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21-day quarantine for Ebola may not be enough to prevent spread of virus: Study
As medical personnel and public health officials are responding to the first reported cases of Ebola Virus in the United States, many of the safety and treatment procedures for treating the virus and preventing its spread are being reexamined. One of the tenets for minimizing the risk of spreading the disease has been a 21-day quarantine period for individuals who might have been exposed to the virus. A new study looks at the murky basis for our knowledge about the virus, namely previous outbreaks in Africa in 1976 (Zaire) and 2000 (Uganda), as well as the first nine months of the current outbreak, and suggests that twenty-one days might not be enough completely to prevent spread of the virus.
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Medical advances should not lead to complacency regarding possible flu pandemic: Scientists
There have been five such pandemics in the past 100 years, the worst of which — the 1918 Spanish Flu — cost fifty million lives worldwide. As our ability to assess the pandemic risk from strains of influenza virus increases with the latest scientific developments, we must not allow ourselves to become complacent that the most substantial threats have been identified, argue an international consortium of scientists.
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CDC assigns risk management teams to hospitals
The U.S. Centers for Disease Control and Prevention (CDC) has announced that it would send a team of experts to any hospital in the country with a confirmed Ebola case, saying that if such a precaution had been taken at the recent botched infection case on 8 October in Dallas, Texas that facility staff would not have been at risk for infection. These disease control specialists will be able to manage situations including infection control, lab science, personal protective equipment, and the overall management of Ebola units and wards.
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CDC’s disease detectives help deal with Ebola crisis
The Centers for Disease Control and Prevention’s (CDC) Epidemic Intelligence Service(EIS) is the federal government’s intelligence gathering arm for mysterious or unidentified diseases anywhere in the world.The program is staffed with postdoctoral fellows who often go on to hold significant positions in public health or medical academia. The United States Public Health Service (now the CDC) established the EIS in 1951 out of concerns about biological warfare against the U.S. homeland during the Korean War.
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IAEA to provide nuclear detection technology to help diagnose Ebola in West Africa
The International Atomic Energy Agency (IAEA) said it would provide specialized diagnostic equipment to help Sierra Leone in its efforts to combat the Ebola Virus Disease (EVD) outbreak. Later, the support is planned to be extended to Liberia and Guinea. The support is in line with a UN Security Council appeal and responds to a request from Sierra Leone. The IAEA assistance will supplement the country’s ability to diagnose EVD quickly using a diagnostic technology known as Reverse Transcriptase Polymerase Chain Reaction (RT-PCR). RT-PCR is a nuclear-derived technology which allows EVD to be detected within a few hours, while other methods require growing on a cell culture for several days before a diagnosis is determined.
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How are nurses becoming infected with Ebola?
WHO, CDC, and health authorities in many countries recommend health workers treating Ebola wear surgical masks for protection, along with other personal protective equipment such gowns, gloves, and goggles. A glaring inconsistency of these guidelines is that lab scientists working with Ebola are recommended to use respirators, which offer more protection than surgical masks, while masks are deemed adequate for doctors and nurses at the front line. The hospital ward, however, is a far more contaminated and volatile environment than the sterile, highly controlled lab, and nurses have the closest contact with patients, and deserve all available protection for their occupational health and safety. In most responses, lack of knowledge about infection control may not be critical, but in the case of Ebola it may cost lives. The price of getting it wrong with flu guidelines might be a week in bed, but for Ebola it is far more likely to be death. The risk analysis equation we need to use must consider not only the probability of Ebola turning up on our shores, but also the consequences.
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U.S. seeking innovative solutions for protecting healthcare workers on Ebola front lines
The U.S. Agency for International Development (USAID) has issued a Broad Agency Announcement (BAA), saying the agency is looking for opportunities to co-create, co-design, co-invest, and otherwise collaborate in the development, testing, and scaling of practical and cost-effective innovations to help healthcare workers on the front lines provide better care and stop the spread of Ebola. USAID notes that this funding mechanism will not support research that does not provide a clear path to development and testing of prevention and intervention strategies. Awards are in the range of $100,000 to $1million.
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New tool can be used as a universal Ebola drug target
University of Utah biochemists have reported a new drug discovery tool against the Ebola virus. According to a study published in this week’s online edition of Protein Science, they have produced a molecule, known as a peptide mimic, which displays a functionally critical region of the virus that is universally conserved in all known species of Ebola. This new tool can be used as a drug target in the discovery of anti-Ebola agents which are effective against all known strains and likely future strains. The same group of biochemists has previously developed highly potent and broadly acting D-peptide inhibitors of HIV entry, currently in preclinical studies, and is now adapting this approach to Ebola using the mimics developed in this study.
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CDC chief: U.S. “rethinking” Ebola strategy after Dallas nurse’s infection
U.S. federal health officials have urged hospitals to “think Ebola” as officials in Texas are anxiously trying to identify all staff involved in the care of America’s patient zero following the news that a nurse — Nina Pham, 26 — who was involved in his care is the first person to contract the disease in the United States. “We have to rethink the way we address Ebola infection and control because even a single infection is unacceptable,” Tom Frieden, director of the CDC, said on Monday. CDC officials are now watching the Dallas hospital personnel as they put on and take off their protective garb, retraining the staff and evaluating the type of protective equipment being used. The CDC officials were considering using cleaning products that kill the virus to spray down workers who come out of the isolation unit where the nurse is being treated. CDC will update its infection control guidance document, mostly likely next week. The agency’s guidance is just that – a guidance – since the agency does not have the authority to compel hospitals to follow its recommended procedures.
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More research needed to address synthetic biology security concerns
Synthetic biology involves the design of new biological components, devices, or systems that do not exist in nature, or the redesign of existing natural biological systems. Synthetic biology aims to make biological systems work more efficiently or to design biological tools for specific applications — such as developing more effective antibiotics. A new paper examines security risks and policy questions related to the growing field of synthetic biology. While the author does not think the field is ripe for exploitation by terrorists, it does highlight significant gaps in our understanding of the nuts and bolts of lab work in synthetic biology that can contribute to security risks.
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Simulations reveal California’s resilience to extreme droughts
The results from a series of several-year-old computer simulations reveal that the state of California may be more resilient to long-term drought conditions than previously believed. “The results were surprising,” said one of the scientists involved in the study. “California has a remarkable ability to weather extreme and prolonged droughts from an economic perspective.”
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Ebola vaccine trials begin in Mali
The Center for Vaccine Development (CVD) at the University of Maryland School of Medicine (UM SOM), in conjunction with the Center for Vaccine Development of Mali (CVD-Mali) and the Ministry of Health of Mali, have begun a clinical trial in health care workers (and other front-line workers) to evaluate a promising experimental Ebola vaccine. The trial began on Wednesday, 8 October, with the vaccination of the first subject, followed by two additional participants on 9 October — all three being Malian health care workers. In the coming weeks, thirty-seven more health care workers will receive the vaccine.
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The mathematics of the Ebola epidemic
The Ebola epidemic in West Africa appears to be spiraling out of control. Local and global health authorities want to know how the epidemic will develop and, above all, how to prevent it from spreading further. Certain parameters help them to determine this, such as the reproductive number, which is the average number of infections caused by a single infected individual. Researchers, using the data available – for example, gene sequence of the virus in various patient samples — have calculated that in the current outbreak, the viral reproductive number is 2.18: Every infected individual on average causes 2.18 additional infections.
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Pentagon’s medical countermeasures helpful in fighting Ebola outbreak
The U.S. Defense Department is better prepared to help with the West Africa Ebola outbreak because it has accelerated aspects of its medical countermeasures program established to protect troops from biological warfare agents, Andrew C. Weber, assistant secretary of defense for Nuclear, Chemical and Biological Defense Programs said the other day. “Ebola has always been on the threat list of agents that we’re concerned about,” Weber said, adding that DoD and the Department of Health and Human Services have been the only investors in medical countermeasures for such historically rare contagions as Ebola virus disease. Among the products whose development or availability the department has accelerated in response to the outbreak in West Africa is a vaccine against the Zaire strain of Ebola that is causing the epidemic.
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U.S. to commit 4,000 soldiers, $750 million in the next six months to fight Ebola in Africa
The Pentagon’s effort to help eradicate Ebola in West Africa will require roughly 4,000 American soldiers, cost $750 million for the next six months, and may last longer than a year.American troops will help build seven testing labs and seventeen treatment facilities by mid-November, but troops will be on the ground in Liberia for at least a year.A majority of U.S. soldiers will not come in direct contact with Ebola patients, but a few dozen troops trained to operate in nuclear, biological, and chemical environments will be assigned to testing labs.
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More headlines
The long view
What We’ve Learned from Survivors of the Atomic Bombs
Q&A with Dr. Preetha Rajaraman, New Vice Chair for the Radiation Effects Research Foundation in Hiroshima and Nagasaki, Japan.
Combatting the Measles Threat Means Examining the Reasons for Declining Vaccination Rates
Measles was supposedly eradicated in Canada more than a quarter century ago. But today, measles is surging. The cause of this resurgence is declining vaccination rates.
Social Networks Are Not Effective at Mobilizing Vaccination Uptake
The persuasive power of social networks is immense, but not limitless. Vaccine preferences, based on the COVID experience in the United States, proved quite insensitive to persuasion, even through friendship networks.