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'Ebola death rates 70%' study shows | |
(about 1 hour later) | |
Ebola infections will treble to 20,000 by November if efforts to tackle the outbreak are not stepped up, the World Health Organization has warned. | |
A new analysis suggests about 70% of those infected have died, higher than the 50% previously reported. | |
There have been 2,800 deaths so far and the disease remains "a public health emergency of international concern", the UN agency said. | There have been 2,800 deaths so far and the disease remains "a public health emergency of international concern", the UN agency said. |
Trials of experimental drugs are being fast tracked in West Africa. | |
And more than 160 NHS staff have volunteered for UK efforts to help in the outbreak. | |
UK staff will be based at a 62 bed treatment centre in Sierra Leone, said chief medical officer for England, Prof Dame Sally Davies. | |
And she confirmed at a meeting of UK experts in London that the British nurse who survived Ebola, William Pooley, has volunteered to give blood that could help treat patients. | |
Forward projections | |
Meanwhile, more information on the spread and likely scale of the epidemic has emerged. | |
Projections published in The New England Journal of Medicine suggest by early November there will have been nearly 20,000 cases. | |
A new analysis of confirmed cases suggests death rates are higher than previously reported at about 70% of all cases. | |
And WHO scientists said numbers were predicted to rise exponentially, raising the possibility that the disease could become endemic [regularly found] in West Africa. | |
Nearly all of the deaths in the world's worst Ebola outbreak have been recorded in Guinea, Liberia and Sierra Leone. | Nearly all of the deaths in the world's worst Ebola outbreak have been recorded in Guinea, Liberia and Sierra Leone. |
Dr Christopher Dye, Director of Strategy for WHO, said projections suggest "unless control measures - including improvements in contract tracing, adequate case isolation, increased quality of care and capacity for clinical management, greater community engagement, and support from international partners - improve quickly, these three countries will soon be reporting thousands of cases and deaths each week". | |
Dr Dye, co-author of the study, called for "the most forceful implementation of present control measures and for the rapid development and deployment of new drugs and vaccines". | |
It came as The Wellcome Trust charity announced that experimental drugs would be tested in West Africa for the first time. | |
Several drugs are under development, but they have not been fully tested and most are in very short supply. | Several drugs are under development, but they have not been fully tested and most are in very short supply. |
They include the drug ZMapp, which has been given to a handful of infected health workers. | They include the drug ZMapp, which has been given to a handful of infected health workers. |
Ethical issues | Ethical issues |
Dr Peter Horby, of the Centre for Tropical Medicine and Global Health at the University of Oxford, said the first trials could begin in West Africa as early as November. | Dr Peter Horby, of the Centre for Tropical Medicine and Global Health at the University of Oxford, said the first trials could begin in West Africa as early as November. |
"We want to evaluate these carefully, properly, in affected countries in West Africa," he told the BBC. | "We want to evaluate these carefully, properly, in affected countries in West Africa," he told the BBC. |
"For the next one or two weeks we'll be doing site assessments and we'll be working with the WHO on identifying which drugs to prioritise, and then there'll be a number of steps in setting up the systems - getting ethical approval through the countries and getting community participation and agreement to run the trials. | |
"Currently our wish is that we would hope to be able to enrol some patients sometime in November - that would be extremely quick by most clinical trial standards." | "Currently our wish is that we would hope to be able to enrol some patients sometime in November - that would be extremely quick by most clinical trial standards." |
Dr Jeremy Farrar, director of the Wellcome Trust, said therapeutics alone were not an answer. | Dr Jeremy Farrar, director of the Wellcome Trust, said therapeutics alone were not an answer. |
"The answer really is public health interventions," he said. "But I do think vaccines and drugs are going to play a role." | "The answer really is public health interventions," he said. "But I do think vaccines and drugs are going to play a role." |