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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 state of Tennessee came one step closer to allowing wine sales on Sunday after state Senators voted to approve a bill which had already passed through the House. The vote passed 17-11 on Wednesday morning. Final approval will now lie in the hands of Governor Bill Haslam who needs to sign the bill in order for it to become law.   The controversial plan will allow grocery stores to sell wine on Sunday beginning January 1, 2019.It will also permit liquor stores to immediately begin operating seven days a week. However, liquor store owners argue they are at a huge competitive disadvantage against major grocery store chains, who don't need to make any staffing changes in order to be open on Sundays.  House members approved a similar plan on Monday by a vote of 53 to 35.If approved by the Governor, wine and liquor sales would be allowed from 8 a.m. to 11p.m. Monday through Saturday and from 10a.m. to 11p.m. on Sunday.Tennessee first voted to allow grocery stores to sell wine back in 2016 after years of back and forth and under constant pressure from citizens and grocery store lobbyists.   1151

The United States plans to end enhanced health screening of travelers from certain countries next week, and those visitors will no longer be funneled through 15 large U.S. airports.Those requirements were imposed in January to prevent the spread of COVID-19. The Centers for Disease Control and Prevention said the government will remove those edicts beginning Monday.The CDC said the current screening, which includes temperature checks and questioning travelers about COVID-19 symptoms, “has limited effectiveness” because some infected people have no symptoms or only minor ones. Travelers go through customs only after the health screening.The health agency said that of the 675,000 travelers who went through the process, fewer than 15 were found to have COVID-19 because of the extra screening.The health agency said that instead it will focus on other measures, including a stronger response to reports of illness at airports, collecting passenger-contact electronically to avoid long lines, and “potential testing to reduce the risk of travel-related transmission” of the virus.The extra health screening applies to people who have been in China, Iran, most countries in continental Europe, the United Kingdom, Ireland and Brazil. Most people coming from those countries who aren’t U.S. citizens have been barred entry to the country.The Homeland Security Department did not immediately respond to a request for comment Thursday.A trade group representing the nation’s largest carriers praised the change.“We continue to support spending scarce screening resources where they can best be utilized,” Airlines for America said in a statement Thursday, “and, given the extremely low number of passengers identified by the CDC as potentially having a health issue, agree that it no longer makes sense to continue screening at these airports.”Separately, 18 travel and airline groups asked the administration to start pre-flight virus testing as a way to reopen international travel. The groups argue that more screening could allow countries to lift travel restrictions and quarantines that have shut down most travel between the U.S. and Europe.Airlines including Delta and Southwest have lobbied the Transportation Security Administration to screen passengers for fever before allowing them on flights within the United States. However, the CDC questioned the usefulness of temperature screening because of the large number of infected people who do not have fevers, and no widespread screening of domestic passengers was launched.___This story has been updated to read that screening began at some airports in January, not February.___This story has been corrected to note that the COVID-19 health screening began at some airports in January, not February. 2771

The strike that closed West Virginia's public schools for four days is over, West Virginia Gov. Jim Justice announced Tuesday evening.School will resume Thursday, he said.Teachers and school-related personnel will get a 5% raise in the first year and all other state employees will get a 3% raise, the governor said.The numbers still have to be passed by the Legislature.Justice said he had spoken to the leaders of the Senate and the House and he was "very, very hopeful" a bill would pass soon.The governor said he had changed his position on giving a raise this size after he had a conversation Monday with a sixth-grader named Gideon.Justice said Gideon was asking questions about tourism and the governor tried to explain about returns on investments in marketing.Turning one dollar into eight is a good investment, the governor told Gideon."Wouldn't it be an investment to invest in smart teachers that make me smart and then I can in turn, turn around and do smart, good things for our state?" the student replied.The governor said Gideon was right and he was approaching the strike wrong."I was looking at it as what the prudent thing was to do and not as investment." he said Tuesday.Dale Lee, president of the West Virginia Education Association, said the organization reserves the right to call teachers and service workers out again at a later date if the legislation gets bogged down or doesn't move ahead at their desired speed.Not all strikers pleasedThe strike put about 20,000 teachers and 13,000 school service employees on the picket lines to demand better pay and benefits.With the pay issue seemingly solved but insurance issues not, there was mixed reaction outside the state Capitol when the news was announced to the people on strike.There were big cheers for the pay raise, but boos for the lack of an immediate change to insurance.After they were told they would go back to schools Thursday with a possibility they might get called to strike again, teachers chanted "Back to the table!" and "Fix it now!"There are other issues, teacher saysWendy Peters, a third-grade teacher who traveled from Daniels, told CNN sister network HLN by phone that the primary issues are pay and insurance. But there are others, such as seniority and less stringent criteria that allow for noncertified teachers -- something Peters doesn't think should happen.She told "On the Story with Erica Hill" that teachers want to feel "valued and respected."Peters, who has 16 years of service and says she makes ,000, said teachers want a wage competitive with surrounding states. "We take care of the most important thing in our state, our children," she said.Legislation sparked strikeThe walkout -- which kept the state's roughly 277,000 public school students out of class -- came after Justice signed legislation late on the night of February 21, granting teachers a 2% pay increase starting in July, followed by 1% pay increases over the next two years.But the bill did not address further concerns of teachers, including issues with the teachers' public employees insurance program, the rising costs of health care and a tax on payroll deduction options, according to Christine Campbell, president of the American Federation of Teachers-West Virginia.Many people in West Virginia said that the high health insurance costs they face are the main sticking point in the work stoppage. That insurance affects all state employees.Tonya Spinella, a fourth-grade teacher in Mercer County, said rising insurance premiums are "going to be a real issue for us, for our family."She said she has a second job, teaching English to Chinese children online."And really, sometimes the only way we can make ends meet is through my second teaching job and through other little side jobs that I do," she?said. 3817

The White House does not appear to be making any changes to current virus protocol, even after President Donald Trump and the first lady tested positive for COVID-19.A senior White House official said Friday that masks will still not be mandatory at the White House, describing facial coverings as “a personal choice,” despite overwhelming evidence that they help to stop the spread.And the White House is not planning to move to a different, more reliable testing system after the one it uses failed to detect that adviser Hope Hicks had the virus the day she began experiencing symptoms.The president, his White House and his campaign have generally taken a lax approach to the pandemic, continuing to hold large events and failing to abide by social distancing recommendations.The official, who spoke on condition of anonymity to discuss internal White House thinking, defended the current system. 908