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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 top U.S. public health agency stirred confusion by posting — and then taking down — an apparent change in its position on how easily the coronavirus can spread from person to person through the air.But officials at the Centers for Disease Control and Prevention say their position has not really changed and that the post last week on the agency’s website was an error that has been taken down.It was “an honest mistake” that happened when a draft update was posted before going through a full editing and approval process, said Dr. Jay Butler, the CDC’s deputy director for infectious diseases.The post suggested that the agency believes the virus can hang in the air and spread over an extended distance. But the agency continues to believe larger and heavier droplets that come from coughing or sneezing are the primary means of transmission, Butler said.Most CDC guidance about social distancing is built around that idea, saying that about 6 feet is a safe buffer between people who are not wearing masks.In interviews, CDC officials have acknowledged growing evidence that the virus can sometimes be transmitted on even smaller, aerosolized particles or droplets that spread over a wider area. Certain case clusters have been tied to events in which the virus appeared to have spread through the air in, for example, a choir practice. But such incidents did not appear to be common.Public health experts urge people to wear masks, which can stop or reduce contact with both larger droplets and aerosolized particles.But for months, agency officials said little about aerosolized particles. So when the CDC quietly posted an update Friday that discussed the particles in more detail, the agency’s position appeared to have changed. The post said the virus can remain suspended in the air and drift more than 6 feet. It also emphasized the importance of indoor ventilation and seemed to describe the coronavirus as the kind of germ that can spread widely through the air.The post caused widespread discussion in public health circles because of its implications. It could mean, for example, that hospitals might have to place infected people in rooms that are specially designed to prevent air from flowing to other parts of the hospital.But the CDC is not advising any changes in how far people stay away from each other, how they are housed at hospitals or other measures, Butler said.The CDC has come under attack for past revisions of guidance during the pandemic, some of which were driven by political pressure by the Trump administration.Butler said there was no external political pressure behind the change in this instance. “This was an internal issue,. And we’re working hard to address it and make sure it doesn’t happen again,” he said.In a statement released Monday, the CDC said the revisions to the “How COVID-19 Spreads” page happened “without appropriate in-house technical review.”“We are reviewing our process and tightening criteria for review of all guidance and updates before they are posted to the CDC website,” the statement said.At least one expert said the episode could further chip away at public confidence in the CDC.“The consistent inconsistency in this administration’s guidance on COVID-19 has severely compromised the nation’s trust in our public health agencies,” said Dr. Howard Koh, a Harvard University public health professor who was a high-ranking official in the Department of Health and Human Services during the Obama administration.“To rectify the latest challenge, the CDC must acknowledge that growing scientific evidence indicates the importance of airborne transmission through aerosols, making mask wearing even more critical as we head into the difficult fall and winter season,” Koh said in a statement.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 3964

The State of Utah sent face masks showing a handgun and controversial political image to a Salt Lake City family.The free masks are part of the “A Mask For Every Utahn” campaign, where federal COVID-19 money purchased more than two million masks to stop the spread of the virus.“I was just shocked,” said Chrstine Passey-Spencer outside her Rose Park home.Two masks delivered to the family show an American flag with a handgun printed across them with “Don't Tread on Me” written below a coiled rattlesnake.“I think the thing that bothered me most is that I knew my tax dollars paid for this and this is very politically charged speech,” Passey-Spencer said.The “Don't Tread on Me” image stems from the Revolutionary War but has become controversial in recent years. The Gadsden Flag has been used by the Tea Party, anti-gun control activists and white supremacists.In 2016, it was deemed to have “racially-tinged” messaging in some contexts by the federal government.More recently, the image has been used by people believing COVID-19 health restrictions take away their constitutional rights.“We hope this is an isolated incident that we just missed these couple of masks,” said Governor’s Office of Economic Development’s Ben Hart, who oversees the state’s mask program.Since April, the state purchased millions of masks from local and international manufacturers.Hart admits about 100 of the “Don't Tread on Me” masks were included in a shipment last month. Hart says the staff deemed them “inappropriate” and attempted to set all of them aside.“We will not be using taxpayer dollars to pay for these masks. We will be working with the manufacturer and ensuring we do not pay for them,” said Hart.The governor’s office replaced the masks for Passey-Spencer on Tuesday.KSTU's Hailey Higgins first reported this story. 1828

The University of Utah nurse at the center of a highly controversial arrest that was recorded on the officers' body cameras has reached a 0,000 settlement with all parties involved.In addition, Alex Wubbels announced Tuesday afternoon that she will use part of that money to launch a new initiative to make body camera video more accessible to all residents in Utah involved in a police incident."I am not in the business of setting anyone up for failure. I want us to be successful in moving forward. And I think this is a small step we can provide to enable that potential success if we are going to start asking the police departments to have body cameras,” Wubbels said outside the Salt Lake City Police Department while standing next to her attorney, Karra Porter.The nurse added "it's shocking" that today's police forces don’t all have body cameras."We all deserve to know the truth. And the truth comes when you see the actual raw footage. And that’s what happened in my case. No matter how truthful I was in telling my story, it was nothing compared to what people saw and the visceral reaction people experienced when watching the footage," she said.Wubbels' widely publicized arrest happened July 26 when Salt Lake detective Jeff Payne was sent to University Hospital to collect blood from a man injured in a crash that killed the driver who caused it. Wubbels — citing policy agreed upon by the hospital and the police department — declined to tell Payne where the patient was or allow him to draw blood.The detective, with direction from his supervisor that day, Lt. James Tracy, ultimately arrested the screaming nurse after physically pushing her out of the emergency room and holding her against a wall while handcuffing her. Police body camera video of the incident caused outcries of protest from across the country and prompted Salt Lake City Mayor Jackie Biskupski and Salt Lake Police Chief Mike Brown to personally apologize to Wubbels for the way she was treated while doing her job.Payne was fired from the police department. Tracy was demoted to the rank of officer. Both men have since appealed their discipline. Their appeals remained pending as of Tuesday.Wubbels and Porter — who never filed a civil lawsuit — announced she had reached a settlement with all "U.-related and Salt Lake City-related parties" who would have potentially been named if a lawsuit had been filed."There will be no legal lawsuit. This part of this is over. We’re hopping the discussion about body cameras continues,” Porter said.Matthew Rojas, spokesman for Salt Lake Mayor Jackie Biskupski, said both the city and the university agreed to pay 0,000 each."Salt Lake City has been focused first and foremost on ensuring policies and procedures are changed so things like this don’t happen again, and we are glad we could come to a resolution with nurse Wubbles," he said.Since Wubbels went public with the arrest video, Porter said her client has had several goals, including changes to policy on how police interact with nurses; accountability by the officers involved; starting a public discussion on the importance of body camera video; compensation; and helping others.Wubbels is working with the American Nurses Association on a campaign to prevent what happened to her from happening elsewhere. She also would like to speak before the Utah Legislature during the next session about the importance of making body cameras mandatory for all police agencies. And she and Porter want to help all Utahns have access to body camera video for their own cases."Thanks to Alex, there will be more transparency as body cam footage becomes more readily available in Utah,” Porter said.Wubbels said she was grateful for how Salt Lake City has responded to her arrest and the settlement, but also noted she still becomes emotional when thinking about the incident."This landed in my lap. This is not something I sought out. I didn’t seek out the last four months," she said. "I’m incredibly humbled by change that’s happened."This is very emotional," Wubbels continued, "This is an emotional situation. … I’m still processing this. I mean, this is something I never expected to happen. But I’m also honored by the weight of it and honored to be the one to help make progress in our society at large."Porter said body cameras are also important for protecting officers, with both Wubbels and Porter emphasizing there are many good officers. They stressed that fact when talking about the fatal shooting and manhunt at the university that forced the campus to go into lockdown Monday night."I literally park where this incident happened. I walk, in the dark, every night to my work, back and forth to my car where this incident happened,” Wubbels said, adding the police "did a really good thing today. And that’s a highlight for what comes out when good cops do good work."Watch the original body camera video here: 4923

The US ambassador to Mexico was not invited to a meeting between senior White House adviser Jared Kushner and Mexican officials, including President Enrique Pe?a Nieto, a US official told CNN.Roberta Jacobson, a career diplomat who has more than 30 years of experience in the region, announced her retirement earlier this month effective in May. Her departure comes at a time when US relations with Mexico have been strained over issues related to trade and migration.Kimberly Breier, who was just nominated to be the new assistant secretary for Western Hemisphere -- a senior State Department position Jacobson previously held -- was with Kushner at the Wednesday meeting.The New York Times first reported that Jacobson was not at the meeting.The timing of the meeting came amid NAFTA negotiations and questions over President Donald Trump's tariff proposal. It also comes shortly after Kushner had his security clearance downgraded because he had not obtained his full clearance.  995

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