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EPIDEMICS
West Africa anxiously awaits experimental Ebola drugs
by Staff Writers
Freetown (AFP) Aug 13, 2014


Canadian scientist pleads guilty to smuggling germs
Ottawa (AFP) Aug 13, 2014 - A Canadian government scientist pleaded guilty on Wednesday to trying to export to China harmful pathogens that could infect humans and livestock.

Klaus Nielsen and Wei Ling Yu, former researchers at the Canadian Food Inspection Agency (CFIA), were both charged by federal police in October 2012.

Nielsen, now 68, was apprehended as he was heading to the Ottawa airport with 17 vials of live brucella bacteria, which can cause infections of bovine reproductive organs, joints and mammary glands, as well as infertility.

Wei fled the country.

The pathogen mostly affects cattle, deer and horses, but can also be passed on to humans and cause flu-like symptoms. There is no vaccine and the only way to control its spread is to cull animals suspected of being infected.

Nielsen faces up to 10 years in prison.

Older people should get high dose flu shot: study
Washington (AFP) Aug 13, 2014 - Older people are likely to benefit from a high-dose flu vaccine to ward off the seasonal malaise, which can be particularly dangerous to those over 65, researchers said Wednesday.

The findings in the New England Journal of Medicine are from the first randomized, controlled trial to compare high and standard doses of flu vaccine in older people.

"Until this trial came out we didn't know if it was going to be clinically better or not, and now we know it is better," said lead author Keipp Talbot, assistant professor of medicine at Vanderbilt University.

The study was funded by Sanofi Pasteur and compared the company's Fluzone High-Dose inactivated influenza vaccine to the standard-dose Fluzone vaccine.

The high-dose contains four times the amount of antigen as the standard dose.

The high-dose flu vaccine was 24 percent more effective than the standard-dose vaccine in protecting those over 65 against influenza and its complications, which can include pneumonia and heart failure.

It was also found to be safe and induced "significantly higher antibody responses" than the standard dose did.

Side effects included greater arm soreness following the injection.

The study involved nearly 32,000 people at 126 research centers in the United States and Canada.

The flu causes tens of thousands of deaths each year and more than 200,000 hospitalizations, according to background information in the article.

"These new data are important because they show that the improved antibody response that is evident in blood samples does in fact translate into a better clinical outcome -- prevention of influenza virus infection in recipients of the high-dose vaccine," said Nicole Bouvier, assistant professor of medicine, infectious diseases and microbiology at the Icahn School of Medicine at Mount Sinai in New York. She was not involved in the research.

Ambreen Khalil, an infectious disease specialist at Staten Island University Hospital in New York, also described the study as "very well done."

"However it is important to bear in mind that these results are based on results from 2011 to 2013, while influenza activity is variable every year," she said.

Up to 1,000 doses of an experimental Ebola vaccine were headed for west Africa Wednesday as the world scrambled to halt the spread of the virus which felled dozens more victims this week .

Canada said it would send doses of a vaccine called VSV-EBOV which has shown promise in animal research, but never been tested in humans.

Hard-hit nations were also anxiously awaiting a barely-tested drug from the US called ZMapp which is expected to arrive within 48 hours as they hope to save hundreds infected by the tropical disease.

The death toll in the worst-ever epidemic of Ebola since its discovery four decades ago climbed to 1,069 Wednesday, according to the World Health Organisation which said 56 had died in two days. Nearly 2,000 people have now been infected.

The disease has hit doctors hard in the ill-equipped and fragile health systems of the worst-hit west African nations, Guinea, Liberia and Sierra Leone.

Liberia is scrambling to save two infected doctors and is hoping that the ZMapp serum, which has shown positive early results, arrives in time.

The presidency said on Tuesday it had received approval from the US Food and Drug Administration for the use of the drug.

Sierra Leone's health ministry spokesman Sidi Yahya Tunis told AFP the country had officially requested a shipment of the serum as the nation lost its second top doctor to the virus.

The death of Modupeh Cole, a senior physician in the Sierra Leonean capital Freetown, came just a fortnight after the country's only virologist and leading Ebola expert, Umar Khan, died of the tropical disease.

There is currently no available cure or vaccine for Ebola, which the WHO has declared a global public health emergency, and the use of experimental drugs has stoked a fierce debate.

The WHO declared Tuesday it was ethical to try largely untested treatments "in the special circumstances of this Ebola outbreak".

Nigeria has also had an outbreak of Ebola, and three people have died from the virus in the megacity of Lagos.

A nurse based in the city who was exposed to the virus travelled to the eastern part of the country, breaking a quarantine order, government said Wednesday.

- Promising vaccines -

Canada's Health Minister Rona Ambrose said between 800 to 1,000 doses of the VSV-EBOV vaccine would be distributed through the WHO.

Meanwhile the company behind the ZMapp drug said it had sent all its available supplies to the region following an outcry over the fact it had so far only been used on Westerners, but supplies are extremely limited.

Its effectiveness is also far from proven, having only previously been tested on monkeys.

It appears to have had a positive effect on two US aid workers infected in Liberia, but an elderly Spanish priest also infected in the country, died in a Madrid hospital Tuesday despite being treated with ZMapp.

As west African countries waited for help from afar, the international community took further measures on Wednesday to prevent the spread of the virus.

Germany called on its nationals to leave Guinea, Liberia and Sierra Leone, although it said it was keeping its embassies open.

In Riyadh, representatives of the Gulf monarchies met to discuss ways to guard against the epidemic ahead of the the arrival of millions of Muslims from around the world for the the annual pilgrimage to Mecca in early October.

- 'We are all scared' -

In Freetown, meanwhile, the tropical fever was the only topic of conversation.

"We are all scared because of the way Ebola is spreading but we are taking all the necessary precautions," says Waisu Gassama, 27, who works in the HIV department of the dilapidated, century-old Connaught Hospital.

Outside the hospital, soldiers say they have been drafted in to guard doctors and nurses, many of whom have been targeted by angry mobs blaming modern medicine for exacerbating the epidemic.

Terror has gripped the impoverished west African countries, with harrowing tales emerging of people being shunned by their villages as the virus fells those around them.

When AFP visited the Liberian village of Ballajah, some 150 kilometres (90 miles) from the capital Monrovia, 12-year-old Fatu Sherrif had been locked away with her mother's body without food and water for a week.

Her cries went unanswered as panicked residents fled the village when both her parents fell sick.

Fatu later died and her brother Barnie, 15, despite testing negative for Ebola, was left alone and hungry in an abandoned house.

"Nobody wants to come near me and they know -- people told them that I don't have Ebola," he told AFP.

burs/rh/fb

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Epidemics on Earth - Bird Flu, HIV/AIDS, Ebola






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EPIDEMICS
Eight Chinese quarantined as panic grips Ebola-hit west Africa
Freetown (AFP) Aug 12, 2014
Eight Chinese medical workers who treated Ebola patients have been quarantined in Sierra Leone, as health experts grapple with ethical questions over the use of experimental drugs to combat the killer virus. Gripped by panic, west African nations battling the tropical disease ramped up drastic containment measures that have caused transport chaos, price hikes and food shortages. The Worl ... read more


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