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The World Health Organization is preparing for the "worst case scenario" as it continues to respond to the Ebola outbreak in the Democratic Republic of Congo.Peter Salama, deputy director-general of emergency preparedness and response at the WHO, said in Geneva, Switzerland, on Friday that it's "going to be tough and it's going to be costly to stamp out this outbreak."As of Wednesday, 32 people are suspected to have been infected with Ebola viral disease, including three health care workers. Eighteen of those have died, including one of the health care workers.Of the suspected cases, two have been confirmed as Ebola using laboratory tests, and 10 samples are awaiting results."The number of suspected, probable and confirmed cases is significant, so we are very concerned, and we are planning for all scenarios, including the worst-case scenario," Salama said.Ebola virus disease, which most commonly affects people and nonhuman primates such as monkeys, gorillas and chimpanzees, is caused by one of five Ebola viruses. On average, about 50% of people who become ill with Ebola die.The disease is endemic to the Democratic Republic of Congo, and this is the nation's ninth outbreak since the discovery of the virus in the country in 1976.The latest outbreak is occurring in the Bikoro health zone, 400 kilometers (about 250 miles) from Mbandaka, the capital of Equateur province.Bikoro health zone has a population of about 163,000, with three hospitals and 19 health centers, most with limited functionality, according to WHO.Given the remote location of the outbreak, Salama said, response efforts will be extremely challenging. "It is a dire scene in terms of infrastructure," he said."To give you a sense, we are talking about an area that is 280 kilometers even from the provincial capital of Equateur," he said.The WHO is working with authorities in Congo and is in discussions with the World Food Programme to arrange airlifting supplies to the affected areas. UNICEF is also making doctors available as well as sanitation and hygiene specialists to help contain the outbreak.The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission, either through direct contact with bodily fluids such as blood or secretions or contact with materials that are contaminated with these liquids.Personal protective equipment has been sent to the affected region, and the WHO is planning to have mobile laboratories running by the weekend, after receiving approval from the country's Ministry of Health.Initial control efforts are focusing on tools such as surveillance and monitoring, safe burials and case management.Vaccines along with doctors and epidemiologists are on standby in case they are needed, according to the UN.If they are needed, "WHO is in discussions with the government and, if pertinent, will seek approval from the national regulatory authority and the Ethics Review committee to use vaccines against Ebola as part of the response," spokesman Tarik Jasarevik said.The current vaccine against Ebola is experimental and not a licensed product. Salama pointed out that its use also comes with many challenges, as the vaccine needs to be stored long-term at temperatures between minus 60 to minus 80 degrees Celsius (minus 76 to minus 112 Fahrenheit)."This is not a simple logistical effort; it's not like doing a polio campaign with oral polio vaccines, where we get it immediately out to the field. This is a highly complex sophisticated operation in one of the most difficult terrains on Earth," Salama said.Nine neighboring countries are on high alert, Salama said, but the WHO says the current risk of disease spreading to them is low.West Africa experienced the largest recorded outbreak of Ebola over a two-year period beginning in March 2014; a total of 28,616 confirmed, probable and suspected cases were reported in Guinea, Liberia and Sierra Leone, with 11,310 deaths, according to the WHO. 3999
The Trump administration asked the Supreme Court on Monday to put on hold a federal appeals court ruling from last week that narrowed the scope of the travel ban as it applies to a certain class of refugees.In a brief filed with the Supreme Court, Justice Department lawyers said that a three-judge panel from the 9th US Circuit Court of Appeals was wrong to exempt those refugees who have a contractual commitment from resettlement organizations.In a one-sentence order issued Monday afternoon, Justice Anthony Kennedy -- who has jurisdiction over the 9th circuit -- granted the government a temporary stay until Tuesday in order to give the challengers time to respond to the government's petition.The travel ban bars people from Iran, Libya, Somalia, Sudan, Syria and Yemen from entering the US.Last week, the lower court narrowed the scope of the travel ban for extended family members such as grandparents and refugees.In his filing, acting Solicitor General Jeff Wall said DOJ was only asking for a stay for the lower court ruling as it applies to the refugees. Wall said the administration has already been allowing in close family members, but allowing in the refugees would "upend the status quo and do far greater harm to the national interest."The issue of the scope of the ban has been playing out in the lower courts, but the Supreme Court is set to hear the larger issues concerning the merits of the case on October 11. 1442

The romaine lettuce outbreak has many consumers thinking about where their crops are grown.One rooftop greenhouse company in Chicago says their lettuce is safer and longer-lasting.Jenn Frymark, the chief agriculture officer and manager of Gotham Greens, pulls out a head of lettuce and immediately starts to eat it."No, you don't need to wash it,” Frymark says. “We don't have that on our package, but there's no reason for me to wash it. I never wash any of our lettuce at home. It's amazing; nothing touches it; it’s so clean.”Here at Gotham Greens, lettuce is grown differently. They do it hydroponically. That means it’s grown without soil, but in a nutrient-rich water. Instead of a traditional farm field, this lettuce is grown on rooftop greenhouses.Their space on Chicago's south side is the largest rooftop greenhouse in the country. Because of the controlled environment, crops can grow in a third of the time of a traditional field.“We're giving this plant everything it wants: the right day temp, the right night temp, the nutrients, CO2 levels, air circulation, the water,” Frymark explains. “I mean, these are very coddled plants and they have everything they need, and they can just grow in this perfect environment and reach maturity very quickly.”Gotham Greens sells to grocery stores in the Chicago and New York metro areas, as well as select Whole Foods stores. The product goes from the greenhouse directly to grocery shelves in a day and a half.The company’s lettuce also lasts longer than the traditional grocery lettuce out here. Frymark says their product can last up to two to three weeks in the fridge. Additionally, Gotham Greens prices are comparable to other organic produce.Frymark also says their method dramatically lowers the risk for foodborne illness.“There [are] no manures, there’s no water sources that could be contaminants,” she says. “We don't have birds and animals getting into the field.”She says the company is expanding and plans to open more rooftop greenhouses in the near future. 2053
The revolving door of USA Gymnastics' top leadership keeps spinning as the organization struggles to recover from the Larry Nassar scandal.Less than a week after taking over USAG, former US Rep. Mary Bono has resigned as interim president. That means four high-ranking officials have left USAG in the past six months -- even though most came on board after the Nassar sex abuse scandal.Bono took the helm just a month after embattled president and CEO Kerry Perry quit. Perry, who had only been on the job for nine months, was criticized for what many considered to be inadequate action and boilerplate soundbites during the Nassar abuse fallout.On Tuesday, four days after she started her new job, Bono announced her resignation."It is with profound regret, coupled with a deep love for the sport of gymnastics and respect for those who aspire to be great gymnasts, that I today tendered my resignation as the interim CEO of USA Gymnastics," Bono said in a statement. 976
The Synthetic Turf Field Recycled Tire Crumb Rubber Research Under the Federal Research Action Plan (FRAP) Final Report: Part 1 - Tire Crumb Characterization has been released. It summarizes the first part of the research study that was conducted under the FRAP. The second part, Exposure Characterization, which will include information from a biomonitoring study that CDC/ATSDR is conducting, will be released later. For more information about the study and timeline, see our website on the Federal Research on Recycled Tire Crumb Used on Playing Fields at 567
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