Ebola Outbreak: Cases pass 10,000, WHO reports

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AKASI MARTHA NZEMA 9 years ago

HOLY SPIRIT BRING SPIRITUAL DOCTORS FROM HEAVEN TO COME AND FIGHT THIS EBOLA IN AFRICA, AMEN.

HOLY SPIRIT BRING SPIRITUAL DOCTORS FROM HEAVEN TO COME AND FIGHT THIS EBOLA IN AFRICA, AMEN.
JOOJO 9 years ago

PEOPLE ARE PERISHING FROM EBOLA AND WHERE IS TB JOSHUA?
HE IS HIDING UNDER HIS BED FROM EBOLA.
IF HE IS A TRUE PROPHET LET HIM GO TO LIBERIA AND GUINEA.

NO HE CANNOT GO BCOS HE IS AFRAID.
LET HIM TOUCH AN EBOLA PATIENT ...
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PEOPLE ARE PERISHING FROM EBOLA AND WHERE IS TB JOSHUA?
HE IS HIDING UNDER HIS BED FROM EBOLA.
IF HE IS A TRUE PROPHET LET HIM GO TO LIBERIA AND GUINEA.

NO HE CANNOT GO BCOS HE IS AFRAID.
LET HIM TOUCH AN EBOLA PATIENT AND LIVE. CRIMINAL JOSHUA IS AFRAID OF EBOLA. 419 JOSHUA IS RUNNING AWAY FROM EBOLA.
Ama Serwah 9 years ago

EBOLA:Cancel Africa Cup of Nations games

EBOLA:Cancel Africa Cup of Nations games
Ghfuo: hang nyantakyi, NOW!!! 9 years ago

Fake.Disease, fake statistics

Fake.Disease, fake statistics
Nana 1 9 years ago

am scared of ebola...I don't want to die now..

am scared of ebola...I don't want to die now..
Shabi 9 years ago

I think that it would be a wise thing for West African countries that have so far not registered any cases of infection, such as Ghana, to also, like the US, subject travelers coming from the most infected areas, to a mandato ...
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I think that it would be a wise thing for West African countries that have so far not registered any cases of infection, such as Ghana, to also, like the US, subject travelers coming from the most infected areas, to a mandatory period of safe quarantine before being released into the wider public domain.

As new cases and deaths increase in Liberia and Sierra Leone, more people will frantically try to escape possible infection by taking desperate journeys to the more easily accessible and safer areas of West Africa.

With death staring in ones face, logic and reason lose their essence. Fear and panic will motivate some to throw caution to the wind in the frenzied desperation to hang on to dear life and damn the consequences. Thomas Duncan, the Liberian who traveled to the US with Ebola symptoms is one such instance. It is probable that he knew he had the symptoms but he traveled to and threw himself into the arms of the US govt in the last ditch hope that they would more likely be able to save him from certain. In the process, he infected many other innocent people.
PASQUALEY 9 years ago

I pray Ghana should be ebola free country in JESUS NAME,AMEN.

I pray Ghana should be ebola free country in JESUS NAME,AMEN.
JOOJO 9 years ago

THE PEOPLE OF LIBERIA , SIERRA LEONE AND GUINEA ARE PRAYING TOO. THEY ARE CHRISTIANS TOO, GOD LOVES THEM TOO. GOD DOES NOT LOVE GHANA MORE THAN LIBERIA OR GUINEA.

PRAYER IS NOT THE ANSWER.
THERE IS NO EASY WAY OUT OF THIS ...
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THE PEOPLE OF LIBERIA , SIERRA LEONE AND GUINEA ARE PRAYING TOO. THEY ARE CHRISTIANS TOO, GOD LOVES THEM TOO. GOD DOES NOT LOVE GHANA MORE THAN LIBERIA OR GUINEA.

PRAYER IS NOT THE ANSWER.
THERE IS NO EASY WAY OUT OF THIS PROBLEM. WE HAVE TO USE OUR BRAINS AS THE AMERICANS AND EUROPEANS ARE DOING.
JONG 9 years ago

ALWAYS LOOKINGAT OBRONI OR WHITE TO CURE OUR DISEASES THAT OUR FORE- FATHERS DID HAVE MEDICATION FOR EVERY DISEASES BEFORE A WHITEMAN OR OBRONI CAME EXCEPT A LOT OF THESE WASN'T DOCUMENTED BUT IF WE START NOW WE CAN.

ALWAYS LOOKINGAT OBRONI OR WHITE TO CURE OUR DISEASES THAT OUR FORE- FATHERS DID HAVE MEDICATION FOR EVERY DISEASES BEFORE A WHITEMAN OR OBRONI CAME EXCEPT A LOT OF THESE WASN'T DOCUMENTED BUT IF WE START NOW WE CAN.
Shabi 9 years ago

Yes and we also had our religions and our own names before the 'great' whiteman came along and told us that our religions and our names were from the Dept of Devil Worship.

It is this attitude that has killed off all of ou ...
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Yes and we also had our religions and our own names before the 'great' whiteman came along and told us that our religions and our names were from the Dept of Devil Worship.

It is this attitude that has killed off all of our initiatives as thinking human beings and the reason why we would rather sit down and die from diseases and hunger instead of getting off our fat backsides and doing things for ourselves.

It is this phenomenon which is the real damage that colonialism inflicted upon Africa. We have all become senseless self-destructive zombies who are only prepared to continue praising our oppressors and vilifying the few ones amongst us who excel.
Mathias Mensah 9 years ago

Morbidity and Mortality Weekly Report (MMWR)
MMWR
Cluster of Ebola Cases Among Liberian and U.S. Health Care Workers in an Ebola Treatment Unit and Adjacent Hospital — Liberia, 2014
Early Release
October 14, 2014 / 63( ...
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Morbidity and Mortality Weekly Report (MMWR)
MMWR
Cluster of Ebola Cases Among Liberian and U.S. Health Care Workers in an Ebola Treatment Unit and Adjacent Hospital — Liberia, 2014
Early Release
October 14, 2014 / 63(Early Release): 1-5

Joseph D. Forrester, MD1, Jennifer C. Hunter, DrPH1, Satish K. Pillai, MD2, M. Allison Arwady, MD1, Patrick Ayscue, DVM1, Almea Matanock, MD1, Ben Monroe, MPH3, Ilana J. Schafer, DVM4, Tolbert G. Nyenswah, MPH5, Kevin M. De Cock, MD6,7 (Author affiliations at end of text)
The ongoing Ebola virus disease (Ebola) epidemic in West Africa, like previous Ebola outbreaks, has been characterized by amplification in health care settings and increased risk for health care workers (HCWs), who often do not have access to appropriate personal protective equipment. In many locations, Ebola treatment units (ETUs) have been established to optimize care of patients with Ebola while maintaining infection control procedures to prevent transmission of Ebola virus. These ETUs are considered essential to containment of the epidemic. In July 2014, CDC assisted the Ministry of Health and Social Welfare of Liberia in investigating a cluster of five Ebola cases among HCWs who became ill while working in an ETU, an adjacent general hospital, or both. No common source of exposure or chain of transmission was identified. However, multiple opportunities existed for transmission of Ebola virus to HCWs, including exposure to patients with undetected Ebola in the hospital, inadequate use of personal protective equipment during cleaning and disinfection of environmental surfaces in the hospital, and potential transmission from an ill HCW to another HCW. No evidence was found of a previously unrecognized mode of transmission. Prevention recommendations included reinforcement of existing infection control guidance for both ETUs and general medical care settings, including measures to prevent cross-transmission in co-located facilities.
Investigation
On July 26, 2014, Liberian Ministry of Health and Social Welfare was informed of a laboratory-confirmed case of Ebola in an HCW at an ETU located adjacent to a general hospital (hospital A) in Monrovia, Liberia; in the following 24 hours CDC was informed of two additional HCW cases at the same ETU. Concern among HCWs and patients about the possible risk for Ebola transmission resulted in suspension of hospital and ETU operations. During July 27–31, CDC conducted a rapid evaluation to identify additional cases among HCWs and possible sources of exposure at the request of the Liberian Ministry of Health and Social Welfare and the humanitarian relief organizations involved in ETU and hospital A operations. Given time constraints in an evolving, somewhat chaotic epidemic environment, evaluation methods included unstructured in-person and telephone interviews with the infected HCWs, staff members and volunteers at the ETU and hospital A, and administrators, as well as onsite visits to hospital A and the ETU (at both its initial and relocated sites) (Figure). Employee work schedules were reviewed when available. Exposure risks to HCWs outside of the work environment at the ETU or hospital A were assessed through interview when possible.
Cases of Ebola were categorized as suspected, probable, or confirmed; this was consistent with the CDC Ebola virus disease case definitions in use in the field during the investigation. A suspected case was defined as fever and three or more additional symptoms (intense fatigue, myalgia, headache, nausea, difficulty in breathing or swallowing, hiccups, abdominal pain, vomiting, and diarrhea); fever with signs and symptoms of hemorrhage, or any unexplained death. A probable case was an illness meeting the suspected case definition in a person who had contact with a person with a confirmed or probable case in the past 3 weeks, or had at least fever and contact with a person with a confirmed or probable case in the past 3 weeks. A confirmed case was a suspected or probable case with laboratory evidence of Ebola virus infection by reverse transcription–polymerase chain reaction at the National Reference Laboratory in Liberia.
Findings
Hospital A is a private community hospital with approximately 150 to 200 inpatient admissions per month; its predominant function is provision of general medical care. Because of its proximity to the ETU (at the time, the only ETU in Monrovia), hospital A functionally served as a triage point for patients with suspected Ebola. Protocols for diverting Ebola patients to the ETU from hospital A's emergency department included a triage area at the entrance to the emergency department; patient screening for risk factors for Ebola; and direct transfer of suspected, probable, and confirmed cases.
Five HCWs (three Liberian nationals and two U.S. nationals) who worked at the ETU, hospital A, or both, were identified as being infected with Ebola virus during July 14–July 29 (HCWs A, B, C, D, and E); two died from their Ebola virus infection. Work responsibilities and clinical features of the five HCWs varied (Table). No unprotected exposures to Ebola patients or contaminated surfaces were reported by HCWs in the ETU (staff reported adherence to personal protective equipment guidelines consistent with job duties in the ETU) (1). Information about exposure outside of work to persons with Ebola could not be determined for the three HCWs (A, D, and E) who died or were otherwise unavailable at the time of evaluation.
Three findings from the evaluation of the health care environment and health care practices were identified as opportunities for transmission of Ebola virus: First, at the hospital A emergency department, failure to identify patients with Ebola promptly resulted in delayed transfer to the ETU (by several hours to >1 day); in one case, a patient with undiagnosed Ebola died in the emergency department, potentially exposing HCWs. Second, daily fever and symptom monitoring was not routinely performed on the staff at the ETU or hospital A; a HCW working in these areas could become infected, yet go undetected. Third, all ETU and hospital A staff had access to hospital A facilities, including eating areas, showers, bathrooms, and work stations and direct, physical contact between staff members in these common areas was reported; transmission between an infected, but undetected, coworker could occur.
Regarding the transfer of Ebola patients from the hospital A emergency department to the ETU, the investigation revealed that on June 26 one confirmed patient and on July 14 one confirmed and one probable patient (none part of the five-HCW cluster) were treated for other diseases in the hospital A emergency department while their Ebola remained unrecognized, leaving bodily fluids on surfaces in the emergency department that required cleaning and disinfection.
Discussion
Despite the temporal and geographic clustering of the five HCWs with Ebola, no common source exposure or chain of transmission to explain all five cases was identified. Because persons being treated for other diseases in the emergency department of hospital A (adjacent to the ETU) had undiagnosed Ebola, patients or coworkers in this hospital or the immediate surrounding area might have been at higher risk. Specifically, three opportunities for exposure consistent with known Ebola virus transmission modes were identified in this HCW cluster: 1) HCW exposures to undetected Ebola patients treated before their diagnosis in hospital A, 2) inadequate use of personal protective equipment during cleaning and disinfection of grossly contaminated surfaces in hospital A, and 3) exposure of non-infected HCWs to infected HCWs in the ETU or hospital A. Three infected HCWs (B, C, and D) participated in activities that included spraying disinfectant in the ETU or hospital A; however, the risk for exposure to Ebola virus from these activities could not be assessed during this investigation. There were no self-reported, unprotected exposures to Ebola patients or contaminated materials in the ETU. Staff reported adherence to personal protective equipment use consistent with job duties in the ETU (1). Based on interviews, protection against exposure to Ebola virus might have been less stringent outside of the ETU than inside it. Clinical and cleaning and disinfection activities in the adjacent hospital and triage area of hospital A potentially served as unrecognized, but nonetheless high risk, exposures. Shared facilities and physical contact with coworkers could have resulted in transmission of Ebola virus if a coworker was infected, but not diagnosed. None of the information collected suggested a mode of Ebola virus transmission that had not previously been described.
The findings in this report are subject to at least three limitations. First, interviews were not performed in a standardized format, so formats of responses varied. Second, two HCWs in this cluster had died before the start of the investigation, and one was unable to be interviewed, so exposure history in these three persons was obtained through interviews with coworkers or administrators. Finally, exposure history for these three persons was based on postevent interviews in a chaotic and stressful environment; therefore, recall might be incomplete.
Several action items were identified for public health intervention. All hospitals in epidemic areas should be considered as sites where Ebola patients might come for medical care and should ensure patients can be promptly identified and safely isolated (2). HCWs working in epidemic areas should maintain a high index of suspicion regarding patients who have any of the signs or symptoms of Ebola. All HCWs should be trained to recognize signs and symptoms of Ebola, have personal protective equipment§ available that is suitable for protecting themselves from transmission of Ebola virus, and be trained in its use. Separation of ETUs from hospitals, including designating trained HCW staff to provide health care only at the ETU, and provision of independent facilities such as restrooms, eating, and work areas, could minimize the opportunities of HCW exposure to Ebola virus, as suggested by recent recommendations (1,2). Daily monitoring for signs and symptoms of Ebola, such as fever screening, could improve early detection and isolation of an Ebola virus–infected HCW. A strict "no touching" policy (1) among HCWs as advocated by Médecins Sans Frontières could reduce the opportunity for an infected, yet undiagnosed HCW to transmit Ebola virus to a coworker. Finally, four of five HCWs in this cluster worked commonly or exclusively at night; fatigue and reduced levels of supervision might contribute to suboptimal adherence to recommended preventive measures.
Rapidly identifying and isolating patients with Ebola is essential to preventing further transmission. ETUs are usually established in close collaboration with international health care organizations. Ebola virus infection of HCW staff members working at, or associated with, an ETU can undermine community confidence in the health care system, create new opportunities for ongoing transmission, and reduce an already insufficient clinical workforce. Preventing exposures of HCWs and reducing the risk for Ebola virus infection of HCW must continue to be a high priority to halt transmission of Ebola and maintain adequate care for Ebola patients.
Acknowledgment
The Liberian Ministry of Health and Social Welfare.
1Epidemic Intelligence Service, 2Division of Preparedness and Emerging Infections, 3Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Disease; 4 Division of Epidemiology, Analysis, and Library Services, Center for Surveillance, Epidemiology, and Library Services, CDC; 5Liberian Ministry of Health and Social Welfare; 6CDC Kenya, 7Division of Global HIV/AIDS, Center for Global Health, CDC (Corresponding author: Joseph D. Forrester, jforrester@cdc.gov, 970-266-3587)
MOREHOPE 9 years ago

Oh my GOD save mother Ghana.
please lets join hands in prayer to avert this demonic disease. lets put politics aside
GOD SAVE US. AMEN

Oh my GOD save mother Ghana.
please lets join hands in prayer to avert this demonic disease. lets put politics aside
GOD SAVE US. AMEN
JOOJO 9 years ago

Oh my GOD save mother Ghana.
please lets join hands in prayer to avert this demonic disease.

IT IS NOT A DEMONIC DISEASE. IT IS CAUSED BY A VIRUS. THE PEOPLE OF LIBERIA SIERRA LEONE ALSO WORSHIP GOD. THEY ARE ALSO GOD'S ...
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Oh my GOD save mother Ghana.
please lets join hands in prayer to avert this demonic disease.

IT IS NOT A DEMONIC DISEASE. IT IS CAUSED BY A VIRUS. THE PEOPLE OF LIBERIA SIERRA LEONE ALSO WORSHIP GOD. THEY ARE ALSO GOD'S CHILDREN. WE HAVE TO USE OUR BRAINS TO SOLVE THIS PROBLEM.

lets put politics aside
GOD SAVE US. AMEN

LEAVE GOD ALONE. GOD HAS GIVEN US THE BRAINS TO SOLVE OUR PROBLEMS. LETS USE IT. AFRICANS ARE TOO LAZY MENTALLY. WE THINK PRAYER IS THE ANSWER TO EVERY PROBLEM.
MOREHOPE 9 years ago

My brother if u cant see into the spirits,lets those who do speak. I really know what I am talking about.
I really know people of the affected countries know God but mine opinion is about my country

My brother if u cant see into the spirits,lets those who do speak. I really know what I am talking about.
I really know people of the affected countries know God but mine opinion is about my country
THE TRUTH 9 years ago

IS WHO ONLY INTERESTED IN MONOTORING HOW MANY CASES RECORDED WITH EBOLA?WHAT IS IT DOING TO STOP IT IS IS BECAUSE ITS FROM AFRICA SO NOBODY CARES?COULD THE CASE CASE BE DIFFERENT IT THIS HAD BEEN EUROPE?

IS WHO ONLY INTERESTED IN MONOTORING HOW MANY CASES RECORDED WITH EBOLA?WHAT IS IT DOING TO STOP IT IS IS BECAUSE ITS FROM AFRICA SO NOBODY CARES?COULD THE CASE CASE BE DIFFERENT IT THIS HAD BEEN EUROPE?
Son of Africa 9 years ago

I hope African leaders are now learning a lesson from Ebola.Where are those so called supper powers who wants to build 'Africom' millitary Basis in Africa,install army camps all over Africa to Keep the opression and exploitas ...
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I hope African leaders are now learning a lesson from Ebola.Where are those so called supper powers who wants to build 'Africom' millitary Basis in Africa,install army camps all over Africa to Keep the opression and exploitasion upright.Where are Those war mongers in real Need,non of them is wholeheartedly there to help.When a dog belonging to an infected Spanish Nurse was to be killed becouse of the fear of infection,tausands of the spanish folk went into the street and protested against it,but no one of them has gone to the street to ask for at least donnations to help the poor exploited nations in westAfrica.Go and ask President Sierleaf of Liberia,why is her own son refussing to go and help back home in Liberia? many German Young doctors are risken their lives to help.Why is a Hospital named after John F Kennedy not of any use to the Librians? Why is the American oil Company in Liberia earning billions from Liberian oil and now staying adamant to the plight of the Liberian owner of the oil they are exploiting?If they'll have a heart for the Africans,they could have at least build Isolation stations by now to help.Is the AU still alive,to hell with all the thieving African heads of state.
Shabi 9 years ago

Bro, its no use ranting and raving against the exploiters, the thieves and the treacherous leaders of Africa. They will never change their attitude towards us because it is we ourselves who give them the chance to mess us up. ...
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Bro, its no use ranting and raving against the exploiters, the thieves and the treacherous leaders of Africa. They will never change their attitude towards us because it is we ourselves who give them the chance to mess us up.

As things are, we now have to act to try and do as much as possible for ourselves.
ROGUE LAWYER 9 years ago

THIS Ebola CONSPIRANCY theory will come back to hunt those who invented the Virus.

W.H.O is alarming the innocent public to do what ? while you know exactly the source of this Virus.

since you dont believe in GOD your ...
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THIS Ebola CONSPIRANCY theory will come back to hunt those who invented the Virus.

W.H.O is alarming the innocent public to do what ? while you know exactly the source of this Virus.

since you dont believe in GOD your own conscience will one day judge & punish you for killing innocent people

Ebola Outbreak: Cases pass 10,000, WHO reports

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