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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 United Nations Security Council unanimously approved a 30-day ceasefire resolution in Syria after a relentless bombardment of the country's eastern Ghouta enclave near Damascus that has left hundreds dead.Saturday's vote, which was supposed to be at noon, was held up by deliberations for two hours and comes after several days of delay.In a speech following the vote, US Ambassador to the UN Nikki Haley argued that the council is "late to respond to this crisis. Very late."More than 400 people have been killed since Sunday in bombing raids in eastern Ghouta.Around 400,000 people are in hiding as the rebel-held suburb crumbles around them after being pounded with shells, mortars and bombs dropped by Russian-backed Syrian regime forces since Sunday night.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 869

The victims' families and survivors of the Florida high school shooting have not held back, calling out the National Rifle Association in the days since the massacre.On Wednesday, Dana Loesch, the organization's national spokeswoman faced them for the first time.Loesch said the organization feels the process for buying firearms is flawed and ensured the audience that the NRA is fighting for them. But the crowd booed as she left the event.  456

The Trump campaign has filed a second lawsuit to stop ballot counting the day after the election. This time in Pennsylvania.In a release sent to supporters, the president’s campaign says they are taking several legal actions concerning Pennsylvania ballots. The first is they are “moving to intervene in the existing Supreme Court litigation over the Pennsylvania Supreme Court’s unlawful extension of the mail-in ballot receipt deadline.”Trump’s campaign is also filing suit to stop ballot counting because they claim election officials are counting and processing ballots out of sight of Republican poll observers.“In Philadelphia and elsewhere, Democrat officials forced our observers to stay 25 feet or more from the counting process, leaving no meaningful way whatsoever for our observers to do their jobs,” the statement from Justin Clark, Trump’s deputy campaign manager, reads.With about 84 percent of the ballots counted, Trump leads Biden by almost 300,000 votes. This is similar language used by the Trump campaign when they said they filed in Michigan Wednesday morning. The Trump campaign says it is calling for a temporary halt in the counting in Michigan until it is given “meaningful access” in numerous locations and allowed to review ballots that already have been opened and processed. Trump is running slightly behind Democratic nominee Joe Biden in Michigan. 1387

The University of Washington’s Institute for Health Metrics and Evaluation now projects that 33,000 American lives would be saved between now and October 1 by near universal wearing of masks.The IHME released the updated model on Wednesday.The IHME’s coronavirus projections have been frequently cited in the past by the White House’s coronavirus task force. The group uses state data along with other metrics to create projections on the number of coronavirus-related deaths throughout the US.The projection state that the US is currently on track to have an additional 58,000 coronavirus-related deaths between now and October 1. But that number drops to just 23,000 if masks are universally worn in public. Those figures are on top of the over 121,000 reported coronavirus-related deaths since the beginning of the pandemic.The IHME’s model projects that the US death toll will stay consistent on a per-day basis between now and September, before starting to increase in the fall. But the model projects that fewer than 100 Americans will die per day from coronavirus by September if masks are worn.The IHME’s latest model projects that coronavirus-related deaths will continue to surge in the states of Texas, Arizona and Florida in the coming weeks, while leveling or dropping off in many other states.To see a state-by-state breakdown of the IHME’s projections, click here.Last month, a study in the Lancet found that the use of masks and respirators by those infected with the virus reduced the risk of spreading the infection by 85%. The authors analyzed data that showed that N95 respirators in healthcare settings were up to 96% effective. Other masks were found to be 77% effective. 1701