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U.S.-built Ebola treatment centers in Liberia are nearly empty as outbreak fades – The Washington Post

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U.S.-built Ebola treatment centers in Liberia are nearly empty as outbreak fades – The Washington Post.

Near the hillside shelter where dozens of men and women died of Ebola, a row of green U.S. military tents sit atop a vast expanse of imported gravel. The generators hum; chlorinated water churns in brand-new containers; surveillance cameras send a live feed to a large-screen television.

There’s only one thing missing from this state-of-the-art Ebola treatment center: Ebola patients.

The U.S. military sent about 3,000 troops to West Africa to build centers like this one in recent months. They were intended as a crucial safeguard against an epidemic that flared in unpredictable, deadly waves. But as the outbreak fades in Liberia, it has become clear that the disease had already drastically subsided before the first American centers were completed. Several of the U.S.-built units haven’t seen a single patient infected with Ebola.

It now appears that the alarming epidemiological predictions that in large part prompted the U.S. aid effort here were far too bleak. Although future flare-ups of the disease are possible, the near-empty Ebola centers tell the story of an aggressive American military and civilian response that occurred too late to help the bulk of the more than 8,300 Liberians who became infected. Last week, even as international aid organizations built yet more Ebola centers, there was an average of less than one new case reported in Liberia per day…

The Rise of Antibiotic Resistance – NYTimes.com

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The Rise of Antibiotic Resistance – NYTimes.com.

“The World Health Organization has surveyed the growth of antibiotic-resistant germs around the world — the first such survey it has ever conducted — and come up with disturbing findings. In a report issued late last month, the organization found that antimicrobial resistance in bacteria (the main focus of the report), fungi, viruses and parasites is an increasingly serious threat in every part of the world. “A problem so serious that it threatens the achievements of modern medicine,” the organization said. “A post-antibiotic era, in which common infections and minor injuries can kill, far from being an apocalyptic fantasy, is instead a very real possibility for the 21st century.”

The growth of antibiotic-resistant pathogens means that in ever more cases, standard treatments no longer work, infections are harder or impossible to control, the risk of spreading infections to others is increased, and illnesses and hospital stays are prolonged.

All of these drive up the costs of illnesses and the risk of death. The survey sought to determine the scope of the problem by asking countries to submit their most recent surveillance data (114 did so). Unfortunately, the data was glaringly incomplete because few countries track and monitor antibiotic resistance comprehensively, and there is no standard methodology for doing so.

Still, it is clear that major resistance problems have already developed, both for antibiotics that are used routinely and for those deemed “last resort” treatments to cure people when all else has failed…”

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