progress”. Chan, who was attending a conference in Tunisia, said: “I have promised WHO will be fully transparent and accountable.”

The Wire covers the political:

Democrats Defy Obama in Favor of an Ebola Travel Ban

  • The question of restricting flights to insulate the U.S. has become a classic campaign litmus test

Worried about the political fallout from the Ebola outbreak, vulnerable Senate Democrats are declaring their support for a U.S. travel ban from the afflicted countries in west Africa.

In multiple cases, the Democrats are shifting from their earlier positions on the question, despite arguments from senior U.S. medical officials and the White House that stiff restrictions would only make it harder to prevent an infected person from entering the country. Senator Jeanne Shaheen of New Hampshire joined the crowd on Monday night, saying through a spokesman that she “strongly supports any and all effective measures to keep Americans safe including travel bans if they would work.” Shaheen said last week she didn’t think a travel ban makes sense, but she is facing heavy criticism from her Republican opponent, former Senator Scott Brown, on the issue. Under pressure from Republicans, Senator Kay Hagan came out in support of a ban late last week, and Senators Mark Pryor and Mark Udall have also called for travel restrictions.

More from BuzzFeed:

Democratic Congressional Candidate: Ebola Is Coming To Nevada, Ban Travel From Africa

  • “I wasn’t sure why they didn’t stop tourists visas a week ago from Africa. I wasn’t sure about that, why that hasn’t happened?”

A Democratic congressional candidate says Ebola is coming to southern Nevada and wants to ban travel from Africa.

In a video from last Thursday, Erin Bilbray, the Democrat challenging Republican Rep. Joe Heck in Nevada’s 3rd District

Bilbray said hospitals need to be equipped to handle Ebola saying, “I think it is gonna happen here in southern Nevada, god forbid.”

Next, from Gallup, the trend line revealing declining confidence in the ability of America’s government to handle an Ebola outbreak on this side of the Atlantic:

BLOG Ebola

Now that white folks are getting sick. . .from Homeland Security News Wire:

Congress ready to allocate additional funds to agencies working on Ebola

Some members of Congress are preparing to offer additional funding to the Centers for Disease Control and Prevention, the National Institutes of Health, and other federal agencies, but according to White House press secretary Josh Earnest, the Obama administration has not decided how much additional funding it will request from Congress to combat the epidemic.

Efforts to contain and eliminate Ebola in affected countries need more U.S. government funding, according to aid organizations and public health agencies involved in the matter. Some members of Congress are preparing to offer additional funding to the Centers for Disease Control and Prevention, the National Institutes of Health, and other federal agencies, but according to White House press secretary Josh Earnest, the Obama administration has not decided how much additional funding it will request from Congress to combat the epidemic.

Senator Tom Harkin (D-Iowa), who heads the Labor and Health and Human Services Appropriations Subcommittee, has asked his staff to work with the administration to figure out what resources will be needed to fight Ebola in the United States and West Africa. “Areas of focus in these discussions on funding for the U.S. Ebola response include the need for resources to expand quarantine stations, train and equip health workers, test potential treatments and vaccines, and expand our response in West Africa,” an aide to Harkin said.

From the Associated Press, and why aren’t we surprised?:

Insurer considers Ebola exclusion in some policies

Global property and casualty insurer Ace Ltd. says it may exclude Ebola coverage from some of its general liability policies.

The Swiss company said Tuesday that it is making the decision on a “case by case” basis for new and renewal policies under its global casualty unit, which offers coverage for U.S.-based companies and organizations that travel or have operations outside the U.S.

Ace said in a statement that it is evaluating the risk for clients that might travel to or operate in select African countries with higher exposure to the Ebola virus. It did not specify how many policies this might affect and declined to say if it has put an exclusions of this sort in place yet.

The company appears to be one of the first insurers to disclose that it is making modifications specific to Ebola, but that doesn’t mean it is the only one.

Laying down the rules with the Guardian:

Ebola health workers must be covered head to toe, say new US guidelines

  • Nurses’ groups and others had called for revised advice
  • Stricter CDC guidance provides ‘extra margin of safety

Federal health officials issued new guidelines to promote head-to-toe protection for health workers treating Ebola patients.

Officials have been scrambling to come up with new advice since two Dallas nurses became infected while caring for the first person diagnosed with the virus in the United States.

The new guidelines issued on Monday set a firmer standard, calling for full-body garb and hoods that protect workers’ necks; setting rigorous rules for removal of equipment and disinfection of gloved hands; and calling for a “site manager” to supervise the putting on and taking off of equipment.

Nurses’ groups and other hospital workers had pressed the Centers for Disease Control and Prevention (CDC) for the new guidance, saying the old advice was confusing and inadequate, and workers felt unprepared.

From the New York Times, preparations:

New York Health Care Workers Gather for Ebola Training

Thousands of health care workers, including janitors and security guards, doctors and nurses, gathered at the Javits Convention Center in Manhattan on Tuesday for a combination training session and pep rally to prepare them in the event that the Ebola virus is found in New York.

The workers are being taught how to recognize Ebola and prevent it from spreading. Though many said they had already received training at their hospitals, the session was intended to address concerns that existing practices were inadequate, after two nurses in Dallas contracted the virus after caring for Thomas Eric Duncan, the Liberian man who died on Oct. 8. The session’s organizers planned to communicate the latest protocols from the Centers for Disease Control and Prevention, which had been updated as recently as Monday.

Though several New York hospitals have taken in patients with symptoms signaling Ebola, like high fever, none have tested positive for the virus. To date the only three people to be diagnosed with it in the United States are the three in Dallas.

From CCTV America, another impact of the Ebola crisis in the U.S.:

Liberians in the US facing stigma of the virus

Program notes:

Liberians in the United States say they are facing social isolation as a result of fears that they will pass on the Ebola virus. CCTV America’s Daniel Ryntjes reports.

From TheLocal.de, a call form Germany:

Steinmeier wants epidemic task force

At the World Health Summit in Berlin, the Ebola crisis took centre stage at talks meant to create plans for how to handle future outbreaks.

Germany’s Foreign Minister Frank-Walter Steinmeier opened the conference on Sunday with his own ideas.

“One could possibly conceive of something like the White Helmets. Not an organisation that is always there, but a pool of experts, of doctors, of nursing staff, that one can call upon in these kind of crisis situations,” he said at his key note speech.

At a press conference, Steinmeier added that a coordinated effort is most important to stem the spread of the Ebola outbreak.

Consultation from Agência Angola Press:

WHO’s emergency committee on Ebola to meet Wednesday

The World Health Organization’s emergency committee on Ebola will meet on Wednesday to review the scope of the outbreak and whether additional measures are needed, a WHO spokeswoman said on Tuesday.

“This is the third time this committee will meet since August to evaluate the situation. Much has happened, there have been cases in Spain and the United States, while Senegal and Nigeria have been removed from the list of countries affected by Ebola,” WHO spokeswoman Fadela Chaib told a news briefing.

The 20 independent experts, who declared that the outbreak in West Africa constituted an international public health emergency on Aug. 8, can recommend travel and trade restrictions. The committee has already recommended exit screening of passengers from Guinea, Liberia and Sierra Leone.

From The Hill, case closed:

American journalist declared free of Ebola

An American freelance journalist has been cleared of the Ebola virus after he fell ill while working as a cameraman for NBC News and Vice News in Liberia, according to reports.

Ashoka Mukpo tweeted Tuesday night that he’s had three consecutive days of negative Ebola tests and called the discovery “a profound relief.”

Another Northerner cured, from TheLocal.no:

Norwegian Ebola victim free of virus

A Norwegian woman who contracted the Ebola virus while working for Doctors Without Borders in Sierra Leoneis now free of the virus and was released from an isolation unit on Monday.

“Today I am in good health and am no longer contagious,” Silje Lehne Michalsen told reporters just minutes after Oslo University Hospital announced she had recovered.

Profits aplenty, via the Associated Press:

Ebola causing spike in demand for hospital gear

Manufacturers and distributors of impermeable gowns and full-body suits meant to protect medical workers from Ebola are scrambling to keep up with a surge of new orders from U.S. hospitals, with at least one doubling its staff and still facing a weekslong backlog. Many hospitals say they already have the proper equipment in place but are ordering more supplies to prepare for a possible new case of Ebola.

This gear is made of material that does not absorb fluids and is crucial to preventing the spread of the virus, which has infected thousands across West Africa, many of whom caught the disease while caring for those infected. Ebola is transmitted through direct contact, through cuts or mucous membranes, with bodily fluids such as blood, vomit and feces, and proper protective equipment helps prevent doctors and nurses from accidentally getting any fluids in their eyes, nose or mouth.

Hospitals are paying close attention to the type of protective gear they stock after two nurses contracted Ebola earlier this month while caring for a Liberian man dying of the disease at a Dallas hospital. The nurses were exposed to the disease during what the Centers for Disease Control and Prevention has called a “breach in protocol” at the hospital. But some medical professionals criticized the CDC for distributing guidelines that do not require medical staff caring for infected patients to don full-body suits or wear multiple layers of gloves.

Likewise, from Deutsche Welle:

Disinfection a growing market

  • Demand for disinfection and disease protection gear is booming amidst concern about the Ebola epidemic

The McClatchy Washington Bureau covers amelioration:

Ebola panic may be subsiding in Dallas

Panic over Ebola appears to be waning across much of the Dallas-Fort Worth region as residents drop off the quarantine list and more is learned about how the virus spreads.

Numbers of note from the Washington Post:

U.S. influx of travelers from Ebola-stricken nations slows

During the first five days of screening, there were an average of about 80 travelers a day from the three countries, down from the average of 150 that had been expected.

Enhanced screening at JFK — where about 43 percent of the passengers enter — began on Oct. 11, and was implemented five days later at Dulles and airports in Atlanta, Chicago and Newark.

The number of West Africans arriving in the United States has been closely held by the White House and the Department of Homeland Security.

More from the Los Angeles Times:

Passengers from Ebola-stricken countries to use five U.S. airports

Passengers flying to the U.S. from three Ebola-stricken countries will have to fly into one of five designated American airports for additional screening, including having their temperature taken, Department of Homeland Security Secretary Jeh Johnson announced Tuesday.

The restriction was immediately criticized by House Republicans who want a complete ban on travelers coming from West African countries with high Ebola infection rates.

Starting Wednesday, airline passengers coming from Liberia, Sierra Leone and Guinea must fly into New York’s John F. Kennedy International Airport, Newark Liberty International Airport in New Jersey, Chicago’s O’Hare International Airport, Washington Dulles International Airport or Hartsfield-Jackson Atlanta International Airport, Johnson said.

More screening from the Japan Times:

India to step up travel surveillance to stop any Ebola outbreak

India stepped up its efforts on Tuesday to prevent an outbreak of the deadly Ebola virus, conducting mock drills at its airports and installing surveillance systems.

Global health authorities are struggling to contain the world’s worst Ebola epidemic since the disease was identified in 1976. The virus has killed more than 4,500 people across the three most-affected countries, Liberia, Guinea and Sierra Leone.

All international airports and seaports in India will soon be equipped with thermal scanners — similar to Nigeria, which has been declared Ebola-free — and other detection equipment, the Health Ministry said in a statement.

Japan screens, and more from Jiji Press:

Fears Grows over Possible Ebola Outbreak in Japan

Japan has become concerned about a possible Ebola outbreak in the country, prompting the health ministry to take precautions such as training doctors and implementing preventive measures at airports.

Fears have grown since medical workers in the United States and Spain suffered secondary infections from sufferers who entered the countries from Africa.

In Japan, Ebola hemorrhagic fever is in the Type 1 category of most dangerous infectious diseases. Only 45 designated medical institutions nationwide are allowed to accept those believed to have the virus.    Each institution can admit between one and four patients.

More from the Japan Times:

Japan orders travelers from Ebola nations to report twice daily

Health minister Yasuhisa Shiozaki said Tuesday travelers arriving from Guinea, Liberia and Sierra Leone are now required to report their health condition to officials twice daily for three weeks, regardless of whether they have had known contact with Ebola patients.

The move comes amid growing fears of a global Ebola pandemic. Japan’s response so far includes the introduction of a bill in the Diet that would give local governments greater power to require patients with an infectious disease to submit samples for testing for Ebola.

Shiozaki said the quarantine requirement for travelers will last 21 days.

Still more from Nikkei Asian Review:

Japan getting the lowdown on Ebola from US military

Japan sent five officials, including members of the Self-Defense Forces, to the headquarters of the United States Africa Command in Germany on Tuesday to collect information about the Ebola outbreak and help prevent the spread of the disease.

One of the five, an Air Self-Defense Force major, will remain at the facility in Stuttgart to gather information on the status of regions affected by Ebola and related activities by the armed forces of other countries. The officer is also expected to support the American military in coordinating transportation of personnel and supplies in affected areas.

Some in the U.S. government reportedly want the SDF to participate in activities in affected areas, including constructing medical facilities and transporting supplies. But Japan intends to stay put for now.

And tuurnabout’s fair play, from the Washington Post:

Now an African country is screening incoming Americans and Spaniards for Ebola

According to the U.S. Embassy in Rwanda, the tiny land-locked East African nation has begun screening passengers from the United States and Spain for the deadly virus.

From a note on the embassy’s Web site:

Visitors who have been in the United States or Spain during the last 22 days are now required to report their medical condition — regardless of whether they are experiencing symptoms of Ebola — by telephone by dialing 114 between 7:00 a.m. and 8:00 p.m. for the duration of their visit to Rwanda (if less than 21 days), or for the first 21 days of their visit to Rwanda. Rwandan authorities continue to deny entry to visitors who traveled to Guinea, Liberia, Senegal, or Sierra Leone within the past 22 days.

The screening measures have been in place for two days, and images apparently showing the screening forms have been posted on Twitter.

After the jump, another Carribean travel ban, sparse preparations in Pakistan, British Columbia gets ready, scares and readiness in China, Europe boosts its donations, a new high-speed diagnostic tests as new treatments are rushed into production and vaccine trials commence, Cuba sends more medical teams with thousands of volunteers waiting in the wings, food woes intensify and care gaps wide, the Sierra Leone death tool continues to rise and dubious treatments flourish, retired soldiers are pressed into service, and recovered patients faces growing stigmatization, on to Liberia and a call for border monitors and Kenyans in Monrovia hankering for home, a call for blood, lost survivors, memories of civil war, and tightened controls on the press, Kenya orders border scanners, and the safari business in decline. . .    Continue reading

EnviroWatch: Seals, soil, climate, nukes, more


First up, another outbreak from Süddeutsche Zeitung:

Deal Seals In Germany May Have Had Virus, Hunters Called In To Kill Sick

Since early October, at least 180 dead seals have been found along the North Sea coast of the German state of Schleswig-Holstein.

Dead fish and sea creatures often wash up onto beaches along the North and Baltic seas, but experts now say that these seals may have died of a virus that risks spreading further.

The situation is particularly worrisome because 200 of the 1500 seals living on the Danish Baltic Sea island of Anholt have died since August. “A flu virus was found in the cadavers,” says Hendrik Brunckhorst, spokesman for the state government-owned Company for Coastal Protection, National Parks and Ocean Protection in Schleswig-Holstein.

To stem further deaths, seal hunters have been called to kill sick seals on the beaches of Helgoland, Amrum, Föhr and Sylt islands. “Ninety-five percent of the seals found on the beaches are already dead,” says Sylt-based hunter Thomas Diedrichsen.

The Independent covers coming crisis:

Britain facing ‘agricultural crisis’ as scientists warn there are only 100 harvests left in our farm soil

Intense over-farming means there are only 100 harvests left in the soil of the UK’s countryside, a study has found.

With a growing population and the declining standard of British farmland, scientists warned that we are on course for an “agricultural crisis” unless dramatic action is taken.

Despite the traditional perception that there is a green and pleasant land outside the grey, barren landscape of our cities, researchers from the University of Sheffield found that on average urban plots of soil were richer in nutrients than many farms.

Sampling local parks, allotments and gardens in urban areas, Dr Jill Edmondson showed that the ground was significantly healthier than that of arable fields. Allotment soil had 32% more organic carbon, 36% higher carbon to nitrogen ratios, 25% higher nitrogen and was significantly less compacted.

Cooking with the Guardian:

2014 on track to be hottest year on record, says US science agency

  • Global average temperatures in September were highest ever, following warmest year to date since 1998

The world is on course for this to be the hottest year ever, with global land and sea temperatures for September the highest ever recorded for the month, the National Oceanic and Atmospheric Administration said on Monday.

The findings, which confirm September as the warmest such month on record, continue a string of record-beating months for global temperature.

The year to date for 2014 is already tied with 1998 as the warmest such period since record keeping began in 1880, Noaa scientists said.

On a parallel note, via BBC News:

Europe emission targets ‘will fail to protect climate’

Europe’s leaders are about to consign the Earth to the risk of dangerous climate change, a UN expert says.

Prof Jim Skea, a vice-chair of the Intergovernmental Panel on Climate Change, says the EU’s plan to cut CO2 emissions 40% by 2030 is too weak.

He says it will commit future governments to “extraordinary and unprecedented” emissions cuts.

The Commission rejected the claim, saying the 40% target puts Europe on track for long-term climate goals.

From TakePart, chemical killing:

The U.S Approves a Powerful New Pesticide Deadly to Monarch Butterflies

The dominance of genetically modified crops requires ever-more-toxic pesticides that are wiping out the iconic insect’s sole source of food.

Is the monarch butterfly the new polar bear?

The iconic insect, whose numbers have plummeted from 1 billion to 35 million over the past two decades, is emerging as the latest symbol of environmental catastrophe: In this case, the impact of industrial agriculture, genetically modified crops, and skyrocketing pesticide use on wildlife.

The latest fight over the future of the monarch broke out on Wednesday, when the U.S. Environmental Protection Agency approved a powerful—and highly toxic—new weed killer called Enlist Duo. Made by Dow AgroSciences and designed to be sprayed on genetically modified corn and soybean crops, Enlist Duo combines glyphosate and 2,4-D in a formula that’s supposed to kill weeds that have developed a resistance to each of those individual pesticides.

One wild plant that has not developed defenses against growing pesticide use is milkweed, which is essential to the monarch’s survival.

And from Al Jazeera America, an American tragedy:

UN officials ‘shocked’ by Detroit’s mass water shutoffs

  • Two UN rapporteurs recommended Detroit immediately resume water service for residents unable to pay their bills

Surrounded by a frenzy of cameras, Detroit resident Rochelle McCaskill explained her predicament to a team of United Nations officials on Sunday: The numbers simply didn’t add up.

Out of her $672 monthly disability check, McCaskill spends $600 rent, she said, leaving her unable to pay the city’s water bills, which have skyrocketed to more than twice the national average.

“They need a category for those of us who cannot pay,” said McCaskill, whose water was shut off this summer as part of a wave of disconnections that, block by block, have left thousands of city residents without running water.

The city turned off McCaskill’s water despite the fact that she had been paying down her $540.10 water bill in increments and that she suffers from MRSA, a contagious infection that the NIH considers a “serious public health concern” and requires frequent bathing.

Spare the air with the Guardian:

India’s air quality figures can’t be trusted

  • Delhi is the most polluted city in the world, but it may actually be worse as faulty instruments, data fudging and lack of regulation allow industries to pollute with impunity

India is changing the way it maps pollution, with an update to its air quality index.. In its initial phase, eight pollutants will be tracked in 46 cities with populations exceeding a million people. After five years, the rest of the country will slowly be brought into the system.

At the launch, the minister for environment and forests, Prakash Javadekar, said it wouldn’t be “business as usual” anymore.

The move couldn’t have come a moment sooner.

Five months ago, World Health Organisation declared Delhi to be the worst polluted city on earth. In a study spanning 1,600 cities across 91 countries, the organisation used India’s own officially released data to show the city had the world’s highest annual average concentration of microscopic airborne particles known as PM2.5.

These extremely fine particles of less than 2.5 micrometres in diameter are linked with increased rates of chronic bronchitis, lung cancer and heart disease as they penetrate deep into the lungs and pass into the bloodstream. Delhi’s annual PM2.5 reading was 153 compared to London’s 16. Indian officials contested the study’s finding but agreed Delhi was as bad as Beijing, although the latter’s PM2.5 reading was only 56.

On to Fukushimapocalypse Now!, first with the Asahi Shimbun:

ASAHI POLL: 27% of Fukushima voters want immediate end to nuclear power

Twenty-seven percent of voters in Fukushima Prefecture, home to the crippled Fukushima No. 1 nuclear plant, want Japan to immediately abolish nuclear energy, around double the national average, an Asahi Shimbun survey found.

About 55 percent of voters in the prefecture support a break away from nuclear power in the near future, according to the telephone survey conducted on Oct. 18-19.

The survey results showed anti-nuclear sentiment is higher in Fukushima Prefecture than in the rest of the country.

Hot to trot with JapanToday:

Obuchi’s departure won’t affect nuclear reactor restarts

The Japanese government’s plan to restart nuclear reactors shut down after the Fukushima disaster will not be affected by Monday’s resignation of the industry minister, but Prime Minister Shinzo Abe is losing a convincing advocate of a step most view with suspicion.

The resignation of Yuko Obuchi, 40, from the Ministry of Economy, Trade and Industry, six weeks after she was appointed, is the latest hitch in a process bogged down by documentation over safety standards, concerns about natural disasters and local opposition.

“Obviously as a young mother, the youngest cabinet minister, she was a reassuring figure (who showed) that restarting the reactor wouldn’t be as threatening as people feared,” said Jeffrey Kingston, director of Asian Studies at Temple University’s Japan campus.

“Now that she’s gone, Abe has lost that reassuring presence and it’s unlikely that he’s going to be able to find anyone as convincing as her,” Kingston said.

NHK WORLD covers an okay:

City assembly approves Sendai plant restart

A special panel at a city assembly in southern Japan has approved a petition to allow a local nuclear power plant to resume operations.

The panel at the Satsuma Sendai city assembly in Kagoshima Prefecture discussed petitions both for and against the restart of the Sendai plant on Monday.

The plant is operated by Kyushu Electric Power Company. Last month it became the first to pass new regulations for nuclear plants introduced after the 2011 Fukushima accident.

But the meeting at which the decision was made was marked by controversy, as second NHK WORLD report notes:

Opponents scuffle with officials

People opposed to the restart of the Sendai nuclear power plant in southern Japan scuffled with city officials when they tried to enter a room where the city assembly’s special panel was meeting.

After the panel adopted a petition calling for the restart of the plant, people gathered in front of the Satsumasendai city hall to protest the decision.

And plans for the restart of another nuclear complex are moving forward as well, NHK WORLD reports:

KEPCO to submit revised Takahama safety plan

The operator of a power plant on the Sea of Japan coast says it will submit revised safety measures to the country’s nuclear regulator as early as next week.

Officials of Kansai Electric Power Company say they have completed recalculations of the potential maximum height of a tsunami that could hit the Takahama plant.

The Nuclear Regulation Authority, or NRA, had pointed out to the utility that it underestimated the height in its first assessment. The company was obliged to conduct tsunami simulations for 2 reactors at the plant.

Finally, from the New York Times, what could possibly go wrong?:

Power Plants Seek to Extend Life of Nuclear Reactors for Decades

The prospects for building new nuclear reactors may be sharply limited, but the owners of seven old ones, in Pennsylvania, Virginia and South Carolina, are preparing to ask for permission to run them until they are 80 years old.

Nuclear proponents say that extending plants’ lifetimes is more economical — and a better way to hold down carbon dioxide emissions — than building new plants, although it will require extensive monitoring of steel, concrete, cable insulation and other components. But the idea is striking even to some members of the nuclear establishment.

At a meeting of the Nuclear Regulatory Commission in May, George Apostolakis, a risk expert who was then one of the five commissioners, pointed out that if operation were allowed until age 80, some reactors would be using designs substantially older than that.

“I don’t know how we would explain to the public that these designs, 90-year-old designs, 100-year-old designs, are still safe to operate,” he said. “Don’t we need more convincing arguments than just ‘We’re managing aging effects’?”

Chart of the day: America’s growing wealth divide


From the Urban Institute via the Washington Post:

BLOG Racial divide

EbolaWatch: More alarms, politics, aid, Africa


Always Africa, because that’s where the disease originates and that’s where, at least for now, the overwhelming number of cases have originated [compared to two in the U.S. and one in Europe].

With a second American-born Ebola infection from the same Dallas hospital ward that was the petri dish spawning the, America has gone into full crisis mode [hence all those Republican calls for an Ebola Czar], and because of notable gaffes by the Centers for Disease Control allowing the infected hospital staff member to fly, all manner of alarms are shrieking [which must certainly amuse a lot of folks in West Africa].

Here’s the press briefing Barack Obama gave Wednesday following a special crisis cabinet meeting, via the White House:

President Obama Provides an Update on the U.S. Response to Ebola

Program notes:

On October 15, 2014, President Obama met with his Cabinet officials and CDC Director Tom Frieden to discuss the government’s response to Ebola.

More from the New York Times:

Obama Urges ‘Aggressive’ Monitoring of Ebola Threat in U.S.

President Obama on Wednesday directed his aides to monitor the spread of Ebola in the United States “in a much more aggressive way,” but said the American people should remain confident in the government’s ability to prevent a widespread outbreak of the deadly disease.

After a two-hour meeting of cabinet-level officials who are in charge of the government’s response to the virus, Mr. Obama promised that a review of the recent Ebola cases in Dallas would determine what went wrong that allowed two nurses to be infected.

With a video link to Dr. Thomas R. Frieden, the head of the Centers for Disease Control, the president said he had ordered health officials to determine, “How we are going to make sure that something like this isn’t repeated.”

And then there’s this, from the Washington Post [and note the four editorial cartoons posted earlier today]:

An epidemic of fear and anxiety hits Americans amid Ebola outbreak

Ebola started as a faraway thing, and that was scary enough. Then it jumped to a Dallas hospital, where one man died and two nurses were infected. On Wednesday, Ebola took a different kind of leap — a psychological one — as concerns spiked nationally about how the threat of the virus might interfere with commerce, health and even daily routines.

As authorities disclosed that an infected nurse had taken a flight from Cleveland to Dallas one day before showing symptoms, Ebola moved closer to becoming the next great American panic — an anthrax or SARS for the social media age.

Across the country, workers and travelers took symbolic safety steps, wearing sanitary masks or lathering with hand sanitizer. Airline stocks fell as investors bet on a slowdown in travel due to Ebola concerns. Children living near Washington Dulles International Airport told a psychologist about their fears of contracting the disease.

Now on to the day’s other alarms, first Deutsche Welle:

UN Security Council: ‘dramatically expand’ Ebola response

  • The UN has issued a unanimous Security Council statement urging the international community to “accelerate and dramatically expand” aid to combat the spread of Ebola. It also criticized the global response to date.

The UN has issued a unanimous Security Council statement urging the international community to “accelerate and dramatically expand” aid to combat the spread of Ebola. It also criticized the global response to date.
Liberia Streikaufruf

The UN Security Council on Wednesday unanimously approved a statement warning that the world’s response to Ebola “has failed to date to adequately address the magnitude of the outbreak and its effects.”

The council also urged all member states and aid organizations to “accelerate and dramatically expand the provision of resources and financial and material assistance” to West Africa, where the vast majority of Ebola cases and deaths have been recorded. The UN called for mobile laboratories, field hospitals, trained clinical personnel, therapies, and protective gear for carers.

The council statement also strongly urged airlines and shipping companies to maintain trade and transport links to the countries, “while applying appropriate public health protocols.” The statement also expressed concerns about the effects of trade and travel restrictions, warning against “acts of discrimination against the nationals of Guinea, Liberia and Sierra Leone,” the three worst-hit countries.

More grim news, via Reuters:

Medical charity says has reached limit in fight against Ebola

Medecins Sans Frontieres, a medical charity that has been at the forefront in the fight against Ebola in West Africa, said it was reaching its limit and urgently needed other organizations to step up the efforts against the deadly disease.

The organization currently operates six centers in Guinea, Sierra Leone and Liberia, with a total of 600 beds. Its personnel on the ground have grown from about 650 at the start of August to about 3,000 currently.

“We have increased our capacity a lot,” said Brice de le Vingne, director of operations for MSF, which is also known as Doctors Without Borders. “Now we have reached our ceiling.”

De le Vingne called on other actors, such as governments and international organizations, to up their game.

The latest numbers from Voice of America:

WHO: West Africa Ebola Deaths Near 4,500

A total of 4,493 people have died from the world’s worst Ebola outbreak on record as of October 12, statistics released by the World Health Organization showed on Wednesday.

WHO said a total of 8,997 confirmed, probable and suspected cases of Ebola had been reported in seven countries, with the vast majority of these in the West African nations of Liberia, Sierra Leone and Guinea.

In Spain and the United States, a handful of healthcare workers are ill, while Senegal and Nigeria appear to have prevented further spread of the disease, the WHO said.

“It is clear…that the situation in Guinea, Liberia, and Sierra Leone is deteriorating, with widespread and persistent transmission of (Ebola),” the WHO report stated.

The breakdown from the UN report [PDF]. Click on the image to enlarge:

BLOG Ebola victims

From the McClatchy Foreign Staff, more grim news:

Concerns mount Ebola will become a permanent scourge in West Africa

As the number of Ebola patients continues to climb in West Africa, concern is growing among medical and development experts that the scourge could become as serious as the one posed by HIV a decade ago – and could be far more difficult to control.

The prospect engenders fears not only that what had been an occasional and easily controlled disease that in the previous 40 years had struck only 1,600 people will become a constant presence in the region, but that it also will sap what little economic energy exists in the poor nations where it is currently felt most seriously, Liberia, Sierra Leone and Guinea.

Experts note that the HIV/AIDS epidemic that swept southern Africa in the early 2000s required billions in international aid to bring under control and remains a major health concern throughout the continent.

“HIV is hard to get relative to Ebola,” said David Evans, a World Bank senior economist and the author of a recent World Bank study on Ebola’s likely impact. “I actually expect if we don’t get this under control quite quickly, we could see something even worse than what we saw with HIV in the early part of the century.”

From Sky News, another Ebola alarm:

Ebola Could Spread Globally, Obama Warns

Ebola could spread globally if the world does not respond to the epidemic in Africa, Barack Obama has warned.

The President also said US monitoring of ebola must be “much more aggressive”.

He insisted the second case of an infected nurse in Dallas highlights the need to ramp up efforts to confront the disease that has struck West Africa and has reached US shores.

The President spoke after meeting top Cabinet officials involved in the ebola response both in the US and in the West African region where the disease has been spreading at alarming rates.

And from the New York Times, the latest media furor:

New Ebola Case Confirmed, U.S. Vows Vigilance

New shortcomings emerged Wednesday in the nation’s response to the Ebola virus after it was revealed that a second nurse was infected with Ebola at a hospital here and that she had traveled on a commercial flight the day before she showed symptoms of the disease.

The nurse, Amber Joy Vinson, 29, was on the medical team that cared for the Ebola victim Thomas Eric Duncan after he was admitted to the hospital on Sept. 28 and put in isolation. Ms. Vinson should not have traveled on a commercial flight, the director of the federal Centers for Disease Control and Prevention said after learning that she was a passenger on Frontier Airlines Flight 1143 on Monday, flying from Cleveland to Dallas-Fort Worth.

But hours after the director, Dr. Thomas R. Frieden, made that statement, one official said that Ms. Vinson had indeed called the C.D.C. before boarding the plane, but was allowed to fly because she did not have a fever.

A second case of Ebola among the nearly 100 doctors, nurses and assistants who treated Mr. Duncan for 10 days at Texas Health Presbyterian Hospital was not unexpected. For days, federal health officials have warned that in addition to Nina Pham, the first nurse in Dallas to receive an Ebola diagnosis, other cases were likely.

Here are the before and after stories, with the Before first [making it a tautology] from the Los Angeles Times:

Ebola-infected nurse broke protocol, should not have flown home, CDC says

One of two nurses at a Dallas hospital who tested positive for Ebola should not have flown Monday on a commercial airline, officials said Wednesday, and she was transferred Wednesday evening to Emory University Hospital in Atlanta for treatment.

The nurse, who had treated Ebola patient Thomas Eric Duncan, traveled on Frontier Airlines flight 1143 from Cleveland to Dallas, arriving Monday night, according to the U.S. Centers for Disease Control and Prevention. The woman reported symptoms of Ebola early Tuesday and went to the hospital, where she was placed in isolation.

The woman was among a group of as many as 76 healthcare workers at Texas Health Presbyterian Hospital involved in treating Duncan, who died Oct. 8. CDC Director Tom Frieden said the nurse should not have been traveling by air and he pledged that his agency would work to ensure that others in the group heeded CDC guidelines on self-monitoring.

And the After from the London Telegraph:

US health officials allowed nurse who treated Ebola patient on plane with slight fever

Amber Vinson – second nurse from Dallas Presbyterian Hospital to be diagnosed with Ebola – told CDC her temperature was (37.5 Celsius), but CDC did not say not to fly

A second Texas nurse who has contracted Ebola told a US health official she had a slight fever and was allowed to board a plane from Ohio to Texas, a federal source said on Wednesday, intensifying concerns about the U.S. response to the deadly virus.

Amber Vinson, 29, flew from Cleveland, Ohio, to Dallas, Texas, on Monday, the day before she was diagnosed with Ebola, the US Centers for Disease Control and Prevention said.

Vinson told the CDC her temperature was (37.5 Celsius. Since that was below the CDC’s temperature threshold of 100.4F, “she was not told not to fly,” the source said.

More from Al Jazeera America:

Feverish health worker flew commercial with Ebola, raising fears of spread

  • Contagion to hospital staff ‘an accident waiting to happen’; union calls for better safety standards

A second Texas health worker who contracted Ebola from a sickened patient flew on a commercial domestic flight with an elevated temperature before being diagnosed, health officials said on Wednesday, raising new concerns about U.S. efforts to control the disease and the guidelines given to health care professionals.

Chances that other passengers on the plane were infected are very low, but the nurse should not have been traveling on the flight, U.S. Centers for Disease Control and Prevention (CDC) director Thomas Frieden told reporters. Echoing concerns that the U.S. has not been sufficiently stringent in its efforts to keep the disease’s spread in check, President Barack Obama said Wednesday that the country needed to monitor Ebola “in a much more aggressive way.”

The latest hospital employee to come down with symptoms of the virus, Amber Vinson, 29, was isolated immediately after reporting a fever on Tuesday, Texas Department of State Health Services officials said. She was among those who treated Liberian patient Thomas Eric Duncan at a Dallas hospital. Duncan, who flew from Liberia via Europe, later died.

Still more from the Los Angeles Times:

Frontier jet that carried Ebola patient made five more flights

The Frontier Airlines jet that carried a Dallas healthcare worker diagnosed with Ebola made five additional flights after her trip before it was taken out of service, according to a flight-monitoring website.

Denver-based Frontier said in a statement that it grounded the plane immediately after the carrier was notified late Tuesday night by the Centers for Disease Control and Prevention about the Ebola patient.
Routes of plane that carried healthcare worker

Flight 1143, on which the woman flew from Cleveland to Dallas/Fort Worth, was the last trip of the day Monday for the Airbus A320. But Tuesday morning the plane was flown back to Cleveland and then to Fort Lauderdale, Fla., back to Cleveland and then to Atlanta and finally back to Cleveland again, according to Daniel Baker, chief executive of the flight-monitoring site Flightaware.com.

The accompanying graphic:

BLOG Ebola plane

Still more from Reuters:

Ohio Health Department tracing contacts of second nurse with Ebola

The Ohio Health Department said it is tracing contacts of a second Texas nurse diagnosed with Ebola who flew from Cleveland to Dallas one day before she tested positive for the virus.

The department is also working with airline officials to track down additional people the nurse may have come into contact with, spokesman Jay Carey said. It is waiting on additional instructions from the Centers for Disease Control (CDC) and Texas Health Department, Carey said.

And from the Associated Press, posting the bans:

St. Lucia: No visitors from Ebola-stricken nations

The leader of the small Caribbean island of St. Lucia issued an order Wednesday to immediately bar entry to travelers coming from three West African nations overwhelmed with Ebola epidemics.

The Colombian government in South America later announced it would not allow in anyone who has traveled to five African nations within the preceding four weeks.

St. Lucia Prime Minister Kenny Anthony said all visitors from Guinea, Liberia and Sierra Leone were prohibited from entering his country until the Ebola outbreak is brought under control, saying the ban will minimize chances for the deadly disease to be introduced by an infected traveler.

The Associated Press covers a consequence:

Fresh Ebola fears hit airline stocks

News that a nurse diagnosed with Ebola flew on a plane full of passengers raised fear among airline investors that the scare over the virus could cause travelers to avoid flying.

Shares of the biggest U.S. airlines tumbled between 5 and 8 percent before recovering in afternoon trading. The overall market slumped on concern about slowing global economic growth, but recouped some losses late in the day.

Health officials downplayed the possibility that any of the 132 passengers on Frontier Airlines Flight 1143 from Cleveland to Dallas-Fort Worth could have been infected, because the nurse showed no Ebola symptoms during the flight. Nonetheless, public health officials were notifying other passengers.

And the latest on that new patient from the London Daily Mail:

Second Ebola-stricken nurse, 29, arrives in Atlanta as it’s revealed she was given permission by CDC to fly on a commercial flight the day before she was diagnosed – despite having low-grade fever

  • Nurse Amber Jay Vinson, 29, originally from Akron, Ohio, is ‘ill but clinically stable’ after reporting a fever at Texas Presbyterian in Dallas on Tuesday
  • On Wednesday, she boarded a plane to Atlanta and landed there around 7:45pm Eastern Time, to be treated at Emory University Hospital
  • Ebola patients Nancy Writebol and Kent Brantly were kept in a specially-equipped isolation unit at the Atlanta hospital in August after contracting the disease in Liberia. They are now both free of the virus
  • Miss Vinson flew on Monday on a Frontier Airlines flight with a 99.5F fever from Cleveland to Dallas the day before she was diagnosed with Ebola
  • It was revealed that the nurse called the CDC several times asking for permission to board the flight with a low-grade fever
  • When she finally got through, an agency representative said it was OK since her temperature was below the fever threshold
  • Three relatives were in contact with Miss Vinson before she was isolated
  • White House said today that Obama cancelled a trip to New Jersey and Connecticut to hold an Ebola meeting with his Cabinet
  • Miss Vinson was one of 76 medical staff who cared for Thomas Duncan
  • The 29-year-old lives alone and has no pets; her home was being decontaminated on Wednesday by hazmat teams.

Another cause for concern from the Independent:

Ebola in Texas: Nurses treated victim ‘without proper protective gear’ in hospital where hazardous waste was ‘piled to ceiling’

Nurses at a Texas hospital caring for a patient with Ebola have described chaotic scenes at the ward where he was treated, with hazardous waste “piled up to the ceiling” and staff forced to work without proper protective gear.

A statement from nurses at the Texas Health Presbyterian Hospital read by the National Nurses United (NNU) said those caring for Ebola victim Thomas Duncan were forced to use medical tape to secure openings in their flimsy garments.

They were particularly worried that their necks and heads were exposed as they cared for a patient with explosive diarrhoea and projectile vomiting, Deborah Burger, the co-president of the NNU claimed.

Some of the nurses caring for Mr Duncan were allegedly also caring for other patients in the hospital.

More from the London Daily Mail:

Nurses caring for Ebola patient Thomas Eric Duncan didn’t wear hazmat suits for TWO DAYS after he was admitted to hospital

  • Shocking revelation comes from Ebola patient’s medical records
  • Nurses didn’t wear protective clothing to care for Duncan until after his Ebola diagnosis was confirmed
  • Two nurses who looked after Duncan at Texas Health Presbyterian Hospital have been infected with the disease
  • Nurses union alleges that necks and wrists were exposed and some nurses were told they didn’t need to wear face masks

More impacts from the Guardian:

Ebola and economic concerns affect European and US stockmarkets

  • Price of oil pushed to four-year low, while FTSE 100 experiences biggest one-day fall since June 2013

Fears of a worldwide economic slowdown and anxiety about the spread of Ebola reverberated around stock markets Wednesday, driving shares on both sides of the Atlantic sharply down and pushing the price of oil to a four-year low.

The FTSE 100 closed down 181 points or 2.8% at 6,211, knocking £46bn off the value of Britain’s top companies. This was its lowest level and biggest one-day fall since June last year. It was also close to a 10% decline from its recent peak on 4 September.

In New York the Dow Jones Industrial Average dropped sharply after European markets closed, slumping 420 points – 2.5% – and dipping below 16,000 before rebounding to 16,141. Its recent high was 17,265, reached on 18 September, the day before the record-breaking float of Alibaba, the vast Chinese internet business.

Another scare with more insidious impact from StarAfrica:

African visitor faces UK Ebola backlash

A Sierra Leonean man identified as Amara Bangura has been feeling dejected after being rejected housing in the United Kingdom after two landlords told him they were scared he may have Ebola.The 33-year-old travelled from his native West African country two weeks ago to Norwich to study a Master’s Degree at the University of East Anglia in England.

But on arrival he was shocked to find that landlords were stopping him from staying at their properties out of fear of the killer disease which has killed 4, 400 people in West Africa since March.

He went public, on Wednesday and revealed how he was initially accepted by homeowners before having his application rejected.

A false alarm in Copenhagen from TheLocal.dk:

Ebola scare closes CPH police station

A false ebola alarm temporarily closed down the Copenhagen Police’s Station City on Tuesday evening.

Police say that an African man who had recently been in Nigeria was brought into Station City and displayed symptoms “that the police couldn’t rule out” were consistent with ebola, according to a police press release.

The man in question was quickly isolated and a doctor was called to the police station. After the doctor quickly determined that it was not ebola, things went back to normal.

On to Spain, the only European country with a homegrown Ebola case, also a hospital worker and a health update from El País:

Ebola victim able to drink liquids; has spoken to husband by phone

  • Teresa Romero’s condition has improved but relatives warn she could still have a relapse

Teresa Romero, the nursing assistant who contracted Ebola after treating a patient with the virus at a Madrid hospital, is back on a liquid diet and has been able to talk to her husband on the phone, a family friend told the press on Wednesday.

While Romero still “doesn’t remember a lot of things” and is still in a serious condition, her team of doctors are “hopeful” and there is a feeling of “optimism regarding her chances of overcoming the disease,” said Teresa Mesa, a friend who is acting as a spokesperson for the family.

On Wednesday morning, Health Minister Ana Mato said that Romero was still in a stable but serious condition.

And another Spanish Ebola story with a Yankee twist from El País:

US asks to use Spanish bases for Ebola mission in Africa

  • Returning aircraft would stop over in Morón and Rota in Andalusia to refuel and rest

The United States has asked Spain for permission to use its military bases in Andalusia in its international operation against the Ebola virus.

Washington wants its aircraft returning from areas of risk in western Africa to be allowed to stop at the US bases in Morón de la Frontera (Seville) and Rota (Cádiz).

Spanish military health officials are negotiating “strict protocols” with the Pentagon to ensure that the 3,000 US military personnel who take part in operation Unified Assistance will not spread the virus during their stopovers in Spain, according to sources familiar with the situation.

Another European Ebola scare, but with a nasty twist from BBC News:

Czech Ebola error sparks Ghana row

Czech medical workers have sparked a diplomatic row after they covered a Ghanaian student in black plastic and rushed him to quarantine over unfounded fears that he had Ebola.

The student was apparently suffering nothing more than a bad cold.

Ghana’s Prague envoy Zita Okaikwe told the BBC that her government would lodge a formal complaint over the incident.

Ghana has not been affected by the worst ever Ebola outbreak, which has killed thousands in West Africa.

Here’s the raw footage of the incident we featured in the 13 October EbolaWatch, via Media News:

From the Associated Press, Ebolaphobia Down Under:

Australia readies for possible Ebola outbreak

Australia’s prime minister is resisting pressure to send doctors and nurses to West Africa to fight the Ebola crisis, saying his government is focused on preparing for a potential outbreak of the deadly disease in the Asia-Pacific region.

A petition by 113 Australian health professors sent to Prime Minister Tony Abbott on Wednesday calls on him to send a medical team as well as troops to battle the disease that has killed almost 4,500 people in West Africa this year.

Senior opposition lawmakers backed the call in letter to key government ministers on Thursday.

After the jump, it’s on to Africa and one bright spot in an Ebola zone, a food supply alarm, Ebola’s corrosive effect on human rights, An experimental drug arrives from China for clinical trials [and note who it’s for], a report of the defeat of Ebola in the Democratic Republic of the Congo, on to Sierra Leone and help arriving, then on to Liberia and a healthcare worker strike action ended, good news from one county, the sometimes horrible price paid by crime victims and the ill, allegations of aid corruption, the issuance of hundreds of Ebola get-out-of-jail-free cards, on to Guinea, where another election delay attributed to Ebola is meeting stiff opposition, ten on to Uganda, where survivors of a 2000 Ebola outbreak are being mobilized to help in the Hot Zone. . . Continue reading

EbolaWatch: More alarms, US angst, African woes


And much, much more. . .

We begin with a shrieking alarm, via the Guardian:

WHO warns 10,000 new cases of Ebola a week are possible

  • UN agency says fatality rate at 70% and that ‘a lot more people will die’ unless world steps up its response to crisis

The Ebola outbreak could grow to 10,000 new cases a week within two months, the World Health Organisation warned on Tuesday as the death toll from the virus reached 4,447 people, nearly all of them in west Africa.

Dr Bruce Aylward, the WHO assistant director-general, told a news conference in Geneva that the number of new cases was likely to be between 5,000 and 10,000 a week by early December.

WHO’s regular updates show that deaths have resulted from 4,447 of the 8,914 reported cases, but Aylward said that any assumption that the death rate was 50% would be wrong. He put the death rate at 70% because many deaths are not reported or recorded officially.

Where detailed investigations have been carried out, it was clear that only 30% of people were surviving, he said, adding that the figure was almost exactly the same in the three hardest hit countries, Guinea, Liberia and Sierra Leone. “This is a high-mortality disease in any circumstances but particularly in these places,” said Aylward.

More from Sky News:

Sixty Days To Beat Ebola, United Nations Warns

  • If the deadly outbreak cannot be reined in by Christmas then the UN says there is no plan in place and it could be overwhelmed

The UN says the ebola outbreak must be controlled within 60 days or else the world faces an “unprecedented” situation for which there is no plan.

The United Nations made the stark warning as it warned that the disease “is running faster than us and it is winning the race”.

Nearly 9,000 cases of ebola have been reported so far in West Africa, including 4,447 deaths.

“The WHO advises within 60 days we must ensure 70% of infected people are in a care facility and 70% of burials are done without causing further infection,” said Anthony Banbury, the UN’s deputy ebola coordinator.

“We need to do that within 60 days from 1 October. If we reach these targets then we can turn this epidemic around.”

A video report from RT:

‘Key to containing Ebola is getting more intl help’ – WHO spokesperson

Program notes:

Ebola deaths are being recorded in more and more countries around the world – a United Nations worker has died in hospital in Germany – the latest victim of the virus outside Africa. At the heart of the pandemic – in West Africa – the outbreak has already killed more than 4,000 people. For more RT is joined by Winifred Romeril from the World Health Organization.

From Voice of America, a lament:

International Ebola Support is Lethargic, MSF Says

South Africans working for Doctors Without Borders, known by its French initials MSF, are calling on their fellow citizens to support efforts to stem the Ebola outbreak in West Africa.  More than 4,000 people have died and the number of new infections is doubling every three weeks. Yet there is a severe shortage of medical facilities, contact tracing, surveillance and education on Ebola in affected communities.

The message from MSF is a simple one: the international community is failing the people of West Africa.

MSF says that despite promises from various countries to help stem the deadly virus, to date, few pledges have translated into concrete action on the ground.   Sharon Ekambaram, head of a MSF South Africa unit, says there are critical gaps in all aspects of the response.

“And so the spread of Ebola continues unabated as the response fails to curtail and bring down new infections,” she explained. “MSF is really angry that the world and the international community is failing the people of Sierra Leone, Guinea and Liberia. It is hard to understand, to be frank, the media frenzy about individual contaminations of people in the USA and in Europe… rich nations have the resources to contain spread of Ebola if it reaches their shores. It is the people of the impoverished communities of West Africa that are at the highest risk of infection and death.”

While Nikkei Asian Review examines another impact:

Ebola casting shadow on global economy

Rising concern over a possible global outbreak of Ebola, especially in the wake of the new cases in Spain and the U.S., is putting investors on edge and has begun affecting the global economy.

The disease will likely prove a long-term drag on the African economy. Ebola’s two-year financial impact could reach $32.6 billion by the end of 2015 in West Africa alone, World Bank President Jim Yong Kim said Thursday.

Expectations that global travel will slow sent airline stocks down in the U.S. market Monday. The government has begun screening travelers from West Africa at major airports.

From the New York Times, reassurance:

Scientists Rein In Fears of Ebola, a Virus Whose Mysteries Tend to Invite Speculation

News that a nurse in full protective gear had become infected with the Ebola virus raised some disturbing questions on Monday. Has the virus evolved into some kind of super-pathogen? Might it mutate into something even more terrifying in the months to come?

Evolutionary biologists who study viruses generally agree on the answers to those two questions: no, and probably not.

The Ebola viruses buffeting West Africa today are not fundamentally different from those in previous outbreaks, they say. And it is highly unlikely that natural selection will give the viruses the ability to spread more easily, particularly by becoming airborne.

“I’ve been dismayed by some of the nonsense speculation out there,” said Edward Holmes, a biologist at the University of Sydney in Australia. “I understand why people get nervous about this, but as scientists we need to be very careful we don’t scaremonger.”

From the Washington Post, angst:

Ebola poll: Two-thirds of Americans worried about possible widespread epidemic in U.S.

Nearly two-thirds of Americans are concerned about a widespread Ebola epidemic in the United States, despite repeated assurances from public officials that the country’s modern health-care and disease-surveillance systems will prevent the type of outbreak ravaging West Africa.

In a Washington Post-ABC News poll conducted in recent days, the number of Americans who say the government should be doing more to prevent additional Ebola cases in the United States is almost twice the number who believe the United States is doing all it can to control the spread of the virus.

That includes overwhelming support — 91 percent — in favor of stricter screening for people traveling to this country from West Africa. Such screening began this past weekend at John F. Kennedy International Airport in New York and soon will begin at four other international airports in the country.

And the New York Times covers the political front:

Debate Over Ebola Turns to Specific Policy Requests

The public health concerns about Ebola have now spread to both political parties, which are engaged in a finger-pointing policy debate that could jar midterm elections just weeks away.

For a week, Republicans have advocated severely limiting — if not eliminating — flights from West Africa, accusing President Obama of complicity in a looming epidemic for failing to take their advice. On Monday, Democrats joined the debate, blaming Republican budget cutting for the government’s failure to prepare for Ebola.

The Democratic Congressional Campaign Committee unveiled an Internet banner advertisement charging Republicans with undermining the Ebola response by cutting funds for the Centers for Disease Control and Prevention while protecting tax breaks for special interests. A little-known liberal group, the Agenda Project Action Fund, showed a 60-second advertisement that it says will run in Kentucky next week. It includes gruesome images of dead and dying West Africans. “Republican cuts kill,” the ad says as it ends, accompanied by the sound of breathing through a respirator. “Vote.”

More from the McClatchy Washington Bureau:

Pols trade blame for Ebola, but both parties cut budgets for health

The political blame game over the deadly Ebola virus is in full swing just weeks before the November elections – with each side ignoring the facts.

Several Republicans, including House Speaker John Boehner of Ohio, contend that President Barack Obama has been too slow or hasn’t done enough in response to the outbreak. Some Republicans, such as Sen. Ted Cruz of Texas, want to restrict air travel from West Africa, the outbreak’s epicenter, or bolster the U.S. borders.

Democrats are pointing fingers, too, blaming congressional Republican budget-cutting zeal for crippling the response of federal health institutions to the crisis. On Monday, a liberal group and the Democratic Congressional Campaign Committee linked Republican fiscal policies to the Ebola outbreak.

Still more from the National Journal:

Lawmakers Want Answers on U.S. Ebola Cases

  • Hearing Thursday will examine whether the country is prepared to cope with the virus.

Amid rising anxiety over the Ebola outbreak, a congressional panel is to convene Thursday in Washington to hear details of the two confirmed cases in Dallas and whether America’s ports of entry, hospitals, and health care workers are adequately prepared to prevent a further spread of the virus.

The lawmakers’ inquiry will include the question of why screening procedures did not prevent Thomas Duncan from entering the U.S. from Liberia on Sept. 20, the handling of his diagnosis, and his treatment prior to his death last week, according to a memo released Tuesday by majority staffers of the House Energy and Commerce Committee.

The committee will also be updated by officials scrambling to determine how a nurse who helped treat Duncan at a Texas hospital has become the first person to contract Ebola in the U.S.

Reuters covers the White House response:

White House to seek more Ebola funds in FY2015 spending bill

The Obama administration expects to ask Congress for additional funds for a growing U.S. government effort to halt the spread of Ebola, White House Budget Director Shaun Donovan said on Tuesday.

Donovan told Reuters that the request, which would come on top of more than $1 billion in federal funds currently available, would be made in the coming weeks as Congress reconvenes in November to consider a 2015 fiscal year spending bill in the post-election “lame duck” session.

“Our expectation is that we will be talking to Congress about additional needs,” Donovan said at the Reuters Global Climate Change Summit in Washington.

On to the first home-grown American case with the Guardian:

Dallas nurse infected with Ebola gets blood transfusion from survivor

  • Dr Kent Brantly, the first American to return to the US from Liberia to be treated for Ebola, donated plasma to Nina Pham

A Dallas nurse who caught Ebola while treating a Liberian patient who died of the disease has received a plasma transfusion donated by a doctor who beat the virus.

Ebola has killed more than 4,000 people nearly all of them in West Africa in an outbreak the World Health Organisation has called “the most severe, acute health emergency seen in modern times.” US health officials say they are ramping up training for medical workers who deal with the infected.

Nurse Nina Pham was among about 70 staff members at Texas Health Presbyterian hospital who cared for Thomas Eric Duncan, according to medical records. They drew his blood, put tubes down his throat and wiped up his diarrhoea. They analysed his urine and wiped saliva from his lips, even after he had lost consciousness.

More from the Washington Post:

The decades-old treatment that may save a young Dallas nurse infected with Ebola

In late July, when it looked like Dr. Kent Brantly wasn’t going to make it, a small news item escaped Liberia. It spoke of Brantly’s treatment – not of the Ebola vaccine, Zmapp, which Brantly later got. But of a blood transfusion. He had “received a unit of blood from a 14-year-old boy who had survived Ebola because of Dr. Brantly’s care,” the missive said.

Now months later, Brantly, who has since recovered from his battle with the virus, has passed on the favor. A 26-year-old Dallas nurse named Nina Pham, who contracted the illness while treating the United States’ first Ebola patient, has received Brantly’s blood. It’s not the first time it has been used to treat Ebola patients. Recovered Ebola victim Richard Sacra got it, as well as U.S. journalist Ashoka Mukpo, who last night said he’s on the mend.

Injecting the blood of a patient such as Brantly, who has recovered from Ebola and developed certain antibodies, is a decades-old but promising method of treatment that, academics and health officials agree, could be one of the best means to fight Ebola. Called a convalescent serum, it might also save Pham, an alum of Texas Christian University.

And the Daily Mail offers the usual omnium gatherum:

Ebola-stricken nurse breaks her silence from quarantine unit to say she is ‘being cared for by the best team in the world’ at Dallas hospital

  • Nina Pham, 26, said on Tuesday: ‘I am blessed by the support of family and friends and am blessed to be cared for by the best team of doctors and nurses in the world’
  • The nurse has received blood transfusion from Dr Kent Brantly, who was given the all-clear from Ebola
  • Antibodies in his blood could help the patients fight the disease
  • Miss Pham, from Fort Worth, caught the Ebola virus while treating Thomas Eric Duncan, 42, in Dallas
  • Second person who some identified as Miss Pham’s boyfriend is being monitored for symptoms
  • Miss Pham raised in Vietnamese family in Fort Worth and graduated from Texas Christian University in 2010 with Bachelor of Science in Nursing
  • About 70 staff members at Texas hospital were involved in the care of first Ebola patient Thomas Eric Duncan after he was hospitalized

Support, via Reuters:

U.S. health workers rally on Facebook for Dallas nurse with Ebola

Thousands of U.S. health workers have joined social media campaigns in the past few days to support a Texas nurse who became the first person infected with Ebola in the United States, which she contracted caring for a dying African patient at a Dallas hospital.

The nurse, Nina Pham, 26, was diagnosed over the weekend and is in an isolation unit at Texas Health Presbyterian Hospital, where she worked. She has been swept in questions on whether a lapse in infectious disease protocols was behind her becoming infected.

“She isn’t sick because she is a bad nurse, didn’t follow protocol, or was inadequately trained. She is the RN (registered nurse) who made a sacrifice to care for a very sick man,” Roy Rannila, a staff member for the Texas hospital group caring for Pham wrote on his Facebook page.

A Facebook page, “Nurses for Nina”, has garnered over 4,500 “likes” in less than 24 hours and messages of support from healthcare providers in areas such as Texas, Oklahoma, Arizona, Tennessee and Washington D.C.

From the McClatchy Washington Bureau, playing catch-up:

Dallas health officials scramble to identify staff who treated Ebola patient

Health officials on Monday were scrambling to identify and monitor a large number of health care workers at a Dallas hospital who could be at risk of contracting Ebola after they cared for Thomas Eric Duncan in the hospital’s isolation ward.

It’s unclear how many caregivers could be at risk; some reports indicated as many as 70 were involved in Duncan’s treatment. Dr. Tom Frieden, the director of the Centers for Disease Control and Prevention, said he wouldn’t be surprised if more workers develop the disease in the coming weeks.

A 26-year-old nurse at the hospital, who was identified Monday by her family as Nina Pham, tested positive for the virus Saturday even though she had worn protective clothing in her multiple contacts with Duncan.

More from the the Washington Post:

CDC doesn’t know how many health-care workers in Dallas may have been exposed to Ebola; AP says it’s ‘about 70’ people

A day after a nurse who treated an Ebola-stricken patient in Dallas was diagnosed with the virus, public health officials are still trying to figure out how many health-care workers may have had similar exposure.

It is still unclear how, exactly, the nurse at Texas Health Presbyterian Hospital Dallas became the first person to contract the virus in the United States, said Thomas Frieden, director of the Centers for Disease Control and Prevention.

But if one health-care worker was infected, “it is possible other people could have been infected as well,” Frieden said during a briefing with reporters on Monday.

The Associated Press covers a confession:

CDC acknowledges it could have done more on Ebola

he nation’s top disease-fighting agency acknowledged Tuesday that federal health experts failed to do all they should have done to prevent Ebola from spreading from a Liberian man who died last week in Texas to the nurse who treated him.

The stark admission from the director of the Centers for Disease Control and Prevention came as the World Health Organization projected the pace of infections accelerating in West Africa — to as many as 10,000 new cases a week within two months.

Agency Director Tom Frieden outlined a series of steps designed to stop the spread of the disease in the U.S., including increased training for health care workers and changes at the Texas hospital where the virus was diagnosed to minimize the risk of more infections.

While the Los Angeles Times covers serious allegations:

Dallas nurses describe Ebola hospital care: ‘There was no protocol’

A Liberian man who arrived by ambulance at a Dallas hospital with symptoms of Ebola sat for “several hours” in a room with other patients before being put in isolation, and the nurses who treated him wore flimsy gowns and had little protective gear, nurses alleged Tuesday as they fought back against suggestions that one of their own had erred in handling him.

The statements came as Nina Pham, a 26-year-old nurse at Texas Health Presbyterian Hospital in Dallas, fought off the Ebola virus after contracting it from the Liberian, Thomas Eric Duncan. The statements by the Dallas hospital nurses were read by representatives of the Oakland-based group National Nurses United.

RoseAnn DeMoro, executive director of National Nurses United, said the nonunionized Texas nurses could not identify themselves, speak to the media independently or even read their statements over the phone because they feared losing their jobs. In a conference call, questions from the media were relayed to the unknown number of nurses by National Nurses United representatives, and the responses were read back to reporters.

While here in the San Francisco Bay area, hospitals are getting ready, reports the Contra Costa Times:

East Bay hospitals brace against Ebola

East Bay hospitals are prepared to screen, diagnose, isolate, and if necessary, treat and stop the threat of Ebola, according to U.S. Rep. Eric Swalwell.

“They are ready,” he said. “They know what to look for … and I’m confident that if someone does present Ebola-like symptoms, they will be immediately isolated and treated so we can stop the spread.”

Swalwell, D-Dublin, held a conference call Tuesday with about 20 East Bay health care leaders at San Ramon Regional Medical Center, allowing them the opportunity to query Dr. John Brooks, the medical task force lead for the Centers for Disease Control and Prevention’s Emergency Ebola Response, on the latest on the outbreak and how to protect against it.

“Hospitals are understandably concerned,” Swalwell said, adding that the spread of the virus has become a humanitarian crisis in West Africa where 4,000 people have died of Ebola and there are 8,000 cases. “I can’t think of a recent illness in the United States that is so deadly that could be spread by direct bodily fluid and have such a high fatality rate in such a short amount of time.”

And from United Press International, an apology from a talking head:

NBC’s Nancy Snyderman apologizes for violating Ebola quarantine

Nancy Snyderman issued an apology after she was caught leaving her house, despite being under quarantine after a member of her crew contracted Ebola in West Africa

A group of NBC journalists, including NBC’s chief medical editor Nancy Snyderman, are now under mandatory quarantine after they were spotted out in public last week, violating a voluntary quarantine after one of their crew contracted Ebola on a trip to Africa.

Dr. Snyderman issued an apology Monday, acknowledging that they had indeed left confinement against advice, but assured the public that they were not showing signs of the disease.

“While under voluntary quarantine guidelines, which called for our team to avoid public contact for 21 days, members of our group violated those guidelines and understand that our quarantine is now mandatory until 21 days have passed,” Snyderman said in a statement.

While Vocativ covers an act that mandates an apology:

College Allegedly Rejects Nigerian Student Because of Ebola Fears

  • The Texas school might have turned down the young man, even though he lives in a country that has been Ebola-free for more than a month

The latest outbreak of Ebola hysteria in the U.S. comes from a community college in central Texas called Navarro College. The school recently turned down an application from a student in Nigeria, writing that it’s not accepting international students “from countries with confirmed Ebola cases.” Idris Ayodeji Bello, a Nigerian who currently lives in east Texas, learned about the rejection letter from a friend in Nigeria, Dr. Kamorudeen Abidogun, who also happens to be the student’s brother-in-law. Bello posted the document on his website and to Twitter, and it looks to be signed by Navarro College Director of International Programs Elizabeth A. Pillans.

Abidogun tells Vocativ that the rejected Nigerian student hopes to major in computer science, and he “was motivated by the high standard of U.S. colleges and universities” to apply to Navarro College. The young man has written an email to Navarro expressing his disappointment with the rejection letter, Abidogun says, but he hasn’t yet received a response. It doesn’t make much sense for an American college to reject Nigerian students because of Ebola fears. Though Nigeria has had 20 confirmed Ebola cases, the country’s efforts to quash the disease have been largely successful—and could serve as a model for other West African nations.

The New York Times covers a death in Germany:

Ebola Patient Dies in German Hospital

A 56-year-old man who had been working with the United Nations in Liberia died overnight at the hospital in Leipzig where he was being treated for Ebola, the hospital said Tuesday in a statement quoted by the German news media.

The brief statement gave no further details. The man was the third patient to arrive in Germany in recent weeks for treatment of Ebola, and the first to die.

The first patient, a Senegalese man who worked for the World Health Organization, was treated in Hamburg from late August until Oct. 3, when he was released. He has since returned home. The second patient, a Ugandan doctor who was working in West Africa for an Italian aid organization, continues to receive treatment at a hospital in Frankfurt.

A video report from Deutsche Welle:

Ebola patient dies in Germany

Program notes:

A Sudanese UN medical worker has succumbed to Ebola in a Leipzig clinic after receiving intensive medical care.

On to Spain with El País:

Number of patients being monitored for Ebola symptoms rises to 100

  • As well as 15 high-risk contacts, a further 83 are under “active vigilance”

The number of people currently under observation after having come into contact with Spanish Ebola patient Teresa Romero has risen to 100. All of these people interacted with the nursing assistant during the six days that she was presenting symptoms of the virus, which is when contagion can occur.

As well as the 15 people currently admitted to the Carlos III Hospital in Madrid, considered “high-risk contacts,” there are a further 83 that are being monitored, EL PAÍS has determined. The last official figure supplied was 52.

These 83 people are in their homes for now, and are subject to what the experts call “active vigilance” – i.e., they are being called by Madrid regional public health personnel twice a day to ensure that they are taking their temperature and to find out the results. This kind of passive observation is the same process used with people at risk, as was the case of Romero, who became infected with Ebola while treating two Spanish missionaries with the virus who had been repatriated from West Africa.

And an apology, also from El País:

Madrid health chief apologizes to nursing assistant with Ebola

  • Javier Rodríguez admits comments were “unfortunate,” but stops short of resigning

Madrid’s regional health chief has issued a public apology to Teresa Romero, the nursing assistant who contracted Ebola after treating two infected Spanish missionaries, after accusing her of concealing information from medics and of being clumsy with her protective suit.

In a letter to Romero’s husband, who had called for his resignation, Javier Rodríguez admits that his public statements last Thursday were “unfortunate” and that he never meant to offend the patient, who remains in a serious but stable condition in Madrid’s Carlos III Hospital.

“I know these are very tough moments for you and your family, and I understand that my words may have caused even more pain,” writes Rodríguez in a letter that was published by news agency EFE. “I in no way meant to add to the pain that you are going through.”

An Ebola scare in Canada from CBC News:

Ebola test result awaited by member of Canadian Forces aid mission

  • ‘Extremely unlikely’ aircrew member will test positive for Ebola, doctor says

A man quarantined in a Belleville, Ont., hospital while awaiting Ebola test results is a member of the Canadian Forces aircrew who dropped off supplies to combat the disease in Sierra Leone, CBC News has learned.

The patient is currently in isolation and samples have been sent to the National Microbiology lab in Winnipeg. Results should be ready late Tuesday evening or early Wednesday morning.

The patient arrived at the Belleville General Hospital emergency room early Monday. He had recently returned from West Africa and showed some symptoms common with the Ebola virus.

From the London Telegraph, the military angle:

More troops tackling Ebola than battling Isil or the Taliban

  • The military campaign to help defeat Ebola becomes the Armed Forces’ biggest overseas deployment

Britain will soon have more troops tackling Ebola than battling Isil or the Taliban, as the military campaign to help defeat the deadly disease outbreak becomes the Armed Forces’ biggest overseas deployment.

Michael Fallon, the Defence Secretary, said the UK had to act to help stop the spread of the disease, or it would tear through West Africa, then into Europe and the UK.

By the end of November around 750 British troops will be in Sierra Leone helping to set up medical centres and train staff to tackle the outbreak which has killed more than 4,000.

He said by then it would be the UK’s “biggest deployment overseas” as it pulls back from its 13-year war in Afghanistan.

After the jump, preparations in Japan, capitalizing on crisis, vaccines promised and researched, a hefty Zuckberg donation, an atomic helping hand, a UN official’s prescription, a British hospital ship heading to Sierra Leone, an expanding Ebola text-message system, Ebola outbreaks in Nigeria and Senegal over, on to Sierra Leone and scare resources, then on to Liberia and one county’s tripling of cases, division over a desperate measure in desperate times, a ministerial quarantine, the perils of care, a hospital reopens, a warning over burials, high-level visits to Monrovia, Cote d’Ivoire quarantines arrivals from Liberia, and to close on a note of absurdity, two stories about shouting Ebola on crowd bus. . . Continue reading

EbolaWatch: Crisis, Pols, Scares, & Africa


And please do read the African coverage after the jump, featuring stories from newspapers in the Hot Zone. . .

First up, from BuzzFeed, alarms shrieking:

WHO Says Ebola Is The Worst Modern Health Emergency

The World Health Organization calls Ebola “unquestionably the most severe acute public health emergency in modern times” and says “the world is ill-prepared to respond to any severe, sustained, and threatening public health emergency.”

In a statement emailed to reporters on Monday, the World Health Organization (WHO) deemed Ebola “unquestionably the most severe acute public health emergency in modern times,” saying that most countries where Ebola has spread have failed “to put basic public health infrastructures in place.”

Encouraging people and health officials to get informed about how to prevent Ebola, WHO Director-General Margaret Chan explained that 90% of economic losses during the outbreak of any disease comes from “the uncoordinated and irrational efforts of the public to avoid infection.”

“We are seeing, right now, how this virus can disrupt economies and societies around the world,” she said.

More from the New York Times:

W.H.O. Chief Calls Ebola Outbreak a ‘Crisis for International Peace’

The Ebola outbreak in West Africa is “unquestionably the most severe acute public health emergency in modern times,” Dr. Margaret Chan, the director general of the World Health Organization, said Monday.

Dr. Chan, who dealt with the 2009 avian flu pandemic and the SARS outbreaks of 2002-3, said the Ebola outbreak had progressed from a public health crisis to “a crisis for international peace and security.”

“I have never seen a health event threaten the very survival of societies and governments in already very poor countries,” she said in a statement delivered on her behalf to a conference in Manila and released by her office in Geneva. “I have never seen an infectious disease contribute so strongly to potential state failure.”

More from BBC News:

Ebola epidemic ‘could lead to failed states’, warns WHO

The Ebola epidemic threatens the “very survival” of societies and could lead to failed states, the World Health Organization (WHO) has warned.

The outbreak, which has killed some 4,000 people in West Africa, has led to a “crisis for international peace and security”, WHO head Margaret Chan said.

She also warned of the cost of panic “spreading faster than the virus”.

The Nation goes for context:

How the World Let the Ebola Epidemic Spiral Out of Control

  • A swift international response could have contained the outbreak

Despite its frightening virulence, Ebola can be contained through robust public health efforts. It thrives in chaotic and impoverished environments where public health systems are frayed and international assistance weak. Though experts will debate the roots of this current crisis for years, one point on which many agree is that local poverty and global indifference played starring roles. “This isn’t a natural disaster,” international health crusader Paul Farmer told The Washington Post. “This is the terrorism of poverty.”

Liberia, Sierra Leone and Guinea are among the poorest countries on the planet, with health systems that have been shattered by years of neglect and conflict. As many as 90 percent of Liberia’s healthcare workers fled the country during its long civil war, and some 80 percent of its health facilities were closed. By the time the Ebola outbreak was declared an international emergency, Liberia had less than 250 doctors. Scientists could not have devised a more nurturing environment for a deadly virus if they had designed it in a laboratory.

But if local conditions created the opening for the epidemic, it was global inaction that helped it to flourish. For months, organizations like Doctors Without Borders begged the World Health Organization to begin marshaling resources to fight the crisis. But after years of budget cuts and the gutting of its epidemic-response unit, WHO failed to act with anything approaching the necessary speed and competence. Nor was it alone: governments around the world have stalled, unwilling to recognize this outbreak as the global humanitarian crisis it is. Even now, far too few have stepped up to provide the medical resources and technical expertise that are so desperately needed.

And the perspective on the handling of the outbreak from a German specialist on tropical diseases from Deutsche Welle:

The Global Fight against Ebola

Program notes:

Dr. Peter Tinnemann, head of the global health sciences unit at the Institute for Social Medicine, Epidemiology and Health Economics at the Charité University Medical Center in Berlin, offers insights into the global fight against Ebola and explains what the World Health Summit can do to help solve global health problems.

The New York Times raises questions:

New Questions of Risk and Vigilance After Dallas Nurse Contracts Ebola

Dr. Joseph McCormick, regional dean of the University of Texas School of Public Health in Brownsville, said he was shocked that none of those monitored by officials were hospital workers caring for Mr. Duncan after he was put in isolation. Dr. McCormick worked for the C.D.C. in 1976, when he helped investigate the first epidemic of Ebola in central Africa.

“You know that once this guy is really ill and he’s hospitalized, there’s going to be a lot of contact, manipulation of blood specimens, cleaning up if he’s vomiting or if he’s got diarrhea,” Dr. McCormick said. “You certainly can’t assume that because he’s hospitalized and in this unit that everything is fine and everything that goes on will be without any risk. I mean that’s just ludicrous to think that.”

State and federal health officials seemed to be, in a sense, starting over, two weeks after Mr. Duncan’s diagnosis of Ebola on Sept. 30. They spoke of stepping up precautions and of conducting a new investigation, in order to evaluate and learn more about a group of health-care workers they had initially failed to regard as potentially at risk.

“So in light of this case, we’re looking at the ongoing monitoring of all health care workers and looking at going forward having an epidemiologist see them and more active surveillance for these individuals,” Dr. David L. Lakey, the commissioner of the Texas Department of State Health Services, told reporters Sunday.

The Washington Post assesses:

U.S. hospitals not prepared for Ebola threat

With reports that a nurse who treated Ebola patient Thomas Eric Duncan in Dallas has been infected, one thing urgently needs to be made clear: Our hospitals are not prepared to confront the deadly virus.

It is long past time to stop relying on a business-as-usual approach to a virus that has killed thousands in West Africa and has such a frighteningly high mortality rate. There is no margin for error. That means there can be no standard short of optimal in the protective equipment, such as hazmat suits, given to nurses and other personnel who are the first to engage patients with Ebola-like symptoms. All nurses must have access to the same state-of-the-art equipment used by Emory University Hospital personnel when they transported Ebola patients from Africa, but too many hospitals are trying to get by on the cheap.

In addition, hospitals and other front-line providers should immediately conduct hands-on training and drills so that personnel can practice, in teams, such vital safety procedures as the proper way to put on and remove protective equipment. Hospitals must also maintain properly equipped isolation rooms to ensure the safety of patients, visitors and staff and harden their procedures for disposal of medical waste and linens.

The Associated Press sets the healthcare frame:

CDC urges all US hospitals to ‘think Ebola’

The government is telling the nation’s hospitals to “think Ebola.”

Every hospital must know how to diagnose Ebola in people who have been in West Africa and be ready to isolate a suspected case, Tom Frieden, director of the Centers for Disease Control and Prevention, said Monday.

He said the CDC is working to improve protections for hospital workers after a nurse caring for an Ebola patient in Dallas became the first person to become infected with the disease inside the U.S.

“We have to rethink the way we address Ebola infection control,” Frieden said, “because even a single infection is unacceptable.”

Fears from the Los Angeles Times:

Louisiana A.G. opposes burial of burned items linked to Ebola victim

Burned items associated with a Liberian man who died from Ebola in a Dallas hospital last week could be barred from a Louisiana landfill if the state’s attorney general gets his way.

Atty. Gen. Buddy Caldwell said he plans to ask for a temporary restraining order to keep the incinerated items out of Louisiana. The request could be filed as early as Monday, said a spokesman for Caldwell.

In a statement late Sunday, Caldwell cited reports that “six truckloads” of items from the Texas apartment where Thomas Eric Duncan was staying are set to be dumped at a Louisiana landfill after being burned at a Veolia Environmental Services plant in Port Arthur, Texas. Duncan fell ill with Ebola in Texas and died Wednesday.

The Centers for Disease Control and Prevention has said that incinerated Ebola-associated waste is no longer infectious.

More of the same from the Associated Press:

Company won’t take ash from Ebola victim apartment

A Louisiana waste disposal facility says it will not accept the ashes generated when a Texas Ebola victim’s belongings were incinerated, at least not until state officials agree that it would pose no threat to the public.

Chemical Waste Management Inc.-Lake Charles said in news release Monday that it is permitted to accept such material and that it poses no threat to the environment or human health.

But, the company says, “we do not want to make an already complicated situation, more complicated.”

The Hill covers troops dispatched:

‘Surge’ of Ebola personnel sent to Dallas

A “surge” of personnel and other resources has been sent to Dallas to help discover how a nurse was infected with Ebola, top health officials told President Obama during an Oval Office meeting on Monday.

The president stressed that the investigation into the second U.S. infection “should proceed as expeditiously as possible and that lessons learned should be integrated into future response plans and disseminated to hospitals and healthcare workers nationwide.” He said officials should move “as expeditiously as possible,” according to the White House.

Obama was briefed on the Ebola case by Sylvia Mathews Burwell, the secretary of the Health and Human Services Department; Susan Rice, Obama’s national security adviser, and Lisa Monaco, the assistant to the president for homeland security and counterterrorism. Tom Frieden, the director of the Centers for Disease Control and Prevention, participated via telephone.

From The Hill, but of course:

GOP amplifies calls for Ebola czar

At least six lawmakers, including one Democrat, are now calling for a single Ebola authority to oversee the government’s efforts at home and abroad. The U.S. plan to combat Ebola costs at least $1 billion and crosses multiple layers of government, from the Department of Defense to airport security staff to local health departments.

Dallas Mayor Mike Rawlings, who has worked closely with federal officials on the city’s Ebola cases, told reporters last week that the response had been “at best, disorganized.”

The White House maintains that it has a clear chain of command about how to confront Ebola, and it starts with Obama’s top homeland security adviser, Lisa Monaco. But Republicans believe the lack of a prominent point person who can focus solely on Ebola has slowed the nation’s response to the epidemic.

Salon lays some blame:

The right’s scary Ebola lesson: How anti-government mania is harming America

  • It’s time to admit the truth: People who cut health funding and don’t like government have not helped this crisis

If not for serial budget cuts to the National Institutes of Health, we would probably have an Ebola vaccine and we would certainly have better treatment, NIH director Dr. Francis Collins tells the Huffington Post’s Sam Stein. This comes on the heels of reporting that the Centers for Disease Control’s prevention budget has been cut by half since 2006, and new revelations about how botched protocols at the Dallas hospital that turned away Thomas Eric Duncan and then failed to treat him effectively also led to the infection of one of Duncan’s caregivers.

Yet most of the media coverage of the politics of Ebola to date has centered on whether President Obama has adequately and/or honestly dealt with the disease. “I remain concerned that we don’t see sufficient seriousness on the part of the federal government about protecting the American public,” Texas Sen. Ted Cruz told reporters. Cruz is probably the wrong guy to talk about seriousness: his government shutdown forced the NIH to delay clinical trials and made the CDC cut back on disease outbreak detection programs this time last year.

I find myself wondering: When, if ever, will the political debate over Ebola center on the way the right-wing libertarian approach to government has made us less safe?

A Dallas patient update from Sky News:

Ebola Infected Dallas Nurse Nina Pham ‘Stable’

  • Barack Obama urges health officials to quickly investigate how Dallas nurse Nina Pham became infected despite precautions

An American nurse who contracted ebola while treating a dying patient is in “clinically stable” condition, US health officials have said.

The healthcare worker, identified as 26-year-old Nina Pham, has been in isolation at Texas Health Presbyterian Hospital in Dallas since Friday.

Ms Pham was one of several caregivers who treated Thomas Eric Duncan, a Liberian national who succumbed to ebola on 8 October.

The White House said that the president wants an update on steps under way to ensure the national health system is prepared to deal with the disease, which has killed more than 4,000 people in West Africa.

A video report from Reuters:

CDC: Infected nurse “clinically stable,” others possibly at risk

Program note:

Dr. Thomas Frieden says CDC doesn’t know how nurse became infected with Ebola, and says staff are assessing care protocols, and materials used for protective suits and equipment.

Reconsideration from the New York Times:

C.D.C. Reviewing Procedures After New Case of Ebola in Dallas

Health authorities have expanded the number of health care workers who were part of a group that may have had contact with Mr. Duncan to at least 50 people, which doubles the number of those being monitored to more than 100.

The action comes as questions were being raised about why the hospital workers who had been caring for Mr. Duncan from Sept. 28 until his death last Wednesday had not been on the initial list.

Officials had previously never made it clear that the 48 people being evaluated did not include those treating him after his admission to the hospital.

On Monday, health authorities said they were conducting interviews with employees at Texas Health Presbyterian Hospital to try to determine who might have come into contact with Mr. Duncan and were monitoring their health to ensure that they had not contracted the virus.

Unlike Spain, where the dog of a nurse who contracted from a patient was put down, via Reuters:

Dog of Ebola-infected Dallas nurse to be cared for, officials say

The dog of the Dallas nurse who contracted Ebola when treating a patient infected with the virus is still in the woman’s apartment and will be kept safe while its owner is in isolation at a local hospital, officials said on Monday.

The 1-year-old King Charles Spaniel will be moved to an undisclosed location where its health can be checked, Dallas County Judge Clay Jenkins’ office said in a statement.

“We are working to remove the dog from the apartment this afternoon,” the office said. Jenkins, the chief executive for Dallas County, is working to share photos of the patient’s dog with her family, it added.

American network talking head goes AWOL, gets whole crew confined, via News Corp Australia:

NBC News crew under quarantine after correspondent Dr Nancy Snyderman snuck out for soup

AN NBC News crew was ordered under mandatory quarantine for possible Ebola infection after the network’s chief medical correspondent was allegedly spotted on a food run to a New Jersey restaurant, according to a report.

Dr. Nancy Snyderman and her crew had agreed to a voluntary quarantine when they returned to the United States from West Africa last week following their exposure to a cameraman who contracted the deadly virus, The New York Post reports.

But Snyderman, who lives in Princeton, New Jersey, was spotted outside the Peasant Grill in nearby Hopewell on Thursday afternoon, according to Planet Princeton.

A screening update from The Hill:

CDC: 91 passengers at JFK airport flagged for Ebola screenings

Centers for Disease Control and Prevention (CDC) Director Tom Frieden said Monday that 91 passengers had been flagged for additional Ebola screening at New York’s John F. Kennedy International Airport.

“Ninety-one such individuals were identified, none of them had fever,” Frieden said during a press briefing. “Five of them were referred for additional evaluation for CDC. None were deemed to have exposure to Ebola.”

Kennedy airport is one of five in the U.S. where passengers arriving from West African countries battling the deadly disease receive extra checks for symptoms. The Obama administration has also implemented the additional screenings at Newark Liberty, Washington Dulles, O’Hare in Chicago and Atlanta’s Hartsfield-Jackson International Airport.

From RT, vaccine hopes:

70-90% efficiency: Russia to send Ebola vaccine to W. Africa in 2 months

In two months, Russia is planning to send a new experimental vaccine against Ebola to Africa, according to the country’s health minister. The efficiency of the drug, which is to be tested on the ground, is about 70-90 percent.

“Today we are discussing that we will have enough of Triazoverin vaccine in two months so that we can send them to our personnel in Guinea and test its efficiency in clinical conditions,” Health Minister Veronika Skvortsova said.

The vaccine has so far proved efficient against various hemorrhagic fevers, including the Marburg virus which is very similar to Ebola. “The efficiency ranges between 70 and 90 percent and this is a very good indicator,” Skvortsova said.

Russia’ Virology Institute is preparing a whole group of drugs.”They are basically genetically engineered drugs which can work both for disease treatment and prevention,” Skvortsova said.

Another vaccine, via the Guardian:

Canadian-made Ebola vaccine begins human trials in US

  • Experimental vaccine has shown to be ‘100% effective’ in preventing spread of Ebola when tested on animals

An experimental Canadian-made Ebola vaccine that has shown promise in tests on primates is beginning clinical trials on humans in the US.

The vaccine will be tested on healthy individuals Monday to see how well it works, whether there are side effects and what the proper dosage is, Health Minister Rona Ambrose said.

“The Canadian vaccine provides great hope and promise because it has shown to be 100% effective in preventing the spread of the Ebola virus when tested on animals,” she said.

From the Guardian again, a defense:

Spain defends Ebola repatriations

  • We did what we had to do, says foreign minister, despite nurse becoming first person to contract virus outside of west Africa

Spain’s foreign affairs minister has defended the government’s decision to repatriate two Spanish nationals with Ebola, despite a nurse who treated them becoming the first person to contract the virus outside of west Africa.

“The government did what it had to do,” José Manuel García-Margallo told El País newspaper. “The duty of a state is to protect its citizens – and even more so when they are in difficult circumstances far from Spain. All the developed countries who have had this problem have done the same.”

The two missionaries, Miguel Pajares, 75, and Manuel García Viejo, 69, died in August and September, days after being evacuated to Madrid for treatment. Spanish nurse Teresa Romero Ramos tested positive for the Ebola virus shortly after. She remains in a stable but serious condition.

An Aussie nurse returns to Africa after a false alarm, via the Guardian:

Cairns nurse in Ebola scare urges volunteers to fight virus in West Africa

  • Sue Ellen Kovack says medical professionals thinking of travelling to West Africa to help in public health crisis should not be deterred

The nurse at the centre of the Australian Ebola scare has urged other health professionals to travel to West Africa to help fight the virus.

Sue Ellen Kovack, 57, was released from Cairns hospital on Monday after returning a second negative result for the virus. Kovack returned from treating Ebola patients in Sierra Leone last Tuesday and was taken to hospital on Thursday after developing a low-grade fever, sparking fears she could have brought the virus to Australia.

In her first public statement since being admitted to hospital Kovack urged Australians to donate to the Red Cross to send more help to West Africa.

“It has been so inspiring and it has really kept me going in the past few days to know there’s growing public support for action to help people affected by Ebola in West Africa,” she said.

The British numbers, via the Independent:

Jeremy Hunt: UK Ebola victims won’t exceed ‘a handful’

The Health Secretary Jeremy Hunt defended Britain’s response to the Ebola crisis which was described by the head of the World Health Organisation (WHO) as the biggest danger posed by a disease in modern times.

Unveiling new measures designed to halt the spread of the deadly virus from arriving in the UK and to identify those in the early stages of infection, Mr Hunt told MPs that he did not expect the number of victims to exceed a “handful of cases” – fewer than 10.

He was challenged by Labour to describe the “worst-case scenario” and sought to reassure the public that the risk posed by the disease was low. However he said it was possible that the number of infections could rise and the situation was likely to get worse before it improves.

Screens up, via BBC News:

Heathrow Ebola screening from Tuesday

Ebola screening will begin at London’s Heathrow Airport on Tuesday, Health Secretary Jeremy Hunt says.

Passengers from at-risk countries will have their temperature taken, complete a risk questionnaire and have contact details recorded.

Mr Hunt said screening at Gatwick and Eurostar terminals would start in the coming week.

The Chief Medical Officer says the risk to the UK is low, but expects a “handful” of cases.

Aerial Ebolaphobia, via the Guardian:

Ebola: UK cancels resumption of direct flights to Sierra Leone

  • Department of Transport cites deteriorating public health for revoking Gambia Bird’s licence to fly to Ebola-hit country

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

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

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

Spanish reassurance from El País:

Ebola outbreak is under control, says government spokesman

  • Scientific committee confirms that only nursing assistant can now transmit virus in Spain

“The patient is still in a very serious condition.” That was the latest news from the authorities on the health of Teresa Romero, the Spanish nursing assistant who was diagnosed with Ebola last week and has been receiving treatment in Carlos III Hospital in Madrid ever since.

The person delivering the message was Fernando Rodríguez Artalejo, a member of the scientific committee put in place by the government late last week, during a press conference at midday on Monday at La Moncloa prime ministerial palace.

Rodríguez went on to confirm that none of the people with whom Romero had come into contact, and who have been voluntarily put into isolation at Carlos III for monitoring, are showing any symptoms of the virus.

“Right now there is no other person in Spain who is capable of transmitting the virus other than the patient,” he said in reference to Romero, who contracted Ebola while caring for a Spanish missionary who had been repatriated from west Africa after becoming infected. “We are in a situation of total calm,” Rodríguez added.

TheLocal.es gives the date:

‘Spain Ebola-free in two weeks if no new cases’

Spain will be free from the threat of further contagion from Ebola on October 27th if all those who had close contact with an infected nurse remain without symptoms by then, a hospital director said on Monday.

Concerns that Ebola could spread in Spain have been high since the nurse, Teresa Romero, on October 6th became the first person diagnosed as having caught the deadly haemorrhagic fever outside of Africa.

A Czech Ebola alarm from RT:

Suspected Ebola carrier wrapped in plastic after Czech police seal off rail station

Czech police and hazmat suit-wearing doctors have seized a traveler from Ghana at Prague’s main railway station. The man, suspected of suffering from the Ebola virus, was wrapped in black plastic by the authorities and taken away.

The police dispatched some 15 officers from the capital’s rapid response squad to cordon off the station’s lobby, iDNES.cz news website reported. The operation didn’t interrupt the normal operation of the railway station, but probably scared passengers who were in the vicinity.

Footage from the scene showed a man wearing biohazard suit pushing a luggage cart with a person sitting on it almost completely covered by black plastic.

The target of the police operation was a student from Ghana, who arrived in Prague earlier Saturday evening. He managed to get through medical screening at the airport and was caught later at the railway station.

Here’s the raw footage, via Media News:

After the jump, on to Africa with a bankster’s alarm and a regional economic alert, on to Sierra Leone and football affected, Liberia next, with journalistic accusations, a strike averted — or was it?, an account from one facility, a protest over dismissals, clinic expansions, a new outbreak reported, an innovative clinic covered, justices pledge salaries to the Ebola fight, And a warning against healthcare worker abuse, then on to Nigeria and anti-Ebola measures in schools, and an Ebola drugs medical trial, plus high praise in Gambia. . . Continue reading