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Ebola update: 17 Nov 14

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Case Report:  There has been an increase of 191 confirmed, suspected, and probable Ebola virus disease cases (+6 deaths), bringing the total to 14,641 cases (5,554 deaths) in Guinea, Liberia, Sierra Leone, Senegal, Nigeria, United States, Spain, and Mali. On Nov. 12, 2014, World Health Organization (WHO) said, "[t]here is some evidence that case incidence is no longer increasing nationally in Guinea and Liberia, but steep increases persist in Sierra Leone." WHO, U.N. officials, and U.S. officials have warned that it is too early to say the epidemic has peaked and that underlying problems still exist. Spain is expected to be declared free of Ebola transmission on or about Nov. 17, 2014.

Risk to DOD Personnel: Airborne Ebola transmission is extremely unlikely. There is significant risk to U.S. military medical personnel who care for critically ill Ebola patients or handle patients or samples without essential barrier precautions; risk to non-medical Department of Defense personnel is low provided there is no contact with sick people or infected animals.

Travel Advisory: The U.S. announced on Oct. 21, 2014, that all flights carrying travelers from the affected West African nations must enter the U.S. through one of the five designated airports that are conducting enhanced screening for Ebola (JFK, Newark Liberty, Washington Dulles, Chicago O'Hare, and Hartsfield-Jackson Atlanta)

Special Interest: (CNN) Nov. 17, 2014, -- A physician who spent time treating Ebola patients in West Africa died from the virus Monday in Nebraska. The death of Dr. Martin Salia, who contracted Ebola in Sierra Leone, marks the second time Ebola has claimed a victim in the U.S.