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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 restrictions will remain in the same terms as implemented since March 21. Both countries will continue coordinating sanitary measures in the border region. The measures will be in force until July 21, 2020.2/2— Embassy of Mexico in the US (@EmbamexEUA) June 16, 2020 278

The spread of COVID-19 is tough to trace and even tougher to predict, but researchers at Pittsburgh’s Carnegie Mellon University created an early warning system to help protect you from the virusMathematics professor Po-Shen Loh developed an app called NOVID, a contact-tracing app, to help communities see the virus coming before they get infected.On top of creating a brand new app, Loh teaches math to middle-school students online from his own office-turned-broadcast studio. He’s also the national coach for the United States Math Olympiad team that competes around the world.But when the pandemic hit, Loh wanted to take on one more project. “I like things that are supposed to be impossible, that can’t be done,” said Loh. Stopping the spread of the coronavirus seemed to fit the bill.“The problem with COVID is it spreads before you know you have it, that’s what makes COVID different," Loh said. "The only way you can control this disease is in helping people to know whether or not COVID is coming close to them in advance."That’s where the NOVID app can help, said Loh. “Shows the virus coming towards you based on your relationship network, so that you can protect yourselves from others before you actually get infected," Loh explained of the app. "This is in contrast to most other contact tracing apps that are designed to protect others from you."The app shows you positive cases in degrees of separation. A positive case in the first degree would be someone you live with. The second degree could be your coworker or a friend. The third degree would be that person’s spouse or child. Each degree of separation is a possible pathway for you to come in contact with COVID-19.“This thing shows you the virus coming towards you, kind of like a hurricane satellite shows you a hurricane coming towards you,” said Loh.In addition to showing you cases as they pop up around you, the app can track the distance between phones down to the inch.It uses both Bluetooth and ultrasound waves to give you that measurement to make sure you’re safely social distancing.“We don’t know of any other contact-tracing app in the entire world which will tell you, ‘here’s how far away we think the device was,’” said Loh.The safety of your personal information is one of the most important features of this app. It collects data, while you stay completely anonymous.“Many people are distrustful of an app that does contact tracing,” said Loh. “We never ask for your phone number or email."Those who are positive can self-report their case in the app. Loh is also working with cities and counties to integrate NOVID into health departments across the country. He said the health departments would issue a ticket with a number to each person who tests positive for the virus.That person would enter the number into their NOVID app, anonymously reporting the positive case in the community.“If this thing actually caught on, you’d see in all the cities and towns, whether it’s rural or urban, whenever COVID starts to rise up, you’d start to see everyone take caution. Not because anyone forced them to, but because they saw this is what would be useful,” said Loh.To create the powerful community resource Loh is hoping for, he said more people need to know about the app.“Right now, we only respond when the intensive care units are full, and then it’s too late, and people die on the sidewalk. But, what we wish would happen, is that people could see it coming, and then, everyone starts to be careful at the right time. With more traction, we can save more lives,” he said.Loh is hoping he can not only help save lives but help bring back life as we knew it.“The goal of what we’re trying to do is to give people headlights to drive in the dark. Our app is not designed to let other people control you; our app is designed to help you control your life,” said Loh.For more information on NOVID or to download it, click HERE. 3928
The White House privately warned the mayors of 11 major U.S. cities on Wednesday that they need to take "aggressive" steps to control COVID-19 outbreaks, the Center for Public Integrity reports.The warning came from Dr. Deborah Birx, the response coordinator for the White House Coronavirus Task Force. In the call, which the Center for Public Integrity included "hundreds of emergency managers and other state and local leaders," she identified 11 cities that are seeing an increase in the percentage of positive COVID-19 tests they've taken in recent weeks. Those cities were Baltimore, Cleveland, Columbus, Indianapolis, Las Vegas, Miami, Minneapolis, Nashville, New Orleans, Pittsburgh and St. Louis.“When you first see that increase in test positivity, that is when to start the mitigation efforts,” she said in a recording obtained by Public Integrity. “I know it may look small and you may say, ‘That only went from 5 to 5-and-a-half [percent], and we’re gonna wait and see what happens.’ If you wait another three or four or even five days, you’ll start to see a dramatic increase in cases.”The Center for Public Integrity also published a seven-minute segment of the conference call.Public Integrity · Dr. Deborah Birx CallIt's unclear who provided the Center for Public Integrity with the recording, which was closed to the press. The outlet also reported that it's unclear which local governments were on the call, which was hosted by the White House Office of Intergovernmental Affairs. Officials in Cleveland told the outlet that they were not on the call.Birx's call came the day after President Donald Trump resumed his daily coronavirus briefings. During those briefings, Trump encouraged the nations to wear a mask when in public — a significant shift after he refused to do so in public appearances earlier this year. But Trump also seemed to downplay the severity of the virus by claiming that mortality is falling, despite figures from Johns Hopkins that show mortality increasing. 2009
The University of Michigan Athletic Department announced Tuesday that they had to cancel its annual rivalry game against the No. 3 Ohio State Buckeyes due to a COVID-19 outbreak within its football program.In a press release, the athletic department said the decision to cancel was made after discussions with medical experts, health department officials, and university administration."The number of positive tests has continued to trend in an upward direction over the last seven days," said Warde Manuel, U-M's Donald R. Shepherd Director of Athletics, in the news release. "We have not been cleared to participate in practice at this time. Unfortunately, we will not be able to field a team due to COVID-19 positives and the associated quarantining required of close-contact individuals. This decision is disappointing for our team and coaches, but their health and safety are paramount, and it will always come first in our decision-making."Michigan says it will continue to test daily "with hopes of getting back on the practice field when cleared by medical professionals."According to the Associated Press, the Buckeyes had to cancel its Nov. 28 game against Illinois after head coach Ryan Day, other coaches, and players in the program tested positive for the coronavirus, the AP reported.On Tuesday, the American Athletic Conference announced that the regular-season football finale between No. 7 Cincinnati and No. 18 Tulsa will not happen Saturday and won't be rescheduled.The conference canceled the Dec. 12 game due to positive COVID-19 cases and contact tracing within the Bearcats' program.The AAC said the two teams would play on Dec. 19 in the American Athletic Conference title game. 1710
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