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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 US Food and Drug Administration on Thursday announced the approval of?the first generic version of EpiPen.The auto-injector pen delivers the drug epinephrine to patients experiencing a severe allergic reaction that, if untreated, could develop into the life-threatening condition of anaphylaxis. The medication is delivered into a muscle as a single dose, like a shot, through an injector pen with a spring.Allergies from food, bug bites, medications and latex can cause life-threatening reactions.The newly approved generic is made by Teva Pharmaceuticals and offers an alternative for patients who, until now, have been able to use only the brand-name EpiPen made by Mylan. It is approved in a smaller dose for children, as well.There are two other brand products on the market for a severe allergic reaction: Adrenaclick and Auvi-Q.The newly approved option made by Teva is the only approved non-brand option and can be substituted only for Mylan's EpiPen."Today's approval of the first generic version of the most-widely prescribed epinephrine auto-injector in the U.S. is part of our longstanding commitment to advance access to lower cost, safe and effective generic alternatives once patents and other exclusivities no longer prevent approval," FDA Commissioner Dr. Scott Gottlieb said in a statement announcing the approval.In recent years, Mylan came under fire for a price increase that put the product out of reach for many who needed to keep the drug on hand. 1488

The US Department of Justice said it is working on two fronts to ensure a fair and free election: To protect against voting fraud and to ensure voters’ civil rights are protected.As President Donald Trump continually claims that voting fraud is prevalent throughout the US, the Department of Justice said it has launched voting fraud hotlines to handle claims of voting fraud.While Trump has claimed that voting fraud could cast doubt on the legitimacy on the elections, there have been relatively few instances of recorded voting fraud. The White House released a Heritage Foundation report that found 1,071 instances of voting fraud, but those instances date back into the 20th century, making up a very small fraction of 1% of all votes cast since then.Department of Justice attorneys say they stand at the ready to assist voters in ensuring they will be able to vote on Election Day.“Ensuring free and fair elections depends in large part on the cooperation of the American electorate,” the US Attorneys’ Office said in a statement. “It is imperative that those who have specific information about discrimination or election fraud make that information available.”The DOJ said it will have FBI special agents available in each field office and resident agency throughout the country to receive allegations of election fraud and other election abuses on Election Day. In addition, those who believe federal voting rights have been violated can reach the FBI at 800-253-3931, or by filing a report here.What are possible violations of law?“Federal law protects against such crimes as intimidating or bribing voters, buying and selling votes, impersonating voters, altering vote tallies, stuffing ballot boxes, and marking ballots for voters against their wishes or without their input,” the US Attorneys Office said. “It also contains special protections for the rights of voters, and provides that they can vote free from acts that intimidate or harass them. For example, actions of persons designed to interrupt or intimidate voters at polling places by questioning or challenging them, or by photographing or videotaping them, under the pretext that these are actions to uncover illegal voting may violate federal voting rights law. Further, federal law protects the right of voters to mark their own ballot or to be assisted by a person of their choice (where voters need assistance because of disability or illiteracy).”For those looking to report possible instances of voting fraud, the Department of Justice encourages voters to call their region’s US Attorneys Office. 2586

The summer season begins in Del Mar in less than a month, bringing with it a wealth of exciting events, but also a large influx of crowds and traffic.As one of the smallest cities in San Diego County, Del Mar has just about 4,000 people. But on any given day in the summer, more than 100,000 people could come to town. Within four months, the city hosts the San Diego County Fair, the Del Mar Horse Racing season, the Kaaboo concert weekend and also some of the busiest beaches in the area."That's part of the city's story, we're used to it," says long-time Del Mar resident Bettina Experton. "The Council knows how to handle it."The Del Mar City Council will meet Monday, May 7th, to discuss their plans for the 2018 season.They'll add ,000 to the budget for Sheriff's Department overtime. That helps put extra deputies on patrol to watch for petty theft, car break-ins and other small crimes near the beach. The city also adds lifeguards on busy weekends.To help defray the costs, parking is strictly enforced throughout the summer, with another officer added to patrol the meters. People have to pay for parking seven days a week in some areas, with meters going until 10 pm on weekends."We provide services for close to 5 million people a year," says Vice Mayor Dave Druker. "Somehow we need to pay a little bit of those services through our parking enforcement. Plus our lifeguards are on duty 365 days out of the year."The Council meeting begins at 4:30 at Del Mar City Council Chambers, 2010 Jimmy Durante Blvd, Suite 100. 1555

The second night of the Republican National Convention was one that featured three Trumps not named Donald, and also had its share of controversy.Before Tuesday’s festivities commenced, the Republican Party booted Mary Ann Mendoza from its slate of speakers following an anti-Semitic remark on Twitter. The evening also included an address from current Secretary of State Mike Pompeo, who became the first active secretary of state in recent times to speak at a major political convention, prompting questions from Democrats whether the speech was a violation of government ethic rules.President’s family takes center stage at RNCTwo of President Donald Trump children, along with his wife Melania, were featured during Tuesday’s portion of the convention. Their speeches followed one given by Trump’s son Donald Trump Jr. on Monday.While generally the family of candidates avoid partisan attacks, Eric Trump went after after Joe Biden and the Democrats.“He is a career politician who has never signed the front of a check and does not know the slightest thing about the American worker or the American business,” Eric Trump said.Tiffany Trump, who graduated from law school earlier this year, related to those struggling to find work amid the coronavirus pandemic."Like so many students across the world, I graduated from law school during the pandemic,” Tiffany Trump said. “As a recent graduate, I can relate to so many of you who might be looking for a job. My father built a thriving economy once, and believe me... he will do it again."The evening concluded with remarks from First Lady Melania Trump, who spoke from the newly-remodeled White House Rose Garden.Melania Trump also acknowledged the impact the coronavirus has had on the US, which has claimed nearly 180,000 American lives, and the jobs of millions of Americans.“I want to acknowledge the fact that since March, our lives have changed drastically,” the first lady said. “The invisible enemy, COVID-19, swept across our beautiful country. And impacted all of us. My deepest sympathy goes out to everyone who has lost a loved one and my prayers are with those who are ill or suffering. I know many people are anxious and some feel helpless. I want you to know you are not alone."Unlike her stepson Eric, Melania said she would not attack Joe Biden.“I don't want to use this precious time attacking the other side, because, as we saw last week, that kind of talk only serves to divide the country further,” she said.Trump hosts citizenship ceremony at the White HouseIn an unusual sight that mixed politics and official business, the president hosted a citizenship ceremony for five permanent residents turned citizens.“Today America rejoices as we welcome five absolutely incredible new members into our great American family. You are now fellow citizens of the greatest nation on the face of God’s earth. Congratulations," Trump told the new US citizens.To Trump, the moment reflected an opportunity to promote legal immigration over those who come to the US illegally.“You followed the rules, you obeyed the laws, you learned your history, embraced our values, and proved yourselves to be men and women of the highest integrity,” Trump said. “It’s not so easy. You went through a lot, and we appreciate you being here with us today.”Anti-abortion speaker in Twitter spat during RNCAbby Johnson, a former employee of Planned Parenthood who spoke out against the organization, was in the midst of a Twitter war moments before she spoke during the RNC.Johnson said that she stood by comments she previously made that voting should only be open to the head of the household.In May, Johnson tweeted, "Then they would have to decide on one vote. In a Godly household, the husband would get the final say."“Yes. So shocking! A husband and wife who are in agreement and a wife who honors her husband as the head of the home. Gasp!! What a weird, biblical concept,” Johnson tweeted on Tuesday in response to the May tweets.Johnson later added, “I would never try to prevent women from voting.” 4062

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