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Americans with Ebola returning to US for treatment

MIKE STOBBE
AP Medical Writer

NEW YORK (AP) — Two American aid workers seriously ill with Ebola will be brought from West Africa to Atlanta for treatment in one of the most tightly sealed isolation units in the country, officials said Friday.

One is expected to arrive Saturday, and the other a few days later, according to Atlanta’s Emory University Hospital, where they will be treated. They are due to arrive in a private jet outfitted with a special, portable tent designed for transporting patients with highly infectious diseases.

It will be the first time anyone infected with the disease is brought into the country. U.S. officials are confident the patients can be treated without putting the public in any danger.

Ebola is spread through direct contact with blood or other bodily fluids from an infected person, not through the air.

The two Americans — Dr. Kent Brantly and Nancy Writebol — worked for U.S. missionary groups in Liberia at a hospital that treated Ebola patients. The State Department and the Centers for Disease Control and Prevention are assisting the groups in their transfer.

The government is working to ensure that any Ebola-related evacuations “are carried out safely, thereby protecting the patient and the American public,” State Department spokeswoman Marie Harf said in a statement released Friday.

A Department of Defense spokesman said Dobbins Air Reserve Base in Marietta, Georgia, will be used for the transfer.

The aircraft is a Gulfstream jet fitted with what essentially is a specialized, collapsible clear tent designed to house a single patient and stop any infectious germs from escaping. It was built to transfer CDC employees exposed to contagious diseases for treatment. The CDC said the private jet can only accommodate one patient at a time.

Brantly and Writebol are in serious condition and were still in Liberia on Friday, according to the North Carolina-based charity Samaritan’s Purse, which is paying for their transfer and medical care.

An Emory emergency medical team in Liberia has evaluated the two aid workers, and deemed both stable enough for the trip to Atlanta, said Emory’s Dr. Bruce Ribner. Hospital spokesman Vincent Dollard said the first patient was scheduled to arrive Saturday.

Brantly, 33, works for Samaritan’s Purse while Writebol works for another U.S. mission group called SIM. Late last week, Samaritan’s Purse officials said Brantly had tested positive for the virus. Shortly after that announcement, Writebol’s infection was disclosed.

Liberia is one of the three West African countries involved in the Ebola outbreak, the largest since the virus was first identified in 1976.

The two-bed Emory isolation unit opened 12 years ago. It was designed to handle workers from the CDC if they became infected while working on a dangerous, infectious germ.

It is one of about four such units around the country for testing and treating people who may have been exposed to very dangerous viruses, said Dr. Eileen Farnon, a Temple University doctor who formerly worked at the Atlanta-based CDC and led teams investigating past Ebola outbreaks in Africa.

There is no specific treatment for disease, although Writebol has received an experimental treatment, according to the mission groups.

“If there’s any modern therapy that can be done,” such as better monitoring of fluids, electrolytes and vital signs, workers will be able to do it better in this safe environment, said Dr. Philip Brachman, an Emory University public health specialist who for many years headed the CDC’s disease detectives program.

“That’s all we can do for such a patient. We can make them feel comfortable” and let the body try to beat back the virus, he said.

He was echoed by Emory’s Ribner, one of the doctors who will be seeing the Ebola patients. He stressed that safety precautions will be taken by staff in the unit.

“I have no concerns about even my personal health or the health of the other health care workers who will be working in that area,” Ribner said.

The unit has its own laboratory equipment so samples don’t have to be sent to the main hospital lab. Located on the ground floor, it’s carefully separated from other patient areas, Farnon said.

Health experts say a specialized isolation unit is not even necessary for treating an Ebola patient. The virus does not spread through the air, so standard, rigorous infection control measures should work.

The current outbreak in Liberia, Guinea and Sierra Leone has sickened more than 1,300 people and killed more than 700 this year.

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Medical Writer Marilynn Marchione in Milwaukee, National Security Writer Robert Burns in Washington and video journalist Johnny Clark and writer Ray Henry in Atlanta contributed to this report.

Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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