U.S. Attempts to Fight Ebola, Ukraine Ratifies Landmark Deal Amid Russian Sanctions and U.S. Steps Up Plans to Fight ISIS as al-Qaeda Expands

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The ravages of the Ebola virus can easily be seen in West Africa six months on, but the outbreak has become more dire in recent weeks as death tolls rise and health officials warn of a potential global disaster. In an effort to contain the virus, the United States will send thousands of military personnel to aid the region’s crippled health care system which marks a major milestone in the effort to fight the disease. Nick Robins Early reports, 14 Numbers That Show The Magnitude Of The World’s Worst Ebola Outbreak, how devastating the medical crisis has become in West Africa through a collection of revealing stats on the fight against Ebola. The numbers are as follows:

2,400 – The number of estimated Ebola deaths as of Sept. 12, 2014.

4,784 – The total number of Ebola cases reported as of Sept. 12, 2014. Due to many unreported cases, this figure is thought to be less than the actual number of people infected with the virus.

2 – The age of the Guinean boy who some researchers think may have been “patient zero” in the Ebola outbreak. Scientists believe humans originally caught the virus from a sick animal.

5 – The number of West African nations that have reported cases of Ebola. A sixth nation, the Democratic Republic of Congo, has also suffered from an Ebola outbreak, although it is a different strain from the one that originated in Guinea.

12-18 – The number of months that U.S. scientists predict the outbreak will last under current conditions.

20,000 – The number of Ebola cases that the World Health Organization estimates could occur by the time the virus is contained. It should be noted, however, that these type of long-term projections are prone to uncertainties and can vary. A recent New York Times report says that researchers at various universities predict the number could be more like 20,000 in a single month.

12,750 – The total number of health workers that the World Health Organization has called for in order to stem the outbreak and treat people infected with the virus.

3,000 – The number of U.S. military personnel that the United States is expected to send to West Africa to assist in medical training, distribution of aid and the building of health care facilities.

$1,000,000,000 – The estimated global resources needed for the next six months in the fight against Ebola, according to U.N. officials. This is a 10-fold increase from just a month ago, and is what the U.N. says is needed just to keep the outbreak contained to tens of thousands of people.

400,000 – The number of home protective kits that the United States reportedly plans to distribute to the four West African nations most affected by the outbreak.

178 – The number of days since the outbreak was first reported to the World Health Organization by Guinea’s health officials.

52 percent – The approximate fatality rate of the current Ebola outbreak in West Africa. Given access to proper medical treatment, especially adequate fluid replacement, the fatality rate of the Ebola outbreak can be significantly lowered.

1,700 – The number of beds that the new U.S. aid effort will reportedly aim to set up in Liberia, one of the hardest hit nations.

0 – The number of beds currently available to treat Ebola patients in Liberia, according to World Health Organization director general Margaret Chan.

The Obama administration is preparing to send 3,000 U.S. military personnel to West Africa to aid in the Ebola crisis and supply logistical and medical support to local health care systems and boost the number of beds needed to isolate and treat patients, according to Jim Kuhnhenn, US to assign 3,000 from US military to fight Ebola. President Obama announced the effort Tuesday during a visit to the federal Center for Disease Control and Prevention in Atlanta as the outbreak could spread and mutate into more easily transmitted disease. The announcement comes amid regional and aid organization appeals for the U.S. to increase their role in com batting the outbreak that has claimed 2,200 people. Administration officials said Monday that the new initiatives aim to:

– Train as many as 500 health care workers a week.

– Erect 17 heath care facilities in the region of 100 beds each.

– Set up a joint command headquartered in Monrovia, Liberia, to coordinate between U.S. and international relief efforts.

– Provide home health care kits to hundreds of thousands of households, including 50,000 that the U.S. Agency for International Development will deliver to Liberia this week.

– Carry out a home- and community-based campaign to train local populations on how to handle exposed patients.

The officials, under the condition of anonymity, said the plan would cost $500 million in overseas contingency operations, such as the war in Afghanistan, that the Pentagon already has asked Congress to redirect to carry out humanitarian efforts in Iraq and in West Africa. In addition, they said it would take two weeks to get U.S. forces on the ground. Sen. Chris Coons, D-Del., the chairman of the Senate Foreign Relations African affairs subcommittee, said, “This humanitarian intervention should serve as a firewall against a global security crisis that has the potential to reach American soil.” The countries hardest hit include Liberia, Sierra Leone and Guinea, while the virus has reached Nigeria and Senegal. The U.S. will provide medics and corpsmen for treatment and training, engineers to help erect the treatment facilities and specialists in logistics to assist in patient transportation. The visit to the CDC by Obama came a day after the U.S. demanded international aid response to step up. U.S. ambassador to the United Nations, Samantha Power, called Monday for an emergency meeting of the U.N. Security Council on Thursday, warning that the potential risk of the virus could “set the countries of West Africa back a generation.” The meeting Thursday with the Security Council marks a rare occasion when a public health crisis is addressed rather than threats to peace and security, according to Power. U.N. Secretary-General Ban Ki-moon was expected to brief the council with World Health Organization chief Dr. Margaret Chan and Dr. David Nabarro, the recently named U.N. coordinator to tackle the disease, as well as representatives from the affected countries. The Senate also weighed in Tuesday with a hearing to examine the U.S. response and an American missionary doctor who survived the disease set to testify. Four Americans have been treated for Ebola in the U.S. after evacuation. The U.S. has already spent $100 million responding to the outbreak and offered to operate treatment centers for patients. Additionally, Obama will be briefed on cases of respiratory illness being reported in the Midwest where public health officials are monitoring a high number of reported illness associated with human enterovirus 68 in Iowa, Kansas, Ohio and elsewhere. Lauran Neergaard reports, Ebola survivor: No time to waste as Obama ups aid, on Tuesday, Dr. Kent Brantly told senators: “We can’t afford to wait months, or even weeks, to take action, to put people on the ground.” Under the plan, the government could end up spending $1 billion to contain the disease. Obama after his briefing with doctors from the Center for Disease Control and Prevention and from Emory University, he said: “If the outbreak is not stopped now, we could be looking at hundreds of thousands of people affected, with profound economic, political and security implications for all of us.” World Health Organization Director-General Margaret Chan said, “This massive ramp-up of support from the United States is precisely the kind of transformational change we need to get a grip on the outbreak and begin to turn it around.” Brice de le Vingne, director of operations for Doctors without Borders, said, “The response to Ebola continues to fall dangerously behind and too many lives are being lost. We need more countries to stand up, we need greater concrete action on the ground, and we need it now.” U.N. Secretary-General Ban Ki-moon welcomed Obama’s plan, his spokesman said in a statement, and called on the international community “to be as bold and courageous in its response as those who are on the front lines fighting this disease.” Congress still needs to vote on Obama’s request for $88 million more to help fight the disease including funding CDC work in West Africa through December and speeding development of experimental treatments and vaccines. Late Tuesday, the Obama administration submitted a request to reprogram $500 million in Pentagon money for the Ebola effort. Meanwhile in Britain, the Associated Press reports, 1st UK volunteer gets experimental Ebola vaccine, a former nurse has become the first person in the country to receive an experimental Ebola vaccine in an early trial to test its safety. Ruth Atkins, 48, received the shot Wednesday in Oxford, the first of 60 healthy volunteers in the U.K. who will receive the vaccine developed by the U.S. National Institutes of Health and GlaxoSmithKline and targets the Zaire strain of Ebola that caused the ongoing outbreak in West Africa. A trial of the same vaccine has already begun in the U.S. The vaccine is meant to spark the immune system’s production of Ebola antibodies and does not contain infectious material. In a statement, trial leader Adrian Hill of Oxford University, said, “Witnessing the events in Africa makes it clear that developing new drugs and vaccines against Ebola should now be an urgent priority.” Hill and colleagues hope the trial will finish at the end of 2014 and could be used to vaccinate health workers in West African if proven safe and effective. Faith Karimi reports, Ebola patients buying survivors’ blood from black market, WHO warns, desperate patients are buying blood from survivors of the virus on the black market, the World Health Organization warns. The WHO reports, “Studies suggest blood transfusions from survivors might prevent or treat Ebola virus infection in others, but the results of the studies are still difficult to interpret. It is not known whether antibodies in the plasma of survivors are sufficient to treat or prevent the disease. More research is needed.” Convalescent serum used to treat patients such as American aid worker Rick Sacra who received blood from Kent Brantly who survived Ebola has been effective. However, patients in affected nations are getting blood through improper channels which could lead to the spread of other infections such as HIV and other blood related ailments. Margaret Chan, the WHO’s director general, said this week: “We need to work very closely with the affected countries to stem out black market trading of convalescent serum for two reasons. Because it is in the interest of individuals not to just get convalescent serum without … going through the proper standard and the proper testing because it is important that there may be other infectious vectors that we need to look at.” Meanwhile, a French volunteer with Doctors Without Borders contracted Ebola in Liberia and will be taken for treatment in France by a private American plan, according to the organization.

In Ukraine, on Tuesday, lawmakers strengthened their ties to Europe and loosened control over the country’s rebellious east region where fighting between government forces and pro-Russian rebels has left 3,000 people dead and returned Western and Russian relations back to the Cold War era, the Associate Press reports, Ukraine lawmakers ratify landmark deal with Europe. The deal lowers trade tariffs between Europe and Ukraine. requires Ukrainian goods to meet European regulatory standards and forces Kiev to undertake major political and economic reforms. President Petro Poroshenko called the vote a “first but very decisive step” toward bringing Ukraine fully into the European Union. In a live broadcast after the deal was made, Poroshenko said the protesters who died in clashes with riot police in Kiev and government troops who died fighting the rebels “have died not only for their motherland. They gave up their lives for us to take a dignified place among the European family.” He continued, “After World War II, not a single nation has paid such a high price for their right to be European. Can you tell me, who now after this will be brave enough to shut the doors to Europe in front of Ukraine?” Earlier Tuesday, parliament also approved laws granting temporary self rule to pro-Russian region in the east as well as amnesty for those involved in the fighting. One law calls for three years of self rule in parts of eastern Ukraine and for local elections in November. A separate bill calls for amnesty for those involved in the fighting in the east, but not those suspected or charged with crimes including murder, sabotage, rape, kidnapping and terrorism. The law could exclude those who tried to kill Ukrainian law enforcement officials and servicemen meaning many of the separatists who waged war for five months. Although Poroshenko did not mention the bills in his speech, he later said according to Interfax-Ukraine that he felt “we are obliged to take a step to ensure that the other side takes corresponding steps” toward peace. Alexander Zakharchenko, the leader of the rebels in the Donetsk region, told Russia’s RIA Novosti news agency that the separatist leadership would study the measures, an unusually conciliatory statement compared to the rebels’ previous assertions that they aim for complete independence. The U.S. state Department and Vicd President Joe Biden congratulated Ukrainian lawmakers and leaders. Marie Harf, deputy spokeswoman at the State Department, said, “By forging ahead with this agreement in the face of great challenges, Ukraine’s leaders have carried out the will of the Ukrainian people, who demonstrated their overwhelming support for further integration with Europe last winter and with their votes in the May 25 presidential elections.” The passage of the measures came as Poroshenko begins his first state visit to Canada and the U.S., where he will address a joint session of Congress on Thursday and is also scheduled to speak to the U.N. General Assembly next week. Martin Schulz, the president of the EU Parliament, said, “The message this sends could not be clearer: the European Parliament supports Ukraine in its European vocation. The European Parliament will continue defending a united and sovereign Ukraine.” Russian Defense Minister Sergei Shoigu on Tuesday said the military will increase its forces in Crimea due to the “exacerbation of situation in Ukraine and increased foreign military presence near our borders.” Also on Tuesday, Nataliya Vasilyeva reports, Russian ruble drops to historic low amid sanctions, Russian currency dropped to all time low against the dollars as investors worry bout the fallout of economic sanctions. The United States and the European Union last week imposed a new round of sanctions against Russia for its action in Ukraine such as blocking off Western financial markets to key Russian companies and limiting imports of some technologies. Economist Alexei Kudrin, who served as finance minister under President Vladimir Putin for 11 years until 2011, said Tuesday that the sanctions could send Russia’s economy into recession for one or two years. Interfax quoted him as saying, “The sanctions that have been imposed are going to have an effect (on the economy) for the next one or two years because they have limited opportunities for investment in this uncertain environment.” Vasilyeva reports: “Among the most recent sanctions, the United States on Friday tightened the maximum credit duration for a number state-owned Russian companies and banks to 30 days, effectively shutting off Russia from long-term loans. The U.S. and the EU indicated, however, they may reverse some of the sanctions if they see that Moscow is supporting peace process in Ukraine, where more than 3,000 died since mid-April.” Jitters over the impact of the US. EU sanctions were fueled by reports that the Russian government is preparing more import bans that could hurt Russian consumer spending. Russian in August imposed an import ban on dairy products, meat and vegetables from the European Union and the United States, causing prices to shoot up for selected foods.

While Ukraine tries to rebuild a fragile and devastated government, the U.S. continues to implement its plan for ISIS. U.S. officials on Monday said the United States took its first step in its plan to expand the fight against the extremist group, going to the aid of Iraqi security forces near Baghdad who were under attack, the Associated Press reports, First U.S. airstrikes in expanded Iraq fight. The U.S. Central Command said on Sunday two airstrikes were conducted in support of Iraqi forces near Sinjar and southwest Baghdad. The strikes authorized by President Barack Obama represent a new offensive against the group to protect not only U.S. interest and personnel, but directly support Iraqi forces fighting militants. U.S. Attorney General Eric Holder announced plans to stop American extremist from joining terrorist groups like ISIS during a presentation Monday, but details are a little fuzzy, according to the AOL article, Holder announces plan to stop Americans from joining ISIS. HOLDER VIA U.S. DEPARTMENT OF JUSTICE: “Ultimately the pilot programs will enable us to develop more effective and inclusive ways to build a more just, secure and free society that all Americans deserve.” He said his plan will bring together community representatives, public safety officials, religious leaders and U.S. attorneys in hopes of building a broad network to keep the nation safe. Other nations have taken steps involving local officials such as British Prime Minister David Cameron who asked his government to pass legislation that allows law enforcement to seize the passport of anyone suspected of traveling to support ISIS, while Germany banned its citizens from any activities supporting the group. The International Centre for Radicalization estimates more than 11,000 Western Europeans have traveled to fight with Syrian rebels. Maria Golovnna reports, New al Qaeda wing in South Asia claims major attack, Al Qaeda’s South Asia wing has claimed responsibility for hijacking a Pakistani naval ship and trying to use it to fire rockets at U.S. vessels in the Arabian Sea, in the first major assault by the newly created group. The SITE monitoring service quoted its spokesman, Usama Mahmoud, said: “These mujahideen had taken control of the Pakistani ship, and they were advancing towards the American fleet when the Pakistani army stopped them. As a result, the mujahideen, the lions of Allah and benefactors of the Ummah, sacrificed their lives for Allah, and the Pakistani soldiers spoiled their hereafter by giving up their lives in defense of the enemies of the Ummah the Americans.” The naval yard on Pakistan’s Arabian Sea coast is a strategic facility at the cent of the U.S. Pakistani security, anti-terrorism and anti-trafficking cooperation. The Pakistani Taliban, allied with al-Qaeda, said the Sept.6 attack was carried out with the help of insiders leading to the arrest of a number of navy personnel on suspicion of collaborating with attackers. Back in the U.S., Republican controlled House voted to give U.S. military authority to train and arm Syrian rebels Wednesday, David Espo and Donna Cassata report, House grudgingly approves arms for Syrian rebels. The provision will be added to spending legislation to assure the federal government runs normally after Sept.30 end of the budget year and final approval in the Senate may come as earl as Thursday. It grants Obama authority until Dec.11 and gives Congress plenty of time to return to the issue in a post-election session set to begin mid-November. The Senate will vote only once on the legislation combining approval for arming and training rebels with the no shutdown federal spending provisions. Testifying before a Senate Committee, Secretary of State John Kerry said the forces seeking to create an Islamic state ” must be defeated. Period. End of story.” The legislation also includes $88 million to combat the outbreak of Ebola in West Africa. In France, Foreign Minister Laurent Fabius said Wednesday that his country was ready to take part int he airstrikes in Iraq if needed, the Associated Press reports, France ready to participate in Iraq airstrikes. He spoke in Paris before President Barack Obama was expected to outline Washington’s plans for fighting the Islamic State group in Syria and Iraq. France has said it will join a U.S. led coalition in Iraq and send arms to Kurdish authorities to fight militants. The French president and foreign minister are going to Iraq Friday and hosting an international conference Monday on how to stop the group and help Iraq. Fabius said that “we will participate, if necessary, in military air action” in Iraq, according to a text provided by the French Foreign Ministry. Earlier, Fabius said people should not refer to the group as the Islamic State since they do not represent Islam or a state and started to refer to the group Wednesday as Daesh, the acronym in Arabic for its full former name, Islamic State of Iraq and the Levant. Speaking to lawmakers, Fabius said “the determination of the Daesh butchers is strong. Ours must be even stronger.” Egypt’s top Islamic authority also said the group should not be called the Islamic State.

Update On Malaysian Flight 17, Russia and Ukraine Tensions Rise at Border, Iraq Declared an Emergency, and The Ebola War Zone

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Dutch authorities have identified 127 victims from the Malaysia Airlines Flight 17 disaster in Ukraine. The flight was shot down in eastern Ukraine last month killing all 298 aboard. The investigation suffered many delays due to fighting between pro-Russia separatist rebels and Ukrainian forces near the crash site leaving the bodies to decompose in the sun for a week or so. Eventually, the victims’ remains were gathered and sent to the Netherlands for identification. According to AOL, 127 victims identified from Ukraine plane disaster, the Justice Ministry Thursday said the identified victims’ families were notified. One of the Netherlands’ top prosecutors hops those responsible for downing the plane will eventually face trial in the Netherlands, according to confirmed remarks by his office, Chief prosecutor Fred Westerbeke, and the case will take years to build. The Netherlands and other countries have launched criminal investigations, while jurisdiction is unclear.

Meanwhile, at the Russian-Ukrainian border, Alexander Roslyakov reports, Ukraine: Inspectors checking Russian convoy, Ukraine said its customs and border service officials on Friday began inspecting Russian aid convoys parked just beyond its border addressing the mounting tensions over the shipments. Sergei Astakhov, an assistant to the deputy head of Ukraine’s border guard service, said the cargo will be inspected in front of the International Committee of the Red Cross representatives. Friday morning, a group of 41 Ukrainian border service representatives and 18 customs officials began inspecting the Russian aid at the Donetsk crossing, defense officials in Kiev said in a statement. Russian news agencies said Russia will present all necessary documentation and had over the cargo to the Red Cross. The 200 Russian white tarped trucks had been parked since Thursday near Kamensk-Shakhtinsky some 17 miles from the border where much of the border in this part of eastern Ukraine has been under the control of pro-Russian rebels. Russia sent the aid despite tentative agreements to deliver the aid through government controlled border crossing in the Kharkiv region. Ukraine fears that Russia is using the aid shipment as cover for a military incursion to help the rebels and threatened ti use all means necessary to block the convoy if Ukrainian officials and the Red Cross were unable to inspect them. A statement on President Petro Poroshenkp’s website said he and British Prime Minister David Cameron via phone spoke about reports from some Western journalists that Russian APCs crossed into Ukraine near the point where a Russian aid convoy was parked, according to the article, Ukraine: Some Russian military vehicles destroyed. No proof was provided, but the statement said: “The president informed that the given information was trustworthy and confirmed because the majority of the machines had been eliminated by Ukrainian artillery at night.” Andriy Lysenko, Ukraine’s Security Council spokesman, said some Russian military vehicles crossed into Ukraine, a charge Russia denies, but Lysenko provided no specific source for his information. NATO secretary general Anders Fogh Rasmussen said Friday the alliance had observed a Russian “incursion” into Ukraine. Finnish President Sauli Niinisto met with Russian President Vladimir Putin in Sochi and was set to travel to Ukraine on Saturday. After the talks, Putin stated, “we will do all we can to end the military conflict as soon as possible, establish a dialogue between the interested parties and provide humanitarian assistance.” Some Russian Military vehicles seen near the aid convoy Friday carried a Russian acronym that stands for “peacekeeping forces” which means Moscow could consider a possible military escort. Ukraine has warned Russia that an attempt to have a military escort will be seen as an invasion. Ukraine proceeded with its own aid operation in the Luhansk area as trucks from Kharkiv unloaded Friday at warehouses in the town of Starobilsk, which is 60 miles north of Luhansk, where the goods were to be sorted and transported by the Red Cross. Other Ukrainian aid was taken to Lysychansk, which was retaken by Ukrainian forced last month despite sporadic clashes until earlier this week. So far, fighting has claimed 2,100 lives with half of those in the last few weeks and began after Putin annexed Ukraine’s Black Sea peninsula of Crimea in April.

Late Thursday, back in he Middle East, Iraqi Prime Minister Nouri al-Maliki announced he will step down and relinquish his post to his nominated replacement, Sameer N. Yacoub and Qassim Abdul-Zahra report, UN Declares Highest Level Emergency In Iraq As Militants Battle On. Standing alongside senior members of his party, including rival Hider al-Abadi, al-Maliki said he would step aside in favor of his “brother,” in order to “facilitate the political process and government formation.” The United States, the u.N. and political faction in Iraq have backed al-Abadi, saying only a new leader can unite a country under siege by Sunni extremists of the Islamic State group. In a televised address, al-Maliki said his decision to support his rival reflect his desire to “safeguard the high interests of the country” adding, “My position is your trust in me, and no position is higher than your trust,” he declared in a televised address. In a statement, national security adviser Susan Rice said the White House commended his efforts for backing al-Abadi and expressed hope that the power shift “can set Iraq on a new path and unite its people” against the threat from Islamic militants. U.S. Secretary of State John Kerry said the move “sets the stage for a historic and peaceful transition of power in Iraq. We urge Mr. Abadi and all Iraqi leaders to move expeditiously to complete this process, which is essential to pulling the country together and consolidating the efforts of Iraq’s many diverse communities against the common threat posed by the Islamic State …” The United Nations also welcomed the change, according to special representative for Iraq, Nickolay Mladenov, it “demonstrates statesmanship and a commitment to the democratic process and the constitution.” The U.N. Security Council urged al-Abadi to work toward “an inclusive government that represents all segments of the Iraqi population and that contributes to finding a viable and sustainable solution to the country’s current challenges.” Iraqis everywhere welcomed the announcement on Thursday. The extremist Islamic State group has moved across norther and western Iraq displacing hundreds of thousands of people from their homes since June and last week prompted the U.S. to launch aid operations and airstrikes as the militants threatened religious minorities and the largely automous Kurdish region. The U.N. declared Wednesday the situation in Iraq a “Level 3 Emergency” allowing for additional assets to respond to the need o the Displaced, U.N. special representative Nicoklay Mladenov said pointing to the “scale and complexity of the current humanitarian catastrophe.” The decision followed the news that 45,000 members of the Yazidi religious minority escaped from the remote desert mountaintop where they were encircled by Islamic State fighters. The U.N. said it would provide increased support to the Yazidis and to 400,000 Iraqis who fled since June to the Kurdish province of Dahuk. In total, 1.5 million people have been displaced by fighting. French President Francois Hollande Thursday confirmed the “imminent delivery of military equipment” to Kurdish forces via phone call to the new Iraqi president, Fouad Massoum, according to Hollande’s office. On Thursday, according to Robert Burns and Julie Pace, Obama: No Iraq rescue; further airdrops unlikely, President Barack Obama said the humanitarian crisis atop the barren hill in northern Iraq is over thus no U.S. rescue mission is necessary, however, Iraqis elsewhere face dire threats from advancing Islamic army. A U.S. military and civilian team of 16 people spent Wednesday atop Sinjar Mountain to assess the conditions for a possible evacuation, but reported the number trapped to be 4,000 and that U.S. supplied food and water to those in need in recent days totaling 114,000 meals and 35,000 gallons of water. The U.S.Central Command said late Wednesday four cargo planes dropped 108 bundles of food and water to the remaining people making it the seventh delivery of food and water since the relief operation began last week.

In West Africa, the Ebola outbreak has killed 1,000 and could last another six months, according to Doctors Without Borders said Friday, with the true death toll unknown, Sarah Dilorenzo and John Heilprin report, Aid group: W. Africa Ebola outbreak like ‘wartime’. Tarnue Karbbar, working for the aid group Plan International in northern Liberia, said response teams are unable to document all the cases erupting as many of the sick are still being hidden at home by relatives fearful of going to treatment centers. Others are buried before the team gets to the areas. In the last several days, some 75 cases have emerged in the Voinjama district with Karbbar saying the challenge now is “to quarantine the area to successfully break the transmission.” Gregory Hartl, a spokesman for World Health Organization in Geneva, said the beds are filling up faster than expected demonstrating that the outbreak is more severe than the number shows. Joanne Liu, the medical charity’s international president, likened the situation to war as the outbreak has continued to move unpredictably telling reporters in Geneva Friday: “We’re running behind a train that is going forward. And it literally is faster than what we’re bringing in terms of a response.” The U.N. health agency Thursday warned that the official count at 1,069 dead and 1,975 infected may still “vastly underestimate the magnitude of the outbreak.” It said extraordinary measures are needed “on a massive scale to contain the outbreak in settings characterized by extreme poverty, dysfunctional health systems, a severe shortage of doctors, and rampant fear.” Liberian officials faced a difficult choice Thursday deciding who receives an experimental drug that could be live saving, ineffective or harmful. Jonathan Paye-Layleh and Sarah DiLorenzo report, Nigeria Confirms 1 More Ebola Case, ZMapp, the untested Ebola drug, arrived in the country late Wednesday, however a day later no one has received the treatment yet which official said would go to three people. The Liberian government said two doctors would receive the treatment, while Information Minister Lewis Brown said Thursday the remaining dose would probably go to another health care worker. These are the last known doses of the drug and San Diego based company who developed it said it would take months to build a modest supply. The outbreak has sparked an international debate over the ethics of giving untested drugs to the sick and deciding who gets the treatments, since two Americans and one Spaniard have received ZMapp with the Spaniard dying within days. According to the U.N. health agency, 50 percent of those infected with Ebola have died. Dr. Moses Massaquoi, who helped Libria obtain the drug, said: “The criteria of selection is difficult, but it is going to be done. We are going to look at how critical people are. We are definitely going to be focusing on medical staff.” Arthur Caplan, director of medial ethics at NYU Langone Medical Center, said the choice of who to treat would have to balance helping the largest number of people with learning the most from the treatments. Meanwhile, the U.S. State Department ordered families of embassy personnel to leave Sierra Leone on Thursday as concerns arise that the crisis would make it difficult to receive treatment for routine health problems. Nigeria announced Thursday that another person died from Ebola, bringing the total to four. The Health Ministry said the person was a nurse who helped treat the country’s first Ebola case, Liberian-American Patrick Sawyer who flew in last month and died. The ministry corrected the number of cases from 11 to 10.