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AbledALERT: Outbreak Post link Banner shows an image of health care workers wearing protective clothing including pink rubber gloves and face masks. The image is half dissolved with a horizontal timeline of ebola cases ranging from 318 reported cases and 218 deaths in the Democratic Republic of the Congo in 1976 to 1,201 cases and 672 deaths (at the time the graphic was made) in 2014 in Guinea, Liberia and Sierra Leone. The headline reads: Tracking the deadliest outbreak yet. How far could it spread?

What Is Ebola?

Ebolavirus has been identified as a World Health Organization (WHO) Risk Group 4 Pathogen, and as a Category A Bioterrorism Agent by the U..S. Centers for Disease Control (CDC).

The Zaire ebolavirus, named for a river and the former country (now the Democratic Republic of Congo), in which it was first discovered in 1976, is the most dangerous of the five highly virulent species of ebola viruses of the Ebolavirus genus.

The virus causes extremely severe hemorrhagic fever in humans and other primates and results in death 50 – 90% of the time.

Source: Wikipedia

How Does It Spread?

The Ebola virus spreads via contact with the blood and/or bodily fluids of infected fruit bats, monkeys, pigs and humans.

Airborne transmission has not been documented during previous Ebola outbreaks. However, the virus is considered infectious as breathable 0.8-1.2 micrometre laboratory generated droplets, and because of this potential route of infection, this family of viruses has been classified as Category A biological weapons.

Males who are able to survive the resulting hemorrhagic fever may still have the ability to transmit the disease via semen for almost two months after diagnosis.

Medical workers who do not wear appropriate protective clothing may also contract the disease.

Source: Wikipedia

What Are The Symptoms?

The symptoms of Ebola Virus Disease appear anywhere between two days to three weeks after infection. On average, the progression of symptom onset occurs in the following manner:

DAY 7 – 9

First symptoms appear as headache, fatigue and muscle soreness.

DAY 10

Sudden high fever, vomiting blood, passive behavior.

DAY 11

Bruising, brain damage, bleeding from eyes, nose, mouth and anus. Decreased functioning of the liver and kidneys.

DAY 12

Loss of consciousness, seizures, massive internal bleeding and death.

How To Protect Yourself

Since there is no ‘cure’ or Ebolavirus-specific treatment, prevention is the current focus.

There are research efforts that have been underway in various countries on vaccine development and experimental serums. You can read more about that in our general coverage.

To help control further spread of the virus, people that are suspected or confirmed to have the disease should be isolated from other patients and treated by health workers using strict infection control precautions.

While initial cases of Ebola virus disease are contracted by handling infected animals or carcasses, secondary cases occur by direct contact with the bodily fluids of an ill person, either through unsafe case management or unsafe burial practices in the affected areas in Africa. During this outbreak, most of the disease has spread through human-to-human transmission.

Health workers treating patients with suspected or confirmed illness are at higher risk of infection than other groups. During an outbreak a number of important actions will reduce or stop the spread of the virus and protect health workers and others in the health-care setting. 

Isolating patients with suspected or confirmed Ebola virus disease in single isolation rooms is recommended. Where isolation rooms are not available, it is important to assign designated areas, separate from other patients, for suspected and confirmed cases. In these designated areas, suspect and confirmed cases should also be separate. Access to these areas should be restricted, needed equipment should be dedicated strictly to suspected and confirmed EVD treatment areas, and clinical and non-clinical personnel should be exclusively assigned to isolation rooms and dedicated areas.

Stopping visitor access to patients infected with EVD is preferred. If this is not possible, access should be given only to those individuals who are necessary for the patient’s well-being and care, such as a child’s parent.

In addition to standard health-care precautions, health-care workers should strictly apply recommended infection control measures to avoid exposure to infected blood, fluids, or contaminated environments or objects – such as a patient’s soiled linen or used needles.

Source: WHO

Infographic from nationalpost.com shows many aspects of the Ebola epidemic and contains similar information on rates of infection over the years as well as symptoms that we've already covered earlier on this page. Click here to open the graphic full size in your browser.
AbledALERT-Tracking Map by International Business Times | Hanna Sender: World health Organization Statistics for the Ebola Outbreak. A world map shows red color overlays of countries with deaths, orange overlays for countries where Ebola cases are being treated and yellow overlays of countries with scares or suspected cases. The updated totals of Confirmed, Probable and Suspected cases as of Friday. October 10, 2014 are: Democratic Republic of Congo - up slightly to 71 cases from 70 and 43 deaths; Guinea 1,350 cases up from 1,199 with 778 deaths up from 739 ; Liberia with 4,076 cases up from 3,834 and 2,316 deaths up from 2,069 in the previous report; Nigeria has stabilized at 20 cases and 8 deaths; Senegal remains relatively unaffected with only 1 case having been reported; Sierra Leone shows 2,950 cases up from 2,437 and 930 deaths up dramatically from 623; Spain joins the list with 1 reported case, while The United States reports 2 cases and 1 deaths on U.S. soil, which results in a global total of 8,471 cases up from 7,562, and 4,033 deaths, up from 3,481 the previous week.
Map from the world health organization shows the geographic distribution of Ebola Virus Disease outbreaks in humans and animals. Countries in Africa and Malaysia are shown in yellow as having serological evidence, while some countries such as the United States and Italy are shown in blue because of reporting Ebola reston outbreaks in imported monkeys from the Philippines. A dotted purple chain surrounds sub-Saharan African, the lower edge of the Arabian peninsula, India and from the northern edge of Australia to the southern tip of Japan, to outline the range of the Pleropodidae family of fruit bats which are thought to be hosts for the Ebola virus.
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AbledALERT photo shows Dallas nurse Nina Pham in the foreground while a health worker in protective gear is shown in the background emerging from the building where Pham lives in an apartment as officials remove the contents and sterilize the unit. The caption reads Mystery continues as to how Dallas nurse Nina Pham contracted Ebola from patient.

WEEK OF OCT. 12 – 18 HEADLINES:

Ebola-Infected Dallas Nurse Identified As Nina Pham – Family In Shock | Treated With Blood Plasma From Ebola Survivor Dr. Kent Brantly

Health officials in Texas are still investigating how it was possible for a nurse, now identified as 26-year-old Nina Pham, to contract Ebola despite following protective protocols as she was caring for Ebola patient Thomas Eric Duncan.

Friends told the Dallas Morning News that Pham is a loving, highly-motivated nurse who lives to care for others, and that “the family is very dedicated to go out of their way to help people.”

Family friend, Thomas Ha,  told CBS Radio affiliate KRLD in Dallas, “they are in shock . . . everybody doesn’t know what is going on, especially her mother – she was devastated – when she heard the bad news.”

Pham, who graduated in 2010 from Texas Christian University‘s nursing program in Fort Worth, is said to be in stable condition and unable to pinpoint exactly how and when she contracted the infection.

The Rev. Jim Khoi, pastor of the Fort Worth Church attended by Nina Pham’s family confirmed to the Associated Press that the nurse is in good spirits, communicating with her mother via Skype, and that she had received a transfusion of plasma containing Ebola-fighting antibodies Monday afternoon that had been donated by Ebola survivor Dr. Kent Brantly who traveled to Texas Health Presbyterian Hospital in Dallas on Sunday for the procedure.

Dr. Brantly, who contracted Ebola as the Medical Director for the Samaratin’s Purse Ebola Consolidated Management Center in Monrovia, Liberia, had previously donated  blood to help treat fellow missionary, Dr. Rick Sacra who became the third American to be infected with Ebola, and who has since recovered.

Dr. Brantly also donated blood, in the middle of a road trip, for NBC News freelance cameraman Ashoka Mukpo after he had been diagnosed with Ebola Virus Disease.

More on the case in Texas from CBS 11 in Dallas:

AbledALERT-OUTBREAK-Ebola Photo shows a photo from Dallas nurse Nina Pham's Facebook page of her small pet dog sniffing her cheek while sitting in her car, The 26 year old nurse is wearing aviator sunglasses and smiling as she takes a selfie . The caption reads: Dallas officials promise to care for nurse Nina Pham's dog during Ebola treatment.

Dallas Won’t Follow Madrid’s Example By Killing Patient’s Dog

While Dallas nurse Nina Pham‘s apartment is being sanitized after it was confirmed she had contracted Ebola from tending to patient Thomas Eric Duncan, city and state officials say they’re taking good care of her dog, Bentley, a Cavalier King Charles Spaniel.

He was rescued from Pham’s apartment Saturday, and is spending a 21 day quarantine at Hensley Field Services Center in what’s called a “homelike environment” with comfortable bedding and plenty of toys to keep him entertained. Bentley is fed twice a day and tended to by staff and a veterinarian in full hazmat gear.

AbledALERT: OUTBREAK: Ebola photo show's Ebola patient Nina Pham's dog Bentley being taken in a portable animal kennel from the nurse's apartment in Dallas, Texas. The caption reads: 3 days after rescue from Ebola contaminated apartment, Bentley now in 21 day quarantine.

Dallas officials are trying to avoid the kind of public uproar that occurred in Spain after officials in Madrid euthanized a dog named Excalibur that belonged to a nursing assistant who contracted Ebola Virus Disease  after caring for two Spanish missionaries who had been flown back from West Africa.

The concern over the dogs being infected with Ebola is a pragmatic one. CDC Director Tom Frieden cited a study that showed 9 to 25 percent of dogs tested during the 2001-2002 Ebola outbreak in Gabon showed signs of infection. However, U.S. veterinary officials say the risk is lower in the Dallas case and elsewhere in the country because the dogs aren’t near Ebola-infected corpses and aren’t eating infected animals.

AbledALERT: OUTBREAK: Ebola photo shows Dallas nurse Nina Pham's pet Cavalier King Charles Spaniel, Bentley, as a puppy, getting a bath in the kitchen sink and looking up with very sad puppy eyes from a posting on Pinterest. The caption reads: Health officials know dogs can catch Ebola but aren't sure if they can spread it to humans.

“We Have To Re-Thiink Ebola Infection Control”

CDC Director Tom Frieden has announced new procedures being put in place to better protect health care workers, including a buddy system that requires workers to be watched as they don or remove protective gear:

Texas Nurse Tests Positive For Ebola Despite Protective Gear

The first case of Ebola transmission in the United States has been confirmed by the Centers For Disease Control And Prevention (CDC) in Atlanta, Georgia.

 Dr. Daniel Varga, Chief Clinical Officer and Senior Executive VP at Texas Health Resources told a news conference (excerpted below) the female nurse had followed protocols for wearing a protective gown, mask and shield while caring for Thomas Eric Duncan during his second attempt to seek treatment at Texas Health Presbyterian Hospital in Dallas, after being sent home with antibiotics during his first attempt.

A second person who was in contact with the nurse has been isolated and has also begun self-monitoring. Officials didn’t say what the relationship was, but they also announced that the nurse’s pet will be monitored. (Earlier in the week, a dog owned by the nurse who tested positive for Ebola in Madrid, Spain, was euthanized as a precautionary measure causing a great public outcry.)

Duncan, who had traveled from Liberia, through connecting flights in Brussels, Belgium and Washington, D.C., died last week after becoming the first person to be diagnosed with Ebola on U.S. soil.

CDC Director Cites Likely Breach Of Protocol In Second U.S. Ebola Case

Dr. Thomas Frieden, Director of the Centers For Disease Control And Prevention (CDC) in Atlanta, Georgia,  says officials will be looking at the protective gear worn by the health care workers who provided care for Eric Duncan, as well as how the gear was used.

He said, “even a single breach can result in contamination.” Two procedures will be looked at very closely: dialysis and intubation (the medical term for inserting a tube down the throat and windpipe or into the gastrointestinal tract) which can result in the spread of infectious material.

Dr. Frieden explains this more in the following video:

WEEK OF OCT. 5 – 11 HEADLINES:

 

Ebola Screenings Begin At JFK Airport – Will Expand To Other Airports Thursday

Health screenings have begun at New York’s John F. Kennedy International Airport to detect any symptoms of Ebola in passengers arriving from Guinea, Liberia and Sierra Leone.

The testing will expand to Atlanta’s Hartsfield-Jackson International Airport, Chicago’s Ohare International Airport, Newark and Washington-Dulles Airport.

All these airports receive 94 percent of air travelers coming from the countries at the center of the West Africa Ebola outbreak. Despite taking the temperatures of those arriving passengers and checking for any other symptoms, one DCD official admits, “nothing can get the risk to zero.”

Security and Health officials in the U.K. will also be implementing enhanced screenings at London’s Heathrow and Gatwick Airports.

 

First Ebola Death In The United States

Thomas Duncan, the first person diagnosed with Ebola on U.S. soil has died. He succumbed to the disease 13 days after being  sent home from a Dallas hospital, and 10 days after he was finally admitted and treated. His family is left to wonder if things might have turned out differently had he not been sent home with antibiotics the first time he showed up at the hospital on September 25. Now they are left to worry about whether any of them have been exposed to the virus as they endure a quarantine in Texas.

Spanish Government Revising Ebola Protocols | 6 People Hospitalized – Dozens Monitored

Like Thomas Eric Duncan in Dallas, nurse’s assistant Teresa Romero Ramos tried to get help three times. According to a worker at Alcorcon Hospital in Madrid, Romero finally lay in an emergency room for 8 hours, exposed to other medical staff and patients before being transferred to a hospital that specializes in infectious diseases.

It’s believed Romero, who became the first person to contract Ebola outside of West Africa, may have been exposed to the deadly virus while removing her protective gear after treating one of two Spanish priests brought back from Africa with Ebola infections.

Five others related to her case have been admitted to the hospital including two doctors and a male nurse. Another nurse and the woman’s husband – thought to be at high risk- are also being tested.  A total of about 52 other people including family members, other health cafe workers and patients who may have been exposed to Ramos, are being monitored.

Nurse In Spain Diagnosed With Ebola

A female nurse who treated two Spanish priests who died of Ebolavirus Disease in a Madrid hospital, after they were flown home from Sierra Leone and Liberia, has been diagnosed the deadly virus. It’s believed she contracted it from the second priest who died on September 25th, despite special protocols in place at the hospital. Over 370 health workers in West Africa have become infected with Ebola and more than 50% of them have died. The nurse’s case is the first known transmission of Ebola outside West Africa.

 

U.S. President Obama: Ebola Is A National Security Threat

The President spoke after an update from U.S. health officials on the Ebola outbreak in West Africa and the patient from Liberia who is being treated in Texas:

CDC Director: Texas Ebola Patient Still Critical

Dr. Tom Frieden, Director of the U.S. Centers for Disease Control and Prevention appeared on CBS This Morning, prior to his briefing with President Obama, to discuss the Ebola case in Dallas and how the agency is working to keep Ebola from spreading in the United States:

US Doctor Claims CDC Is Lying About Ebola

A microbiologist/Emergency Trauma Physician from Springfield, Missouri is garnering a volatile mix of praise and condemnation for donning a white coverall protective suit, goggles, gloves and boots with the words “CDC Is Lying” written on the back of the coveralls, and walking through Atlanta’s Hartsfield-Jackson Airport for a flight to Springfield.

Dr. Gil Mobley said he flew from Guatemala to Atlanta and was only asked if he had tobacco or alcohol. Mobley claims, “the CDC (U.S. Centers For Disease Control And Prevention) asleep at the wheel. It’s going to be bad, and I want to make sure that this conversation is happening that this could get out of control in the United States.”

“With 10,000 people flying out of West Africa daily, it’s only a matter of time until all corners of the world are exposed,” Mobley said. “Once it devours Third World countries, the U.S. will be importing these cases daily. Eventually, the clusters will overwhelm even the most advanced countries’ ability to isolate and quarantine all those exposed. The CDC needs to be honest with us “

Fear mongering or legitimate concern? You can judge for yourself in this CNN interview with Dr. Mobley:

Tracing Texas Ebola Patient’s Contacts | NBC Freelancer Infected

AbledPhoto shows a photo of Thomas Eric Duncan from his Facebook page. He is African and has a shaved head and is wearing a green shirt at an outdoor gathering.

The search is on with great urgency for anyone who came into contact with a man who recently flew from Liberia to the United States via Belgium and who is now in a special treatment unit at Texas Health Presbyterian Hospital in Dallas, Texas.

Texas health officials say there were up to 100 people who may have had direct contact with Thomas Eric Duncan or someone close to him. Four members of his family have been ordered quarantined at home and to not have any visitors until at least October 19th.

It’s thought that Duncan was exposed to the deadly Ebola virus when he helped transport a pregnant 19 year-old neighbor to a hospital in Liberia where she was turned away because the beds were full. Duncan took her back by taxi to her family’s home and carried her into the house, where she later died.

Health authorities along Duncan’s travel route to the United States are also trying to trace any possible contacts.

AbledPhoto: A map traces the travel route of Thomas Duncan from Liberia, to Brussels where he boarded a United Airlines flight to Washington D.C. and then flew on to Dallas, Texas.

Duncan had flown connecting flights from Liberia, via Brussels to Washington, D.C. and on to Dallas, Texas last month.

He initially went to Texas Health Presbyterian Hospital on the night of Thursday, September 25th – yet – despite telling a nurse he had recently arrived from West Africa, he was sent home with antibiotics. 

The hospital has finally admitted that other hospital staff weren’t briefed about Duncan’s travel information. In the interim, his conditioned worsened. Three days later, on Sunday, September 28th, after sweating through the night and being seen to vomit outside the Dallas apartment where he was staying, Thomas Duncan had to be transported by ambulance to the same hospital that had sent him home.

AbledPhoto from UNICEF shows healthcare workers in yellow protective clothing with white protective headgear and turquoise medical gloves standing near the sheet covered body of an Ebola victim in Libera. The caption to the photo reads: Liberia to prosecute EBola flier Thomas Duncan for allegedly lying on health forms.

In Africa, the Liberian Airport authority has obtained permission from the country’s Ministry of Justice to pursue possible charges against Duncan for allegedly lying on a series of questions at the airport in Monrovia.

Duncan answered ‘no’ to a series of questions about his health and activities in the weeks before flying to the United States, including questions that asked if he had care for, or come into contact with the body of anyone who had died in an area where Ebola was widespread.

Health authorities are trying to prevent any further spreading of the virus beyond Thomas Duncan and are ramping up efforts to question travelers about their travel history and health, especially on any routes originating in Liberia or other affected countries in West Africa.

In the meantime, an American cameraman who has been freelancing in Liberia for the past three years, and most recently working for NBC News, will be flown to the United States for treatment after testing positive for the Ebola virus. Ashoka Mukpo, 33, is the fifth American to be infected with the virus.

Liberia’s Chief Medical Officer Begins Ebola Quarantine

AbledALERT photo of Dr. Bernice Dahn, Liberia's Deputy Minister for Health Services and Chief Medical Officer for the Ministry of Health is shown sitting at her desk behind an Apple laptop computer, with a windows computer monitor to her right. She is wearing an olive green suit dress with long sleeves.

Dr. Bernice Dahn, Liberia’s Deputy Health Minister and Chief Medical Officer has placed herself under a 21 day quarantine period  after her office assistant died of Ebola virus disease. She last had contact with him 13 days ago.

Today, Dahn told the Associated Press, “Of course we made the rule, so I am home for 21 days. I did it on my own. I told my office staff to stay at home for the 21 days. That’s what we need to do.”

Liberia’s government has asked people to keep themselves isolated for 21 days if they think they have been exposed. The unprecedented scale of the outbreak, however, has made it difficult to trace the contacts of victims and quarantine those who might be at risk.

The World Health Organization says 21 days is the maximum incubation period for Ebola, which has killed more than 3,000 people across West Africa and is hitting Liberia especially hard. WHO figures released Friday said 150 people died in the country in just two days.

(Sources: CBC | CNN | AP )

Dr. Rick Sacra: Fight With Ebola ‘Not A Quick Recovery’

Dr. Rick Sacra, has been declared free of the Ebola virus, but he says it was not an easy fight. Many members of the medical team caring for him at the Nebraska Medical Center Biocontainment Unit gave him a ‘high five’ as he left the hospital on Friday morning.

Dr. Sacra was working at a hospital in Liberia with the North Carolina-based charity SIM. He said he’s not sure when he became infected, but he was taking care of very sick pregnant women and delivering babies, including performing at least 35 cesarean sections.

He received an experimental Tekmira Pharmaceuticals drug called TKM-Ebola, as well as two blood transfusions from Dr. Kent Brantly, a friend who recovered at Emory. The transfusions are believed to help because a survivor’s blood carries Ebola antibodies. Sacra also received supportive care including IV fluids and aggressive electrolyte management.

He has said it’s likely he will return to Liberia someday because he has many friends in the country where he lived for 15 years.

(Source: CBSBoston / AP)

CDC Predicts Huge Spike In Ebola Cases Without Action

A new study from the U.S. Centers for Disease Control (CDC) on the Ebola Virus outbreak in West Africa projects the probability of two different trajectories with radically different outcomes.

In the worst case scenario, the projection is 1.4 million Ebola cases by the end of January, 2015. In the best case scenario, the outbreak is contained and almost over by that time.

But even the projection of 1.4 million is out of date because it was based on the number of cases and state of the outbreak in August before the more recent surge in inceptions.

Even this past weekend’s lockdown in Sierra Leone discovered almost 300 unreported case, suspected cases and deaths, lending much credence to the fear that the scale of the pandemic is vastly underreported.

In fact, the CDC projection of 1.4 million cases assumes cases being underreported by a factor of 2.5, and governments halting what little they are doing now and not doing anything more to stop the spread of Ebola.

That, coupled with the Word Health Organization (WHO) revising it’s death rate estimate upwards to 70% of cases from it’s previous estimate of a 50% mortality rate is reinforcing how much worse the situation can get.

Even Dr. Kent Brantly, the U.S. missionary doctor who survived his own bout with Ebola appeared before the Senate Health, Education, Labor and Pensions Committee last week to plead for ‘immediate action’ to fight Ebola: 

U.S. President Barack Obama has announced U.S. troops are being sent to West Africa to help build Ebola treatment centers, backing them up with tons of medical equipment and supplies, not to mention more CDC staff to help train local health workers. China, Cuba, France, Germany and the U.K. are also sending health teams  and equipment.

CDC Director Frieden points out that, “A surge now can break the back of the epidemic. I am confident the most dire scenarios will not come to pass.”

Even the CDC team wrote in its report that, “Once 70 percent of patients are effectively isolated, the outbreak decreases at a rate nearly equal to the initial rate of increase.”

Sierra Leone’s 3 Day Lockdown To Fight Ebola 

UPDATE – Sept.24: Sierra Leone Government Declares Lockdown A Success

 

The nationwide three day lockdown in Sierra Leone led to the discovery of 130 new confirmed cases of Ebola, 70 suspected cases and 92 bodies as health information teams went door-to-door handing out information, and checking for infection in over a million households.

President Ernest Bai Koroma called the lockdown a success and the government is considering repeating the exercise, saying on the radio on Tuesday that he’s “mainly satisfied with the whole process, as it has helped reaching more homes, and bringing to the fore many sick people and corpses.”

 

————————————————————————–

 

The streets of Freetown, the capital of Sierra Leone, were empty on Saturday, the second day of a three day lockdown by the government to stem to growing tide of Ebola infections that has killed over 560 people in the country.

The only persons to be seen were four-person teams going door to door with Ebola information kits, containing soap and stickers to mark houses that have been visited.

One of the more than 30,000 volunteers – local sports celebrity, marathon runner Idrissa Kargbo, told the Associated Press that, “Some people are still denying”, but many seemed grateful for any information they could get.

That’s a sharp contrast to the health education workers who were stoned to death days ago, or the health workers who were attacked while trying to  bury dead Ebola victims on Saturday.

Most of Sierra Leone’s 6 million people seemed to heed the call of the country’s President Ernest Bai Koroma.

(Sources: The Telegraph/AP)

Bodies Of Health Workers And Journalists Found in Guinea 

UPDATE – Sept.24: Red Cross Team Attacked In Guinea 

In a region where superstition and ignorance are the biggest obstacles to containing the spreading Ebola outbreak, six Red Cross volunteers were attacked in Forecariah in southeastern Guinea as they were collecting the bodies of suspected Ebola victims. Family members confronted the team members and vandalized their vehicles.

One of the volunteers was wounded in the neck and is said to be recovering.

 

————————————————————————–

 

Two days after a group of nine Ebola health education workers and journalists went missing in Guinea, the government confirmed that eight bodies have been found.

Last month, following rumors that health care workers were infecting people with the virus, riots broke out in the southern city of Nzerekore, the second largest in Guinea, which is near the border with Liberia. The group, which was doing disinfection and providing education on preventing the spread of the Ebola virus, came under attack from people throwing stones near the same city where the population is highly suspicious of medical workers.

One journalist was able to escape and later told reporters that she could hear villagers looking for her.

3rd American Aid Worker Infected With Ebola Arrives In U.S. 

Dr. Rick Sacra, a Boston-area OBGYN who headed to Liberia after hearing that two other missionaries were infected with Ebola, arrived earlier today (Friday, September 5th), and is now being treated for Ebola at Nebraska Medical Center in Omaha  in the hospital’s 7th floor, 10-bed special isolation unit, the largest of four such units in the United States.

The 51 year old doctor served with the North Carolina-based charity SIM. Sacra delivered babies but was not involved in the treatment of Ebola patients, so it’s unclear how he became infected with the virus that has killed about 1,900 people.

Local media reported shortly after 6 a.m. that a plane carrying Sacra landed at Offutt Air Force Base, south of the Omaha suburb of Bellevue. He arrived at the hospital in an ambulance about 40 minutes later, but media were unable to see Sacra as he was hustled into the facility.

Dr. Phil Smith, medical director of the Omaha unit, said a team of 35 doctors, nurses and other medical staffers will provide Sacra with basic care, including ensuring he is hydrated and keeping his vital signs stable.

The team is discussing experimental treatments, including using blood serum from a patient who has recovered from Ebola, Smith said.

“We’ve been trying to collect as much information on possible treatments as we can,” Smith said.

There are no licensed drugs or vaccines for the disease, but about half a dozen are in development. None has been tested on humans, but an early trial of one vaccine began this week in the United States.

Much attention has focused on the unproven drug ZMapp, which was given to seven patients, two of whom died. But the limited supply is now exhausted and its developer says it will take months to make even a modest amount.

The first two American aid workers infected by Ebola – Dr. Kent Brantly and Nancy Writebol -have recovered since being flown to Emory University Hospital in Atlanta for treatment.

(Source: FoxNews)

Ebola Racing Ahead Of Efforts To Contain It

In the video above, a patient suffering from the deadly Ebola virus leaves quarantine in Monrovia, Liberia and searches for food at a local market before being caught by doctors and forced back into an ambulance while scared and angry crowds watch. 

By Liz Szabo, USA TODAY

The Ebola outbreak in West Africa is “racing ahead” of efforts to control it, and controlling the epidemic will cost at least $600 million, world health officials said Wednesday.

The number of people infected with Ebola has grown to more than 4,000, with more than 2,000 deaths, according to the World Health Organization, or WHO.

“We do need a major response,” said Margaret Chan, the director-general of the WHO.

The WHO last week estimated that the outbreak – which now includes Guinea, Sierra Leone, Liberia, Nigeria and Senegal – could grow to 20,000 cases and could take six to nine months to contain. The WHO also outlined a “road map” to controlling it that would cost $490 million.

The WHO also announced new cases in Nigeria that could signal an ominous turn in that country.Nigeria has confirmed three cases of Ebola in Port Harcourt, the country’s oil hub, with additional cases under investigation, the WHO said. The outbreak in Port Harcourt has the potential to grow larger and spread faster than the outbreak in Lagos, the Nigerian capital.

The cases in Port Harcourt are related to a man in Lagos who was a close contact of Nigeria’s first Ebola death, American diplomat Patrick Sawyer. The contact fled the city, where he was under quarantine, and sought treatment in Port Harcourt, according to the WHO. The men then infected a male doctor, who continued to treat patients. The doctor had many contacts with the community, as friends and family came to his home to celebrate the birth of a baby, and he continued to treat patients. The doctor died August 22. He apparently infected two others — his wife, also a doctor, and a patient at the hospital where he was treated. Additional hospital staff are undergoing tests. Twenty-one contact tracing teams monitoring more than 200 contacts of those diagnosed.

Countries affected by Ebola don’t have the resources to combat the disease by themselves. Hospitals don’t have enough beds, and there aren’t enough ambulances, said Keiji Fukuda, the WHO’s assistant director-general for health security.

Basic needs aren’t being met in the hardest hit countries, Fukuda said. “Bodies are not being taken away quickly enough,” Fukuda said. “People are hungry in these communities. They don’t know how they are going to get food.”In some cases, people are running out of food and can’t cook any food they have, Fukuda said.

The WHO is convening an emergency meeting in Geneva Thursday and Friday to discuss treatments.

The U.S. Department of Health and Human Services has signed a $25 million, 18-month contract with Mapp Biopharmaceutical of San Diego to speed up development of ZMapp, the experimental drug given to a handful of Ebola patients as a last-ditch effort to save their lives. The contract could be extended for a total of $42.3 million.

American aid workers Kent Brantly and Nancy Writebol, who were flown back to the USA for treatment, received ZMapp and survived. A Spanish priest and Liberian doctor who received the drug died, however.

William Pooley, a British man who received ZMapp after contracting Ebola in Africa, has been discharged from the Royal London Hospital, the hospital announced Wednesday.

 A WHO response plan unveiled last week includes providing cash to pay salaries and providing essentials such as trucks and motorcycles to deliver supplies. Many airlines have canceled flights, making it difficult even for public health leaders to get in and out of countries.

“Boats are not docking in these African nations,” said David Nabarro, senior United Nations system coordinator for Ebola disease.

Chan said people shouldn’t be afraid to travel to West Africa, noting that she and her colleagues are visiting the area and remain perfectly healthy.

“We are not in a position where we can afford to lose even a day,” Nabarro said. “This outbreak is moving ahead of efforts to control it.”

Sources: Newslook/King5.com/USA TODAY

Second U.S. Doctor Contracts Ebola | Nancy Writebol Breaks Her Silence

It happened in a way that other people have previously experienced it . . . fever and aches and the thought that she was suffering from malaria. It wouldn’t have been a surprise for Nancy Writebol, an American aid worker with SIM USA who was working in Liberia supporting the team treating Ebola patients.

But she would soon face the news that it wasn’t malaria . . . it was Ebola and she would learn at the same time that an aid colleague Dr. Kent Brantly, working with the missionary group Samaritan’s Purse, had also been diagnosed with the deadly virus.

As Nancy Writebol broke her silence about her ordeal with Ebola, the news also broke of another colleague who works for SIM USA, Dr. Rick Sacra, is infected with the Ebola virus.

Here’s more on both developments from NBC News:

Rapidly Mutating Ebola Virus Hard To Contain

It’s a cunning killer . . . the Ebola virus has mutated 300 times since this deadliest outbreak to date emerged in stealth-like momentum in West Africa in May. The ominous conclusion scientists are reaching in the wake of that finding is that it could make the deadly virus harder to diagnose and even harder to treat.

The results of an online paper published in the journal Science involved more than 50 collaborators from four countries who found more than 300 genetic clues about what sets this outbreak apart from previous outbreaks and why this strain of the virus is unlike anything seen in the past.

One of the big challenges is that scientists haven’t been able to fully trace the virus from a 2004 outbreak in Guinea to the current outbreak. Dr. Pardis Sabeti, an associate professor at Harvard whose lab studied the Ebola genomes told the Washington Post, “We don’t actually know where the virus has been since then. We’re trying to piece together an historical record.”

The study says this outbreak began as a single human infection, contracted by a woman in Sierra Leone, and came from the Zaire strain, one of five strains of Ebola known to affect humans and thought to originate in a fruit bat in Guinea. As seen in the map below from the U.S. Centers For Disease control, at least one species of fruit bat has a geographic range that spreads from Guinea to Sierra Leone. According to a previous Ebola study published in Science, If bats really are the culprit, “about 150 million more people than previously thought are at risk of the disease”.

In this outbreak, the virus crossed into Sierra Leone when the first woman diagnosed attended a funeral for someone who had recently been in contact with Ebola in Guinea. Since then, “it has exhibited sustained human-to-human transmission.”

In the study, 99 ebola samples were taken from 78 patients diagnosed with the virus between May and late June. Five of the authors died before the paper was even published. The study was supported with the help of scientists at Harvard University and the Sierra Leone Health Ministry.

There is no cure yet for Ebola. An experimental Ebola vaccine made by UK-based pharma company GlaxoSmithKline was approved for fast track testing on humans, but the results are not expected for at least a month.

Sources: Science, CDC, IBTimes.com

U.S. Ebola Patients Released From Hospital On ‘Miraculous Day’

“God saved my life”. With those words, Dr. Kent Brantly faced a roomful of applause at Emory University Hospital in Atlanta, Georgia. Brantly is one of two American Ebola patients who were being treated at Emory after being flown back from their aid missions in Africa. Both have been cleared of the virus.

The other patient, Nancy Writebol was released two days two days previously.

Looking quite gaunt, but smiling broadly, Brantly thanked his medical team and the millions of people around the world praying for his recovery, and said, “Please do not stop praying for the people of West Africa.” Both patients received doses of an experimental drug called Zmapp, which includes man-made antibodies against Ebola – but it has not yet been widely tested in humans, despite showing promise in animals. Experts say it’s too early to conclude that Zmapp cured their infection, but add that the good supportive care they received at Emory, rated as one of the best hospitals in the world, likely improved their chances of survival.

Epidemics Prefer Changing Planes in JFK Over ATL

By Scott Hensley | Shots: Health news from NPR

When the next epidemic comes, there’s a good chance it will switch flights at John F. Kennedy Airport in New York.

Researchers at MIT have developed a pretty nifty computer model to figure out the most influential airports in the early stages of an epidemic’s spread.

JFK is No. 1, followed by Los Angeles International Airport. You might be surprised to learn that Honolulu International Airport ranks third.

Why Honolulu? It’s a pipsqueak compared to JFK when it comes to traffic. But, Honolulu handles a lot of flights to and from Asia. And the people who move through the Hawaiian airport tend to travel a long way, taking germs with them. The flights in and out of Honolulu also connect with lots of major hubs.

Traffic does count in the computerized model. But traffic alone doesn’t predict the influence of an airport on a disease’s spread, the researchers say. The MIT model also takes into account layover times, the geographic location of airports and how networked they are with other airports.

So, according to MIT’s model, Hartsfield-Jackson Atlanta International Airport, the busiest airport in the world, comes in eight on the list of early, influential spreaders.

A relative few of the 40 airports analyzed were found to be “super-spreaders,” according to study published in the online journal PLoS ONE. Besides JFK, LAX and Honolulu, the other key U.S. airports are San Francisco International, Newark Liberty, Chicago O’Hare and Washington Dulles. 

So what does it all mean?

“Our findings could perhaps point in two directions,” MIT geoscientist Ruben Juanes told Shots in an email. “One is that it identifies some surprising pathways for aggressive spatial spreading (like Honolulu), and this type of information could be used to allocate intervention strategies (like vaccinations) ahead of time.”

And where else? “The other avenue that our study points to is that by refining this type of model, one can make real-time forecasts of geographic spreading for specific outbreaks based on realistic air traffic, travel patterns, and individual-mobility behavior,” he wrote.

Juanes, whose lab spends more time figuring out how fluids flow through soil, says the model is pretty generic and could apply to quite a few contagions, including flu.

U.S. Missionaries Return From Africa & Face Quarantine

The U.S.-based mission that sent Nancy Writebol to Liberia has brought home three of their missionaries from the Ebola-stricken country.

SIM USA officials said that while none of the returning aid workers are sick or have shown any signs of having Ebola, they are being quarantined after their arrival at the airport in Charlotte, North Carolina.

The quarantine will last for at least three weeks since the missionaries were last exposed to people infected with the Ebola virus. If they don’t show any symptoms after that time period which matches the incubation range for Ebola, then it’s more than likely they won’t develop the disease.

The latest on their quarantine from WSOC TV in Charlotte:

SIM, which is the acronym for Sudan Interior Mission (SIM), is no stranger to its missionaries falling victim to outbreaks of disease in Africa. As they explain on their website, SIM began in 1893. ‘Canadians Walter Gowans, Roland Bingham, and American Thomas Kent had a vision to evangelize the 60 million unreached people of sub-Saharan Africa. Unable to interest established missions—most of which said reaching the Soudan was impossible—the three set out alone.

Malaria overtook all three. Gowans and Kent died of the fever in 1894, and Bingham returned to Canada. On his second attempt, he caught malaria again and was forced to go back home.

Unable to return to Africa, Bingham sent out a third team. They successfully established a base 500 miles inland at Patigi in 1902. From there, the work of SIM began in Africa.’

WHO Declares Ebola An International Health Emergency

Describing it as the worst outbreak in the four-decade-long history of tracking the disease, the World Health Organization (WHO) has declared the current Ebola outbreak in West Africa to be an International Health Emergency and one that requires a co-ordinated global response.

Following two days of emergency meetings, and in the face of a viral disease that is spreading faster than it can be contained, WHO officials said, The possible consequences of further international spread are particularly serious in view of the virulence of the virus, the intensive community and health facility transmission patterns, and the weak health systems in the currently affected and most at-risk countries.” 

Medical response and aid groups providing doctors and health workers on the front lines welcome and applaud the declaration, but also say that words won’t save lives, especially when their resources are being so overwhelmed.

Dr. Bart Janssens, Director of Operations for Doctors Without Borders/Medecins San Frontieres told CNN that ” lives are being lost because the response is too slow. Now we need this statement to translate into immediate action on the ground.” His agency says it has deployed nearly 700 staff in the affected countries”. 

CDC Declares Ebola A LEVEL 1 ALERT

The U.S. Centers For Disease Control & Prevention (CDC) has upgraded the status of the Ebola outbreak status to its rarely-used highest level of alert, declaring the outbreak a Level 1 activation.

The only previous times the CDC declared such high level alerts were after Hurricane Katrina and during severe flu pandemics.  This upgrade in classification will allow the CDC to increase its degree of response to the outbreak.  It plans to deploy an additional 50 CDC staff to the affected areas in Africa over the next 30 days.

Experimental Ebola Drug Likely Saved U.S. Doctors

AbledALERT Photo shows American missionaries Nancy Writebol, standing with children in Africa on the left, and Dr. Kent Brantly wearing surgical scrubs on the right, flanking a photo in the center from live news coverage of him stepping out of an ambulance after being airlifted to Emory Hospital in Atlanta from Sierra Leone. The caption reads: U.S. missionaries nancy Writebol and Dr. Kent Brantly said to be improving.

An unapproved, experimental drug is being credited with saving the lives of two American missionaries who were airlifted separately from Africa to special, isolated treatment units at Emory University Hospital in Atlanta, Georgia. There has been criticism of the doctor for not being more careful and wearing proper protective medical gear while working at the missionary hospital with Ebola patients.

Although they’re not out of the woods yet, both Nancy Writebol and Dr. Kent Brantly are said to be doing better. Brantly released a statement saying he is growing stronger every day. You can hear more of the statement in the video report below from WSOC TV in Charlotte, North Carolina.

You can also learn more about the experimental, so-called ‘secret serum’ called ZMapp that’s been credited for the ‘miraculous’ recovery of the two missionaries in the video in the right column. As CNN’s Dr. Sanjay Gupta explains, The experimental drug, known as ZMapp, was developed by the biotech firm Mapp Biopharmaceutical Inc., which is based in San Diego. The patients were told that the treatment had never been tried before in a human being but had shown promise in small experiments with monkeys.

Brantly and Writebol were aware of the risk of taking a new, little-understood treatment and gave informed consent, according to two sources familiar with the care of the missionary workers. In the monkeys, the experimental serum had been given within 48 hours of infection. Brantly didn’t receive it until he’d been sick for nine days.

The medicine is a three-mouse monoclonal antibody, meaning that mice were exposed to fragments of the Ebola virus and then the antibodies generated within the mice’s blood were harvested to create the medicine. It works by preventing the virus from entering and infecting new cells.

Brantly asked that Writebol be given the first dose because he was younger and he thought he had a better chance of fighting it, and she agreed. However, as the first vial was still thawing, Brantly’s condition took a sudden turn for the worse.

Brantly began to deteriorate and developed labored breathing. He told his doctors he thought he was dying, according to a source with firsthand knowledge of the situation.

Knowing his dose was still frozen, Brantly asked if he could have Writebol’s now-thawed medication. It was brought to his room and administered through an IV. Within an hour of receiving the medication, Brantly’s condition dramatically improved. He began breathing easier; the rash over his trunk faded away. One of his doctors described the events as “miraculous.”

By the next morning, Brantly was able to take a shower on his own before getting on a specially designed Gulfstream air ambulance jet to be evacuated to the United States.

Writebol also received a vial of the medication. Her response was not as remarkable, according to sources familiar with the treatment. However, doctors on Sunday administered Writebol a second dose of the medication, which resulted in significant improvement.

She was stable enough to be evacuated back to the United States.’

Read more of Dr. Gupta’s report at CNN.

AbledALERT Related Graphics Banner.
Infographic from the U.S. Centers for Disease Control contains the following information in white and green text on a grey background: West Africa Ebola Outbreak: First Ebola outbreak in West Africa. 4 countries: Guinea, Sierra Leone, Liberia and Nigeria. Likely host=bats. Ebola is fatal in 55-60 percent of cases reported in this outbreak. How do you get the Ebola virus? Direct contact with: 1. Bodily fluids of a person who is sick with or has died from Ebola. (Blood, vomit, pee, poop, sweat, semen, spit , other fluids). 2. Objects contaminated with the virus (needles, medical equipment). 3. Infected animals (by contact with blood or fluids or infected meat). Early symptoms: Ebola can only be spread to others after symptoms begin. Symptoms can appear from 2 to 21 days after exposure. They include fever, headache, Diarrhea, vomiting, weakness, stomach pain, lack of appetite, unexplained bleeding, joint and muscle aches. When is someone able to spread the disease to others? Ebola only spreads when people are sick. A patient must have symptoms to spread the disease to others. After 21 days, if an exposed person does not develop symptoms, they will not become sick with Ebola.

CDC IN ACTION: The following infographic from the U.S. Centers For Disease Control shows the agency’s response to the Ebola outbreak in West Africa.

Infographic from the U.S. Centers for Disease Control is a long and narrow column with a medium gray background with white and yellow text and darker grey rectangular bullit points stacked in vertical fashion using yellow graphics in each segment. reading from the top down, the graphic is titled in yellow: 2014 Ebola Response while the larger white headline text reads: CDC IN ACTION. The first rectangle shows a yellow illustration of a microscope on the left followed by the text Testing Samples of suspected Ebola cases around the world. The second panel below shows an illustration of someone writing on a clipboard and interviewing the person next to them. The text reads: Interviewing people who may have been in contact with Ebola patients to see if they have symptoms. The third panel below shows illustrations of text bubbles in two shades of yellow followed by the text: Communicating health messages in West Africa. The subsequent panel shows an illustration of a factor with a stethoscope hanging from his neck pointing to a poster in front of two people sitting and looking on. The text reads: Educating healthcare workers in the United States and in West Africa. The 5th panel shows a 'stick drawing' illustration of a person walking and pulling a suitcase on wheels behind them. The text reads: Advising travelers how to protect their health. The 6th panel shows an illustration of a plane to the right of text that reads: Training officials in West Africa how to prevent sick travelers from getting on planes. The last panel shows an illustration of a security official with a uniformed hat and belt watching a traveler walk through a metal detector. The text reads: Working with partners at U.S. Ports of Entry to identify travelers who show signs of illness. A blue stripe below contains the heading: Ebola Support staff. A Map shows the number of CDC staff providing outbreak support from the U.S.-that number is 287 and is contained in a round yellow dot over a darker yellow map of the United States. Dotted lines follow the flightpaths to identify the number of CDC staff currently deployed to Africa. The totals are also contain in yellow dots and total 16 in Guinea, 8 in Nigeria, 29 in Sierra Leone and 19 in Liberia. The bottom of the info graphic shows the logo of the CDC which is a white box containing the white capital letters CDC in the foreground of white lines spreading out from the bottom left corner of the box on a blue background. It is next to a white stylized eagle whose wings show two facial profiles as part of the logo of the Department of Health and Human Services USA. There is also a printed link to the Centers for Disease Control's special Ebola information section at www.cdc.gov/ebola.

A COMPREHENSIVE LOOK AT EBOLA: The following info graphic is sponsored by Buddy Loans. Click on the image to open it in a new window and then click the magnifying glass icon over it to expand it to full size.

Infographic titled A Comprehensive Look At Ebola, sponsored by Buddy Loans. We are preparing an audio description of this info graphic and will publish it soon.

CDC TRAVEL ADVISORIES: The U.S. Centers For Disease Control list the following advisories for travelers related to the Ebola outbreaks in Africa:

Travel Notices

Additional Outbreak Information

General Information

AbledALERT Related Videos Banner

TOP 5 QUESTIONS ABOUT EBOLA:  Answered by Time.com

PANDEMIC 101: A history lesson on previous viral outbreaks from NBCNews.com

CDC ON HIGHEST ALERT LEVEL: Go inside the Control Center of the Centers for Disease Control in Atlanta with ABCNews.com.

CDC ACTIVELY CONDUCTING EBOLA CONTACT TRACING:  This video describes contact tracing, a method used by CDC and partners to identify new Ebola cases quickly and isolate patients as soon as they show symptoms, preventing spread to others. The video demonstrates how even one missed contact can keep Ebola spreading and that careful tracing of contacts and isolating new cases can stop the outbreak.

WHAT’S THE ‘MIRACLE’ EBOLA DRUG?: Unapproved and experimental drug ZMapp is being credited with saving the lives of the two U.S. missionaries who were airlifted from Africa to Emory Hospital in Atlanta. That’s where CNN’s Dr. Sanjay Gupta explains more about this so-called ‘secret serum’.

THE POLITICS OF THE EBOLA SERUM: The experimental serum ZMapp has been sent from Geneva, Switzerland to Madrid to treat a Spanish priest who was infected with Ebola while working in Libera. And more serum will be sent to Liberia following approval from the White House and the U.S. Food And Drug Administration. Medical ethicist Harriet Washington explains why most pharmaceutical companies decline to produce drugs for the developing world, yet use it for clinical testing. From TheRealNews.com

OBAMA ON ELBOLA: U.S. President Barack Obama discusses the Ebola crisis in remarks at the U.S. – Africa Leaders Summit and explains what the United States is trying to do to improve the situation.

CONCERN OR FEAR-MONGERING?: Is it possible the Ebola virus could mutate and spread further? More on that from FoxNews.com

CDC OPERATIONS CENTER: CNN’s Dr. Sanjay Gupta takes us inside the Operations Center of the Centers For Disease Control and Prevention in Atlanta, Georgia where they are tracking the Ebola outbreak.

AbledALERT Photos Titled Images of an outbreak, shows a billboard in Sierra Leone put up by Irish Aid with the word Ebola in large red capital letters on on the left side with the sub-heading 'signs and symptoms' in white letters within a black rounded capsule with illustrations of the symptoms on the right side.
AbledALERT photo shows men cooking bush mean over barrels used for barbecuing meat in West Africa. Bush meat is thought to be one of the sources of Ebola infection, especially fruit bats.
AbledALERT photos shows a group of health workers in West Africa donning turquoise medical garments and face masks similar to those worn by painters. They have also put on surgical hairnets , goggles and bright pink rubber gloves. The caption reads: Protective protocols early in the outbreak.
AbledALERT Photo shows a Doctor from Médecins Sans Frontières or Doctors Without Borders treating a female patient in West Africa. The doctor is dressed in a hello protective suit with white protective head gear as he bends over the patient.
AbledALERT-photo shows healthcare workers in Sierra Leone being confronted by a man who is raising one arm with a large stone and he holds another large rock in his hand. The caption reads: Ebola burial team attacked in Sierra Leone.
AbledALERT Photo shows American Dr. Kent Brantly using bleach to sterilize some equipment in a plastic tub outside an Ebola clinic in Liberia. He is not wearing any protective equipment. He is tall and thin and has short blind hair with a reddish-blinds beard. He is a missionary doctor with the Samaritin's Purse aid organization. He was soon to be diagnosed with the Ebola virus.
AbledALERT photo shows a screen grab from video being shot from a helicopter as a specially fitted ambulance arrives at Emory University Hospital in Atlanta as Dr. Kent Brantly arrives for treatment of his Ebola infection. The headline on the screen reads Breaking News: Ebola patient arrives at Emory University hospital in Atlanta. Dr. brainily is wearing white protective medical gear from head to toe and steps out of the ambulance and walks on his own.
AbledALERT photo shows American missionary Nancy Writebol helping a health worker to put on protective gloves in Liberia before Writebol was diagnosed with the Ebola virus.
AbledALERT photo shows American missionary covered in protective medical clothing being wheeled on a stretcher into Emory University Hospital in Atlanta, Georgia for treatment for Ebola.
AbledALERT photo shows a television news graphic from wsoctv.com that shows two American aid workers - Dr. Kent Brantly and missionary Nancy Writebol with the title 'Ebola Patients released- over an image of a fire edited into the shape of the African continent.
AbledALERT photo shows UK nurse William Pooley recovered after being treated with the drug Zmapp after contracting Ebola while volunteering in Africa.
AbledALERT photo shows Red Cross Volunteers in Sierra Leone providing an awareness class on Ebola at a community school in an outdoor classroom where local people are attending.
AbledALERT photo shows a Doctor from Doctors without Borders in a yellow protective suit and white protective headgear getting sprayed with disinfectant by a local health worker who is wearing protective goggles in Guinea.
AbledALERT photo shows a man standing and reading a newspaper in Abuja, Nigeria where headlines about Ebola cover the front page of the Daily Trust newspaper.
AbledALERT photo shows security forces in Liberia setting up a barricade of chairs and wooden shelving to blocked an Ebola treatment center from a crowd on the street.
AbledALERT photo shows a health worker in protective medical gear spraying the body of a suspected dead Ebola victim that's been dumped in the street in Monrovia, Liberia as a crowd of people looks on.
AbledALERT photo shows a man carrying his adolescent brother who is suspected of having Ebola after being turned away from a treatment center in Monrovia, Liberia because of a lack of beds.
AbledALERT photo shows US Navy engineers surveying a piece of land in Libera as the site of a future Ebola treatment center.
AbledALERT photo shows a photo from the New York Times of the grave of Marion Seisay, a secretary at Wilberforce Hospital in Sierra Leone. Area residents say animals dig near the graves, creating dangers for the living because the Ebola virus is still contagious in the corpse of a victim. Click here to read the story at the New York Times.
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