West Africa reels as Ebola toll rises to more than 900


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MONROVIA, Liberia — Health workers in West Africa appealed Wednesday for urgent help in controlling the world’s worst Ebola outbreak, as the death toll climbed to 932, and Liberia declared a state of emergency.

“The government and people of Liberia require extraordinary measures for the very survival of our state and for the protection of the lives of our people,” Liberian President Ellen Johnson-Sirleaf said in an official statement. The state of emergency was for 90 days, effective Wednesday. Liberia also shut a major hospital where several staff were infected, including a Spanish priest.

The World Health Organization, or WHO, said it would ask medical ethics experts to explore emergency use of experimental treatments to tackle the highly contagious disease after a trial drug was given to two U.S. charity workers infected in Liberia.

With West Africa’s rudimentary healthcare systems swamped, 45 new deaths from Ebola were reported in the three days preceding Monday, the WHO said. Liberia and Sierra Leone have deployed troops in the worst-hit areas in their remote border region to try to stem the spread of the virus, for which there is no known cure.

WHO experts began a two-day crisis meeting in Geneva to discuss whether the epidemic constitutes a “Public Health Emergency of International Concern” and to consider steps to help overstretched emergency organizations.

“This outbreak is unprecedented and out of control,” said Walter Lorenzi, head of the medical charity Medecins Sans Frontieres, or Doctors Without Borders, in Sierra Leone. “We have a desperate need for other actors on the ground, not in offices or in meetings, but with their rubber gloves on, in the field.”

International alarm at the diffusion of the virus increased when a U.S. citizen, Patrick Sawyer, died in Nigeria last month after flying there from Liberia. Authorities said Wednesday that a Nigerian nurse who had treated Mr. Sawyer had also died of Ebola, and five other people were being treated in an isolation ward in Lagos, Africa’s largest city. With doctors on strike, Lagos Health Commissioner Jide Idris said volunteers were urgently needed to track 70 people who came into contact with Mr. Sawyer. Only 27 have so far been traced.

“We have a national emergency; indeed, the world is at risk," Nigerian Health Minister Onyebuchi Chukwu said after a weekly Cabinet meeting in Abuja. “Nobody is immune. The experience in Nigeria has alerted the world that it takes just one individual to travel by air to a place to begin an outbreak.”

U.S. health regulators authorized an Ebola diagnostic test developed by the Pentagon for use abroad on military personnel, aid workers and emergency responders in laboratories designated to help contain the outbreak. The test is designed for use on people who have symptoms of Ebola infection, are at risk or may have been exposed. It can take as long as 21 days for symptoms to appear after infection.

In Saudi Arabia, a man suspected of contracting Ebola during a recent business trip to Sierra Leone also died early Wednesday in Jeddah, the Health Ministry said. Saudi Arabia has already suspended pilgrimage visas from West African countries, which could prevent those hoping to visit Mecca for the haj in early October.

Liberia, where the death toll is rising fastest, is struggling to cope. Many residents are panicking, in some cases casting out bodies onto the streets of Monrovia to avoid quarantine measures, officials said. Beneath heavy rain, ambulance sirens wailed through the otherwise-quiet streets of Monrovia, as residents heeded a government request to stay at home for three days of fasting and prayers.



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