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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 UK has accused Syria and Russia of preventing independent chemical weapons experts from entering the city of Douma, hit by a suspected gas attack that Western leaders have blamed on the Syrian government.A fact-finding team from the Organization for the Prohibition of Chemical Weapons (OPCW) arrived in Syria on Saturday, the same day the US, UK and France carried out airstrikes against Syrian government targets in response to the April 7 attack in Douma.But by Monday, the team had still not been granted safe passage, according to the UK envoy to the OPCW, Peter Wilson. The US expressed concerns that Russia may have tampered with evidence at the site.The OPCW team is tasked with determining whether banned substances were used in the attack, a charge that both Syria and its most powerful ally, Russia, have vehemently denied.Syria's Deputy Foreign Minister Fayssal Mikdad said Monday his country was ready to facilitate the OPCW team in any way to carry out its mission, the state-run SANA news agency reported, while Kremlin spokesman Dmitry Peskov did not respond directly to CNN's question on whether Russia had blocked the experts. Peskov said only that Russia was against "groundless" accusations about who was responsible for the attack.Russian Deputy Foreign Minister Sergei Ryabkov said the OPCW team's arrival was hampered by the weekend air strikes, state media RIA Novosti reported.The suspected chemical attack is the latest issue to heighten tensions between Russia and Western powers. More than 100 Russian diplomats were expelled from more than 20 countries in March over the poisoning of a Russian ex-spy on British soil, which the UK and US has blamed on the Russian government. Russia denies the accusations.Russian officials last week claimed British intelligence agencies had helped stage the suspected chemical attack in Douma."Yet again, Russia is spreading conspiracy theories and misinformation designed to undermine the integrity of the OPCW's fact finding mission," Wilson said in a statement."A significant body of information, including intelligence, indicates the Syrian regime is responsible for this latest attack."The US envoy to the OPCW, Kenneth D. Ward, said he was concerned that Russia may have interfered with the site of the Douma attack."We are concerned they may have tampered with it with the intent of thwarting the efforts of the OPCW Fact Finding Mission to conduct an effective investigation. This raises serious questions about the ability of the (team) to do its job," he said in a statement Monday.Russian Foreign Minister Sergey Lavrov said last week his country had sent experts to the site and found "no trace" of chemical weapons use. On Monday, he told the BBC's Hardtalk show that he guaranteed there had been no Russian tampering.Around 75 people, including children, were killed in the Douma assault, UK officials have said, while 500 people were treated in the attack's aftermath with symptoms consistent with chemical weapons exposure, the World Health Organization reported, citing its partners on the ground.The OPCW has recorded more than 390 allegations of chemical weapons use in Syria since its investigation began in 2014, Wilson said. 3222

The strain of E. coli causing the current outbreak in romaine lettuce has been found in a reservoir on a farm in Santa Barbara County, California, the US Food and Drug Administration and Centers for Disease Control and Prevention announced Thursday.The agencies are continuing to investigate other possible sources, and the CDC still advises consumers not to eat romaine lettuce grown in California's Monterey, San Benito and Santa Barbara counties until investigations are complete."We cannot say how many cases are linked to this specific farm at this time," Ian Williams, chief of the CDC's outbreak response and prevention branch, said at a press briefing. "We have to do additional work at this farm and other farms that are being identified from our investigation."Properly labeled romaine grown outside those three counties and harvested after November 23, as well as romaine grown in greenhouses or hydroponically, should all be safe from contamination, the CDC said. The earlier warning against eating romaine from California's San Luis Obispo, Santa Cruz and Ventura counties has been lifted.The agency stressed that consumers should continue to avoid any romaine lettuce not labeled with the harvest date and location.The CDC has identified another seven illnesses since its update December 6, bringing the total people infected with E. coli to 59 across 15 states and Washington, D.C. The last reported illness was November 16. There have been 23 hospitalizations and two cases of hemolytic uremic syndrome, a type of kidney failure. No deaths have been reported.While calling it "premature" to call the outbreak over, Williams said it was a good sign that the most recently identified cases were in the same time period as the main outbreak."We're hopeful that it's moving in the right direction," Williams said. "It's still too early to tell."The first cases in this outbreak were identified in October. States with cases include California, Connecticut, Florida, Illinois, Louisiana, Massachusetts, Maryland, Michigan, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island and Wisconsin. 2141

The Washington Post has settled a libel lawsuit with Kentucky high school student Nicholas Sandmann, who was at the center of a viral video controversy in 2019.Sandmann sued several news media outlets after their coverage falsely painted his as a racist, wearing a ‘Make America Great Again’ hat during an interaction with a Native American activist near the Lincoln Memorial in Washington D.C. Judge William O. Bertelsman previously dismissed the lawsuit, but later reinstated the case, after he reviewed an amended complaint.On Friday, Sandmann celebrated the settlement on Twitter. 592

The swarm happening now south of the Salton Sea, near Westmoreland is over 30 km south of the end of the San Andreas. It is in the Brawley seismic zone, a common source of swarms. So far largest is M4.4. Too far from the San Andreas to change the probability of a quake on it.— Dr. Lucy Jones (@DrLucyJones) September 30, 2020 340