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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 Transportation Security Administration says they found three times the rate of loaded guns at checkpoints in July than they did at the exact time last year, despite fewer passengers traveling due to the coronavirus pandemic.In a press release, the agency said that 80% of the firearms that come through a checkpoint are loaded. "It’s just an accident waiting to happen," TSA Administrator David Pekoske said in the release.TSA said they found 15.3 guns per million people screened last month, which is up from the rate of 5.1 guns per million people in July 2019.The agency says that's alarming because they screened 75% fewer travelers last month.“TSA is diligently working to ensure our employees and passengers are safe and secure while traveling during a pandemic, and yet we are noticing a significant increase in loaded firearms coming into checkpoints,” said Pekoske in the press release. “Travelers must understand that firearms are prohibited items at airports and in the passenger cabins of aircraft. As hard as we are working to mitigate other risks at this time, no one should be introducing new ones.”Guns are permitted in checked bags, but they must be unloaded, and in a locked case, TSA said.Last year, 4,432 guns were found in carry-on bags at checkpoints nationwide, which is about 12.1 firearms per day, and 87% of them were loaded, the agency said. 1380

The USS Midway Museum will host a commemoration event for the 19th anniversary of the 9/11 attacks. The Fire Department of New York Retirees of San Diego, the National City Fire Department, San Diego Fire & Rescue, the Wounded Warrior Project and flight crews from United and American airlines will pay tribute to those who died as a result of that day. 365

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

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