Haemorrhagic fever / Ebola outbreaks have been reported - accident, natural or bio-weapon?

[Ammit]

I agree Sheme,
Best wishes to her. It would be such a shame for her to lose this fight after doing such good work for others.

[Bob]

It would be critical to understand WHAT drugs she was or was not given, and WHY was not the antibody serum from the other male Nurse from UK who had the zMapp product working..

I would ask also, if the antibodies in Pooley's blood were for one particular strain from months ago, and her strain now is a sufficiently MUTATED STRAIN.... oye.. (sigh), that means the mutation will possibly not work with the current vaccines claimed to be effective..

In the States, there is the latest 'flu shot' supposedly able to have mixed strain capability.. How EVER.. it appear that the virus used from back earlier in the year for one component of the 'flu' vaccine has sufficiently mutated in 9 months that it is useless...

M U T A T I O N is the buzzword, which was discussed back in AUGUST, then SEPTEMBER, and then rapidly, and I MEAN RAPIDLY hush hushed..

Here we may be seeing the results of mutation.. Pray for her.

[Ammit]

Bob, It is the mutation possibility that scares me.
I am not very well versed on the mutation factors for any virus but, am aware in my mind that as we are all different any virus caught would be modified within our own bodies to match our body. Once left or contracted by another then that `mutated` for our body would not match another person and would reduce the chances of any treatment being as effective.

With the Ebola virus, this scares me a great deal as again "in my mind" many would die before any generic treatment would be usable across the board as many mutations could arise around the world.

[Bob]

Posted by Ammit (here)
Bob, It is the mutation possibility that scares me.
I am not very well versed on the mutation factors for any virus but, am aware in my mind that as we are all different any virus caught would be modified within our own bodies to match our body. Once left or contracted by another then that `mutated` for our body would not match another person and would reduce the chances of any treatment being as effective.

With the Ebola virus, this scares me a great deal as again "in my mind" many would die before any generic treatment would be usable across the board as many mutations could arise around the world.

That's the feeling with me too. Which is why I have watched the filoviruses, Ebola AND Marburg (Marburg since the late 1960's). Some scientists depending on their, 'bent' would prefer to believe that a virus is "stable" doesn't mutate (much).. others have looked at a virus with a high "burn rate" (how fast it kills), and have seen, if the virus kills its hosts 'too fast' the virus won't have a chance to mutate (much) in those whom it has infected, thereby remaining stable (in the present extremely rapid kill rate)..

Strange logic, to assume that the 'virus' wants to spread and survive and affect the most hosts.. It would be a great study some time, to understand the complexity or simplicity of the viral mechanism.. is it a mere crystal growth phenomenon with a "virus", or is the some sort of evolving consciousness?

For the virus to achieve longevity then, a mutation must SLOW down the viral spread, or the amount of deaths should go DOWN, not up..

But, with a Faster Burn rate, less hosts (bodies), so any chance of mutation would be less, due to less hosts in which to mutate..

What are we seeing.. DEATH rate going DOWN, not up, therefore longer viral presence in the body is possible, with more hosts remaining alive longer.. Now is that because of a "self-cure" immunity actually defeating the virus, or has it changed its structure? This is where it is important to KEEP analyzing the viral structure, by taking samples and looking to see, is it being defeated, or is the virus changing so that the VIRUS can survive longer (mutation is sometimes looked at as a way for the infection to develop a method to survive)..

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3378103/ National Centers and Libraries of Medicine references.. towards the middle of the page discusses mutation and stability..

Why don't humans for instance keep mutating? DNA has a proof reading mechanism that checks each reproduced DNA copy for accuracy and incorporates repair mechanisms if something goes wrong with the CODE..

Many viruses do NOT have the proof reading mechanisms, nor repair mechanisms, so when something happens, such as an attack by another virus, or bacteria enzyme or radiation blip, or toxic substance, there may be enough damage to the VIRUS that a mutation happens..

Think about this.. A partial KILL (destruction of the virus's ability to infect and thereby reproduce) could be achieved by imparting to the virus a weak killing substance, something that just injures it.. and off we go with a mutation now when the virus replicates.. What could be a weak substance.. lot's of things, especially free radical generators - plenty of research on what a free radical generator substance is.. Normally Nitric Oxides produced in the mitochondria of a mammal cell will produce the free radical which will continually attempt to destroy the viral protein.. If the mitochondria is healthy and strong and not defeated by the virus, the mammal cell may win, but be quite damaged, and having taken out the virus with it.. So playing around with ingesting "some" free radical substances in hopes that it will "reach all the viruses" and NOT kill the other mammalian cells is a kind of crap shoot..

The thing to know, is the human cell, has the repair mechanism, which if not damaged BY the free radical excesses, probably could be in better shape than a damaged virus.. BUT a damaged virus not completely killed would be a candidate MORE SO for mutation...

I doubt people will connect the dots in general as it requires visualization to understand how mutation happens in viruses (very easy without repair mechanisms).. and that taking any sort of substance which is NOT part of the normal mammalian cell protein and enzyme and natural free radical generation engines, can very well induce viral mutation, and thereby a risk exists, that the mutation in the virus would be created by incomplete "treatment" steps..

[Bob]

POSSIBLE, case of Ebola coming to the US, Nebraska center, for "observation"

An American medical worker who was exposed to Ebola while in Sierra Leone was set to arrive at Nebraska Medical Center Sunday for observation.

The patient “experienced a high-risk exposure” to the deadly virus but “is not ill and is not contagious,” hospital officials said in a statement.

“However, we will be taking all appropriate precautions,” Dr. Phil Smith, the medical director of the Omaha hospital’s Biocontainment Unit, said.

The health care worker was scheduled to arrive around 2 p.m. CST.

Officials said the patient will be monitored for signs of the infectious disease during the 21-day incubation period.

(Source)

[Bob]

Deaths of Ebola up to 8220

(Source)

GENEVA, January 6. /TASS/. The death toll from the current Ebola outbreak has reached 8,220. As many as 20,712 are infected, the World Health Organization (WHO) said in a statement on Tuesday.

These cases were reported from Guinea, Liberia, and Sierra Leone.

In line with statistics, the maximum number of Ebola-related deaths and cases has been registered in Liberia - 3,496 cumulative deaths and 8,157 cumulative cases.

Liberia is followed by Sierra Leone (2,943 deaths and 9,780 cases) and Guinea (1,781 deaths and 2,775 cases).

The number of Ebola deaths in these three countries rose by 56 and the number of cases rose by 67 since January 5.

[Bob]

Brincidofovir a potent broad spectrum ANTI-VIRAL described earlier in this thread is finally being tested en-masse in West Africa for an attempt to see how effective it will be against the Filovirus hemorrhagic fevers. Ebola is one of those filoviruses which has gained worldwide attention.

(Source)

University of Oxford researchers are offering patients in Liberia a new drug for Ebola

University of Oxford researchers have launched a trial of the drug, brincidofovir, in Doctors Without Borders’ Ebola center in Monrovia.

The drug has previously been used to treat patients with Ebola in the United States, like Thomas Eric Duncan, NBC cameraman Ashoka Mukpo, and Dr. Craig Spencer.

When patients at the unit are informed they have Ebola, they will be offered the opportunity to participate in the trial. Patients who volunteer will be given two weeks of brincidofovir. The researchers estimate there will be about 140 participants.

“Typically it takes over 18 months to start a trial.

"Here we have done it in less than four months,” Trudie Lang, an Oxford University professor, said in a statement.

“Everyone has pulled together to make it happen—a Herculean effort by all those involved.”

Brincidofovir is manufactured by the pharmaceutical company Chimerix in Durham, N.C. The trial is funded by the biomedical research foundation, the Wellcome Trust.

[Bob]

Another doctor back from the hot zone VOLUNTARILY says quarantine IS BEST..

(Source)

DURHAM, N.C. — Health officials consider Dr. George Peohlman a low-risk for Ebola, but the retired Durham doctor isn’t taking any chances.

Peohlman self-quarantined himself after returning from an eight week mission trip to Liberia at the end of December.

He’s avoiding groups of people and is reporting his temperature daily to the Durham County Health Department.

“If I were to develop a fever for whatever cause, I would end up in the hospital three days until they rule out Ebola,” he said via phone from his home. “So I kind of put myself in reverse isolation.”

Peohlman was in Liberia to treat Ebola patients and help the non-profit group Heart to Heart International set up an Ebola treatment unit.

He saw the trip as fulfilling his sense of duty.

Dr. Peohlman said he is not showing any signs of the virus. His self-quarantine expires Jan. 20.

There are smart and ethical people out there.

[Bob]

Denver Health, Denver Colorado

Has received a patient as ordered by the Health Department to check the patient for Ebola.

DENVER - Denver Health paramedics transported a patient to Denver Health who will be tested for the Ebola virus.

The patient had recently returned from affected areas in Africa and was being monitored per health department protocols.

Symptoms may appear anywhere between two to 21 days after exposure and include a fever, muscle pain, weakness, diarrhea, vomiting, abdominal pain and lack of appetite. The patient was transported early this morning in a specialized ambulance that has now been removed from service until testing is completed.

(Source, 9 News local Denver)

The testing is being undertaken at the request of officials at the Colorado Department of Public Health and Environment, the hospital said in a news release. Public health officials say the patient is "considered low-risk" but that they are still "exercising extreme caution."

"We are taking all the necessary precautions to protect both our patients and staff, even though the infection with the virus is not confirmed," Dr. Connie Price, the hospital's chief of infectious diseases, said in a statement. "We have staff trained specifically to assist with patients who may have contracted the Ebola virus."

[Bob]

The Arvada, Colorado man who is in Denver Health Medical being monitored for Ebola, has had a clear negative on the first Ebola test.

(Source)

The hospital though and doctors they say they do not KNOW at this time what is causing his symptoms.. SO he will continue to be monitored for at least 3 days more (assuming that the incubation time is what they are expecting to watch for.. the 10 day typical symptom window as the measure, although they have said up to 21 days could be the window)..

Even if first tests are negative, he said, additional testing could be conducted over the next few days because it can take up to three days after symptoms begin for the virus to reach detectable levels.

"We are taking all the necessary precautions to protect both our patients and staff.."

And the person is having symptoms of something that "looks like" Ebola.. So they are in wait mode right now..

MEANWHILE some good news, Over in Britain, Ebola nurse Pauline Cafferkey 'no longer critical' and showing signs of improvement, Royal Free Hospital confirms. She had turned for the worse for a bit, then had started recovering. (Source) She was treated with blood serum from nurse Pooley who survived (who was treated with zMapp monoclonal antibody treatment), and some non-stated anti-viral treatment drug.

[Bob]

All predictions wrong? Many predictions wrong, or No predictions wrong?

(Source)

It wasn't just the CDC that got it wrong. Back in August, before the outbreak really began to pick up steam, the chief scientist at Britain's Department for International Development said the worst of the crisis appeared to have passed in Guinea. After his declaration, the incidence of Ebola in Guinea would increase nearly fivefold from roughly 30 cases a week in early August to more than 150 cases a week in early December.

Early on officials at the World Health Organization predicted that Ebola would be contained at only a few hundred cases. A few months later the Centers for Disease Control and Prevention was predicting up to 1.4 million cases by January 20, 2015 in Sierra Leone and Liberia alone. That calculation turned out to be wildly inflated. As of this week, WHO has counted roughly 21,000 cases.

"The idea of predicting infectious disease is relatively new. It's not like weather predictions," says Jeffrey Shaman, who despite the novelty of the field has been posting forecasts of the number of Ebola cases in Guinea, Sierra Leone and Liberia since September.

Shaman is an associate professor at Mailman School of Public Health at Columbia University in New York. He says that the main challenge in creating models to predict the direction of the Ebola outbreak has been a lack of reliable information. Case reporting was all over the map, from non-existent to sketchy to not bad.

"The information we have, our window into it, is very limited from where we sit," he says.

"We don't know how much of it is reliable, whether there are biases that are shifting, whether the [new] practices and controls are coming into effect and working as well as we hope they would. All that will change the dynamics of the disease."

Throughout the Ebola outbreak the two big questions have always been:

How bad is this going to get? And when is it going to end?

Current data show that the numbers of new cases are dropping in all three of the hardest-hit West African countries.

A new study predicts Ebola could be eliminated from Liberia by June. Earlier Liberia was predicting it would be over by now.

Roulette anyone?

[Bob]

Mail declares itself Ebola-Free, no cases being reported

The country has gone 42 days without reporting a new case

Mali is officially Ebola-free after going 42 days without reporting a new case, Source: according to the World Health Organization.

--------------------

(Source)

Japan reporting possible case

A Japanese woman in her 70s who returned from Sierra Leone last week has been taken to the National Center for Global Health and Medicine hospital after fears she might be infected with the deadly Ebola virus, government officials said Sunday.

After arriving in Japan on Tuesday from the West African nation for a temporary homecoming, she saw her body temperature rise beyond 38 degrees Celsius on Sunday afternoon, the officials said.


A sample of her blood will be sent to the National Institute of Infectious Diseases to check for Ebola.

Apparently, the woman did not come into direct contact with any Ebola patients during her stay in Sierra Leone, the officials said.

[Bob]

New Jersey, USA - airline passenger being treated for Ebola. ( is how the page/article reads - is it Ebola, or not? )

(Source)

Airline passenger hospitalized for Ebola symptoms in New Jersey after arriving from West Africa: hospital

The unidentified United Airlines passenger was reportedly returning from treating Ebola patients in Sierra Leone when she began vomiting and exhibiting a fever upon arrival at Newark Liberty Airport Monday.

The sick passenger has been described as a health care practitioner who had been working with Ebola patients in Sierra Leone. She was removed and taken to Hackensack University Medical Center.

A United Airlines passenger showing symptoms of the Ebola virus has been hospitalized after landing at Newark Liberty International Airport from an Ebola affected country, local health officials have confirmed.

The unidentified female passenger has been described as a health care practitioner who had been working with Ebola patients in Sierra Leone, a source familiar with the response told NewJersey.com. (High risk category, allowed to fly back from hotzone area, but through a checkpoint airport...)

She’s described as vomiting and exhibiting a fever on the plane before taken to Hackensack University Medical Center in New Jersey for treatment Monday afternoon.

"Please rest assured that our dedicated team of healthcare providers is taking every precaution in treating this patient and they are led by our Infection Control team, working in accordance with protocols provided by the U.S. Centers for Disease Control and Prevention," Joseph Feldman, the hospital's Chairman of Emergency Services, said in a statement.

(oops..)

Medical personnel met the flight carrying 248 passengers upon its arrival from Brussels just before 2 p.m., a United Airlines spokesman told the Daily News.

“Passengers and crew stayed on the plane until the medical personnel cleared the aircraft," they stated.

The sick passenger is said to have transferred through Brussels.

A fellow passenger onboard the plane tweeted that five medical personnel wearing hazmat suits boarded the flight after its arrival.

Several individuals were escorted off the plane as the remaining passengers were asked to fill out health forms, Charlton-Trujillo tweeted.

Newark is one of five airports in the U.S. designated as a point of entry for passengers arriving from West African countries affected by the virus. Those countries are Sierra Leone, Liberia and Guinea.

No data yet on the "instant tests", or 24 hour tests, or 72 hour tests.. We shall see.

Not to be ignored, or poo poo'd or shoved to the back of the line.. its not gone until there are NO MORE cases anywhere for at least 42 days..

[Baby Steps]

Hi,
Further info from Dr Shallenberger on what African Doctors are secretly using, when they can, to defeat this virus

How African doctors fight their
own Ebola - and why they can't
give it to their patients


The nightmare continues. It's hard to imagine the inhumanity that can go on in the name of ignorance, power, and money. But I don't have to imagine it. I witness it every day.
You may remember that after Drs. Rowen and Robbins went to Sierra Leone, The American Academy of Ozonotherapy sponsored another ozone specialist to go to Sierra Leone a few weeks ago. Because of the politics going on in Sierra Leone, I am not going to use his real name. I'll call him Mike.
The academy sent Mike in armed with ozone generators, vitamin C, and other supplies. The idea was simple. There is no effective treatment for the victims of Ebola infections. The combination of vitamin C and ozone therapy has been shown to be inexpensive, safe, and effective in every virus it has been used on to date. So we were expecting Mike to be getting back with all kinds of details of how lives were being saved in that impoverished country. Instead, this is what I am being told.
The UN in the form of the World Health Organization (WHO) is calling the shots in Sierra Leone. Here is their plan. If someone gets Ebola, everyone in their home is confined to the home with an armed guard out front. Families that are well off can have food and water brought in. Poor families cannot. They often end up dying from lack of sanitation, starvation, or dehydration. They might not be dying of Ebola, but they are pretty much dead anyway. But that's not all.
The home then gets declared a "Red Zone." This means that only personnel authorized by the ministry of health are allowed in or out. The doctors who have been trained to use vitamin C and ozone therapy are not allowed to go into the home. The net effect is that the people confined to the house are not able to get any therapy at all to strengthen them against a possible infection. All they can do is wait. So what happens in the event that they do get Ebola?
If they start to get sick with anything, they call 117. The next thing is that an ambulance comes by and takes them to another quarantine holding center where they are tested for Ebola. According to Mike, "If they didn't have Ebola before they went there, they will have it after they get there!" If the test comes back positive, the patient is then taken to the "treatment center." The official WHO "treatment" that they will get is Tylenol, a known liver toxin, and IV fluids.





If the patient has money, he might be able to get the only other WHO approved treatment, convalescent serum therapy. This has been used successfully in the U.S. But in Third World countries, it is risky. If the blood is not cross matched adequately, the patient will die from the treatment rather than the disease. If you get into a treatment center, the odds are 60-70% that they will carry you out in a body bag. Only those with the strongest immune systems will survive. So in view of these terrible numbers, surely the government has allowed at least a few victims to be treated with ozone and vitamin C?
So far no. But Mike told me about three doctors who were working with Ebola patients that did get the treatment. All three of them came down with symptoms characteristic of Ebola. They were not tested for Ebola because if they had tested positive they would have been condemned to the "treatment centers" and would never have been able to get the ozone and vitamin C. And here's the thing. All three of them were completely cured within 48 hours after receiving the treatment protocol. But it's a catch-22 situation. If you test positive for Ebola, you are not allowed to get the ozone and vitamin C therapy. So the only cures we have are in patients in whom we can't prove had Ebola. The ignorance continues to be astounding!
I wrote a letter to Mr. Theo Grace. Mr. Grace is a WHO technical officer working with the Ebola crisis. I explained to him that ozone therapy has been used for the past 60 years all over the world, and that it has been shown to be entirely safe. I listed various efficacy studies published in the international literature showing ozone to be effective for various viral infections. Here are some excerpts from his response:
"Dear Dr. Shallenberger, Thank you for this clarification. I would add that a thorough review by the FDA has found no effect from the use of ozone at sub-toxic levels. Study into the use of vitamin C has shown no effect at usage beyond providing the RDA."
This is out-and-out deception. First of all, the FDA, while not a proponent of ozone therapy, has never conducted any kind of review of it much less a "thorough review." Secondly, many published studies have shown that intravenous vitamin C therapy is an effective treatment for cancer at doses tens of thousands of times above the RDA. I make no apology to Mr. Grace that although he may be a technical advisor to the WHO, he apparently has no problem shooting off his mouth about things that he knows nothing of while people are dying of a potentially easily curable disease. But it gets worse. He goes on:
"I will add that I am surprised to hear about the synergy of anti-viral agents and ozone in bacterial diseases. To reiterate the standard of evidence necessary (assuming no data can be provided in filo virus models) is a systematic review in a reputable journal, with peer review (to clarify a journal on ozone therapy would not be considered reputable in this case, much in the manner that a journal on GSK products would not be a reputable journal for their vaccine, as there are issues of vested interest)."
This is mumbly-jumbly for "I don't care what the facts are, I would rather have people die than to try something that I don't know anything about." The ignorance cries out. But answers are coming. Each week it seems that the actual doctors and nurses who are on the front lines caring for the sick are using ozone and vitamin C on their own. In the next update on this dire situation, I will tell you about some cases that are starting to turn the tide.

[Bob]

It's not Ebola, but what is it?

(Source)

in the above post, the passenger arriving in New Jersey has been cleared, with a statement, the person had been exposed (possibly) to something 21 days ago, and it's not presenting exactly AS Ebola..

Never-the-less, she will be monitored for 21 days "just like all travelers who are returning to the US from the affected countries of Liberia, Sierra Leone, and Guinea."

The unidentified health care worker was originally taken directly from the plane - while it was still on the tarmac - to Hackensack University Medical Center, one of three N.J. hospitals that stand ready to evaluate a suspected case of Ebola. She arrived at the hospital Monday afternoon, just hours after her flight from Brussels landed at Newark Liberty International Airport.

Her improved health - combined with her negative Ebola tests - meant she could be released Tuesday evening, according to the hospital. With 'something', but NOT Ebola..

[Bob]

Montreal Quebec Canada - Ebola patient? Unknown at this time..

(Source)

A patient at a hospital in Quebec’s Lanaudiere region is being tested for Ebola, but the region’s health authority says the individual is at a low risk of having the virus.

The patient started to have a fever and diarrhea 16 days after returning from an Ebola-stricken part of Africa, a time gap the region’s public health director says considerably reduces the chances of infection.

This is the sixth time since the Ebola outbreak in Africa that health authorities have isolated a patient in Quebec.

None of the five previous patients turned out to have the deadly virus.

“Usually, the incubation period for Ebola is between seven and 10 days,” Lafarge said. “But the surveillance plan for people who return from one of those countries is 21 days, in order to not take any chances.”

Lafarge said the patient called the public health authority as soon the symptoms showed on Tuesday.

UPdate - http://www.cbc.ca/news/canada/montre...tive-1.2921296 Patient in the first test shows NEGATIVE..

Again, what IS IT that people are coming back with? If not Ebola, WHAT ??

[Violet]

Is there any confusing overlap between seasonal flu (now reaching highest point in my locale) symptoms and ebola's?

[Bob]

Posted by Violet (here)
Is there any confusing overlap between seasonal flu (now reaching highest point in my locale) symptoms and ebola's?

There are overlaps in symptoms.. With folks coming over from West Africa, there is a hemorrhagic fever called LASSA FEVER.. the death statistics are like the reverse of Ebola.. fever seems to be a lower grade than Ebola and folks generally recover..

Thing is, if they are using these airports to just check for "fevers" and then the blood tests are checking for Ebola, but people are presenting sickness.. Was it flu? Was it Lassa? was it another virus?

The state of the diagnostics is not conclusive.. Ebola has garnered a lot of coverage, but other diseases escape the testing procedures.. What is needed is a better diagnostic to determine what IS coming in.. Flash had reminded all of the SARS that hit Canada, and that is viral in nature..

I just read another article about Ebola 'treatments', i.e., the monoclonal antibody treatment designed to go after one particular unique set of proteins (on a couple strains) of the virus may not be sufficient as the virus still continues to mutate.. Which is why they continue to create vaccines, with the logic that last year's strain is mutated sufficiently that the body won't have a 'vaccine' defence against it.. Same with Ebola vaccines.. May work for a little bit, then the virus makes a way to get around the vaccine..

An interesting anecdote about "why" the virus seems to be diminishing in certain parts of the 3 hotzone countries.. The current policy is quarantine in-home.. A guard is placed outside, armed.. nobody goes in or out.. If the infection exists inside, it is allowed to burn out (read kill the inhabitants).. Folks are afraid to report symptoms for that reason.. Those that manage to get transported to some clinic don't get adequate support... but they are starting to catch on to proper burial, and or cremation of the dead..

[Violet]

In-home is going to be difficult now with a new fever in town: the Africa cup (which Morocco refused, btw, and was penalised for).

[Bob]

Ebola Mutation Update

(Source)

“We’ve now seen several cases that don’t have any symptoms at all, asymptomatic cases,” said human geneticist Dr. Anavaj Sakuntabhai.

“These people may be the people who can spread the virus better, but we still don’t know that yet. A virus can change itself to less deadly, but more contagious and that’s something we are afraid of.”

The outbreak has so far claimed 8,795 lives across the affected West African region

Scientists at a French research institute say the Ebola virus has mutated and they are studying whether it may have become more contagious.

===============================

Ebola outbreak: Complacency now a concern

Complacency looms as a big risk in the fight against the Ebola virus, those leading the battle say.

Although West Africa has about 50 new cases (confirmed, probable and suspected) every day, mostly in Sierra Leone, the rate of new cases is on a downward trend. But that has happened before during this epidemic.

In May, for example, the World Health Organization projected that in a matter of days the Ebola outbreak in Liberia "could be declared over."

However, in July, the number of cases in Liberia began to rise rapidly, peaking in August and September, followed by an equally rapid decline."

"Three months ago, health workers were identifying about 240 new cases a day in West Africa. Now the WHO talks about new case numbers halving, because in Guinea new case numbers go down by half every 10 days, in Liberia every 14 days and in Sierra Leone every 19 days.

As it released those numbers, the WHO warned, "Complacency is the biggest risk to not getting to zero cases. Continued vigilance is essential."