Ebola outbreak 'will get worse'

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Skains 9 years ago

"The cases are increasing. I wish I did not have to say this, but it is going to get worse before it gets better," he admitted."

As usual, a typical Westerner speaking with authority abut the disease. I don't for one mom ...
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"The cases are increasing. I wish I did not have to say this, but it is going to get worse before it gets better," he admitted."

As usual, a typical Westerner speaking with authority abut the disease. I don't for one moment believe this ebola disease is natural.
kobby 9 years ago

They know what they did in the lab so as to carry their so called world population control agenda out.This disease is not natural,it was planned and aimed at the African continent.

They know what they did in the lab so as to carry their so called world population control agenda out.This disease is not natural,it was planned and aimed at the African continent.
Palmwine Tapper 9 years ago

Masa, you bet your ASS is going to get worse. Like said in my post; All these strange diseases (a.k.a. Ebola virus & HIV AIDS) were ALL diabolically planted in Africa by some wicked, EVIL white men so that, they can take over ...
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Masa, you bet your ASS is going to get worse. Like said in my post; All these strange diseases (a.k.a. Ebola virus & HIV AIDS) were ALL diabolically planted in Africa by some wicked, EVIL white men so that, they can take over African Natural Resources. It’s a Cyber Disease War in Africa developed by some wicked, EVIL white men to test the potency of it using black Africa as Test grounds. Same way HIV/AIDS was introduced in Africa by US gay men having SEX with their dogs or bunking their dogs from the rear ends. Can you imagine what the heck these dogs had to go thru. by being bunked by their white owners from the rear ends. Ouch!

Like I stated before. Even with ALL these latest technologies in the World and best scientists on the Planet yet, they STILL can't EVEN TRACE the origin of Ebola virus after years of studies in Mother Africa. A clear indication that its a "Planted Cyber Disease" against the African Continent. May the Lord Help us survive this also! They intend to wipe us ALL.
gyam Korrowii 9 years ago

Black are unprocted in mother earth,so far as this evil american are still living we are not save

Black are unprocted in mother earth,so far as this evil american are still living we are not save
Nana Kwaku 9 years ago

Of course it will get worse for more people to.die according to plan. The money will be made later..

Of course it will get worse for more people to.die according to plan. The money will be made later..
Adjei- Germany 9 years ago

Ghanaians and africans, pls Listen. Ebola was First Seen in Germany and serbia in 1960s, it killed much people in Germany and serbia, later was also Seen in America. This Whites brought the Virus to africa. Please take this s ...
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Ghanaians and africans, pls Listen. Ebola was First Seen in Germany and serbia in 1960s, it killed much people in Germany and serbia, later was also Seen in America. This Whites brought the Virus to africa. Please take this serious and do Research on google and Youtube where ebola was First Seen in Europe.this Whites are very smart trying to turn it on africans by saying is african sickness Or Virus.
Tekonline.org 9 years ago

The New England Journal of Medicine

Ebola 2014 — New Challenges, New Global Response and Responsibility

Thomas R. Frieden, M.D., M.P.H., Inger Damon, M.D., Ph.D., Beth P. Bell, M.D., M.P.H., Thomas Kenyon, M.D., M.P ...
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The New England Journal of Medicine

Ebola 2014 — New Challenges, New Global Response and Responsibility

Thomas R. Frieden, M.D., M.P.H., Inger Damon, M.D., Ph.D., Beth P. Bell, M.D., M.P.H., Thomas Kenyon, M.D., M.P.H., and Stuart Nichol, Ph.D.

August 20, 2014
DOI: 10.1056/NEJMp1409903

Since Ebola virus was first identified in 1976, no previous Ebola outbreak has been as large or persistent as the current epidemic, and none has spread beyond East and Central Africa.1 To date, more than 1000 people, including numerous health care workers, have been killed by Ebola virus disease (EVD) in 2014, and the number of cases in the current outbreak now exceeds the number from all previous outbreaks combined.

Indirect effects include disruption of standard medical care, including for common and deadly conditions such as malaria, and substantial economic losses, insecurity, and social disruption in countries that were already struggling to recover from decades of war.

The outbreak's spread to densely populated Lagos, Nigeria, is worrisome, and the situation there is evolving rapidly. Lagos has a population roughly equivalent to that of Guinea, Sierra Leone, and Liberia combined, and it took nearly 2 weeks to establish the first effective isolation and treatment facilities there. Nigeria has since greatly improved its response, but whether it acted in time to stop a large outbreak is not yet clear. Given the extensive mobility and air travel in West Africa, EVD could reach other countries in the region and beyond. Every day that disease transmission remains uncontrolled, the likelihood of spread to unaffected countries increases.

The Centers for Disease Control and Prevention (CDC) is working intensively with partners to help stop the outbreak at its source in Africa. We are also assisting the four affected countries to improve their exit-screening protocols to help protect the rest of the world, including the United States. Each month, several thousand travelers from affected areas enter the United States, and even more people travel to and from Europe, other parts of Africa, and Asia. As long as Ebola is spreading in these regions, clinicians need to be alert to the possibility of EVD, take a travel history, and promptly isolate and test ill travelers who have returned from these regions in the past 21 days and have symptoms consistent with EVD.

The CDC has issued detailed guidelines regarding identifying, isolating, diagnosing, and treating patients.

There is also specific guidance for airline flight crews, cleaning personnel, and cargo personnel to minimize their risk of exposure.

Stopping the outbreak at the source in Africa will take many months. Three core interventions have stopped every previous outbreak and can stop this one as well: exhaustive case and contact finding, effective response to patients and the community, and preventive interventions.

Identifying infected persons quickly requires accessible diagnostic and treatment facilities. In the current outbreak, the number of patients has far exceeded local capacity, which has resulted in a vicious cycle in which more cases lead to overloading of facilities which leads to more cases. Laboratory testing with real-time polymerase chain reaction is sensitive and specific and can return results within hours; it is now becoming more widely available in the affected areas.

Responding to cases involves isolation and treatment of patients, contact tracing, and monitoring each contact for 21 days after exposure. It is difficult to isolate and care for patients with EVD, not because the disease is particularly infectious or the virus particularly hardy, but because a single lapse can be devastating. Neither negative air flow nor special respirators are essential; meticulous attention to gown, glove, mask, and eye protection and great care while removing protective equipment are key. Improved hospital infection control throughout the region would prevent a substantial number of EVD and other illnesses. Soap and water or alcohol-based hand sanitizers readily disrupt the envelope of this single-stranded RNA virus, and decontamination with dilute bleach is effective and readily available even in remote settings.

Provision of supportive care, particularly fluid and electrolyte management and treatment of bacterial superinfections, can significantly improve survival. Contacts need to be identified and their temperature monitored daily for 21 days after exposure; if they develop fever, they will also need to be immediately isolated, tested, and if tests are positive, interviewed to identify contacts, each of whom must then be followed for 21 days.

Social mobilization and culturally appropriate health education efforts are critical to successful case identification and tracking of contacts.

There are three key preventive interventions.

The first is meticulous infection control in health care settings. The greatest risk of transmission is not from patients with diagnosed infection but from delayed detection and isolation. Since the early symptoms of EVD — fever, nausea, vomiting, diarrhea, and weakness — are nonspecific and common, patients may expose family caregivers, health care workers, and other patients before the infection is diagnosed.

Second, educating and supporting the community to modify long-standing local funeral practices to prevent contact with body fluids of people who have died from EVD, at least temporarily until the outbreak is controlled, will close the second major route of propagation of the virus. This is a culturally sensitive issue that requires culturally appropriate outreach and education.

And third, avoiding handling of bush meat (wild animals hunted for sustenance) and contact with bats (which may be the primary reservoir of Ebola virus) can reduce the risk of initial introduction of Ebola virus into humans. Bush meat consumption could be reduced through socioeconomic development that increases access to affordable protein sources. Where bush meat consumption continues, safer slaughter and handling can be encouraged. The potential effect of deforestation and other environmental changes on increasing human–bat contacts needs to be further studied and addressed.

These are straightforward interventions, but Ebola virus is a formidable enemy. If a single case is missed, a single contact becomes ill and isn't isolated, or a single lapse in infection control or funeral-practice safety occurs, another chain of transmission can start.

In addition to implementing stringent control efforts, we need to accelerate development and deployment of vaccines and antiviral treatment. Supportive medical care can reduce case fatality rates substantially (and probably contributed to the much lower — 23% — case fatality rate in the Marburg virus outbreak in Germany4), but there are promising antiviral treatments and vaccines currently in development.5 Ethical issues have been raised about using experimental treatments and vaccines that are in very limited supply, but a vaccine that is safe and effective would further protect health care workers and potentially others in outbreak situations. Phase 1 clinical trials are expected to begin in the coming weeks, and intensive discussions are under way regarding how to evaluate and provide these vaccine candidates, with informed consent, for pre- or post-exposure prophylaxis.

In addition to acting to stop this outbreak, we should put systems in place to prevent another one. Earlier this year, the United States joined partner governments, the World Health Organization, and other multilateral organizations and nongovernmental actors to launch the Global Health Security Agenda (see table
Elements of the Global Health Security Agenda and Their Application to the Ebola Outbreak.
), which aims to better protect all people from health threats. As the world faces the major threats of emerging or reemerging organisms, increased drug resistance, and the intentional or unintentional spread of virulent pathogens, we have three critical advances that will enable further action: increased societal commitment on a global scale; new technologies that allow us to work better, faster, and cheaper; and successes, ranging from better control of EVD in Uganda to the rapid and effective response to H7N9 influenza in China. The current EVD outbreak is a tragic illustration of the importance of improving global health security (see table). The components of this strategy — prevent wherever possible, detect rapidly, and respond effectively — match the framework for stopping the EVD outbreak.

EVD is a painful reminder that an outbreak anywhere can be a risk everywhere. The Global Health Security Agenda aims to strengthen public health systems in countries that need it most in order to stop outbreaks before they become emergencies. We believe that stopping outbreaks in a way that leaves behind stronger systems to identify, stop, and prevent future health threats is a moral imperative.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
This article was published on August 20, 2014, at NEJM.org.
From the Centers for Disease Control and Prevention, Atlanta.
References
1. Outbreaks chronology: Ebola hemorrhagic fever. Atlanta: Centers for Disease Control and Prevention, 2014 (www.cdc.gov/vhf/ebola/resources/outbreak-table.html#eighteen).
2. Infection prevention and control recommendations for hospitalized patients with known or suspected Ebola hemorrhagic fever in U.S. hospitals. Atlanta: Centers for Disease Control and Prevention, 2014 (www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html).

3. Interim guidance about Ebola infection for airline crews, cleaning personnel, and cargo personnel. Atlanta: Centers for Disease Control and Prevention, 2014 (www.cdc.gov/quarantine/air/managing-sick-travelers/ebola-guidance-airlines.html).

4. Bausch DG, Feldmann H, Geisbert TW, et al. Outbreaks of filovirus hemorrhagic fever: time to refocus on the patient. J Infect Dis 2007;196:Suppl 2:S136-S141

5. Feldmann H, Geisbert TW. Ebola haemorrhagic fever. Lancet 2011;377:849-862
EFO KOKU 9 years ago

The stupid African (Excellency) presidents together with their useless (PhD) scientists are waiting for the white man to bring them aid and drugs plus some money to pocket before they will do something. Now that nothing is co ...
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The stupid African (Excellency) presidents together with their useless (PhD) scientists are waiting for the white man to bring them aid and drugs plus some money to pocket before they will do something. Now that nothing is coming, they are converging in Ghana to have breakfast, lunch & supper at the expense of the ordinary man. They will come out with nothing.
MAHAMA LOOT ND SHARE 9 years ago

OH TWEAAAAAAAAA MAHAMA CRIMINAL,CORRUPT DONT CARE FOR GHANIANS,POWER FOR OUR MONEY

OH TWEAAAAAAAAA MAHAMA CRIMINAL,CORRUPT DONT CARE FOR GHANIANS,POWER FOR OUR MONEY
OMAN BAPA 9 years ago

MONEY MAHAMA JET,GOLD TO IRIAN,WOYOME,SADA,SUBAH,ISOFOTON,WATERVIL AND CO,WE ALL KNOW FOR SURE MAHAMA SAID HE CHOP ALL OUR MONEY AND LEFT BONES FOR POOR GHANIANS,SAD AND BIG SHAME

MONEY MAHAMA JET,GOLD TO IRIAN,WOYOME,SADA,SUBAH,ISOFOTON,WATERVIL AND CO,WE ALL KNOW FOR SURE MAHAMA SAID HE CHOP ALL OUR MONEY AND LEFT BONES FOR POOR GHANIANS,SAD AND BIG SHAME
Palmwine Tapper 9 years ago

Chimp. Kuffour Ordered and awarded himself with $750,000 Gold Chain and with impunity, wore it around his ugly like gorilla neck and we didn't hear you whining or wailing from the mountain top. Get a life and stay on the topi ...
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Chimp. Kuffour Ordered and awarded himself with $750,000 Gold Chain and with impunity, wore it around his ugly like gorilla neck and we didn't hear you whining or wailing from the mountain top. Get a life and stay on the topic. Will ya?
Palmwine Tapper 9 years ago

All these strange diseases (a.k.a. Ebola virus & HIV AIDS) were ALL diabolically planted by some wicked, EVIL white men so that, they can take over African Natural Resources. It’s a Cyber Disease war in Africa developed by ...
read full comment

All these strange diseases (a.k.a. Ebola virus & HIV AIDS) were ALL diabolically planted by some wicked, EVIL white men so that, they can take over African Natural Resources. It’s a Cyber Disease war in Africa developed by some wicked, EVIL white men to test the potency of it using black Africa as Test ground. Same way HIV/AIDS was introduced in Africa. I quite remember it was ALL over the news in America that white folks (both men and women) are having SEX with their dogs (or bunking their dogs from the rear ends) and the gay men (kwakwo besia) in USA FUCKING those dogs in the ASS. In America, they blamed these gay men (kwakwo besia) FUCKING those dogs in the ASS which these gay men even acknowledge with an appeal that, having SEX with their dogs (or bunking their dogs from the rear ends) needs to STOP forthwith with pamphlets and posted signs at bus stop in USA. Years later; they DECEITFULLY cast the origin of HIV/AIDS on Africa of a whole village eating uncooked monkey meat. What a load of crap by US so-called scientists!
With respect to this Ebola Virus plague in Africa, even with ALL these latest technologies in the World and best scientists on the Planet yet, they STILL can't EVEN TRACE the origin of Ebola virus after years of studies in Mother Africa. A clear indication that its a "Planted cyber disease" against the African Continent. May the Lord Help us!
gyam Korrowii 9 years ago

I dont know what is wrong with africans leader,africans are not save so far as PIGS are living

I dont know what is wrong with africans leader,africans are not save so far as PIGS are living
Mumuni 9 years ago

Adjei can you give me the Name of the
town in Germany whichwas affected byy
Ebola.Do not put durst in the Eyes of
Ghanians.We Need good clean enviroment,people schould stop eating
Bats etc.,Our forefathers never eat suc ...
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Adjei can you give me the Name of the
town in Germany whichwas affected byy
Ebola.Do not put durst in the Eyes of
Ghanians.We Need good clean enviroment,people schould stop eating
Bats etc.,Our forefathers never eat such meats,why schuod we start eating them?Please do not lie to the GHanians
Mr.Adjei
gloria usa 9 years ago

why having the meeting in ghana

why having the meeting in ghana

Ebola outbreak 'will get worse'

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