CDC Director: Ebola Outbreak ‘Is Spiraling Out Of Control’
ATLANTA (CBS Atlanta/AP) — The director for the Centers of Disease Control and Prevention says that the Ebola outbreak is going to get worse.
Speaking to “CBS This Morning” following his trip to the West African countries dealing with the outbreak, Dr. Tom Frieden explained that they have to act now to try to get Ebola under control.
“It is the world’s first Ebola epidemic and it is spiraling out of control. It’s bad now and it’s going to get worse in the very near future,” Frieden told CBS News. “There is still a window of opportunity to tamp it down, but that window is closing. We really have to act now.”
Frieden, who visited Liberia, Sierra Leone and Guinea, will tell Washington tomorrow that the Ebola outbreak is “spiraling upward.” The CDC director explained that these countries still need help to deal with the deadly outbreak.
“We need to support countries with resources, with technical experts and with cooperation. Too many places are sealing off these countries,” Frieden told CBS News. “If we do that, paradoxically, it’s going to reduce safety everywhere else. Whether we like it or not, we’re all connected and it’s in our interest to help them tamp this down and control it.”
Frieden said that they cannot wait for vaccines to deal with the disease.
“Vaccines and treatments may come along, but right now what we have are tried and true methods that we have to scale up. They have worked in prior outbreaks but we are not getting to scale,” Frieden told “CBS This Morning.” “The epidemic is going faster than we are. We need to scale up our response. We can hope for new tools and maybe they’ll come, but we can’t count on them.”
During a CDC briefing Monday afternoon, Frieden reiterated his comments to CBS News and said that the outbreak is “now increasing rapidly.”
“This is not just a problem for West Africa, not just a problem for Africa, it’s a problem for the world and the world needs to respond,” Frieden said.
He added: “We need help now. We know how to stop it.”
An experimental drug, ZMapp, recently healed all 18 monkeys infected with the deadly virus in a study, boosting hopes that the treatment might help fight the outbreak raging through West Africa — once more of it can be made.
The monkeys were given the drug three to five days after they were infected with the virus and when most were showing symptoms. That is several days later than any other experimental Ebola treatment tested so far.
The drug also completely protected six other monkeys given a slightly different version of it three days after infection in a pilot test. These two studies are the first monkey tests ever done on ZMapp.
“The level of improvement was utterly beyond my honest expectation,” said one study leader, Gary Kobinger of the Public Health Agency of Canada in Winnipeg.
“For animal data, it’s extremely impressive,” said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, which had a role in the work.
It’s not known how well the drug would work in people, who can take up to 21 days to show symptoms and are not infected the way these monkeys were in a lab.
Several experts said it’s not possible to estimate a window of opportunity for treating people, but that it was encouraging that the animals recovered when treated even after advanced disease developed.
The study was published online Friday by the journal Nature.
ZMapp had never been tested in humans before two Americans aid workers who got Ebola while working in Africa were allowed to try it. The rest of the limited supply was given to five others.
There is no more ZMapp now, and once a new batch is ready, it still needs some basic tests before it can be tried again during the African outbreak, Fauci said. “We do need to know what the proper dose is” in people and that it’s safe, he said.
Ebola has killed more than 1,500 people this year and the World Health Organization says there could be as many as 20,000 cases before the outbreak is brought under control. Last Friday, it spread to a fifth African country — Senegal, where a university student who traveled there from Guinea was being treated.
There is no approved vaccine or specific treatment, just supportive care to keep them hydrated and nourished. Efforts have focused on finding cases and tracking their contacts to limit the disease, which spreads through contact with blood and other fluids.
ZMapp is three antibodies that attach to cells infected with Ebola, helping the immune system kill them.
Of the seven people known to have been treated with ZMapp, two have died — a Liberian doctor and a Spanish priest. The priest received only one of three planned doses. The two Americans recovered, as have two Africans who received ZMapp in Liberia — a Congolese doctor and a Liberian physician’s assistant who were expected to be released from a treatment center on Saturday. A British nurse also got the drug, reportedly the two unused doses left over from treating the Spanish priest.
Doctors have said there is no way to know whether ZMapp made a difference or the survivors recovered on their own, as about 45 percent of people infected in this outbreak have.
ZMapp’s maker, Mapp Biopharmaceutical Inc., of San Diego, has said the small supply of the drug is now exhausted and that it will take several months to make more. The drug is grown in tobacco plants and was developed with U.S. government support.
Kobinger said it takes about a month to make 20 to 40 doses at a Kentucky plant where the drug is being produced. Officials have said they are looking at other facilities and other ways to ramp up production, and Kobinger said there were plans for a clinical trial to test ZMapp in people early next year.
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