Thursday, 30 October 2014

Reports: Wayne Rooney could start instead of Robin van Persie for Man Utd against Man City

By Daniel Anwar

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Wayne Rooney could replace Robin van Persie in the Manchester United team against rivals Manchester City on Sunday, reports the Daily Mail.
Rooney has been suspended for United’s last three games after being shown a straight red card in the 2-1 win against West Ham, but the captain is eligible for selection again, and Louis Van Gaal has told him he will start against City. He has scored three goals and registered two assists in six league appearances this season.
The 29-year-old had been playing in the number ten role before his suspension, but Robin van Persie could make way for him up front after a number of quiet displays.
Man United legend Bryan Robson backs Wayne Rooney ahead of his return against Man City
Van Persie scored a late equaliser in the 1-1 draw against Chelsea, but his overall game has been disappointing so far this season. He knows Louis van Gaal very well from their time working together for the Netherlands national team, though the manager’s presence at Old Trafford has not brought out the best in Van Persie as expected.
City are currently third in the table, four points ahead of United, though the defending champions have failed to win in their last three fixtures.
Rooney has a chance conversion rate of 25% in the Premier League this season.

Wednesday, 29 October 2014

Liberia Ebola crisis far from over , says WHO

2014-10-30 08:24

Geneva - The rate of new Ebola infections appears to be slowing in hard-hit Liberia, but the crisis is far from over, the World Health Organisation said on Wednesday.
"It appears that the trend is real in Liberia and there may indeed be a slowing of the epidemic there," WHO assistant director-general Bruce Aylward told reporters in Geneva.
"There is increasing evidence that these countries can get on top of this," he said.
Aylward added, though, that he was "terrified that the information will be misinterpreted and that people will begin to think Ebola is under control".
"That is like thinking your pet tiger is under control," he warned, pointing out that the deadly outbreak had seemed to slow previously only to come back with more virulence.
The Ebola outbreak that has been ravaging west Africa has claimed 4 922 lives, according to the latest update from the WHO. The vast majority of the deaths were in Liberia, Guinea and Sierra Leone.
Controversy over quarantine measures
Washington meanwhile ordered a 21-day quarantine for all US troops returning from west Africa, as controversy raged over the US government's attempts to prevent the spread of Ebola.
The move exposed a split between the US military and other government agencies, with civilian health workers subjected to less strict measures than American soldiers.
President Barack Obama hailed "heroic" US health workers battling Ebola, seeking to reassure the public amid the controversy over quarantine measures imposed by some authorities including the Pentagon.
Speaking at the White House after meeting with returned health workers including Kent Brantly, an American doctor infected with the often-deadly disease in Liberia, Obama said those who volunteer on the front lines "deserve our gratitude, and they deserve to be treated with dignity and with respect. "
He defended the "sensible, scientific" guidelines set out by the US Centres for Disease Control and Prevention on Monday.
The CDC has urged active monitoring of those at risk, meaning they must be checked for fever daily for 21 days and must restrict their travel and public activities for the duration of the virus's incubation period.
13 703 Ebola cases
Aylward said that the number of Ebola cases had soared to 13 703 - up from just over 10 000 the WHO reported on Saturday - but he stressed that the increase was mainly due to previously unreported cases being added to the statistics.
Liberia counted 6 535 cases, Sierra Leone had 5 235 and Guinea, where the outbreak began late last year, counted 1 906, he said.
Neighbouring Mali, where a two-year-old girl died from Ebola following a long bus ride from Guinea, had not yet detected any new infections, he added.
Aylward said data from a range of different sources - including from funeral directors and from treatment centres reporting lower Ebola patient admission rates - indicated a "downward trend" across much of Liberia.
A number of beds at Ebola treatment centres in the country were now empty, he said.
A rapid scaling up of information to the community about the deadly virus, contact tracing and implementation of safe burial practices had likely contributed to the positive trend seen in Liberia, Aylward said.
His cautious optimism on the situation in Liberia came a day after Obama and the Red Cross offered hope that progress was being made in the battle against the killer virus.
Obama insisted the disease "will be defeated". He also stressed that science, not fear, should guide the response to the virus.
US quarantines troops
There has been growing condemnation of Washington's rush to quarantine people who have come into contact with those suffering from Ebola, amid fears such strict measures could dissuade much-needed healthcare workers and others from travelling to the affected region.
Only two people have been infected with the virus on US soil, and both have been declared cured.
Nonetheless, California announced a new 21-day quarantine for anyone travelling from Ebola-afflicted countries who has had contact with someone infected with the disease. The move comes after similar measures were adopted in New Jersey and New York.
Also on Wednesday, Pentagon chief Chuck Hagel ordered a three-week quarantine for all US troops returning from west Africa, calling it a "prudent" measure to prevent the spread of the virus.
Hagel said the measure was adopted partly because military families urged the quarantine.
There are now about 1 100 US troops in Liberia and Senegal, with plans to boost the force to as many as 4 000 soldiers.
Meanwhile, the WHO said its main priority was still to increase the number of treatment centres in west Africa.
Anthony Banbury, the head of the United Nations Mission for Ebola Emergency Response (UNMEER), said more than 50 treatment centres were needed but only 33 had been set up.
The mission also faces challenges in deciding where to deploy its limited resources, he said at the office's Accra headquarters.
"We have to make sure though that the beds are placed at the right locations and that depends on good information on exactly where the disease is," Banbury said.

Quarantines rarely used, effectiveness questioned


State troopers and a television reporter stand across from the home where Kaci Hickox, a nurse who treated Ebola patients in West Africa, is staying, Wednesday, Oct. 29, 2014, in Fort Kent, Maine. Hickox said Wednesday she plans to stop quarantining herself in rural Maine, signaling a potential showdown with state police monitoring her home and state officials preparing to legally enforce the quarantine. She said she'll defy the state if the policy isn't changed by Thursday. Photo: Robert F. Bukaty, AP / AP
ASHINGTON (AP) — The Spanish flu pandemic a century ago prompted the last large-scale quarantines in this country. Now the Ebola outbreak is raising new questions about whether ordering quarantines is an effective way to fight deadly disease in the U.S.
Health experts say putting people into quarantine can be appropriate on a case-by-case basis. In a high-profile case in 2007, an Atlanta man believed to have a rare, extremely drug-resistant form of tuberculosis was ordered into federal quarantine after returning to the country from his wedding overseas. Later tests found a less dangerous form of TB.
Experts have criticized Govs. Andrew Cuomo of New York and Chris Christie of New Jersey for announcing quarantines for health workers returning from West Africa, where the Ebola virus is raging. The Centers for Disease Control and Prevention has announced less restrictive guidelines with different recommendations aimed at different groups.
Meanwhile, the Pentagon announced plans to go further than the CDC guidelines and put troops returning from Ebola response missions in West Africa in quarantine for 21 days — the incubation period for Ebola.
WHAT ARE THE LATEST FEDERAL RECOMMENDATIONS?
The CDC now recommends that people who are at highest risk for coming down with Ebola avoid commercial travel or attending large public gatherings, even if they have no symptoms.
Its updated advice to state and local officials separates people who've been around Ebola into categories. Those at highest risk are anyone who's had direct contact with an Ebola patient's body fluids, including health care workers who suffer a needle-stick injury during a patient's care.
Active monitoring is also recommended for people at some risk — those who've been in close contact with an Ebola patient — or low risk — those who've been in a country with widespread transmission.
WHAT ARE STATES DOING?
There's a range of responses from states, and some have yet to announce their approaches since the updated CDC guidelines were announced Monday.
New York, New Jersey, California, Illinois, Georgia, Florida and Maine are among those announcing 21-day quarantines for health care workers and others at risk arriving from Ebola zones in West Africa. Details of the quarantine procedures vary.
Connecticut has announced plans to quarantine people on a case-by-case basis.
The state approaches face a test from Kaci Hickox, the nurse who was confined to a tent in New Jersey after returning from West Africa. New Jersey officials discharged her home to Maine. She is fighting the home quarantine procedures there.
WHAT IS THE MILITARY DOING?
Defense Secretary Chuck Hagel on Wednesday announced a 21-day quarantine period for troops returning from West Africa, where nearly 1,000 of them have deployed to support efforts to combat the virus. Details were still being worked out.
Hagel said the policy had been sought by communities and families of members of the military. Although the move goes beyond CDC guidelines, President Barack Obama has made clear he feels the military's situation is different in part because troops are not in West Africa by choice.
WHEN HAVE QUARANTINES BEEN USED BEFORE IN THE U.S.?
Large-scale quarantines were used frequently during disease outbreaks in the 19th and early 20th centuries, including the influenza pandemic in 1918. Experts say it's not clear such quarantines were very effective.
In some cases, entire populations were isolated, such as a quarantine of Chinatown in San Francisco in 1900 in response to the bubonic plague. The quarantine order was struck down by a court after an outcry by residents.
Such large-scale quarantines have largely fallen into disuse with the rise of modern medicine, vaccines and antibiotics.
More recently, the spread of tuberculosis led authorities to quarantine individuals to make sure they were taking their medicine and following other protocols. More than 100 TB patients were detained in New York City between 1993 and 1995.
WHAT ABOUT ELSEWHERE?
The SARS epidemic led to large-scale quarantines in Asia and Canada in 2003, including around 30,000 people quarantined in Toronto, mostly at home. There's disagreement about whether the quarantine in Toronto was effective. Some believe it did limit the spread of the outbreak, while others say it was ineffective and inefficient and noncompliance was a problem.
WHAT ARE EXPERTS' CONCERNS ABOUT QUARANTINES FOR EBOLA?
Experts note that unlike SARS and the flu, Ebola is not easily spread to others by coughing or sneezing. Instead it requires direct contact with a sick person's bodily fluids while they are showing symptoms of the disease. So they question the need to quarantine people who are not showing symptoms.
Health officials also agree that the best way to protect the U.S. from the disease is to end the outbreak in West Africa. Doctors, nurses and other health workers are badly needed there, and experts worry that imposing quarantines here at home could discourage those volunteers.
"Being overbroad, being draconian is not necessarily the best way to keep us safe," said Wendy Parmet, a health policy expert at Northeastern University School of Law.

AN EXPERT DESCRIBES NON-STUPID WAYS TO USE EBOLA QUARANTINES

Photo via Wikimedia Commons
Chris Christie and Andrew Cuomo recently decided to quarantine medical workers who have come in contact with Ebola, despite many doctors and health experts telling them that their strategy is dumb. Ted Cruz and Rick Perry have also advocated for more fear-based isolation strategies. Doctors keep stressing calm, and explaining that American medical workers need to be able to travel to and from places like Liberia freely in order to fight the epidemic, and politicians keep itching to start quarantining everyone who has ever coughed.
Still, holding centers and isolation zones are are a fact of life in places like Liberia, and they need to be used carefully and correctly. I talked to Dr. Susan McLellan, a professor of both clinical and tropical medicine at Tulane University’s School of Medicine, who has also worked extensively in both Haiti and Rwanda. She told me what deceptively simple but effective things can be done, and why those things aren’t so simple in developing parts of Africa. She also told me about how fear can make everything worse.
VICE: What can holding centers in developing parts of the world can do to help stop the spread of infectious diseases?
Dr. Susan McLellan:
 In less developed parts of the world, it’s particularly difficult because copious running water, paper towels, and things like that are not necessarily easily available, so that makes a real difference. What places that are establishing treatment units are trying to set up is availability of heavily chlorinated water for cleaning as well as lots of personal protective equipment, and that ends up being the basics, as well as a way to feed people who are being admitted. 

Crew on ship arriving in Falmouth from Ebola hit West Africa 'to be monitored'

Crew on ship arriving in Falmouth from Ebola hit West Africa 'to be monitored'
Crew on ship arriving in Falmouth from Ebola hit West Africa 'to be monitored'
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First published  in News
Health officials have promised to monitor the health of the crew members arriving into Falmouth onboard two ships from Ebola hit Sierra Leone next month – including potentially taking their temperatures before they disembark.
Paul Cosford, director for health protection and medical director, at Public Health England, wrote to MP Andrew George after the West Cornwall member raised the issue at the Select Committee Ebola Inquiry.
Mr George, a member of the Health Select Committee, wanted reassurances when sharing the concerns of local people over the scheduled arrival of the ships, scheduled for the middle of November.
He questioned Mr Cosford, alongside chief medical officer Professor Dame Sally Davies and Professor Chris Whitty, chief scientific advisor at the Department For International Development.
Mr George said he has received a response from Mr Cosford, who wanted to give assurance that his local Public Health England colleagues were aware of the concern and would be “engaging proactively with the ships' captains and crew.”
Specifically, they would: n reiterate to the ships’ owners their responsibility and potential liability for ensuring their captains provide complete and transparent declarations in the maritime declaration of health forms; n email/fax a copy of the UK port screening questionnaire to the captains to complete for each person on board, preferably after departure, and send it back to us ahead of time. This questionnaire would be adapted as appropriate from that used in airports; n maintain daily radio contact in the last four to five days prior to the vessels’ arrival, while the receiving port/Maritime and Coastguard Agency would have daily crew health updates by radio with the captains; n consider temperature screening of all people on board before allowing unrestricted access to the population.
Mr George said: “Precautions need to be effective and proportionate. We will keep this under review and I report back to the Health Select Committee.”
Last week the Packet printed a letter from concerned Falmouth residents Elaine Clay, Wendy Barnwell and Julia Braddon, calling upon Prime Minister David Cameron and A&P Falmouth managing director Peter Child to delay the refit of the Gypsum Centennial (one of the two ships in question) at Falmouth Docks.
Their comments provoked a mixed reaction at thepacket.co.uk, with philiplong54 saying: “These ladies and others showing concern over these two ships are correct in their fears. We could find ourselves in a situation where we have a ship whose crew are suffering from Ebola upon arrival at Falmouth.
“What happens then where are they taken to Treliske or Derriford I don’t know, our hospitals struggle to contain Norovirus.”
Northcliffs agreed: “The ship should not be allowed here, disappointed that the government is allowing this to happen. They won't let planes come, why boats I ask?”
However, gwen4me was among a number of readers less concerned, writing: “There’s always a minority that will panic needlessly. Ebola is only one of many communicable disease that could come in by ship, that’s why we have Port Health facilities.”

Palestinian suspected in drive-by shooting of Jewish activist killed, Israeli security services say

The scene of the shooting of Yehuda Glick

Shin Bet security services say the man was suspected of being behind the attempt on the life of Yehuda Glick, and had opened fire at Israeli security forces who were attempting to arrest him, when he was killed.

Oct. 30, 2014 | 7:49 AM

Israeli security services say they shot and killed on Thursday morning a Palestinian man believed to have been involved in the Wednesday night shooting of a Jewish right wing activist Yehuda Glick.
The shooting took place at in the neighborhood of Abu Tor, on the seamline between west and east Jerusalem, at 7 A.M.
Shin Bet security services say the man was suspected of being behind the attempt on the life of Yehuda Glick, and had opened fire at Israeli security forces whom were attempting to arrest him, when he was killed.
In wake of drive-by shooting
Prominent U.S.-born right-wing activist Yehuda Glick was seriously wounded in a drive-by shooting Wednesday night outside the Menachem Begin Heritage Center in Jerusalem.
The gunman was an Arab man who intentionally targeted Glick, said MK Moshe Feiglin, who leads the far-right segment of Likud and said he witnessed the shooting.
"The attempted murderer turned to him and confirmed in Hebrew, in a heavy Arabic accent, that it was Yehuda," Feiglin told reporters. He said Glick was in the middle of loading equipment into his car after attending a conference about the Temple Mount that was held at the Begin Center.
Glick, who often led groups of Jews to visit the Temple Mount, founded an organization advocating for Jews to be allowed to pray at the Temple Mount, which would mark a highly charged change to the delicate status quo.

ISIS militants execute more than 40 tribesmen in Iraq’s Anbar

Islamic state of Iraq and Syria (ISIS) militants executed 46 people and besieged 500 families in the Iraqi city of Heet, Al Arabiya News Channel’s correspondent to Anbar reported on Wednesday.
The militant group reportedly besieged displaced families residing in the Anbar desert for the past three days as well, amid fears of a mass killing nearing.
Security and tribal sources said ISIS also singled the Abu Nimr clan and executed 35 young men in the area of Ramadi, as well targeting houses and properties of the Al Koud, the family ruling the clan.
Earlier on Wednesday, AFP reported militants had killed 40 members of the clan, which had fought against them in the province of Anbar.
The killings were confirmed by a police colonel and a leader from the anti-jihadist Sahwa forces.
The killings may be aimed at weakening the resistance ISIS faces from local tribes and clans.
Government forces suffered several setbacks during their attempts to battle the militants group in the province in recent weeks, signaling a warning that the large area may fall under ISIS’ control.
While ISIS did not claim responsibility for the killings yet, but Human Rights Watch said there is evidence that the group had executed between 560 and 770 men -- mostly captured soldiers --earlier in the year.
ISIS executed hundreds of members of a Syrian tribe that fought against them, according to the Syrian Observatory for Human Rights monitoring group.
ISIS spearheaded an offensive that has overrun much of the country’s Sunni Arab heartland since June, sweeping security forces aside.
Iraqi security forces, Shiite militias and some Sunni tribesmen are fighting to push IS back, but have made only limited local progress so far.