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Travelers' Guidelines  by the Greek CDC, the US CDC and the WHO,
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A circular issued by the Ministry of Labour for the protection of workers in Greece from the Ebola epidemic asks the Labour Inspectorate to inform employers and employees for the emergency response procedures demanded in all working places, as to avoid the spread of the Ebola virus.

The circular informs the Inspectors for Occupational Health and Safety that in cases of inspections of their competence conducted in areas where there might have appeared possible workers’ or personnel exposure to the Ebola virus, it is their duty to inform the employers on the employers’ obligation for the measures that should be taken for the Prevention and Protection of the workers’ health, and also to inform employees for the necessary precautions taken for their protection.

The high risk groups among workers on the risk of exposure to the Ebola virus are mainly workers in hospitals, especially doctors and nurses, the ambulance crews, workers at airports and seaports.

For each worker of the high risk groups, employer should take responsibility for the workers’ information of the errors and the Public Health Guidelines for taking the necessary preventive and protective measures, such as the provision of the appropriate personal protective equipment (PPE) and the workers’ training for their safe and appropriate use.

“Despite the fact that Greece is characterised low risk for the introduction of Ebola virus, to the moment and based on the estimates of the Greek CDC, (KEELPNO), we consider it essential to inform employers and employees about the characteristics of the disease and the Prevention measures that should be taken.

the 1st Survivor

At the MSF clinic in Conakry during the initial outbreak of the 59 confirmed cases, 22 people died - a mortality rate of 37%. But the medicine is evolving and improving and in some clinics that death rate is now as low as 25%. Early detection and treatment is the key.

It’s why Bakary Oularé is still alive. He was the first person.... More on itvcom

the American death, diagnosed 4 times negative, at the beginning of the epidemic

A U.S. citizen who was suspected of having Ebola because he fell ill after travelling to the region affected by Ebola died on Monday in Ghana. The man, who has not been identified, was in quarantine at a clinic in the capital Accra.

Four tests on the man have all proved negative for Ebola, Ghana's health ministry said in a statement late on Tuesday, source Reuters


How lethal some Public Health mistakes can be

  • Ebola was present beyond suspicion , Doctors' ignorance
In the early stages of the epidemic, when it could have been more easily contained, few health professionals in the region even knew it was taking place. Though outbreaks are common in central Africa, the disease had almost never been seen before in western Africa.
  • the asymptomatic carriers
And many of the first patients did not have symptoms consistent with a hemorrhagic fever, which initially obscured its identification.
  • the calming or absent guidelines
The public health response was therefore slow, and officials who made statements were often trying to calm people's fears, giving inaccurate and sometimes contradictory information.



Ebola’s Deadly Spread in Africa Driven by Public Health Failures, Cultural Beliefs


A late response, the disease's spread to urban areas,
and
super-stition have
allowed
the virus get out of hand,
  the story lead by National Geogra
phic

A. Recognize Ebola

WHO to doctors and medical facilities

According to the WHO, some key facts to watch out for in the event of infection from EVD include the following:

  • -A severe acute viral illness often characterized by the sudden onset of fever, intense weakness, muscle pain, headache and sore throat.
  • -This is followed by vomiting, diarrhoea, rash, impaired kidney and liver function, and in some cases, both internal and external bleeding.
  • -Laboratory findings include low white blood cell and platelet counts and elevated liver enzymes.
  • -People are infectious as long as their blood and secretions contain the virus. Ebola virus was isolated from semen 61 days after onset of illness in a man who was infected in a laboratory.
  • -The incubation period, that is, the time interval from infection with the virus to onset of symptoms is 2 to 21 days.



B. Know the Virus Spread: Through touching surfaces, this is the scary facts

Gloves and boots used by medical staff dry in the sun at a center for victims of the Ebola virus in Guekedou. Photographer: Seyllou/AFP via Getty Images

Lagos State Ministry of Health in April issued a public statement urging members of the public to observe and maintain high standard of personal and environmental hygiene at all times as part of the precautionary measures to prevent the outbreak of the disease in the State.

According to the Commissioner for Health, Dr Jide Idris, "These measures which include 


  • washing of hands often with soap and water,
  • avoiding close contact with people who are sick and
  • ensuring that objects used by the sick are decontaminated and properly disposed

are necessary in order to reduce the risk of infection.


Protect yourself, family, community and the world


Symptoms for Ebola. Horrifying, and also often, misleading

Early symptoms of disease include
  • fever,
  • headache,
  • chills,
  • Rhodesia,
  • nausea,
  • vomiting,
  • sore throat, backache, and joint pains.

Later symptoms include
  • bleeding from the eyes, ears and nose,
  • bleeding from the mouth and rectum,
  • eye swelling,
  • swelling of the genitals and rashes all over the body that often contain blood.

It could progress to
coma, shock and death"

Protective Clothing and Equipment

Barrier nursing techniques include:

  • wearing of protective clothing (such as masks, gloves, gowns, and goggles)
  • the use of infection-control measures (such as complete equipment sterilization and routine use of disinfectant)
  • isolation of Ebola HF patients from contact with unprotected persons.


C.
WHO: Control the Borders

WHO considers "commercial and social activity along the borders" of Guinea, Liberia and Sierra Leone to be one of the key factors that contributes to the spread of EVD

WHO, Health sector response

Containment of this outbreak requires a strong response in the countries and especially along their shared border areas.

On the Alert have been set the Public Health Emergency Response authorities in Greece at the port of Piraeus while the Greek flagged cargo ship "Magda P" was expected this afternoon with a concerning possible Ebola case on a crew member who was reported with fever onset four days before, and a febrile episode, which set on the alarm the Ebola Emergency Response authorities in Greece


More by Greek to me News, moodhacker, November17 

Greek CDC: Ebola Guidelines for Cruise, Boat and Air Crew staff

SOS Alert by Greek to me ! Declare any suspicious case or  symptoms and come in contact with the Emergency Communication team of the Greek CDC

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SOS ALERT ON EBOLA

CDC and Frontier Airlines Announce Passenger Notification Underway

On the morning of Oct. 14, the second healthcare worker reported to the hospital with a low-grade fever and was isolated. The Centers for Disease Control and Prevention confirms that the second healthcare worker who tested positive last night for Ebola traveled by air Oct. 13, the day before she reported symptoms.

Because of the proximity in time between the evening flight and first report of illness the following morning, CDC is reaching out to passengers who flew on Frontier Airlines flight 1143 Cleveland to Dallas/Fort Worth Oct. 13.


CDC is asking all 132 passengers on Frontier Airlines flight 1143 Cleveland to Dallas/Fort Worth on October 13 (the flight route was Cleveland to Dallas Fort Worth and landed at 8:16 p.m. CT) to call 1 800-CDC INFO (1 800 232-4636).


After 1 p.m. ET, public health professionals will begin interviewing passengers about the flight, answering their questions, and arranging follow up. Individuals who are determined to be at any potential risk will be actively monitored.

The healthcare worker exhibited no signs or symptoms of illness while on flight 1143, according to the crew. Frontier is working closely with CDC to identify and notify passengers who may have traveled on flight 1143 on Oct. 13.  Passengers who may have traveled on flight 1143 should contact CDC at 1 800-CDC INFO (1 800 232-4636).



....Since the start of the epidemic
....

Airlines and survivors , key factors for stopping the spread

WHO organized a high-level meeting for the Ministers of Health in the sub-region and brought together Ministers of Health and the Directors of disease prevention and control from 11 African countries (Côte d’Ivoire, the Democratic Republic of the Congo, Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Senegal, Sierra Leone, and Uganda), as well as partners,

Ebola survivors, representatives of airlines and mining companies, and the donor communities.

the scare of the epidemic

What made this epidemic?

"Ebola then spreads in the community through human-to-human transmission, with infection resulting from direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids of infected people, and indirect contact with environments contaminated with such fluids," writes the WHO.

Even burying the bodies requires care as the virus can still transmit if the dead body is touched, and men who have recovered can still pass on the virus seven weeks afterwards through their sperm.


Source, Huffngton Post July 9



the strategy

West African countries and international health organisations adopted a fresh strategy on 3rd of July to fight the world's deadliest Ebola epidemic to date.

Measures include


  • better surveillance to detect the virus and
  • enhancing cross-border cooperation



  • Medical charity Doctors Without Borders (MSF) had  said to the international community since early July,  that the spread of the virus, which has had a mortality rate of up to 90 percent in previous outbreaks, "out of control", with more than 60 outbreak hotspots.


WHO's Partners in Ebola fight

WHO and technical partners in the Global Outbreak Alert and Response Network (GOARN), including the EU Mobile Laboratory consortium, the IFRC, and national societies, Institut Pasteur Dakar, Institut Pasteur Lyon, Institut Pasteur Paris, Bernard Nocht Institute in Hamburg, Médecins Sans Frontières/Doctors without Borders, Public Health Agency of Canada, Public Health England, and US CDC, together with UN agencies, DFID, EU, ECHO, and other partners are providing the necessary technical expertise and support to the Ministries of Health to stop community and health facility transmission of the virus.

WHO is closely supporting the Ministries of Health through the deployment of additional experts in various specialties, providing field logistics support, and personal protective equipment and medical supplies. These experts are drawn from WHO offices, GROAN partners, specialised networks, especially in the region,


 SOS to Medical staff: Stop Ebola spread, as the only Prevention
!

When cases of the disease do appear, there is increased risk of transmission within health care settings. Therefore, health care workers must be able to recognize a case of Ebola HF and be ready to employ practical

  • viral hemorrhagic fever isolation precautions or
  • barrier nursing techniques.
  • They should also have the capability to request diagnostic tests or prepare samples for shipping and testing elsewhere.


The aim of all of these techniques is to avoid contact with the blood or secretions of an infected patient.