Pandora Report 11.6.2015

Happy Friday! The world of biodefense and global health security has been busy this week – between a growing outbreak of E. coli associated with Chipotle restaurants, to a review of Select Agent lab practices, and a recap of the Ebola outbreak in West Africa, there’s more than enough to keep you busy! Fun history fact Friday (it’s our version of “flashback Friday”), did you know that on November 6, 1971, the US Atomic Energy Commission tested the largest US underground hydrogen bomb (code name Cannikin) on Amchitka Island?

CDC/Select Agent List- 90 Day Internal Review
We’ve seen a lot of news lately regarding lab safety and biodefense reform/recommendations. With so much scrutiny regarding biosafety practices, it’s not surprising the CDC would do a deep dive into “how the agency inspects select agent labs” with a 90 day review. The review notes that while it didn’t duplicate the recommendations from Presidential Order 13546, it did find several areas for improvement, leading to nine observations and ten actionable recommendations. The categories for recommendations are inspections, incident reporting, and transparency. The findings point to several areas for improvement, ranging from the standardization of risk assessments to identify high risk activities, to the sharing of inspection data to better encourage public understanding of the work practices performed with these agents. The report highlights several areas for improvement that will hopefully lead to more stable biosecurity and public understanding of how we handle select agents. You can also check out the Federal Select Agent Program for a list of the agents and regulations involved.

2016 Presidential Candidates on Nonproliferation
GMU’s Greg Mercer is at it again with round three of his review on 2016 presidential candidates and their comments on nonproliferation. As of now, he’s reviewed the Republican candidates, but now he’s delving into the Democratic candidates. Greg reviews Hillary Clinton, Bernie Sanders, and Martin O’Malley, noting that ” in contrast to Republicans, most Democrats support the Iran deal, and generally tend to favor international arms control regimes.” With the race only heating up, stay tuned  for more of Greg’s candidate-by-candidate reviews on nonproliferation in the 2016 election.

GMU Master’s Open House and Application Deadlines!
Considering a master’s degree? Come check out the GMU School of Policy, Government, and International Affairs (SGPIA) Open House on Wednesday, November 18th, 6:30pm at our Arlington Campus in Founders Hall (Room 126). There’s even a pre-session for veterans and active duty military at 5:45pm! The Open House is a great way to learn about our different Master’s programs (Biodefense, International Security, Political Science, etc.) and ask real-time questions with faculty. Our Biodefense Program Director, Dr. Koblentz, will be there to discuss global health security and tell you about the pretty amazing things we get to do at GMU! If you’ve already attended or are planning to apply, just a friendly reminder that PhD program applications are due December 1st, and Biodefense Master’s Spring applications are due December 1st as well.

Zika Virus Outbreak in Colombia
Nine new cases have been identified in Sincelejo, Colombia, with an additional three being investigated in Barranquilla. Zika virus is a vectorborne disease that is transmitted through Aedes mosquitos. The CDC notes that vertical transmission (from mother to child) can occur if the mother is infected near her delivery and Zika can be spread through blood transfusion (although no cases have occurred this way) and sexual contact (one case of sexually transmitted Zika virus has occurred to date). Common signs and symptoms are fever, rash, joint pain, and red eyes that last several days to a week. In the past, transmission has occurred in tropical Africa, Southeast Asia, and the Pacific Islands, however, there have been cases in 2015 in Brazil and Colombia. We’ll keep you updated if transmission continues in South America!

There have also been cases of Chikungunya springing up throughout the Caribbean and Americas. The Pan American Health Organization (PAHO) initially reported just over 2,400 cases a few weeks ago, however a new report is showing 13,476 new cases. Initially starting in December 2013, this epidemic began with a single locally acquired case on St. Martin island, and is now totaling 1, 760,798 cases.

Chipotle E.coli Outbreak 
Just when you thought it was safe to go back to Chipotle (we reported that Minnesota  Chipotle customers experienced a Salmonella outbreak in August), an E. coli outbreak is making headlines in Washington and Oregon. Public health officials updated the case total to 41 people as of 11/4, with 6 patients requiring hospitalization. The source of the outbreak hasn’t been identified yet but as a precautionary measure, they’ve closed 14 restaurants. So far, the identified cases have been tied to five restaurants across six counties.

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Stories you May Have Missed

  • CRISPR-Cas9 Utility Broadens – researchers at Massachusetts General Hospital have improved on the utility of CRISPR-Cas9 through application via bacterial sources. The team “reports evolving a variant of SaCas9 – the Cas9 enzyme from Streptococcus aureus bacteria – that recognizes a broader range of nucleotide sequences, allowing targeting of the genomic sites previously inaccessible to CRISPR-Cas9 technology.” The new application allows a more precise targeting within the genomic sequence, which may translate to therapeutic applications. CRISPR-Cas9 has been a hot topic within the science and biodefense community in relation to its potential labeling as dual use research of concern (DURC) and certain ethical debates.
  • Unvaccinated Babies Refused By Some Physicians– Vaccination status is something I’ve grappled with working in pediatrics and is one of the rare things that can turn a calm physician (or infection preventionist for that matter) red-faced and needing a breather. The Boston Globe reported on a recent survey from the American Academy of Pediatrics that touched on pediatricians dismissing families that refused vaccines. The study found that all pediatricians surveyed had encountered at least one parent refusing vaccination for their child and 20% of pediatricians “often” or “always” dismissed families who refuse one or more vaccine. Interestingly, researchers found that “doctors in private practice, those located in the South, and those in states without philosophical exemption laws were the most likely to dismiss families refusing to vaccinate their infant”.
  • Guinea Ebola Tranmission – Guinea continues to experience new cases. As we mentioned last week, the cluster of four patients from the Kondeyah village is being monitored by public health officials. An infected newborn, whose mother died from Ebola recently, is also under observation and care. The infant’s mother was a confirmed case prior to her delivery and died after giving birth. The WHO is currently monitoring 382 contacts in Guinea during this time.

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The Candidates on Nonproliferation Part III

The Candidates on Nonproliferation – Part 3
By Greg Mercer

I initially set out to write this as a candidate-by-candidate look at what the 2016 crop had to say about an issue near and dear to Biodefense students’ hearts: nonproliferation. As it turns out, though, not many candidates have well-developed stances on highly specific policy issues (or any issues, depending on how serious a candidate we’re talking about) more than a year from the general election. Lucky for us though, there’s been a major nonproliferation news event to drive the foreign policy debate: the Iran nuclear deal. So this is a rundown of what’s been said and is being said about nonproliferation and WMD policy in the 2016 election.

See part 1 here
And part 2 here

I’m spending even more time on campaign sites to see what the 2016 election looks like for nonproliferation.

This time, I’ll take a look at top Democrat contenders. In contrast to the Republicans, most Democrats support the Iran deal, and generally tend to favor international arms control regimes.

Hillary Clinton:
In the Democratic debate, Hillary Clinton named loose nukes among the paramount threats to the US.  This issue is commonly understood to hinge on loose radiological material from the former Soviet Union (which is notoriously poorly controlled) and other states maintaining poor control of their nuclear weapons.  The Associated Press recently released an investigation into the Moldovan nuclear black market and Islamic extremists.  She has also strongly endorsed the Iran deal, and has a unique role in the debate, having helped to implement sanctions and launch negotiations with Iran as former Secretary of State.  The Politico story linked notes that she was more hawkish than Obama on Iran in the past.  (Her support of the Iraq War in Congress has been a recurring talking point for opponents).  Now, though, their views seem to be pretty closely aligned.  Hillary’s national security issues page also leans heavily on her experience at the State Department (in addition to being pretty relentlessly on-brand).  Among the usual issues- ISIS, Russia, Israel, the Iran deal- is a very interesting one: “Highly contagious diseases are a constant threat. Warmer and drier conditions caused by global climate change, along with our increasingly interconnected world, enable germs to spread more quickly across the globe. America must remain vigilant and do more to prevent and contain outbreaks.”   This is an uncommonly specific stance, and is placed alongside cyberattacks and climate change to make up an emerging threats triumvirate.  So far, though, there hasn’t been much elaboration on actual policy options to combat this threat, or what makes it a defense issue versus, say, an international development one.

Bernie Sanders:
In 2009, Bernie Sanders echoed President Obama’s call for “a world without nuclear weapons.”  While this obviously hasn’t happened, Sanders released a statement calling for an end to the production of weapons-grade uranium and stopping the spread of nuclear weapons.  In March of 2015, Sanders cosponsored a bill to reduce American spending on nuclear weapons by $100 billion over 10 years (in grand Congressional naming convention, the Smarter Approach to Nuclear Expenditures Act, aka SANE).  A House and Senate version have been introduced, but are part of a much larger budget fight.  Sanders’ issues page supports the Iran deal, though it interestingly says the “agreement is not perfect,” but ultimately concludes that it is a far superior option to military action. As usual, Sanders officially gives his support to Obama and Secretary of State Kerry’s negotiations.  This page also does the thing where a first-person snippet introduces a long set of third-person position statements, but the personal statement highlights Sanders’ votes against the first and second Gulf Wars.  This casts him pretty clearly as anti-military intervention to prevent proliferation, but with the caveat that it remains an option.  There is also a separate, editorial-style section on just the Iran Deal, which offers more detail about uranium and centrifuge reductions.  Once again, it calls war “the last option.”  Much of Sanders’ campaign so far has hinged on economic and social issues, however, and he even said in the most recent debate that climate change is the most pressing national security threat.  When looking for threats to security, Sanders mostly looks beyond weapons of mass destruction.

Continue reading “The Candidates on Nonproliferation Part III”

Pandora Report 10.16.2015

What a busy week in the world of biodefense! First, let’s give a round of applause for Global Handwashing Day (and now, go wash your hands!). This week we saw a nurse from the UK experience Ebola-associated complications months after her recovery. The CDC released a report stating that 17 states exceeded their recommendations for Ebola screening/monitoring and a recent study discussed vaccination rates and herd immunity. Let’s not forget that we’ve got another segment on 2016 Presidential candidate chatter on nonproliferation, a call for papers, and an open house on GMU’s Master’s program. Grab your morning coffee/tea and let’s explore this week’s biodefense news!

Global Handwashing Day 
Global Handwashing Day was Thursday, October 15th, but really we should be celebrating it every day! It may seem like a simple thing but the truth is that hand hygiene is one of the most important things you can do to prevent the spread of infection. Whether it’s a hospital-acquired infection or avoiding illness in the workplace, hand hygiene is the first line of defense. The WHO estimates that hand hygiene, just in healthcare, saved millions of lives in the last years. The CDC even calls it the “do-it-yourself” vaccine – five simple steps (wet, lather, scrub, rinse, dry) to help prevent the spread of infections. Many people think it’s a small or “easy” thing, but coming from an infection preventionist, it’s the small things that make the biggest difference. You’d be surprised how many organisms we carry around on our hands and on fomites, so using alcohol-based hand sanitizer or washing with soap and water is the only way to get rid of those. University of Arizona professor, Dr. Gerba, (we lovingly referred to him as Dr. Germ – funny enough, he even gave one of his children the middle name of Escherichia!) has focussed much of his research on the household and public objects we may not realize are covered in germs. Perhaps the most important take-away from Global Handwashing Day isn’t just its importance in healthcare, but its role as an important part of disease prevention everywhere. In the U.S.  we’re fortunate to have access to the resources that allow us to have phenomenal hand hygiene practices however, it’s the behavior we tend to fall short on. From today forward, I encourage you to make a personal decision to be vigilant in hand hygiene.

Last Call for Papers – Women’s Health in Global Perspective!
Papers sought for a special issue and workshop of World Medical & Health Policy on “Women’s Health in Global Perspective,” to contribute to understanding and improve policy related to women’s health and wellbeing.  Forces ranging from the economic to the climactic have human repercussions whose genesis and solutions demand consideration of their global context.  A wealth of recent research and inquiry has considered the particular plight of women, who often suffer disproportionately from lack of education, compromised nutrition, poverty, violence and lack of job opportunities and personal freedom.  The Workshop on Women’s Health in Global Perspective will consider the broad ranging social determinants of health on a global scale that importantly influence health outcomes for women everywhere, which in turn has implications for economic, political and social development.
Abstract submission deadline (250 words): October 16, 2015 Contact: Bonnie Stabile, Deputy Editor, bstabile@gmu.edu
Notification of selected abstracts: November 13, 2015

Presidential Candidates on Nonproliferation Part II
GMU’s Greg Mercer has put together a wonderful second part to his series on one of our favorite topics (nonproliferation) and what the 2016 presidential candidates are saying about it. Check out Greg’s review of these candidates’ stance so we can track how they might change over the course of the election.

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Source: CDC

Updates and Mapping Ebola
BBC recently published a nice overview of the Ebola outbreak in West Africa. Since the first case 18 months ago, it has been a whirlwind, in more ways than one, for those of us in the public health/global health security world. Cheerfully, the outbreak region has officially gone two weeks without a new case! Unfortunately, Pauline Cafferkey, the Scottish nurse who was treated and recovered from Ebola in December of 2014, is in critical condition due to a late Ebola-related complication. It was just released that her complications are neurological, including severe central nervous system (CNS) disorder and that the virus was detected in her spinal fluid. Scottish public health officials did identify 58 close contacts and offered them the SV-EBOV vaccine.

Master’s Open House
Learn more about the GMU School of Policy, Government, and International Affairs Masters’ programs on Wednesday, October 21, 2015 at 6:30pm at our Arlington Campus, Founders Hall, Room 126. This informational sessional will discuss our Master’s programs ranging from Public Administration, Biodefense, Political Science, Health and Medical Policy, etc.

Imported Measles and Need for Vaccination –This past week at the IDWeek 2015 meeting, scientists reported on a study reviewing measles vaccination rates in the US and susceptible children in relation to the number of measles cases that have occurred. They noted, “this analysis highlights the need for high measles vaccination coverage to support population-level immunity and prevent reestablishment of indigenous measles transmission in the United States.” The Daily Beast also incorporated this into an article on diminishing herd immunity and anti-vaxxers.

Avian Influenza Vaccine Added to National Veterinary Stockpile
APHIS (United States Department of Agriculture’s Animal and Plant Health Inspection Services) awarded contracts to two companies to ensure manufacturing of the vaccine for avian influenza. The goal is to strengthen the Agency National Veterinary Stockpile. “This action is being taken to develop the Agency’s National Veterinary Stockpile., and does not signal a decision to vaccinate for highly pathogenic avian influenza (HPAI). While APHIS has not approved the use of vaccine to respond to HPAI, the Agency is preparing to ensure that vaccine is available should the decision be made to use it during a future outbreak.”

Stories You May Have Missed:

  • International Infection Prevention Week is next week! October 18-24, 2015 will celebrate the importance of infection prevention and control in healthcare. Let’s celebrate by not just washing our hands, but also considering all the small ways we can prevent the spread of germs in our homes and workplaces!
  • Salmonella Cucumber Outbreak – The CDC has released new data on the Salmonella Poona outbreak related to imported Mexican cucumbers. As of October 14th, there have been 757 people infected across 36 states and 4 deaths related to the outbreak.
  • DHS Wants to Revive Terrorism Alert System – In wake of the attacks in Chattanooga, President Obama’s security officials are initiating a review of the nation’s terrorism alert system to support what many consider a growing threat of domestic attacks. DHS wishes to revise and restart the National Terrorism Alert System to better respond to these evolving attacks.

The Candidates on Nonproliferation – Part II

The Candidates on Nonproliferation – Part 2
By Greg Mercer

I initially set out to write this as a candidate-by-candidate look at what the 2016 crop had to say about an issue near and dear to Biodefense students’ hearts: nonproliferation.  As it turns out, though, not many candidates have well-developed stances on highly specific policy issues (or any issues, depending on how serious a candidate we’re talking about) more than a year from the general election.  Lucky for us though, there’s been a major nonproliferation news event to drive the foreign policy debate: the Iran nuclear deal.  So this is a rundown of what’s been said and being said about nonproliferation and WMD policy in the 2016 election.

 See part 1 here.

So I’m continuing to take a look at what the 2016 election looks like for nonproliferation.

As with the previous post, Republicans in general tend to oppose the Iran deal, but let’s take a closer look at some more candidates, and move a little more toward the fringes.

Rand Paul:
Rand Paul opposes the Iran deal (surprise), and the section of his website devoted to Iran echoes Bibi Netanyahu’s “bad deal” language.  Let me tell you though, as far as issues pages go, it doesn’t get much better than this.  Not only does he have the most extensive set of issues pages I’ve seen so far, Rand’s camp has helpfully noted specific quotes, sources, and bill numbers for his voting record.  I don’t even have to go on THOMAS.  Thanks, Rand site devs!  For example, the site notes that he was a co-sponsor of The Iran Nuclear Agreement Review Act, which attempted to challenge the administration’s negotiations.  Rand didn’t always used to be this way, though.  Having gradually (and recently, not-so-gradually) drifted from a libertarian stance into one more in line with mainstream conservative thinking, he’s changed his tune a bit on Iran.  Bloomberg chronicles his shift from cautioning against military action and arguing that Iran didn’t pose a threat, in 2007, to his current position.  Rand doesn’t have much else to say about nonproliferation.   He does say that Republican hawkishness contributed to the rise of ISIS, though, which caused him to get into a fight with Sean Hannity.

Carly Fiorina:
If Rand Paul has a great website, then Carly Fiorina has the worst one yet. Her issues page isn’t accessible from the home page, and when you do find it, it’s all videos.  Carly uses some of these videos to underscore just how anti-Iran deal she is.  During the September debate, she said that if elected president, “I will make two phone calls, the first to my good friend to Bibi Netanyahu to reassure him we will stand with the state of Israel. The second, to the supreme leader, to tell him that unless and until he opens every military and every nuclear facility to real anytime, anywhere inspections by our people, not his, we, the United States of America, will make it as difficult as possible and move money around the global financial system.”  So far, she hasn’t had much to say about nonproliferation or biological weapons beyond the Iran deal.  Like Donald Trump, she’s compared the negotiating diplomatic deals to business deals, citing her experience as CEO of computer giant Hewlett-Packard.  There’s a catch there, though, and it’s one worth reading about in full other than my snarky at-a-glance version:  according to Bloomberg View, while she was CEO, “Hewlett-Packard used a European subsidiary and a Middle East distributor to sell hundreds of millions of dollars of printers and other computer equipment to Iran,” circumventing the sanctions regime.  While likely not illegal, it’s certainly been controversial.

Ben Carson:
Ben Carson’s security platform is centered on countering “Russian transgressions” and supporting Israel.  The Russia issues page features pictures of scary missiles but doesn’t explicitly mention nuclear policies.  Carson argues that Russian aggression has a destabilizing effect on Ukraine and the Middle East, ultimately threatening Europe.  He calls on the US to lead NATO and non-NATO allies “from a position of strength” and that “all options should remain on the table” when dealing with Putin.  No specific mention of nuclear weapons, but “all” is pretty broad.  On Israel, he promises unwavering support, but offers no details to this end.  To most conservative voters though, this can be read as anti-Iran deal, at least.  Carson offered another interesting claim about nonproliferation, though.  In the August debate, Carson said, “You know, Ukraine was a nuclear-armed state. They gave away their nuclear arms with the understanding that we would protect them. We won’t even give them offensive weapons.”  The excellent Politifact evaluated this claim, and concluded that it isn’t really accurate for two reasons: first, Ukraine wasn’t “nuclear-armed” because while Soviet warheads briefly resided there following the collapse of the Soviet Union, Ukraine would never have been able to launch them (according to Harvard nuclear specialist Matthew Bunn), and that while the US agreed to respect the sovereignty of- and not attack- Ukraine, it didn’t formally offer a guarantee of protection.  Implicit in Carson’s statement is the argument that Ukraine, if it had retained (and, hypothetically controlled) the nuclear weapons left after the collapse, wouldn’t have been subject to Russian aggression.  This paints Carson as a strong believer in nuclear deterrence.

Pandora Report 10.9.15

Happy Friday! Since we’ve made it through Hurricane Joaquin, let’s celebrate with some biodefense news by way of air defense, Ebola, some amazing original work from the GMU Biodefense clan, and all the fun in between. Fun fact: On October 8, 2001, President George W. Bush established the Office of Homeland Security. Let’s start your weekend off right with some zombies, shall we?

Zombies & Air Defense?
With Halloween around the corner and The Walking Dead about to premiere, it’s time for some zombies – Pentagon style! Ever heard of JLENS? This $2.7 billion radar blimp was initially designed to act as an early warning system for low-flying weapons, drones, etc. Unfortunately, this system has been plagued with problems (pun intended) as it failed to detect the low-flying aircraft piloted by Florida postal worker, Douglas Hughes. We’ll let that slide since JLENS wasn’t deemed operational that day but that hasn’t stopped many from calling it a “zombie” program, meaning it’s “costly, ineffectual, and seemingly impossible to kill”. Check out the LA Times investigation into whether this defense technology is really “performing well right now” as claimed by Raytheon.

2016 Presidential Candidates on Nonproliferation- Part I

GMU’s Greg Mercer has churned out another fascinating commentary in a new series related to what 2016 presidential candidates are saying about nonproliferation. His series will pull together candidate stances and comments to take an in-depth look into the role nonproliferation is taking in this race. Greg notes, “Lucky for us though, there’s been a major nonproliferation news event to drive the foreign policy debate: the Iran nuclear deal.  So this is a rundown of what’s been said and being said about nonproliferation and WMD policy in the 2016 election.” This week we’ll be looking at the Republican Party, so make sure to check in over the next few months to see how everyone’s stance has changed or strengthened.

Crimean-Congo Hemorrhagic Fever Spike in Pakistan
Pakistan is currently seeing a spike in their cases of CCHF with the most recent death of a patient in Quetta at the Fatima Jinnah Chest and General Hospital. The death toll is now 3 in 3 days and a total of 15 patient mortalities this year. There are 9 other CCHF patients under observation and treatment at the regional hospitals. The WHO’s Diseases Early Warning System (DEWS) in Pakistan tracks these seasonal spikes in hopes to also prevent its spread. The concerning aspect is the high amount of deaths this year so far when compared to other years.

Iran’s Shifting Preference?
How lucky are we to have two amazing GMU Biodefense commentaries this week? Scott McAlister is discussing the Iranian nuclear deal and the potential consequences. He hammers out a topic we biodefense folks are all too familiar with – dual-use and the hiding-in-plain-sight reality of so many programs. Scott points out that, “the scary thing about biological and chemical weapons programs is their ability to hide in plain sight.  Due the dual use of much of today’s biotechnological advancements, an offensive weapons program can be disguised as a facility to create vaccines or research centers for diseases with minimal effort.” Take a look at his notes on nuclear weapon capabilities and Iranian perspective on biological weapons.

Tacit Knowledge & Biological Weapons Proliferation
On a scale of 1-10, having your research cited during a meeting of the State Parties to the Convention on the Prohibition of Biological Weapons, is pretty much a 12. What can we say, GMU Biodefense professor, Dr. Sonia Ben Ouagrham-Gormley, did just that! At the meeting of experts in August, the State parties met to discuss the field of science and technology while emphasizing tacit  knowledge in relation to bioweapon proliferation. When discussing tacit knowledge, the U.S. noted at the conference, “the concept of communal or collective tacit knowledge has been explored extensively, particularly in the work of Donald Mackenzie and Graham Spinardi, who examined its role in the context of nuclear weapons creation, and Kathleen Vogel and Sonia Ben Ouagrham- Gormley, who examined it with respect to biological weapons creation.” During this meeting, the role and relevance of tacit knowledge as a risk modulator was heavily discussed, pointing to its corresponding role of increasing the risk of bioweapon proliferation.

Bioweapons for Dummies?
Speaking of tacit knowledge and the rise of the biotechnology revolution… Zian Liu from the Bulletin of the Atomic Scientists goes through the five steps of building a biological weapon to address the barriers to weaponization. Broaching the topic of “biohacking”, Zian points to the concern within the biodefense industry related to synthetic biology and fourth generation bioweapons. From ordering the synthetic genes to recently published research that discusses the developments of genetic modification, this commentary hits on the very real barriers that a fourth-year bioengeneering undergraduate student identifies -even with the available tools. Between the need for increased regulations on synthetic DNA and the dual-use concerns, Zian notes that “novice biologists are not likely to construct advanced weapons any time soon.”

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Stories You May Have Missed:

  • Guinea outbreak region goes a full week without a new Ebola case! We’re all holding our breaths in hope this means the outbreak is nearing an end in this hard-hit region. Sierra Leone has reached 3 weeks (a full incubation period) of no new cases and the last healthcare worker infection was back in August. The WHO and local public health workers are still maintaining door-to-door case finding efforts and contact tracing.
  • PPD Awarded Contracts with US Army & BARDA – Pharmaceutical Product Development (PPD) was just awarded two US government contracts to address health outcomes in armed forces and test the efficacy of the national strategic stockpile’s supply of avian influenza vaccine.
  • Findings of the 7th WHO Ebola Emergency Committee Meeting – Last week this committee met to discuss the ongoing outbreak in West Africa. They provided updates and furthering advisement regarding the disease and international travel as 34 countries “continue to enact measures that are disproportionate to the risks posed.”