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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 skies started darkening over Lake Charles, Louisiana, on Wednesday, as Hurricane Laura trekked toward the state.People planning to hunker down at home raced to a local home supply store.“My wife didn't want to travel this time,” said resident Robert Deboest. “So, we decided to go head on and kind of stick it out.”That includes Adam Johnson, who was busy buying plywood to cover the windows of his home.“It was like a sheet,” he said.Johnson moved to the Lake Charles area several years ago from Colorado. Laura will be the first hurricane he experiences.“[The] duplex I live in was built in 2015, so it should be pretty secure,” Johnson said.Others, though, feel far less secure.“I was going to stay because I didn’t have nowhere to go,” said resident Yvonne Lancto.However, local officials made arrangements at the Burton Coliseum Complex in Lake Charles for anyone wanting to evacuate, with the National Guard and dozens of buses ready to carry evacuees out of the danger zone and to shelter.Just a few days before her 77th birthday, Lancto chose to flee the storm.“I feel more safer now (sic),” she said, shortly before boarding a bus, “Because I was gonna have to drive - I was scared.”What is scaring a lot of people in Lake Charles is not just the potential for Category 4 winds from Hurricane Laura, but massive storm surge, especially along the coast – which can easily swamp the first floor of a building.Paul and Wanda Bertrand said that is why they are getting out of their home in coastal Cameron Parish.“I’m ready to get back you know,” Paul Bertrand said. “I just left and I’m ready to get back already.”His wife, Wanda, said their lives were far more important and hopes that evacuating will only be temporary.“Hopefully, this will be over soon,” she said, “and we can get back home and everything will be like it was normal.”It’s a normalcy that Hurricane Laura will put to the test. 1917

The threat of a partial government shutdown looms over Washington with just five days to go before funding expires for several government agencies and no agreement yet between Democrats and Republicans over how to resolve a standoff over President Donald Trump's border wall demand.It now looks, however, that Congress will act to extend the rapidly-approaching December 7 deadline.A source briefed on the talks told CNN over the weekend that lawmakers are considering taking up a one-week spending bill to avoid a partial government shutdown by Friday, a move designed to put off a major showdown until after former President George H.W. Bush's funeral proceedings (Congress will be out of session for part of the week because of it).A stop-gap funding measure could temporarily delay a spending showdown. But Democrats and Republicans appeared to be at an impasse over the President's promise of a border wall, raising the question: which side will blink first?Trump wants billion in funding for the wall and Senate Republicans are now weighing the possibility of attempting to allocate billion over the next two years. Any spending bill would need at least some Democratic votes to pass, however, and could not be enacted without some degree of bipartisan support.Senate Democratic Leader Chuck Schumer said last week that Trump should either agree to enact an existing Department of Homeland Security funding bill that has bipartisan support in the Senate and would allocate .6 billion for border security or keep DHS funded for another year via a short-term spending measure known as a continuing resolution.Lawmakers passed a government spending package to fund much of the government prior to the 2018 midterm elections -- so if there is any kind of a shutdown, it would not affect all of the federal government. Funding will run out on December 7 for some government agencies, including the Department of Homeland Security.Trump has so far signaled an openness to a short-term extension. The President told reporters aboard Air Force One that he is willing to extend the deadline for funding the federal government to avoid a government shutdown."If (congressional leaders) come to talk about an extension because of President Bush's passing, I would absolutely consider it and probably give it," Trump said.But a one-week continuing resolution would do little to address the current standoff between Democrats and Republicans over wall funding.The impact of a partial shutdown would nevertheless be disruptive and would invite an immediate political backlash.Democrats and Republicans alike have both said that they don't want a shutdown as the funding deadline nears."We don't believe in shutdowns," House Democratic leader Nancy Pelosi told reporters on Friday, saying "we have to" when asked if Congress would avert a shutdown."I don't think anybody wants a government shutdown," North Carolina Republican Rep. Mark Meadows, who chairs the conservative House Freedom Caucus, said on Friday in the Capitol.But, Meadows said, "I do think that there is a real battle coming on the border wall funding," adding, "if the border wall funding is not there, it does increase the possibility of impasse that could lead to a shutdown."The President has warned that it is "possible" there could be a shutdown if Congress does not greenlight the money he wants to see allocated for the wall, which he promised on the campaign trail would be paid for by Mexico."If we don't get border security, possible shutdown," Trump told reporters last Thursday.For now, both sides are gearing up for the possibility that a partial shutdown could take place -- and are getting ready to pin the blame on the opposing party if it happens."Make no mistake: The President is the only person who holds the ultimate responsibility for a government shutdown," Schumer said in a Senate floor speech on Thursday.Republicans still control both chambers of Congress and the White House. That won't change until Democrats take control of the House of Representatives in the new Congress in January. But that won't stop Republicans from trying to cast blame on Democrats if a partial shutdown happens."I don't think the Democrats want to shut down the government over the border security issue. But they might. We'll see," Sen. John Cornyn, the No. 2 Senate Republican, told reporters last week. 4385
The Southeast's first winter storm of the season has faded, with clear conditions expected Tuesday, but tens of thousands of people remain without power after the weekend's record-setting snow.The storm killed three people in North Carolina and grounded thousands of flights in the region, including more than 500 flights on Monday.Early Tuesday, more than 44,500 customers in North Carolina, 20,000 in South Carolina and 15,600 in Virginia were without power, according to Poweroutage.US.PHOTOS: As southeastern winter storm fades, canceled flights and icy roads remainCNN meteorologist Michael Guy said temperatures Tuesday would be cold, but above freezing. "At night there will still be possibilities of refreezing over bridges and overpasses on the roads," he warned.The Virginia Department of Transportation advised drivers to allow extra braking distance and to take it slow."If you plan to travel overnight, watch for slick roads & use extra caution. Dropping temps could cause any moisture on the roadways to refreeze," the transportation department said on Twitter.North Carolina Emergency Management also warned on Twitter that freezing nighttime temperatures could make driving hazardous. Black ice is possible Wednesday morning, it said. 1262
The Senate voted Wednesday to pass a measure that would repeal changes to net neutrality rules that were recently adopted?by the Republican-controlled Federal Communications Commission.The measure, which was backed by all 49 Democrats and Republican Sens. Susan Collins of Maine, Lisa Murkowski of Alaska and John Kennedy of Louisiana, will be sent to the GOP-led House, where it'll likely go nowhere -- and President Donald Trump is unlikely to back it.While Collins' support had been public leading up to the vote, Murkowski's and Kennedy's "yes" vote came as a surprise to some.Democrats used the Congressional Review Act to force a vote -- a law that allows Congress to repeal agency rules and regulations on a simple majority vote, instead of a 60-vote threshold needed to break procedural hurdles on most legislation, the kinds of traditional roadblocks where Senate leadership could typically hold up such a proposal.Senate Minority Leader Chuck Schumer spoke after the vote to begin debate earlier Wednesday, arguing that "at stake is the future of the Internet.""That fundamental equality of access is what has made the internet so dynamic," he said on the Senate floor. "Net neutrality protected everyone ... that era, the era of an open Internet, will unfortunately soon come to an end."He continued: "The Democratic position is very simple. Let's treat the internet like the public good that it is."The FCC voted in December to repeal Obama-era protections. The net neutrality rules, approved by the same organization two years earlier, prohibited Internet service providers -- such as Comcast and Verizon -- from speeding up or slowing down traffic from specific websites and apps.Democrats argued the new FCC rules give too much power to Internet service providers, which they fear will throttle down speeds for some websites and services while ramping it up for others who pay more.Schumer said in an earlier statement, "The repeal of net neutrality is not only a blow to the average consumer, but it is a blow to public schools, rural Americans, communities of color and small businesses. A vote against this resolution will be a vote to protect large corporations and special interests, leaving the American public to pay the price."While Democrats recognize they are unlikely to reverse the FCC's rule, they see the issue as a key policy desire that energizes their base voters, a top priority ahead of the midterm elections. 2456
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