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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 showdown over mail-in ballots is expected to heat up this week.Democrats are calling back Congress to vote on legislation to prevent the U.S. Postal Service from changing any of its operations. A House committee also called an emergency hearing for next week to address mail delays and concerns the White House is interfering.The USPS is removing hundreds of mail processing machines across the country and has warned 46 states that it may not be able to process all mail-in ballots in time to be counted for the election.“Are we going to force people to have to choose between their fundamental right to vote and their health?” asked Shaundra Scott with the South Carolina Democratic Party. “The American voters are going to be very frustrated that we may not know who the winner is until frankly December.”Political experts agree the presidential race, pandemic and mail-in voting will all lead to massive increases in voter turnout and probably a lot of contested results.Some states have streamlined mail-in and absentee voting for years. However, other states are rushing to change their voting process because of the pandemic.“When things like that happen, it doesn't inspire confidence. It leads to the fear that people who shouldn't be voting may potentially be voting or people that should vote are not going to get ballots because of a snafu,” said Matt Klink, a GOP strategist with Klink Campaigns.For example, New York changed the rules to make it easier to vote by mail ahead of the primary, and it provided pre-paid envelopes. But those envelopes were not postmarked, or they were returned late. And there were other issues like ballots that weren't signed. That led to one out of four mail-in ballots being disqualified.But voting by mail could close the gap on inequities.“Yes, there are rules and regulations that say your employer should give you two hours to be able to vote but if you’re working hourly and you’re working on a job that is shift based, even though voting is extremely important, taking away that two hours of pay from someone and them having to make that decision is huge,” said Scott.Some expert say Republicans fear mail-in ballots would capture new Democratic voters, but seniors also benefit from absentee and mail-in voting. They often skew red, according to the Brookings Institute.A major study of California, Utah, and Washington state's elections between 1996 and 2018 found there was no partisan advantage to voting by mail. 2482

The White House on Monday blamed Hamas for the deaths of 52 Palestinians who were killed by Israeli security forces during mass protests in Gaza on Monday."The responsibility for these tragic deaths rests squarely with Hamas," White House deputy press secretary Raj Shah said. "Hamas is intentionally and cynically provoking this response and as the secretary of state (Mike Pompeo) said, Israel has a right to defend itself."Pressed repeatedly on whether Israel bears any responsibility and asked whether Israel should show more restraint, Shah again pointed the finger at Hamas -- seemingly absolving Israel of responsibility."We believe that Hamas is responsible for these tragic deaths," Shah said, adding that the terrorist group bears "responsibility for the entire situation right now."The 52 deaths on Monday came on the 70th anniversary of Israel's independence while a delegation of US officials joined Israeli leaders to mark the opening of the new US embassy in Jerusalem. Trump's decision to recognize Jerusalem as Israel's capital and move the US embassy to the city in December has ratcheted up tensions in the region, where Israelis and Palestinians have competing claims to the holy city. The city is home to holy sites from three major religions: Christianity, Judaism and Islam.Israeli forces used lethal and nonlethal means on Monday in an attempt to disperse mass protests that took place at the security fence between Gaza and Israel, which included some Palestinians attempting to cross into Israel.Tuesday marks the "Nabka," or Catastrophe, which remembers the 700,000 Palestinians who were driven from, or left, their homes during the Arab-Israeli war that came with the creation of the Israeli state. 1734

The recount effort underway in Georgia has uncovered roughly 2,600 ballots that hadn’t originally been included in the tally.State officials say county election officials in Floyd County didn’t upload in-person early votes from a memory card into a ballot scanning machine, according to the Atlanta Journal Constitution newspaper.Floyd County is located in northwest Georgia.In the uncounted votes, there were 1,643 new votes for President Donald Trump and 865 votes for President-elect Joe Biden. County officials say these ballots rectify their discrepancy between the number of people who checked-in to vote and the number of ballots counted in Floyd County.President Trump's campaign issued a statement Tuesday afternoon in response to reports of the previously unaccounted ballots."Recent revelations from Georgia's ongoing statewide recount have shown that President Trump was absolutely correct to raise concerns about widespread voting irregularities that have favored the Biden-Harris ticket," the statement reads. "The State of Georgia must not certify its results until the recount is done accurately and the results are correct."“It’s not an equipment issue. It’s a person not executing their job properly,” said Gabriel Sterling, the state’s voting system manager. “This is the kind of situation that requires a change at the top of their management side."The head of the Republican Party in Floyd County said the issue was concerning, but “doesn’t appear to be a widespread issue,” and he was glad the ballot audit revealed it.Georgia’s audit of the nearly 5 million ballots cast is set to be finalized Friday. 1632

The U.S. will pay drug company Pfizer .95 billion to produce and deliver 100 million doses of the company's COVID-19 vaccine candidate should the drug prove effective in human trials the company said in a press release on Wednesday.Pfizer will deliver the vaccine if and when the drug receives Emergency Use Authorization from the FDA after a large-scale Phase 3 trial.According to the reports, the deal includes an option for the government to purchase an additional 500 million doses of the vaccine.“Expanding Operation Warp Speed’s diverse portfolio by adding a vaccine from Pfizer and BioNTech increases the odds that we will have a safe, effective vaccine as soon as the end of this year,” Health and Human Services Sec. Alex Azar said in a statement. “Depending on success in clinical trials, today’s agreement will enable the delivery of approximately 100 million doses of this vaccine to the American people.”Pfizer and German firm BioNTech are working together to develop the vaccine.On Monday, Pfizer said in a press release that results from Phases 1 and 2 of a German trial indicated that the drug "could potentially be administered safely, with a manageable tolerability profile," according to data from the tests.Biotech company Moderna is also working to develop a coronavirus vaccine. That candidate will move into Phase 3 testing by the end of the month, and the government has also agreed to purchase and distribute the drug should the large-scale test prove effective. 1497