Ebola Crisis Deepens Outside Outbreak Zone

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Health officials on Sunday reported a Texas health care workers tested positive for Ebola after caring for a hospitalized patient who died of the virus even though she wore full protective gear, making it the first known case of the disease being contracted or transmitted in the U.S. the Associated Press reported, State health officials: 2nd Ebola case in Texas. Dr. Tom Frieden, head of the Centers for Disease Control and Prevention, said the diagnosis shows there was a clear breach of safety protocol and all those who treated Thomas Eric Duncan are now considered potentially exposed. The worker wore a gown, gloves, mask and shield while she cared for Duncan during his second visit to Texas Health Presbyterian Hospital, said Dr. Daniel Varga of Texas Health Resources, which runs the hospital. Frieden said the worker has not been able to identify a specific breach of protocol that might have led to her being infected. Duncan came to the U.S. from Liberia to visit family on Sept. 20 and first sought medical care for fever and abdominal pain on Sept. 25. He told the nurse he had been to Africa, but was sent home and returned Sept.28 when he was placed in isolation due to a suspicion of Ebola. Unfortunately, he died on Wednesday. The virus that has killed more than 4,000 people with most being in West Africa has hit Liberia the hardest along with Sierra Leone and Guinea, the World Health Organization figures published Friday reports. Texas health officials have been closely monitoring nearly 50 people who had or may have had close contact with Duncan in the days after he started showing symptoms. The health care worker reported a fever Friday night as part of a self-monitoring regimen required by the CDC, Varga said. A preliminary state test showed the worker was positive late Saturday and the CDC confirmed the result Sunday. Varga said another person is in isolation, and the hospital has stopped accepting new emergency room patients. Frieden said officials are now evaluating and will monitor any workers who may have been exposed while Duncan was in the hospital. Dr. David Lakey, commissioner of the Texas Department of State Health Services, said: “We knew a second case could be a reality, and we’ve been preparing for this possibility. We are broadening our team in Dallas and working with extreme diligence to prevent further spread.” Dallas officials knocked on doors, made automated phone calls and passed out fliers to notify people within a four-block radius of the health care worker’s apartment complex about the situation, though they said there was no reason for neighbors to be concerned. Dallas police officers stood guard outside the complex Sunday and barred people from entering. Officials said there was information that a pet was inside the health care worker’s apartment, but they do not believe the animals has contracted the disease. Frieden on Sunday’s “Face the Nation” on CBS that the CDC will investigate how workers took off protective gear and look at dialysis and incubation where tubes are inserted into a patient’s airway so a ventilator can help them breathe as both procedures can spread infectious material. A Spanish nurse assistant, who cared for a missionary priest at a Madrid hospital, recently became the first health care worker infected outside West Africa during the ongoing outbreak. More than 370 health care workers in West Africa have fallen ill or died since the epidemic began earlier this year. Meanwhile, an American video journalist, 33 year old Ashoka Mukpo, for a second day showed modest improvement after contracting Ebola, according to Dr. Phil Smith, the director of the Nebraska Medical Center’s 10 bed isolation unit. The Associate Press reports, Ebola patient shows modest improvement for 2nd day, the patient from Providence, Rhode Island, is the second Ebola patient treated at the Omaha hospital. He’s receiving an experimental Ebola drug called brincidofovir and IV fluids similar to the treatment Ebola patient Rick Sacra received during his three weeks there. Mukpo became infected while working as a freelance cameraman for Vice News, NBC News and other media outlets. He returned to Liberia in early September to help highlight the toll of the Ebola outbreak. Ryan Gorman reported Monday, Family ID’s Dallas nurse who contracted Ebola from patient who died, the nurse who contracted Ebola was identified by here family as Nina Pham, 26, of Fort Worth, by here family members. Duncan died only days before Pham’s diagnosis on Sunday after seeing a doctor for a low grade fever. Frieden on Sunday said, “Unfortunately, it is possible in the coming days we will see additional cases of Ebola. This is because the health care workers who cared for this individual may have had a breach of the same nature.” Pham, a 2010 TCU graduate, was not one of the 48 people under observation by the CDC, a source told the Dallas Morning News. News of Pham’s identity came one day after images of cleaning crews scouring her apartment were made public. It is not known if the same company used to clean the apartment Thomas Duncan was staying at was also used for Pham’s residence. Pham is in stable condition. About 70 staff members at Texas Health Presbyterian Hospital were involved in the care of Thomas Eric Duncan after he was hospitalized, including a nurse now being treated for the same Ebola virus that killed the Liberian man who was visiting Dallas, according to medical records his family provided to The Associated Press. Until now, the CDC has been actively monitoring 48 people who might have had contact with Duncan after he fell ill with an infection but before he was put in isolation including 10 people known oto have contact and 38 who may have has contact such as the people he was staying with and health professionals who attended to him in the ER. Dr. Tom Frieden, director of the CDC said, “If this one individual was infected – and we don’t know how – within the isolation unit, then it is possible that other individuals could have been infected as well. We do not today have a number of such exposed people or potentially exposed health care workers. It’s a relatively large number, we think in the end.” On Monday, the AP reports, Ebola survivor donates plasma to sick Dallas nurse, that Samaritan’s Purse spokesman Jeremy Blume says Dr. Kent Brantly, the Texas doctor who survived Ebola, traveled to the Texas Health Presbyterian Hospital in Dallas Sunday to donate plasma that, according to Rev. Jim Khoi, pastor of the Fort Worth church attended by Nina Pham’s family, was given to Nina Pham on Monday afternoon that contains Ebola fighting antibodies. Brantly said in a recent speech that he also offered his blood to Thomas Eric Duncan, but that their blood types didn’t match. Duncan died of Ebola on Wednesday. As of Tuesday, the nurse who was the first to contract Ebola on American soil is doing well, according to a statement released on her behalf by Texas Health Presbyterian Hospital Dallas.

In Europe, the fight against Ebola continues to present challenges to those coming home after volunteering in the outbreak zone and those who treat them. The Associated Press reported Tuesday, German hospital: UN worker dies of Ebola, a United Nations medical worker infected with Ebola in Liberia has died despite intensive medical intervention, according to the German hospital treating the 56 year old man. The St. Georg hospital in Leipzig said the 56-year-old man, whose name has not been released, died overnight of the infection. It released no further details and did not answer telephone calls. The man tested positive for Ebola on Oct. 6, prompting Liberia’s UN peacekeeping mission to place 41 staff members who had possibly been in contact with him under “close medical observation.” He arrived in Leipzig for treatment on Oct. 9 where he was put into a special isolation unit. The man was the third Ebola patient to be flown to Germany for treatment. The first patient, a Senegalese man infected with Ebola while working for the World Health Organization in Sierra Leone was brought to a Hamburg hospital in late August for treatment. The man was released Oct. 3 after recovering and returned to his home country, the hospital said. Another patient, a Ugandan man who worked for an Italian aid group in West Africa, is undergoing treatment in a Frankfurt hospital. Meanwhile in Spain, the Associated Press reported Saturday, Ebola: 3 more people under observation in Spain, three more people were under observation for Ebola at a Madrid hospital, boosting the number of those monitored to 16, while a nursing assistant infected with the virus remained in serious but stable condition. The latest three are a nurse who came into contact with nursing assistant Teresa Romero, a hairdresser who attended to her and a hospital cleaner, all of whom were admitted to Madrid’s Carlos III hospital late Friday. A government statement said none of the 16 in quarantine, who include Romero’s husband, five doctors and five nurses, have shown any symptoms. A later government statement said one of the five nurses has tested negative for Ebola, but will remain under “passive observation.” Romero, 44, the first person known to have contracted the disease outside West Africa in the current outbreak, had cared for two Spanish priests who died of Ebola at the hospital, one in August and the other on Sept. 25. Thousands of people gathered in more than 20 cities throughout Spain to show their solidarity with Romero and to protest against how Madrid authorities had euthanized her pet dog named Excalibur on Wednesday instead of placing it in quarantine.

Back in America, while hospitals try to contain the virus and prevent it from spreading, the government continues to delay action to help with containment and spread. On Saturday, Karen Matthews reports, Stepped-up Ebola screening starts at NYC airport, federal health officials said that entry screening from three West African countries at New York’s Kennedy International Airport is meant to prevent the spread of the disease and will expand to four additional U.S. airports in the next week. Dr. Martin Cetron, director of the Division of Global Migration and Quarantine for the federal Centers of Disease Control and Prevention, said at a briefing at Kennedy,”Already there are 100 percent of the travelers leaving the three infected countries are being screened on exit. Sometimes multiple times temperatures are checked along that process. No matter how many procedures are put into place, we can’t get the risk to zero.” The screening will be expanded over the next week to New Jersey’s Newark Liberty, Washington Dulles, Chicago O’Hare and Hartsfield-Jackson in Atlanta. Customs officials say about 150 people travel daily from or through Liberia, Sierra Leone or Guinea to the United States, and nearly 95 percent of them land first at one of the five airports. The article reports: “Public health workers use no-touch thermometers to take the temperatures of the travelers from the three Ebola-ravaged countries; those who have a fever will be interviewed to determine whether they may have had contact with someone infected with Ebola. There are quarantine areas at each of the five airports that can be used if necessary. There are no direct flights to the U.S. from the three countries, but Homeland Security officials said last week they can track passengers back to where their trips began, even if they make several stops. Airlines from Morocco, France and Belgium are still flying in and out of West Africa.” The CDC cited as legal authority the Commerce Clause of the Constitution, under which the government regulates trade with foreign countries. The 1944 Public Health Service Act also allows the federal government to take action to prevent communicable diseases, which include viral hemorrhagic fevers such as Ebola, from spreading into the country. Unfortunately, as the world struggles to combat and contain the disease, Sam Stein reports, Ebola Vaccine Would Likely Have Been Found By Now If Not For Budget Cuts: NIH Director, Dr. Francis Collins, the head of the National Institute of Health, said decades of stagnant spending has slowed down research on effective vaccinations to combat disease such as the current outbreak of Ebola, resulting in the international community having to play catch up on potentially avoidable humanitarian catastrophe. On Friday, Collins told Huff Post, “NIH has been working on Ebola vaccines since 2001. It’s not like we suddenly woke up and thought, ‘Oh my gosh, we should have something ready here.’ Frankly, if we had not gone through our 10-year slide in research support, we probably would have had a vaccine in time for this that would’ve gone through clinical trials and would have been ready.” Not only have vaccines been hampered by money shortfalls, Collins explains therapeutics to fight Ebola “were on a slower track than would’ve been ideal, or that would have happened if we had been on a stable research support trajectory. We would have been a year or two ahead of where we are, which would have made all the difference.” Despite the growing public health threat, the NIH has not received additional money and instead Collins and others have had to “take dollars that would’ve gone to something else” — such as a universal influenza vaccine — “and redirect them to this.” Collins said he’d like Congress to pass emergency supplemental appropriations to help with the work. But, he added, “nobody seems enthusiastic about that.” Currently, NIH is working on a fifth-generation Ebola vaccine that has had positive results in monkeys, not people. To set up a clinical trial for humans takes time and resources, and doubly so in a country whose social and political fabric is as frayed as Liberia’s. Even so, limited trials have already begun. A second vaccine is being designed in Canada, just weeks behind NIH’s schedule. But recipients have exhibited fever symptoms, which could prove problematic because elevated temperature is also a symptom of Ebola. So far, much of the focus has been on an experimental cocktail of three monoclonal antibodies known as ZMapp. But the current stockpile is not nearly great enough. Collins, a touch exasperated, said it would be all but impossible to have significant doses available by the end of the calendar year — with a lack of funding once again playing a disruptive role. There are other potential therapies. Brincidofovir has been used on an Ebola patient brought to Nebraska and on the late Thomas Eric Duncan, who was diagnosed with the disease after traveling to Dallas from his native Liberia. Unlike ZMapp, there is a large stockpile of Brincidofovir available, and the doses required are small. But, again, a clinical trial is needed in Liberia. The Associated Press reported Tuesday, CDC: Rapid response team for any new Ebola cases, the government will now send a rapid response team to any hospital where an Ebola patient is diagnosed to make sure local health workers can provide care safely. The Centers for Disease Control and Prevention has specialists implementing changes to protect health workers at Texas Health Presbyterian Hospital in Dallas as it cares for a nurse who became infected while treating Thomas Eric Duncan, the first Ebola patient diagnosed in the U.S. Frieden described the new response team as having some of the world’s leading experts in how to care for Ebola and protect health care workers from it. They would be charged with everything from examining how the isolation room is physically laid out, to what protective equipment health workers use, to waste management and decontamination.

Meanwhile on Thursday, due to increased concern over containment and spread pf the virus following another Ebola positive patient at the same hospital where Duncan died, Federal health officials were being called to testify before a congressional committee to explain what went wrong, according to Jim Kuhnhenn, US steps up domestic response to Ebola crisis. President Barack Obama directed his administration to respond in a “much more aggressive way” to oversee the Dallas cases and ensure the lessons learned there are transmitted to hospitals and clinics across the country. For the second day in a row he canceled out-of-town trips to stay in Washington and monitor the Ebola response. Dr. Tom Frieden, director of the Centers for Disease Control and Prevention, said nurse Amber Joy Vinson never should have been allowed to fly on a commercial jetliner because she had been exposed to the virus while caring for an Ebola patient who traveled to the U.S. from Liberia. Vinson was being monitored more closely since another nurse, Nina Pham, also involved in Thomas Eric Duncan’s care was diagnosed with Ebola. Still, a CDC official cleared Vinson to board the Frontier Airlines flight from Cleveland to the Dallas area. Her reported temperature – 99.5 degrees – was below the threshold set by the agency and she had no symptoms, according to agency spokesman David Daigle. Vinson was diagnosed with Ebola a day after the flight, news that sent airline stocks falling amid fears it could dissuade people from flying. Losses between 5 percent and 8 percent were recorded before shares recovered in afternoon trading. Frontier has taken the aircraft out of service. The plane was flown Wednesday without passengers from Cleveland to Denver, where the airline said it will undergo a fourth cleaning, including replacement of seat covers, carpeting and air filters. Underscoring his emphasis on international action, Obama called European leaders Wednesday to discuss better coordination in the fight against Ebola in the countries of Sierra Leone, Liberia and Guinea and to issue a call for more money and personnel to “to bend the curve of the epidemic.” British Prime Minister David Cameron’s office said he offered to consult with the Italians to add treatment beds in Sierra Leone. On Thursday, Chinese President Xi Jinping pledged continued support for the fight against Ebola in West Africa, but made no specific new aid offers. China last month pledged $33 million in assistance to Liberia, Sierra Leone and Guinea and dispatched doctors and medical supplies. And France said that on Saturday, it will begin screening passengers who arrive at Paris’ Charles de Gaulle airport on the once-daily flight from Guinea’s capital. But it was Wednesday’s development in Dallas that captured political and public attention in the United States. Republican lawmakers, including House Speaker John Boehner, increased calls for travel bans or visa suspensions from the West African countries where the disease has spread and urged the administration to take other measures to secure the transportation system. The oversight subcommittee of the House Energy and Commerce Committee scheduled a Thursday hearing on Ebola with Frieden and Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health. In prepared testimony, Fauci said Duncan’s death and the infections of the two Dallas nurses and a nurse in Spain “intensify our concerns about this global health threat.” He said two Ebola vaccine candidates were undergoing a first phase of human clinical testing this fall. But he cautioned that scientists were still in the early stages of understanding how Ebola infection can be treated and prevented. Late Wednesday, Vinson arrived in Atlanta to be treated at Emory University Hospital, which has already treated three Americans diagnosed with the virus. From now on, Frieden said, no one else involved in Duncan’s care will be allowed to travel “other than in a controlled environment.” He cited guidelines that permit charter flights or travel by car but no public transportation. The second nurse identified as 29 year old Amber Joy Vinson like Pham cared for Duncan before he died and medical records showed she inserted catheters, drew blood and dealt with Duncan’s body fluids, according to medical records provided to the Associate Press by Thomas Eric Duncan’s family. Infected Ebola patients are not considered contagious until they have symptoms. Frieden said it was unlikely that other passengers or airline crew members were at risk because the nurse did not have any vomiting or bleeding. Even so, the CDC is alerting the 132 passengers aboard Frontier Airlines Flight 1143 from Cleveland to Dallas-Fort Worth on Monday “because of the proximity in time between the evening flight and first report of illness the following morning.” Officials are asking them to call the health agency so they can be monitored. The woman flew from Dallas to Cleveland on Oct. 10. Kent State said it was asking the workers related to Vinson to stay off campus for 21 days “out of an abundance of caution.” The nurse reported a fever Tuesday and was in isolation within 90 minutes, Dallas County Judge Clay Jenkins said. The CDC has acknowledged that the government was not aggressive enough in managing Ebola and containing the virus as it spread from an infected patient to a nurse at a Dallas hospital. Emergency responders in hazardous-materials suits began decontamination work before dawn Wednesday at the Dallas apartment complex where the second nurse lives. Police guarded the sidewalk and red tape was tied around a tree to keep people out. Officials said she lives alone with no pets. Dallas city spokeswoman Sana Syed said a hazardous-materials crew has finished cleaning common areas of the complex and that the state was sending a crew to clean the actual apartment. At Cleveland Hopkins Airport, cleaning crews disinfected key areas of the facility. “They’re not prepared” for what they are being asked to do, said RoseAnn DeMoro, executive director of National Nurses United, a union with 185,000 members. Based on statements from nurses it did not identify, the union described how Duncan was left in an open area of the emergency room for hours. It said staff treated Duncan for days without the correct protective gear, that hazardous waste was allowed to pile up to the ceiling and safety protocols constantly changed. The first nurse stricken in the U.S., Nina Pham, who contracted Ebola after treating a Liberian man in Dallas, was being flown to the National Institutes of Health outside Washington on Thursday, while a second nurse has already been transferred to a biohazard infectious disease center at Emory University Hospital in Atlanta.

While the virus has spread minimally so far to other continents, back in West Africa, the number of dead and dying are increasing by the minute. Ryan Gorman reports, Up to 10,000 new Ebola cases expected per week as death rate hits 70 percent, World Health Organization officials have reported the death rate in Guinea, Liberia and Sierra Leone has increased to 70 percent and there could be as many as 10,000 new cases per week within two months. At a Tuesday press conference, WHO assistant director general Dr. Bruce Aylward classified Ebola as a “high mortality disease.” He warned that if the response is not stepped up immediately, “a lot more people will die.” The past four weeks have seen Ebola diagnoses reach about 1,000 per week, he explained. The WHO is working to contain about 70 percent of the cases within the next 60 days in an effort to reverse the epidemic. The UN-affiliated organization announced Monday that the Ebola death toll has increased to 4,447 people out of the 8,914 diagnosed. All except Thomas Duncan, who passed away in a Dallas hospital, and a patient in Germany, died in Africa. Aylward called the Ebola outbreak “the most severe, acute health emergency seen in modern times.” A number of areas have seen decline, Aylward said Monday, but “that doesn’t mean they will get to zero.” Aylward said the WHO is fighting an uphill battle against West Africa’s broken health care system and was strategically setting up clinics to treat the virus instead of quarantining people.

Ebola Continues to Spread Across the Globe as ISIS Continues its Reign of Terror Across the Middle East and Beyond

Luckovich cartoon: Ebola and cable news

As the spread of Ebola continues outside of West Africa to the United States and Europe, the death toll continues to increase and more cases arise forcing areas outside thew outbreak zone to take preventative measures and contain the virus. On Friday, the infected nursing assistant, Teresa Romero who tested positive Monday for Ebola, according to a spokeswoman for Madrid’s regional health agency said on conditions of anonymity, was scheduled to start a round of the experimental anti-Ebola drug ZMapp after Spain obtained some of the drug, the Associated Press reports, Spain: Ebola nurse “stable” after serious downturn. Spanish Prime Minister Marian Rajoy visited the Madrid hospital where the nurse is being treated on Friday despite harsh criticism from unions and oppositions politicians claiming that the nation’s health system provided substandard high risk disease training and protective gear to doctors, nurses and ambulance personnel. Rajoy did announce Spain will set up a high level special commission to prevent an outbreak of Ebola that will meet daily, additionally he praised Spanish health care workers and said the World Health Organization thinks “the risk is very low that this disease will spread in the future” in Spain and Europe. Romero, 44, is the first person known to have caught the disease outside West Africa in the current Ebola outbreak. She was helping to care for a Spanish priest infected in West Africa who died at the hospital on Sept. 25. Health authorities suspect she may have been infected after touching her gloved hand to her face while taking off protective gear. Romero’s husband is also quarantined, along with a nurse who displayed possible symptoms but tested negative for Ebola in a first test and will undergo a second one. Ten people who came into contact with Romero checked themselves into the hospital voluntarily for observation for 21 days instead of staying at home. On Wednesday, the first person diagnosed with Ebola in the U.S. died despite intense but delayed treatment, forcing the government to expand airport examinations to guard against the spread of Ebola, the Associated Press reports, US Ebola patient dies; airport screening expanded. The checks will include taking the temperatures of hundreds of travelers arriving from West Africa at five major American airports. The new screenings will begin Saturday at New York’s JFK International Airport and then expand to Washington Dulles and the international airports in Atlanta, Chicago and Newark. An estimated 150 people per day will be checked, using high-tech thermometers that don’t touch the skin. The White House said the fever checks would reach more than 9 of 10 travelers to the U.S. from the three heaviest-hit countries – Liberia, Sierra Leone and Guinea. A delay in diagnosis and treatment for Duncan and the infection of a Spanish nurse have raised worries about Western nations’ ability to stop the disease. Obama via teleconference with mayors and local officials said: “As we saw in Dallas, we don’t have a lot of margin for error. If we don’t follow protocols and procedures that are put in place, then we’re putting folks in our communities at risk.” AP reports that health authorities scrambled to respond to the disease Wednesday:

– “In Spain, doctors said they may have figured out how a nurse became the first person infected outside of West Africa in this outbreak. Teresa Romero said she remembered once touching her face with her glove after leaving the quarantine room where an Ebola victim was being treated. Romero’s condition was stable.

-A social media campaign and a protest by Spanish animal rights activists failed to save Romero’s dog, Excalibur. The pet was euthanized under court order out of fear it might harbor the Ebola virus.

– In Sierra Leone, burial teams returned to their work of picking up the bodies of Ebola victims, after a one-day strike to demand overdue hazard pay.

– Health workers in neighboring Liberia also were threatening a strike if their demands for more money and personal protective gear are not met by the end of the week. The average health worker salary is currently below $500 per month, even for the most highly trained staff.

-The World Bank estimated that the economic toll of the largest Ebola outbreak in history could reach $32.6 billion if the disease continues to spread through next year.

In Washington, Secretary of State John Kerry made a plea for more nations to contribute to the effort to stop the disease ravaging West Africa, saying the international effort was $300 million short of what’s needed. He said nations must step up quickly with a wide range of support, from doctors and mobile medical labs to basic humanitarian aid such as food.”

Meanwhile, the hardest hit countries have seen a dramatic increase in casualties due to the Ebola outbreak and children orphaned by the deadly virus are now struggling more than ever before to survive. Liberia, a country with large, deeply religious, families, an aunty or relative usually takes in a child who lost a parent, but Ebola has changed that bond for fear of contagion and death, Krista Larson reports, How Children Orphaned By Ebola Fight For Survival. According to the U.N. children’s agency, at least 3,700 children across Liberia, Guinea and Sierra Leone have lost one or more parents to Ebola and the figure is expected to double by mid-October with many children left to fend for themselves and continue to live in infected homes. ON Friday, the U.N. special envoy on Ebola said the number of cases is probably doubling every three to four weeks and without a mass global mobilization “the world will have to live with the Ebola virus forever,” Edith M. Lederer reports, UN envoy: Ebola cases doubling every 3-4 weeks. David Nabarro told the U.N. General Assembly the response needed to be 20 times greater. U.N. Deputy Secretary General Jan Eliasson said in order to counteract the exponential growth of the virus, a massive scale up of financial resources, medical staff and equipment is needed. Unfortunately, only one quarter of the $1 billion the U.N. agencies have appealed for to tackle the disease has been funded. Eliasson told diplomats from most of the 193 U.N. member states, “I now appeal to all member states to act generously and swiftly. Speed is of the essence. A contribution within days is more important than a larger contribution within weeks.” Nabarro, a 35 year public heath veteran dealing with disease outbreaks and pandemics, has never encountered the challenge of such an outbreak that has moved from rural areas into towns and cities that is now “affecting a whole region and … impacting on the whole world.” Anthony Banbury, head of the United Nations Mission for Ebola Emergency Response, warned that a failure to help Liberia, Sierra Leone and Guinea – the three worst affected countries – “while we have the chance could lead to unpredictable but very dire consequences for the people of the countries and well beyond.” He added, “As long as there is one case of Ebola in any one of these countries, no country is safe from the dangers posed by this deadly virus.” Both Nabarro and Banbury cited the importance of traditional burial practices in the West African countries, noting that this is a time when the bodies of Ebola victims are most toxic and any touching can transmit the disease. Banbury said, “To defeat the virus we will have to change behavior. We are late, but it is not too late to fight and win this battle.” According to the Geneva based U.N. agency, the World Health Organization, reports 4,033 confirmed, probable or suspected Ebola deaths have been recorded. All but nine are int he three hardest hit countries of Liberia, Sierra Leone and Guinea with eight of those in Nigeria and one in the United States. The defeat of Sirleaf’s proposal in the House of Representatives came as U.S. military forces worked on building a hospital for stricken health workers in Liberia, the country that has been hit hardest by the epidemic. Liberian Lawmakers rejected the president’s proposal to give her further power to restrict movement and public gatherings and the authority to appropriate property “without payment of any kind or any further judicial process” to combat Ebola. Liberia has 2,316 recorded deaths due to Ebola, which is the most of any country as the WHO reports. Sirleaf’s government imposed a three-month state of emergency beginning Aug. 6, but critics have accused the Nobel Peace Prize winner’s approach to fighting Ebola since then as ineffective and heavy handed. In August, a quarantine of Monrovia’s largest shantytown sparked unrest and was derided as counterproductive before being lifted. The Committee to Protect Journalists has accused Sirleaf’s government of trying to silence media outlets criticizing its conduct. Meanwhile, the U.S. military was rushing to set up a 25-bed hospital to treat health workers who may contract Ebola. The arrival of 100 U.S. Marines on Thursday brings to just over 300 the total number of American troops in Liberia. The Marines and their aircraft will help with air transportation and ferrying of supplies, overcoming road congestion in Monrovia and bad roads outside the capital, said Capt. R. Carter Langston, spokesman for the U.S. mission. A priority will be transporting building materials to treatment unit sites. The U.S. has said it will oversee construction of 17 treatment units with 100 beds each. The 101st Airborne Division is expected to deploy 700 troops by late October and the U.S. may send up to 4,000 soldiers to help with the Ebola crisis, depending on what is needed. In Mali, a health ministry spokesman said two more people had begun participating in the first phase of a study for a possible Ebola vaccine. Mali has not had any cases of Ebola, but it borders the outbreak zone. University of Maryland researchers announced Thursday that the first study of a possible vaccine was underway, and that three health care workers in Mali had received the experimental shots developed by the U.S. government. Health ministry spokesman Markatie Daou said, “Today, we are at five people vaccinated. We envision vaccinating between 20 and 40 people for this first phase and the results are expected next month.”

While the world battles and struggles to control the Ebola outbreak in West Africa, ISIS also known as the Islamic State continues to besiege strategic towns on the border of Syria raising concern and criticism over Turkey’s lack of action and the effectiveness of the U.S. coalition. According to Akbar Shahid Ahmed, 3 New Findings On ISIS Weapons That You Should Know About, the Islamic State militants are wielding arms manufactured in 21 different countries including the U.S. a new report released Monday reports. Ahmed reports: “The study of ammunition captured during the Islamic State’s battles with Kurdish forces in northern Iraq and Syria in July and August highlights the diverse array of arms sources fueling the extremist group, also known as ISIS. Investigators from the arms monitoring group Conflict Armament Research cataloged more than 1,700 bullet cartridges by their country of origin and their date of manufacture. The report says most of the related arms appear to have been seized by ISIS from opposing forces — from national armies to foreign-backed rebel groups across Syria and Iraq.” James Bevan, Director of the European Union funded Conflict Armament Research, told the New York Times, “The lesson learned here is that the defense and security forces that have been supplied ammunition by external nations really don’t have the capacity to maintain custody of that ammunition.” As the article states, three key takeaways from the report are as follows:

1. Most of the Islamic State’s arms ultimately came from China, Russia and the U.S.

“Two of the biggest sources of the militants’ weaponry, the report says, are supplies wrested from the Syrian army, which possesses a significant stock of Soviet- and Russian-made arms that is still being replenished, and supplies captured in Iraq, many of which were made in America.

Between them, China, Russia, the now-defunct Soviet Union, the U.S. and Serbia provided more than 80 percent of the ammunition in the sample collected, according to a New York Times analysis of the report.”

2. Some militants in Syria are learning how to make weapons more difficult to trace.

“Numerous former U.S. officials told the Center for Public Integrity that they are already skeptical that the new supplies of U.S. weapons heading to certain Syrian rebel groups — whose arming was approved by Congress last month — will be safe from the Islamic State’s hands.

Keeping track of weaponry is unlikely to be easier this time around, one investigator indicated to the Center for Public Integrity. The investigator said that militants within Syria — he did not specify which group — are now using oxyacetylene torches to remove the serial numbers from some foreign weapons. They have even added new serial numbers. That makes it more difficult to trace the arms back to their original provider and to attempt to control their flow, the investigator said.”

3. Arms are constantly passed between various fighting groups.

“The many foreign weapons within Syria and Iraq are not only ending up with the Islamic State, the report explains. It describes how Kurdish forces have used battles against the militants to restore their own supplies of ammunition.

As if all that bad news weren’t bad enough, here’s a bonus from one of Conflict Armament Research’s earlier reports: The Islamic State appears to possess anti-tank rocket launchers, made in the former Yugoslavia, that it seized from other Syrian rebels.

The Islamic State’s weaponry — particularly heavy armaments not documented in the new report — has been a key factor in campaigns like the group’s ongoing assault on the Kurdish town of Kobani in Syria.”

On Wednesday night, Islamic State fighters launched a renewed assault on the Syrian city of Kobani as at least 21 people were killed amid riots in neighboring Turkey where Kurds rose up against the government for doing nothing to protect their kin, according to Reuters, Renewed assault on Kobani; 21 dead in Turkey as Kurds rise. Heavily outgunned defenders said Islamic Sate militants pushed into two districts of the Kurdish town, despite U.S.led air strikes that the Pentagon acknowledge would not be enough. In Istanbul and Ankara, street battles erupted between Kurdish protestors and police as fallout from the Iraq and Syrian war threatened to unravel the Kurdish peace process. Washington said its war planes hit nine Syrian targets along with coalition ally the United Arab Emirates included six near Kobani and struck five ISIS positions in Iraq. Nevertheless, Kobani remained under intense bombardment from Islamic State emplacements, within sight of Turkish tanks at the nearby frontier that have so far done nothing to help. Asya Abdullah, co-chair of the Democratic Union Party (PYD), told Reuters from inside the town, “Tonight, (Islamic State) has entered two districts with heavy weapons including tanks. Civilians may have died because there are very intense clashes.” U.S. officials were quoted voicing impatience with the Turks for refusing to join the coalition against Islamic State fighters who have seized wide areas of Syria and Iraq. Turkey says it could join only if Washington agrees to use force against Syrian President Bashar al-Assad and the Sunni Muslim jihadists fighting him in a three-year-old civil war. Turkey’s own Kurds, who make up the majority in the southeast of the country, say President Tayyip Erdogan is stalling while their brethren are killed in Kobani. Others died in clashes between protesters and police in the eastern provinces of Mus, Siirt and Batman. Thirty people were wounded in Istanbul, including eight police officers. Disturbances spread to other countries with Kurdish and Turkish populations. Police in Germany said 14 people were hurt in clashes there between Kurds and radical Islamists. In Turkey, parliament voted last week to authorize cross-border intervention, but Erdogan and his government have so far held back, saying they will join military action only as part of an alliance that also confronts Assad. Erdogan wants the alliance to enforce a “no-fly zone” to prevent Assad’s air force flying over Syrian territory near the Turkish border and create a safe area for an estimated 1.2 million Syrian refugees in Turkey to return. While Turkey has taken in the wounded and displaced from Kobani, Turkey has deep reservations about deploying its own army in Syria and beyond being a target for ISIS, Turkey fears being sucked into Syria’s three year civil war.

On Friday, the AP reported, Islamic State group shells Syrian border crossing, that the Islamic State group shelled a Syrian border crossing with Turkey to try and capture it and cut off Kobani, a local Kurdish official and Syrian activists said. The official, Idriss Nassan, said Islamic State fighters aim to seize the crossing in order to close the noose around the town’s Kurdish defenders and prevent anyone from entering or leaving Kobani. The Britain-based Syrian Observatory for Human Rights said the militants shelled several areas in Kobani, including the border crossing, which is the town’s only gateway to Turkey. Nassan, referring to the Islamic State group by its Arabic acronym, said: “Daesh is doing all it can to take the border crossing point through the farmlands east of the city. They think there might be help (for the Kurdish militia) coming through the crossing so they want to control the border.” Meanwhile, Ryan Gorman reports, Iraqi journalist among more than a dozen people executed by ISIS terrorists, a dozens people on Friday evening were executed by ISIS terrorists including an Iraqi journalist and his brother. Raad al-Azzawi, 37, and an Iraqi citizen, was reportedly killed Friday evening near Tikrit for refusing to work for the terror group, according to AFP. His brother and two other civilians were also executed. The cameraman was among about 20 people captured last month in an ISIS raid on Samara, according to Reporters Without Borders (RSF). The execution of an Iraqi journalist is proof ISIS is no longer waging war on just the West, but on anyone who they fear may oppose their attempt to put a stranglehold on the region, according to RSF. U.S. journalists James Foley and Stephen Sotloff, along with a Briton and a French citizen, are among the Westerners also executed by the insurgents. In a statement, U.S. Central Command said the U.S. military conducted on Friday and Saturday six airstrikes against Islamic State militants near Kobani as well as three airstrikes with Dutch militaries against targets in Iraq near Tal Afar and Hit. In multiple airdrops near Baiji, U.S. aircraft delivered 8 tons of ammunition, more than 2,000 gallons (7,800 liters) of water and more than 7,300 halal meals, the statement said. It said Iraqi forces control Baiji, 110 miles (180 km) north of Baghdad, but Islamic State “continues to conduct operations” in the area.