Evening Ebola Update, Mon, 10/20: Mr. Klain, new U.S. EBOV ‘czar’, doesn’t start until Wednesday   Leave a comment

10/20/14

Dear Colleagues:

l.  NEJM has released a reminder of the NEJM Ebola Outbreak Webcast on this Wednesday from 2pm-3:30pm ET.  See: https://col128.mail.live.com/?tid=cmZ50ApmpY5BGd8QAjfeRb_g2&fid=flinbox to register for the Webcast.

2.  FOX News reports that President Sirleaf of Liberia says her country is at a ‘standstill; harvests have been missed and markets are shut and borders are closed.  Food, medicine, HCW are desperately needed in Liberia.  Pre-civil war there were 3600 physicians in Liberia; at the end of the civil war 11 years ago, there were only 36 physicians left in Liberia.

3.  Science reports that Nigeria has been declared free of EBOV by the WHO.  Nigeria (and Senegal) has met the WHO criteria of no new EBOV case in 42 days.  Nigeria credits their rapid response to the index case in Nigeria and rigorous contact tracing even when contacts hid from tracers and lied to tracers.

4.  Diane Rehm interviewd EBOV experts today on NPR.  All experts were uncomfortable with the fact that Mr. Klain will not begin work as EBOV ‘czar’ until Wednesday because he is taking care of other matters.  No one knows what funding he has for his assignment or what his action plan will be.  All panelists agreed the world’s response to the first case in Guinea last December was slow; they also agreed that both advanced hospitals for EBOV treatment and local treatment center rurally are needed in West Africa.

5.  NY Times reports that Dr. Fauci and Dr. Collins agree that the decade long static NIH budget is not the reason that an EBOV vaccine was not developed in the last 10 years.  The large pharmaceutical houses did not see a market for the vaccine, and the smaller pharmaceutical firms did not have the capital to proceed rapidly with vaccine development.

RGL, MD

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Posted October 20, 2014 by levittrg in Ebola

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