The Homeland Security Science and Technology (HSST) Program at UDC has a two-fold thrust: to increase the number of underrepresented minorities in Department of Homeland Security Science and Technology priority research areas and to develop an institutional research infrastructure in the DHS S & T social and behavioral sciences priority research area.
Thursday, October 30, 2014
Public Health : Governors' Ebola Quarantines at Odds with Scientists' Warnings
Obama administration officials warned that mandatory quarantines in the U.S. of doctors, nurses and other health-care workers who have traveled to Africa to help Ebola patients risked worsening the epidemic.
Richard A. Serrano, Tribune Co. | October 27, 2014
(MCT) — Top Obama administration officials publicly warned Sunday that mandatory quarantines in the U.S. of doctors, nurses and other health care workers who have traveled to Africa to help Ebola patients risked worsening the epidemic.
Mandatory 21-day quarantines, now in place in New York, New Jersey and Illinois, are "a little bit draconian" and could discourage people from helping to fight the disease, Dr. Anthony Fauci, the top Ebola expert at the National Institutes of Health, said in several television interviews Sunday.
Fauci's public remarks came as the administration privately pushed the states to reconsider.
New York Gov. Andrew Cuomo defended the quarantine policy during a Sunday night news conference, but outlined a version that appeared less onerous than the treatment that has been accorded so far to the one person in quarantine, in New Jersey. Cuomo and New Jersey Gov. Chris Christie had ordered the quarantine policy Friday but had left details unclear.
"My personal practice is to err on the side of caution," Cuomo said. Health care workers returning to New York who were exposed to Ebola patients in West Africa would be required to stay home for three weeks, he said. The state would work with hospitals to encourage doctors and nurses to travel to Africa to fight the disease and, if necessary, would pay the salaries of health care workers while they were in quarantine, he added.
The three states with quarantine orders are among five with airports used by travelers arriving from West Africa. The other two states, Georgia and Virginia, have not taken similar action. Florida has ordered enhanced monitoring of people in contact with Ebola patients, but not a quarantine.
The federal government could soon propose new rules for dealing with returning health care workers that would not involve quarantines, a senior administration official said.
As controversy grew over how to handle health care workers, the nurse who has been the first person subjected to quarantine called her treatment in New Jersey "inhumane." New York Mayor Bill de Blasio said the nurse had been mistreated.
Kaci Hickox, a nurse and epidemiologist for Doctors Without Borders, returned from Sierra Leone on Friday and was detained at Newark International Airport. She has been held since then in what she described to CNN's Candy Crowley as a "tent structure" outside University Hospital in Newark, N.J., with a portable toilet and no shower.
"I feel physically completely strong and emotionally completely exhausted," she said, noting that she has no fever or any other symptom of the disease. "This is an extreme that is really unacceptable, and I feel like my basic human rights have been violated."
Doctors Without Borders said the tent was not heated, "and she is dressed in uncomfortable paper scrubs."
Hickox's lawyer, Norman Siegel, a former New York Civil Liberties Union executive director, said he would go to court to seek her release.
De Blasio likened her to a "hero, coming back from the front" _ using a word also used by Fauci and other administration officials. De Blasio said Hickox had been "treated with disrespect, was treated as if she has done something wrong, which she hasn't."
The mayor made his comments at a midafternoon news conference at Bellevue Hospital in Manhattan, where the city's only Ebola patient, Dr. Craig Spencer, is being treated. A spokesman for the hospital said the doctor was in "serious, but stable condition" and "looking a little bit better than he looked yesterday." De Blasio also appeared with Cuomo on Sunday night.
Earlier in the day, Christie defended the quarantine policy that he and Cuomo had ordered after Spencer's diagnosis.
"I don't believe that when you're dealing with something as serious as this that we can count on a voluntary system." Christie told the "Fox News Sunday" program. "This is government's job. If anything else, the government's job is to protect the safety and health of our citizens."
The quarantine order from Cuomo and Christie requires 21-day confinement for anyone who has come into contact with Ebola patients in Sierra Leone, Guinea or Liberia, the three countries hardest hit by the epidemic.
They announced the move after Spencer, who had treated Ebola patients in Guinea, came down with the virus. Spencer had visited several places in the city, including a restaurant and a bowling alley, before developing a fever and contacting health officials on Thursday. Health officials have stressed that he was not contagious before developing symptoms.
Shortly after Christie and Cuomo acted, Illinois Gov. Pat Quinn issued a similar quarantine order. "This protective measure is too important to be voluntary," Quinn said. "We will continue to take every safeguard necessary to protect first responders, health care workers and the people of Illinois."
Fauci, the director of the National Institute of Allergy and Infectious Diseases, said that the public could be protected without going as far as a quarantine and that ordering people confined for an extended period could result in "unintended consequences."
"Let's not forget the best way to stop this epidemic and protect America is to stop it in Africa," he said on ABC's "This Week." "And you can really help (stop) it in Africa if we have our people, our heroes, the health care workers, go there and help us to protect America."
A senior administration official, speaking anonymously in accordance with White House policy, said Sunday that the administration was working on new guidelines for returning health care workers. Administration officials had let Cuomo, Christie and other governors "know that we have concerns with the unintended consequences ... policies not grounded in science may have on efforts to combat Ebola at its source in West Africa," the official said.
New rules for health care workers returning from Africa could include mandatory temperature check-ins twice a day or daily visits from public health workers, Fauci said on NBC's "Meet the Press."
Samantha Power, the U.S. ambassador to the United Nations, who is on a fact-finding mission to West Africa, similarly warned against measures that might discourage health care workers from volunteering to fight the epidemic, which has killed nearly 5,000 people in Africa.
"We have to find the right balance between addressing the legitimate fears that people have and encouraging and incentivizing these heroes," she told NBC after landing in Guinea.
"We need to find a way when they come home that they are treated like conquering heroes and not stigmatized for the tremendous work that they've done."
(The Chicago Tribune and Times staff writer Matt Pearce in Los Angeles contributed to this report.)
(c)2014 Tribune Co. Distributed by McClatchy-Tribune Information Services
www.emergencymgmt.com
Public Health : Harvard Professor Develops Fast, Cheap Prototype Ebola Test
The test could detect the virus in 30 minutes and cost less than $1 to reproduce.
Marie Szaniszlo, Boston Herald | October 28, 2014
The test could detect the virus in 30 minutes and cost less than $1 to reproduce
(MCT) — A Harvard researcher and his team have developed a prototype Ebola test that could detect the virus in 30 minutes and cost less than $1 to reproduce.
Jim Collins, a professor of biomedical engineering at Harvard’s Wyss Institute for Biologically Inspired Engineering, said he and his team created the test in 12 hours, using just $20 of materials.
“We’re keen to see if we can move the technology out into the field to address the (Ebola) crisis,” Collins said.
The test takes molecules inside a cell drawn from a saliva or blood sample and then drops them on a pocket-sized piece of paper that contains freeze-dried biosensors — molecular switches that are activated in the presence of molecules of the Ebola virus. If, after 30 minutes, the paper turns from yellow to purple, the sample is positive for Ebola.
Collins said the team still has to ensure a low false-positive rate with the test and make it more sensitive so that it would work even with a smaller amount of viral molecules before it will be ready to be field-tested.
“I do feel this has great potential, using really low-cost materials,” said Lingchong You, an expert in cellular reprogramming at Duke University.
Currently, the “gold-standard” test for Ebola is RT-PCR, or reverse transcription polymerase chain reaction, which is very sensitive and highly specific, meaning that it does not produce false positives, said John Connor, a researcher at Boston University’s National Emerging Infectious Diseases Laboratories. However, it takes about four hours to produce results, Connor said. The test reportedly costs anywhere from $60 to $200.
©2014 the Boston Herald. Distributed by MCT Information Services.
Jim Collins, a professor of biomedical engineering at Harvard’s Wyss Institute for Biologically Inspired Engineering, said he and his team created the test in 12 hours, using just $20 of materials.
“We’re keen to see if we can move the technology out into the field to address the (Ebola) crisis,” Collins said.
The test takes molecules inside a cell drawn from a saliva or blood sample and then drops them on a pocket-sized piece of paper that contains freeze-dried biosensors — molecular switches that are activated in the presence of molecules of the Ebola virus. If, after 30 minutes, the paper turns from yellow to purple, the sample is positive for Ebola.
Collins said the team still has to ensure a low false-positive rate with the test and make it more sensitive so that it would work even with a smaller amount of viral molecules before it will be ready to be field-tested.
“I do feel this has great potential, using really low-cost materials,” said Lingchong You, an expert in cellular reprogramming at Duke University.
Currently, the “gold-standard” test for Ebola is RT-PCR, or reverse transcription polymerase chain reaction, which is very sensitive and highly specific, meaning that it does not produce false positives, said John Connor, a researcher at Boston University’s National Emerging Infectious Diseases Laboratories. However, it takes about four hours to produce results, Connor said. The test reportedly costs anywhere from $60 to $200.
©2014 the Boston Herald. Distributed by MCT Information Services.
www.emergencymgmt.com
Homeland Security and Public Safety : Unclassified White House Networks Hacked
The process hackers follow to infiltrate an organization has been called a Kill Chain, and security teams must find a way to detect and break this sequence of events.
News Staff | October 29, 2014
The FBI, Secret Service and National Security Agency are now investigating a recent breach into unclassified White House networks, the Washington Postreported.
A third party alerted the White House of the breach two or three weeks ago, noting that the breach led to some temporary disruptions of service, but no networks were taken down, and no classified networks were breached.
Few details have been released by the White House, and the party responsible for the breach is unknown. Some analysts guessed that Russian hackers are responsible, either rogue or state-sponsored, though the White House has not commented on that claim.
After the White House was alerted of the breach, some staffers were asked to change their passwords, and intranet access was temporarily disabled.
A White House official anonymously told the Washington Post that these kinds of attacks are to be expected, and that the government is in a constant struggle to defend its networks.
Tim Erlin, director of product management at cyberthreat detection firm Tripwire, said this breach could serve as a learning experience.
“Even though the affected systems are unclassified, it’s unlikely that we’ll receive a full account of the activity,” he said. “The White House could take an important step forward in threat intelligence sharing by being more forthcoming with details of the attack in order to help others defend themselves as effectively as possible.”
And this incident underlines the growing success of advanced attacks, said Chris Boyd, malware intelligence analyst at Malwarebytes Labs, a security software firm.
“Traditional security solutions are continually being left wanting as advanced exploits, social engineering and other complex attacks develop too fast,” he said. “Large organizations, particularly those in sensitive areas, need to combine advanced countermeasures with frequent staff training to ensure the best possible defense against this relentless progression in attacks.”
This breach also is a prime example of the importance of building defense in depth, said Michele Borovac, vice president at HyTrust, a virtualization security and compliance solution provider.
"Perimeter security is no longer adequate, as hackers are clearly able to get inside networks almost at will. Once inside, hackers will ‘land and expand,’ ideally finding privileged administrator accounts that would grant them unfettered access to more important systems," she said. "The process hackers follow to infiltrate an organization has been called a Kill Chain, and security teams must find a way to detect and break this sequence of events.
This article was originally published by Government Technology.
www.emergencymgmt.com
Public Health : Despite CDC's New Ebola Guidelines, States Go Their Own Way
The CDC issued new guidelines on dealing with travelers from Ebola-stricken regions Monday, but its lack of firm rules left a patchwork of state-by-state strategies that include mandatory quarantines for some travelers.
Tina Susman and Melissa Healy, Los Angeles Times | October 28, 2014
Homeland Security and Public Safety : PG&E Prepares to Open New Power-Grid Command Center
Located in Fresno, the control center will allow operators to monitor an increasingly complex electricity grid in real time.
Tim Sheehan, The Fresno Bee | October 28, 2014
Public Health : How Well Can Technology Fight Ebola? Efforts to halt the spread of the Ebola epidemic include a variety of tech tools. But their effectiveness remains unclear
Tod Newcombe | October 29, 2014
On Oct. 28, Healthmap.org reported the latest figures on the Ebola outbreak: Spain 1 case; Guinea 1,553 cases and 926 deaths; Sierra Leone 3,896 cases and 1,281 deaths; Liberia 4,665 cases and 2,705 deaths. And for the U.S., 4 cases and one death. The website's Ebola timeline also provides projections on the number of cases and deaths, based on infection rate data from the World Health Organization, a list of the most recent articles about Ebola outbreaks, as well as relevant social media postings.
Healthmap is one example of how easy it is to find information on this rapidly growing epidemic -- and it also represents the way technology can play a major role in the effort to track and control the disease. For example, mobile phones are perhaps the most ubiquitous type of technology available in Africa, used by millions there. So it didn’t take long for researchers to identify the devices as a possible way to not just send people information about the disease, but also to track it.
And with 95.5 percent of the global population having mobile cell subscriptions, call-data records (CDRs) are one way epidemiologists can see where people have been and where they're headed based on past movements.
CDRs – information used by phone companies to manage their networks and bill their customers, according to the Economist – includes a caller’s identity, the time of the call and the number called. The data can also identify phone location even if the phone is not used. In 2010, a study conducted by the Karolinska Institute in Sweden found that CDR data accurately measured where people fled over the course of 200 days, following an earthquake and cholera outbreak in Haiti. Research by Harvard and Carnegie Mellon universities used CDR data to track the spread of malaria in Kenya and identified the places with the highest probability of spreading the disease.
Based on this research, experts believe CDRs could be used to track details about Ebola as they unfold and help organize a response. But as the epidemic has grown, lack of leadership, regulations that protect a caller’s privacy and other issues have stymied the use of CDRs in Africa.
In the U.S., the Centers for Disease Control and Prevention (CDC) has developed an app that will help locate everyone exposed to a person with a contagious disease, and collect and manage data on every case, according to GCN.com. The epidemiological viral hemorrhagic fever (or Epi Info VHF) app lets users set up databases of patient information and epidemiological case classification, and speeds up one of the most difficult parts of disease detection: finding everyone that was exposed to, and possibly infected by, someone with a contagious disease. This task, called contact tracing, is an essential step in breaking the chain of disease transmission and ending an outbreak, according to the CDC.
Another tool is the thermal scanner, a radar-like device used to detect people who have elevated temperatures, one of the symptoms of Ebola. People flying out of Africa have been subjected to thermal scans before they board a flight. But the effectiveness of this tool has been questioned, since a person can carry the Ebola virus for up to three weeks before symptoms, such as a high temperature, begin to appear.
Some have called the scanners psychologically reassuring, but not very effective in halting the spread of the disease. For that, you need an Ebola screening test -- which currently costs anywhere from $60 to $200 and takes about four hours to produce results. Just recently, however, a Harvard researcher and his team developed a prototype Ebola test that could detect the virus in 30 minutes and cost less than $1 to reproduce.
And if thermal scanners have limitations, you would assume it’s the same with satellites. But images from space can reveal patterns that could help predict where an outbreak might be happening before hard facts are available. Researchers at Virginia Tech, Harvard and Boston’s Children Hospital studied satellite images of hospital parking lots in South America during influenza outbreaks and were predicting peak periods for the flu with a reasonably good degree of accuracy. While the situation in Liberia and Sierra Leone may look different from above, researchers say that different criteria can be used to look for signs of an Ebola outbreak. When data from satellite images is properly analyzed, models could show how the disease might move through a community.
But while technology can be an enormous help in tracking where the disease is moving, it cannot predict where it might emerge, according to Patrick Tucker, technology editor for Defense One. “You can model how a disease can move through a particular group of people," he told Bloomberg News, "but you can’t model with a high degree of credibility how those people will react to policies, regulations and restrictions."
This article was originally published by Government Technology.
Tod Newcombe | Senior Editor
With more than 20 years of experience covering state and local government, Tod previously was the editor of Public CIO, e.Republic’s award-winning publication for information technology executives in the public sector. He is now a senior editor forGovernment Technology and a columnist at Governing magazine
www.emergencymgmt.com
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