October 14, 2014

Zuckerburg Of Facebook Donates 25 Million to Fight Ebola

Zuckerberg, wife donate $25M to CDC for Ebola Zuckerberg, wife donate $25 million to CDC Foundation to address Ebola Associated Press By Barbara Ortutay, AP Technology Writer 15 minutes ago NEW YORK (AP) -- Facebook CEO Mark Zuckerberg and his wife, Priscilla Chan, are donating $25 million to the CDC Foundation to help address the Ebola epidemic. The money will be used by the U.S. Centers for Disease Control and Prevention's Ebola response effort in Guinea, Liberia and Sierra Leone and elsewhere in the world where Ebola is a threat, the foundation said Tuesday. The grant follows a $9 million donation made by Microsoft co-founder Paul Allen last month. Zuckerberg and Chan are making the grant from their fund at the nonprofit Silicon Valley Community Foundation. "We need to get Ebola under control in the near term so that it doesn't spread further and become a long term global health crisis that we end up fighting for decades at large scale, like HIV or polio," Zuckerberg wrote on his Facebook page on Tuesday. "We believe our grant is the quickest way to empower the CDC and the experts in this field to prevent this outcome." Also on Tuesday, the World Health Organization said West Africa could see up to 10,000 new Ebola cases a week within two months and confirmed that the death rate in the current outbreak is now 70 percent. The disease has killed more than 4,000 people, nearly all of them in West Africa. The WHO has called the outbreak "the most severe, acute health emergency seen in modern times." "The most important step we can take is to stop Ebola at its source. The sooner the world comes together to help West Africa, the safer we all will be," said CDC Director Tom Frieden in a statement. Facebook Inc. is based in Menlo Park, California

October 13, 2014

Imitation Of Life Actress Dies

Los Angeles (CNN) - Juanita Moore, the third African-American actress to ever get a supporting actress Oscar nomination, died of natural causes at her Los Angeles home Tuesday, her grandson said. She was 99. Moore worked right to the end, preparing for a stage reading of a new play and helping her actor grandson learn lines, Kirk Kellykhan said, "I just got cursed out that morning about learning my lines," Kellykhan said. Moore was helping him prepare for the lead in the West Coast production of the Broadway play "The Wedding Man," he said. She was scheduled to take part in a January 17 reading of a play based on Michael St. John's book "Hollywood Through the Backdoor," her grandson said. Moore was nominated for a best supporting actress Oscar in 1960 for Douglas Sirk's "Imitation of Life." She played a housekeeper whose daughter passes for white. A Los Angeles native, she began her entertainment career as a Cotton Club chorus girl and a film extra. At the same time, she worked on her acting skills on stage in the Ebony Showcase Theater. Moore's feature film debut came in 1949 when she played a nurse in "Pinky." Most of her roles in the 1950s were as domestics, until she was cast as Annie Johnson in "Imitation of Life." The story was about Johnson's light-skinned daughter denying her racial roots. The lack of roles for African-American actresses in the early 1960s made it difficult for Moore to find big-screen jobs despite the accolades for her work. She acted in supporting roles in 1961 in "Tammy, Tell Me True" and in 1963 in "Papa's Delicate Condition." Moore did land a significant role as a nun in the 1966 hit "The Singing Nun." As more black-themed movies were made near the end of the decade, her career improved. She acted in "Uptight" in 1968, "The Mack" in 1973 and "Abby" in

October 12, 2014

Feds Get Involved In Ebola Crisis

Obama Orders Immediate Federal Action To Help Halt Spread Of Ebola AP/The Huffington Post 10/12/14 01:50 PM ET WASHINGTON (AP) — President Barack Obama has gotten an update about the latest developments on Ebola from his health secretary and his assistant for homeland security. The White House says Obama has asked the Centers for Disease Control and Prevention to move as quickly as possible in investigating the apparent breach of infection control procedures at the Texas hospital that had treated a Liberian man with the virus. Obama also is having federal authorities take more steps to make sure hospitals and health care providers are ready to follow the proper procedures in dealing with an Ebola patient. According to a White House readout of the call, Obama directed the following: · The Centers for Disease Control and Prevention’s (CDC) investigation into the apparent breach in infection control protocols at the Dallas hospital move as expeditiously as possible; · The additional officers CDC has dispatched to Dallas work closely with state and local authorities as well as hospital staff to review infection control procedures and the use of personal protective equipment; · Lessons learned from that inquiry are shared quickly and broadly; and, · Federal authorities take immediate additional steps to ensure hospitals and healthcare providers nationwide are prepared to follow protocols should they encounter an Ebola patient.

Health Worker In Texas Diagnosed With Ebola

Health worker 2nd in US to test positive for Ebola . Associated Press By NOMAAN MERCHANT 31 minutes ago DALLAS (AP) — A Texas health care worker who was in full protective gear while providing hospital care for an Ebola patient who later died has tested positive for the virus and is in stable condition, health officials said Sunday. If the preliminary diagnosis is confirmed, it would be the first known case of the disease being contracted or transmitted in the U.S. Meanwhile, a top federal health official said the health care worker's Ebola diagnosis shows there was a clear breach of safety protocol and all those who treated Thomas Eric Duncan are now considered to be potentially exposed. Dr. Daniel Varga, of the Texas Health Resources, said during a news conference Sunday that the worker wore a gown, gloves, mask and shield while they provided care to Duncan during his second visit to Texas Health Presbyterian Hospital. Varga did not identify the worker and says the family of the worker has "requested total privacy." Varga says the health care worker reported a fever Friday night as part of a self-monitoring regimen required by the Atlanta-based Centers for Disease Control and Prevention. He said another person also remains in isolation, and the hospital has stopped accepting new emergency room patients. Duncan, the first person diagnosed with Ebola in the U.S., died Wednesday in Dallas. "We knew a second case could be a reality, and we've been preparing for this possibility," Dr. David Lakey, commissioner of the Texas Department of State Health Services, said in a statement Sunday. "We are broadening our team in Dallas and working with extreme diligence to prevent further spread." But Dr. Tom Frieden, head of the Centers for Disease Control and Prevention, on Sunday raised concerns about a possible breach of safety protocol and told CBS' "Face the Nation" that among the things CDC will investigate is how the workers took off that gear — because removing it incorrectly can lead to a contamination. "I think the fact that we don't know of a breach in protocol is concerning, because clearly there was a breach in protocol," Frieden said. "We have the ability to prevent the spread of Ebola by caring safely for patients ... We'll conduct a full investigation of what happens before health workers go in, what happens when they're there, and what happens in the taking out, taking off their protective equipment because infections only occur when there's a breach in protocol." Health officials have interviewed the patient and are identifying any contacts or potential exposures. They said people who had contact with the health care worker after symptoms emerged will be monitored based on the nature of their interactions and the potential they were exposed to the virus. Officials said they also received information that there may be a pet in the health care worker's apartment, and they have a plan in place to care for the animal. They do not believe the pet has signs of having contracted Ebola. Judge Clay Jenkins, Dallas County's top administrative official, said the unidentified health care worker is a "heroic" person who "was proud to provide care to Mr. Duncan." He said the health care worker's family has requested privacy because they are "going through a great ordeal." More than 4,000 people have died in the ongoing Ebola epidemic centered in West Africa, according to World Health Organization figures published Friday. Almost all of those deaths have been in the three worst-affected countries, Liberia, Sierra Leone and Guinea. Health care workers treating Ebola patients are among the most vulnerable, even if wearing protective gear. A Spanish nurse assistant recently became the first health care worker infected outside west Africa during the ongoing outbreak: she helped care for a missionary priest who was brought to a Madrid hospital. More than 370 health care workers in west Africa have fallen ill or died in west Africa since epidemic began earlier this year. Ebola spreads through close contact with a symptomatic person's bodily fluids, such as blood, sweat, vomit, feces, urine, saliva or semen. Those fluids must have an entry point, like a cut or scrape or someone touching the nose, mouth or eyes with contaminated hands, or being splashed. The World Health Organization says blood, feces and vomit are the most infectious fluids, while the virus is found in saliva mostly once patients are severely ill and the whole live virus has never been culled from sweat. Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S., died Wednesday in Dallas. Duncan grew up next to a leper colony in Liberia and fled years of war before later returning to his country to find it ravaged by the disease that ultimately took his life. Duncan arrived in Dallas in late September, realizing a long-held ambition to join relatives. He came to attend the high-school graduation of his son, who was born in a refugee camp in Ivory Coast and was brought to the U.S. as a toddler when the boy's mother successfully applied for resettlement. The trip was the culmination of decades of effort, friends and family members said. But when Duncan arrived in Dallas, though he showed no symptoms, he had already been exposed to Ebola. His neighbors in Liberia believe Duncan become infected when he helped a pregnant neighbor who later died from it. It was unclear if he knew about her diagnosis before traveling. Duncan had arrived at a friend's Dallas apartment on Sept. 20 — less than a week after helping his sick neighbor. For the nine days before he was taken to a hospital in an ambulance, Duncan shared the apartment with several people.

October 8, 2014

Ebola Getting To Know The Disease

Ebola virus disease Fact sheet N°103 Updated September 2014 Key facts Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans. The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission. The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks. The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests, but the most recent outbreak in west Africa has involved major urban as well as rural areas. Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, surveillance and contact tracing, a good laboratory service, safe burials and social mobilisation. Early supportive care with rehydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralise the virus but a range of blood, immunological and drug therapies are under development. There are currently no licensed Ebola vaccines but 2 potential candidates are undergoing evaluation. Background The Ebola virus causes an acute, serious illness which is often fatal if untreated. Ebola virus disease (EVD) first appeared in 1976 in 2 simultaneous outbreaks, one in Nzara, Sudan, and the other in Yambuku, Democratic Republic of Congo. The latter occurred in a village near the Ebola River, from which the disease takes its name. The current outbreak in west Africa, (first cases notified in March 2014), is the largest and most complex Ebola outbreak since the Ebola virus was first discovered in 1976. There have been more cases and deaths in this outbreak than all others combined. It has also spread between countries starting in Guinea then spreading across land borders to Sierra Leone and Liberia, by air (1 traveller only) to Nigeria, and by land (1 traveller) to Senegal. The most severely affected countries, Guinea, Sierra Leone and Liberia have very weak health systems, lacking human and infrastructural resources, having only recently emerged from long periods of conflict and instability. On August 8, the WHO Director-General declared this outbreak a Public Health Emergency of International Concern. A separate, unrelated Ebola outbreak began in Boende, Equateur, an isolated part of the Democratic Republic of Congo. The virus family Filoviridae includes 3 genera: Cuevavirus, Marburgvirus, and Ebolavirus. There are 5 species that have been identified: Zaire, Bundibugyo, Sudan, Reston and Taï Forest. The first 3, Bundibugyo ebolavirus, Zaire ebolavirus, and Sudan ebolavirus have been associated with large outbreaks in Africa. The virus causing the 2014 west African outbreak belongs to the Zaire species. Transmission It is thought that fruit bats of the Pteropodidae family are natural Ebola virus hosts. Ebola is introduced into the human population through close contact with the blood, secretions, organs or other bodily fluids of infected animals such as chimpanzees, gorillas, fruit bats, monkeys, forest antelope and porcupines found ill or dead or in the rainforest. Ebola then spreads through human-to-human transmission via direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids of infected people, and with surfaces and materials (e.g. bedding, clothing) contaminated with these fluids. Health-care workers have frequently been infected while treating patients with suspected or confirmed EVD. This has occurred through close contact with patients when infection control precautions are not strictly practiced. Burial ceremonies in which mourners have direct contact with the body of the deceased person can also play a role in the transmission of Ebola. People remain infectious as long as their blood and body fluids, including semen and breast milk, contain the virus. Men who have recovered from the disease can still transmit the virus through their semen for up to 7 weeks after recovery from illness. Symptoms of Ebola virus disease The incubation period, that is, the time interval from infection with the virus to onset of symptoms is 2 to 21 days. Humans are not infectious until they develop symptoms. First symptoms are the sudden onset of fever fatigue, muscle pain, headache and sore throat. This is followed by vomiting, diarrhoea, rash, symptoms of impaired kidney and liver function, and in some cases, both internal and external bleeding (e.g. oozing from the gums, blood in the stools). Laboratory findings include low white blood cell and platelet counts and elevated liver enzymes. Diagnosis It can be difficult to distinguish EVD from other infectious diseases such as malaria, typhoid fever and meningitis. Confirmation that symptoms are caused by Ebola virus infection are made using the following investigations: antibody-capture enzyme-linked immunosorbent assay (ELISA) antigen-capture detection tests serum neutralization test reverse transcriptase polymerase chain reaction (RT-PCR) assay electron microscopy virus isolation by cell culture. Samples from patients are an extreme biohazard risk; laboratory testing on non-inactivated samples should be conducted under maximum biological containment conditions. Treatment and vaccines Supportive care-rehydration with oral or intravenous fluids- and treatment of specific symptoms, improves survival. There is as yet no proven treatment available for EVD. However, a range of potential treatments including blood products, immune therapies and drug therapies are currently being evaluated. No licensed vaccines are available yet, but 2 potential vaccines are undergoing human safety testing. Prevention and control Good outbreak control relies on applying a package of interventions, namely case management, surveillance and contact tracing, a good laboratory service, safe burials and social mobilisation. Community engagement is key to successfully controlling outbreaks. Raising awareness of risk factors for Ebola infection and protective measures that individuals can take is an effective way to reduce human transmission. Risk reduction messaging should focus on several factors: Reducing the risk of wildlife-to-human transmission from contact with infected fruit bats or monkeys/apes and the consumption of their raw meat. Animals should be handled with gloves and other appropriate protective clothing. Animal products (blood and meat) should be thoroughly cooked before consumption. Reducing the risk of human-to-human transmission from direct or close contact with people with Ebola symptoms, particularly with their bodily fluids. Gloves and appropriate personal protective equipment should be worn when taking care of ill patients at home. Regular hand washing is required after visiting patients in hospital, as well as after taking care of patients at home. Outbreak containment measures including prompt and safe burial of the dead, identifying people who may have been in contact with someone infected with Ebola, monitoring the health of contacts for 21 days, the importance of separating the healthy from the sick to prevent further spread, the importance of good hygiene and maintaining a clean environment. Controlling infection in health-care settings: Health-care workers should always take standard precautions when caring for patients, regardless of their presumed diagnosis. These include basic hand hygiene, respiratory hygiene, use of personal protective equipment (to block splashes or other contact with infected materials), safe injection practices and safe burial practices. Health-care workers caring for patients with suspected or confirmed Ebola virus should apply extra infection control measures to prevent contact with the patient’s blood and body fluids and contaminated surfaces or materials such as clothing and bedding. When in close contact (within 1 metre) of patients with EBV, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures). Laboratory workers are also at risk. Samples taken from humans and animals for investigation of Ebola infection should be handled by trained staff and processed in suitably equipped laboratories. WHO response WHO aims to prevent Ebola outbreaks by maintaining surveillance for Ebola virus disease and supporting at-risk countries to developed preparedness plans. The document provides overall guidance for control of Ebola and Marburg virus outbreaks: Ebola and Marburg virus disease epidemics: preparedness, alert, control, and evaluation When an outbreak is detected WHO responds by supporting surveillance, community engagement, case management, laboratory services, contact tracing, infection control, logistical support and training and assistance with safe burial practices. WHO has developed detailed advice on Ebola infection prevention and control: Infection prevention and control guidance for care of patients with suspected or confirmed Filovirus haemorrhagic fever in health-care settings, with focus on Ebola Table: Chronology of previous Ebola virus disease outbreaks Year Country Ebolavirus species Cases Deaths Case fatality 2012 Democratic Republic of Congo Bundibugyo 57 29 51% 2012 Uganda Sudan 7 4 57% 2012 Uganda Sudan 24 17 71% 2011 Uganda Sudan 1 1 100% 2008 Democratic Republic of Congo Zaire 32 14 44% 2007 Uganda Bundibugyo 149 37 25% 2007 Democratic Republic of Congo Zaire 264 187 71% 2005 Congo Zaire 12 10 83% 2004 Sudan Sudan 17 7 41% 2003 (Nov-Dec) Congo Zaire 35 29 83% 2003 (Jan-Apr) Congo Zaire 143 128 90% 2001-2002 Congo Zaire 59 44 75% 2001-2002 Gabon Zaire 65 53 82% 2000 Uganda Sudan 425 224 53% 1996 South Africa (ex-Gabon) Zaire 1 1 100% 1996 (Jul-Dec) Gabon Zaire 60 45 75% 19