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.

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.