A fourth American who
contracted Ebola in West Africa was expected to arrive in the U.S. for care
Tuesday and will be treated at an Atlanta hospital where two other aid workers
successfully recovered from the disease, the hospital said Monday.
Air Force spokesman Lt.
Col. James Wilson said the patient, as in past cases, would be flown into
Dobbins Air Reserve Base outside Atlanta. Emory University Hospital said in a
news release that the patient would be treated in its isolation unit but cited
confidentiality in not releasing more information about the person.
The World Health
Organization, however, said one of its doctors working in an Ebola treatment
center in Sierra Leone has tested positive for the disease. It said the doctor
was in stable condition Monday in Freetown and will be evacuated. The State
Department said the doctor was from the U.S.
Last month, two aid
workers who contracted Ebola while working in Liberia were treated successfully
at Emory. A third patient, an American doctor, who is being treated in
Nebraska, appeared to be better tolerating his experimental treatments Monday,
but his recovery remains uncertain.
The family of Dr. Rick
Sacra said he was able to eat breakfast Monday for the first time since
arriving Friday at the Nebraska Medical Center in Omaha.
The 51-year-old remains
in stable condition. His wife, Debbie, said Sacra is more alert and that they
had a half-hour conversation by video conference Sunday.
"He hasn't been able
to eat much since he got here, but he had some toast and apple sauce,"
Debbie Sacra said. "He also tolerated the research drug well — better than
he had the previous doses he was given."
Rick Sacra, a doctor from
Worcester, Massachusetts, spent 15 years working at the Liberia hospital where
he fell ill. He was practicing family medicine in Liberia with the North
Carolina-based charity SIM.
Authorities say roughly
2,100 people have died during the Ebola outbreak in West Africa, but Ebola
hasn't been confirmed as the cause of all those deaths.
Sacra is getting a
different experimental drug than the one used for the two American aid workers
treated earlier at Emory. Nancy Writebol, who also worked for the SIM mission,
and Dr. Kent Brantly, who worked for another missionary group, Samaritan's
Purse, in Liberia, have recovered.
Sacra went to Omaha
instead of Atlanta because federal officials asked the medical center to treat
him in order to prepare other isolation units to take more Ebola patients if
needed.
Sacra's doctors have
refused to name the drug they are using, but they say they've been consulting
with Ebola experts on his treatment.
Dr. Aneesh Mehta of Emory
University said Monday that it was impossible to know if the experimental ZMapp
drug that Brantly and Writebol received worked.
But Mehta said Emory
doctors have been advising other physicians that some particular types of
supportive care did seem to help. Those included switching between different
types of IV fluids to meet each patient's specific electrolyte needs at the
time. And giving high-quality liquid nutrition to boost their levels of protein
and other nutrients "to help build back that immune system that was under
attack."
Mehta and other experts
were discussing Ebola at the American Society for Microbiology meeting Monday.
Pharmaceutical companies
are developing vaccines for Ebola and drugs to help treat the virus, but
they're not fully tested or readily available yet.
Dr. Gary Kobinger of the
Public Health Agency of Canada helped pioneer the research that led to ZMapp,
and he said the U.S. manufacturer appears to be on track for a Phase 1 safety
study early next year, perhaps as early as January, although no drug is
available currently.
On the vaccine front,
Kobinger said a Canadian-made candidate should be starting Phase 1 trials
within weeks.
WHO has suggested turning
to the blood of Ebola survivors as an experimental treatment, and Sacra's
doctors have said they are considering that.
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