[stem-ebola] PRO/AH/EDR> Ebola virus disease - ex Africa (20): Spain neg

[alex@xxxxxxxxxxxxxx]

EBOLA VIRUS DISEASE - ex AFRICA (20): SPAIN NEGATIVE, INDIA, USA,
CHINA PREVENTION
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In this update:
[1] Spain: 4 suspected cases negative
[2] India: preparedness
[3] UK: recovered British nurse returns to Sierra Leone
[4] USA: monitoring
[5] China: prevention

******
[1] Spain: 4 suspected cases negative
Date: Fri 17 Oct 2014
Source: The Local [edited]
<http://www.thelocal.es/20141017/ebola-crisis-four-feared-new-cases-test-negative>


1st analyses of 4 patients who were taken into emergency isolation [in
Tenerife, Spain's Canary Islands] on Thu [16 Oct 2014] due to
suspicion of infection with Ebola show no sign of disease, the
government has announced...

--
Communicated by:
ProMED-mail
<promed@xxxxxxxxxxxxxx>

[A map of the Canary Islands is at <http://healthmap.org/r/awFN>. -
Mod.JW]

******
[2] India: suspected case, preparedness
Date: Sun 19 Oct 2014
Source: Indian Express [edited]
<http://indianexpress.com/article/cities/delhi/afcons-employees-ebola-free-but-states-asked-to-follow-up/#sthash.yAWxeVb1.dpuf>


According to the Health Ministry, Afcons [AFCONS Infrastructure Ltd
(Liberia) Iron Ore Mining Project] in Liberia had requested the
International SOS (ISOS) Organisation to help their Indian employees
return home. These include 4 from Delhi, Maharashtra (54), West Bengal
(12), Bihar (10), Uttar Pradesh (7), Tamil Nadu (5), Andhra Pradesh
(4), Kerala (3), Odisha (3), Gujarat (3), Karnataka (2), Haryana (2),
Punjab (2), Jharkhand (1), Madhya Pradesh (1), Uttarakhand (1),
Rajasthan (1) and Himachal Pradesh (1)...
<http://indianexpress.com/photos/picture-gallery-others/ebola-scare-raises-its-head-in-mumbai-delhi/3/#sthash.aYpoFSJ0.dpuf>

--
How Would India Handle an Ebola Outbreak?
------------------------------------------
Fri 17 Oct 2014: (WSJ) On Thu [16 Oct 2014], India's Health Ministry
said it would start conducting mock drills simulating treatment for a
potentially infected patient, after a meeting with state health
officials to assess the country's preparedness...

The country's huge and densely-packed population, often rudimentary
public healthcare system, and lack of adequate sanitation each pose
challenges to the containment of a disease like Ebola, health experts
say. Combined, they could make it uncontrollable.

"An outbreak in Europe or North America would quickly be brought under
control. I am more worried about the many people from India who work
in trade or industry in West Africa," virologist Peter Piot, the man
who helped identify the Ebola virus in 1976, was quoted as saying by
German news magazine Der Spiegel in an interview published in
September 2014.

Around 4700 Indians live in Guinea, Liberia and Sierra Leone. Another
40 000 live in Nigeria, where 8 people have died after 20 cases of
Ebola were detected.

"It would only take one of them to become infected, travel to India to
visit relatives during the virus' incubation period and then, once he
becomes sick, go to a public hospital there," Dr. Piot, who is
director of the London School of Hygiene and Tropical Medicine, was
quoted as saying in the interview. "Doctors and nurses in India, too,
often don't wear protective gloves. They would immediately become
infected and spread the virus."

Large cities with over-populated slums like those in India make it
"virtually impossible to find those who had contact with patients, no
matter how great the effort," Dr. Piot said, according to the
magazine...

India's Health Ministry said Thursday [16 Oct 2014] that 3 days of
training for healthcare teachers would take place in Delhi starting
Sun [19 Oct 2014], including how to put on and remove protective wear
safely, how to contact trace and how to collect and transport blood
samples without spreading infection...

That's why in Nigeria's largest city Lagos, where the majority of the
country's 20 cases were discovered, authorities urged people not to
urinate or defecate in drains, dump sites and open spaces. The move is
perhaps one reason why Nigeria has successfully contained the
epidemic, with no new cases since 8 Sep 2014. In India, around 600
million people defecate in the open; a lack of toilets and, in some
parts, a cultural preference for going outdoors would make it almost
impossible for similar public health advice to have the same
effect...

Around 1128 passengers are currently being tracked, mostly in the
capital Delhi and the states of Maharashtra, Kerala, Tamil Nadu,
Gujarat and West Bengal, the Health Ministry said Mon [13 Oct 2014]...
<http://wsj.com/articles/BL-IRTB-26959>

[Byline: Atish Patel]

--
Communicated by:
Ryan McGinnis <ryan@xxxxxxxxxxxxxxxxxxx>

******
[3] UK: recovered British nurse returns to Sierra Leone
Date: Sun 19 Oct 2014
Source: Guardian UK [edited]
<http://www.theguardian.com/uk-news/2014/oct/19/will-pooley-ebola-returns-to-sierra-leone>


WP may not be immune to Ebola as he returns to Sierra Leone. The
British nurse who survived the [ebolavirus] after being airlifted to
the UK said it was an easy decision to go back to help contain the
outbreak...

--
Communicated by:
ProMED-mail
<promed@xxxxxxxxxxxxxx>

[Well, does he or does he not have any Ebola antibodies? Even if only
at a low level, received wisdom from other virus infections suggests
that they should be adequate for a few months to prevent a fatal
infection. Does anybody have data on the range of post-overt infection
antibody titers in survivors of previous epidemics? - Mod.JW]

******
[4] USA: monitoring
Date: Sun 19 Oct 2014
Source: Independent [edited]
<http://www.independent.co.uk/news/world/americas/ebola-cruise-ship-in-utter-panic-as-mexico-and-belize-refuse-to-let-it-dock-9804428.html?origin=internalSearch>


The Carnival Magic cruise ship with a Texas healthcare worker exposed
to Ebola aboard arrived back in the US on Sun [19 Oct 2014] morning.
Upon examination at Galveston County Health Authority, the quarantined
passenger is confirmed not to have Ebola...

[Byline: Zachary Davies Boren]

--
Communicated by:
ProMED-mail
<promed@xxxxxxxxxxxxxx>

[Well that was a tempest in a tea-cup! The headline for this story
was: "Ebola cruise ship 'in utter panic' as Mexico and Belize refuse
to let it dock." How the media love to spread news that the sky is
falling! - Mod.JW]

--
USA: Ebola protocols will now call for no skin showing
----------------------------------------------
Sun 19 Oct 2014: (AP) Revised guidance for health care workers
treating Ebola patients will include using protective gear "with no
skin showing," a top federal health official said Sun [19 Oct 2014].

Dr. Anthony Fauci, head of the National Institute of Allergy and
Infectious Diseases, said those caring for an Ebola patient in Dallas
were left vulnerable because some of their skin was exposed.

The Centers for Disease Control and Prevention is working on revisions
to safety protocols.

End of isolation
--------------
Ebola's incubation period is 21 days, and Fauci noted that that mark
was being reached on Sun [19 Oct 2014] for Texas Health Presbyterian
Hospital workers who 1st treated D., the Liberian man who later died
of the disease. "The ones now today [19 Oct 2014] that are going to be
'off the hook' are the ones that saw him initially in the emergency
room," Fauci said...

Judge Clay Jenkins, the chief executive in Dallas County, said that
the protective order that has kept D.'s family isolated expires Sunday
[19 Oct 2014] at midnight.
<http://hosted2.ap.org/APDEFAULT/bbd825583c8542898e6fa7d440b9febc/Article_2014-10-19-US--Ebola-US%20Response/id-26e04b990a364c5fa9630c0bd3b5df20>

[Can anyone explain how the group of people who lived for days in an
apartment so heavily contaminated by index patient D. that the entire
contents had to be removed and burned have survived without getting
infected? I hope they will be tested for ebolavirus antibodies. -
Mod.JW]

--
A Texas healthcare worker who had handled a blood sample of TD, the
Liberian man who died from Ebola in the US earlier this month [October
2014], has been quarantined in her room aboard the Carnival Magic
cruise ship. The unnamed woman, who is a lab supervisor at Texas
Health Presbyterian, is deemed by the CDC to be "low risk" and has yet
to exhibit symptoms. She is also approaching the end of her 21-day
maximum incubation window, after which it can be confirmed that she
did not contract Ebola.

Update: Upon examination at Galveston County Health Authority, the
quarantined passenger is confirmed not to have Ebola.

--
Date: Sat 18 Oct 2014
Source: WSJ [edited]
<http://online.wsj.com/articles/ohio-bans-international-travel-for-residents-being-monitored-for-ebola-1413687948>


Ohio health officials strengthened the state's Ebola monitoring
protocols on Sat [18 Oct 2014] to require that state residents who are
self-monitoring after contact with an Ebola-exposed environment do not
leave the U.S. Ohio residents who are self-monitoring for symptoms of
the Ebola virus must also undergo daily appointments with a health
department official, according to the state's new mandates...

Ohio health officials have been working to track people in the state
who might have been in contact with [the nurse from Texas who traveled
there]. But since local health authorities are responsible for
monitoring, as of Saturday [18 Oct 2014] evening, the state didn't
know the exact number of people being tracked for the virus, Mr. Teets
said. Daily statewide counts are expected to start on Sun [19 Oct
2014], he added...

[Byline: Ben Kesling]

--
Communicated by:
ProMED-mail
<promed@xxxxxxxxxxxxxx>

******
[5] China: prevention
Date: Sat 18 Oct 2014
Source: Southern China Daily [edited]
<http://news.southcn.com/py/content/2014-10/18/content_110368542.htm>


There are rumors that the 1st Ebola patient [in China] was found at
the China Import and Export Fair [Canton Fair, in Guangzhou] and sent
to Provincial No. 2 People's Hospital for treatment. The Provincial
Health and Family Planning Commission says that there are no Ebola
cases in the province at this time. The facts are that yesterday [17
Oct 2014], Pazhou Trade Complex took a monitored subject to Provincial
No. 2 People's Hospital. This monitoring subject is of Nigerian
nationality. Blood samples were sent to the Guandong Province CDC's P3
[biosafety level 3] laboratory for testing and found negative for
Ebola, ruling out infection with ebolavirus.

[Byline: Cao Si]

--
Communicated by:
ProMED-mail Rapporteur Dan Silver

[A map of Guangdong Province, China is at:
<http://healthmap.org/r/awFP>. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/142>.]

[See Also:
Ebola virus disease - ex Africa (19): Spain, USA, travel bans,
prevention 20141018.2875795
Ebola virus disease - ex Africa (18): Ethiopia NOT, USA nurses,
prevention 20141016.2872362
Ebola virus disease - ex Africa (17): USA (Texas) 2nd nurse update
20141015.2868385
Ebola virus disease - ex Africa (16): USA (TX) 2nd nurse case
20141015.2866172
Ebola virus disease - ex Africa (15): USA (Texas) 2nd nurse case
20141015.2866172
Ebola virus disease - ex Africa (14): UN doctor dies, USA, prevention
20141014.2863794
Ebola virus disease - ex Africa (13): Ethiopia susp., USA (TX)
prevention 20141013.2859164
Ebola virus disease - ex Africa (12): USA new case, Spain, more
quarantined 20141012.2856660
Ebola virus disease - ex Africa (11): Europe, threat to N. America,
recurrence 20141011.2854247
Ebola virus disease - ex Africa (10): WHO, UN, Liberia, medevac, S.
Leone, USA 20141010.2851248
Ebola virus disease - ex Africa (09): WHO, Spain, Australia, Canada,
USA 20141009.2848352
Ebola virus disease - ex Africa (08): US death, concern re. spread,
travel ban 20141008.2843902
Ebola virus disease - ex Africa (07): Europe cases, USA quarantine
stations 20141007.2840925
Ebola virus disease - ex Africa (06): Spain case, USA case, US case
medevaced 20141006.2837374
Ebola virus disease - ex Africa (05): USA ex Liberia, prevention
20141005.2834301
Ebola virus disease - ex Africa (04): USA ex Liberia, prevention
20141004.2832236
Ebola virus disease - ex Africa (03): USA ex Liberia, Germany case ex
S. Leone 20141003.2830392
Ebola virus disease - ex Africa (02): USA ex Liberia, prevention,
false alarms 20141002.2827166
Ebola virus disease - ex Africa: USA ex Liberia, WHO 20141001.2823539
Ebola virus disease - West Africa (184): USA (TX) first case ex
Liberia 20140930.2819341]
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