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Ebola Finds New Hotspots Outside Liberian Capital

ASSOCIATED PRESS                                                                                               Nov. 10, 2014
By Wade Williams

JENEWONDE, Liberia --The community of Jenewonde has become a new hotspot for the Ebola outbreak in Liberia. With cases on the decline in the capital, officials must now turn their attention to hard-to-reach places where the disease is flaring.

 

In this photo, a woman reacts, rear, as Health Care workers load the body of a family member suspected of dying from Ebola, onto the back of a truck in Jene-Wonde, Liberia. A schoolteacher brought his sick daughter from Liberia’s capital to this small town of 300 people. Soon he was dead along with his entire family, all buried in the forest nearby. (AP Photo/ Wade Williams)

Jenewonde, in Grand Cape Mount County near the border with Sierra Leone, has reportedly lost about 10 percent of its population to Ebola since late September. Markets and farms nearby have been abandoned.

Ebola is also hitting the town of Gorzohn in Rivercess County, which lies on Liberia's central coast, said Assistant Health Minister Tolbert Nyenswah, who heads Liberia's Ebola response.

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Ebola was here

Cases are dropping so rapidly that Liberians are talking about the disease in the past tense. They shouldn’t be.

 FOREIGN POLICY                                                                               Nov. 7, 2014

By Laurie Garrett

MONROVIA --

...The U.S. Centers for Disease Control and Prevention (in September) predicted that unless the world mobilized on a scale unprecedented in the history of disease outbreaks, the countries of Liberia and Sierra Leone could by Feb. 1, 2015 have a combined 1.4 million cases, including 980,000 deaths.

Just six weeks later, the picture is so markedly different that some Liberians talk about the epidemic using the past tense. And that worries Alex Gasasira, the acting director of the WHO in Liberia, deeply.

"Over the last six weeks efforts by everybody have resulted in a scaled-up response. So now we are slightly ahead of the virus," Gasasira told

But we are nowhere where we need to be. We are still in a very dangerous situation."

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Ebola: Hard-won gains in Liberia must not be undermined

Liberia:  MSN warns that gains must not be underminded. Meanwhile U.S opens the first of its 17 treatment centers.  

(Two stories, scroll down)

 DOCTORS WITHOUT BORDERS                                                     Nov. 10, 2014

Monrovia – While the number of new Ebola cases reported in Liberia has declined in recent weeks, the outbreak is far from over and new hotspots continue to emerge across the country, the international medical humanitarian organization Médecins Sans Frontières (MSF) said today, warning that the international aid response must rapidly adapt to this new phase of the epidemic, or risk undermining progress made against Ebola.

Unlike in neighbouring Guinea and Sierra Leone, where cases are on the rise, MSF teams in Liberia are witnessing a decline in the number of Ebola patients admitted to case management centres (CMCs) for the first time since the beginning of the Ebola epidemic.... Case numbers could again rise, as they have in Guinea, where, following two significant dips in admissions to MSF facilities, patient numbers are again increasing.

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Ebola cases in Sierra Leone show sharp rise

THE GUARDIAN                                        Nov. 10, 2014
By Lisa O'Caroll

The number of new cases of Ebola in Sierra Leone has jumped dramatically, putting paid to any hopes that the infection rate is slowing.

Official figures released by the minister of health and sanitation show there were 111 new cases registered on Sunday, the highest daily rate since the ministry started publishing figures in August.

There were 45 new cases the day before, including 24 in the capital, Freetown. Laboratory results for patients in Freetown, which include the new British army-built Ebola hospital, showed 40 new cases on Sunday.

There was also a spike in the number of cases in Port Loko, a district north of Freetown where there is still no treatment centre and where, until recently, corpses were left lying on verandahs, in hospitals and in houses for days before collection.

The figures come days after warnings by the UN that Ebola cases in Sierra Leone are being underreported by up to 50%.

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Is The Response in Liberia Succeeding? Positive indications

NEW ENGLAND COMPLEX SYSTEMS INSTITUTE                                                                        Oct. 27, 2014
ABSTRACT
By Kia Hall and Yaneer Bar-Yam
The number of cases of Ebola in West Africa has been growing exponentially, and projections assume that this dynamic will continue. However, recent case reports from Liberia indicate a change. The number of new confirmed cases reported by WHO has actually diminished for five weeks in a row.
The WHO report suggests that this may be due to underreporting under conditions of high levels of stress of the number of cases taking place.

Here we report that there appears to be a sound reason for the decreasing number of cases—a change in response strategy that is working. Understanding this dynamic is of critical importance for addressing the outbreak in Sierra Leone and Guinea. In particular the number of cases in Sierra Leone continues to grow exponentially.

Discussions with a WHO response coordinator in Liberia indicates that a change in strategy from individual reporting and contact tracing to community based screening for early detection and population wide behavior change happened in mid September.

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Fast-spreading killers: how Ebola compares with other diseases

HOMELAND SECURITY NEWS WIRE                            Nov. 1, 2014
By Mick Roberts

The West African outbreak of Ebola has claimed more than 4,800 lives and this number is sure to rise. There is understandably a lot of fear about Ebola, but how does it actually compare with other fast-spreading infectious diseases?
Read complete article
http://www.homelandsecuritynewswire.com/dr20141110-fastspreading-killers-how-ebola-compares-with-other-diseases

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Harnessing artificial intelligence to search for new Ebola treatments

HOMELAND SECURITY NEWS WIRE                                                                             Nov.6, 2014

The University of Toronto, Chematria, and IBM are combining forces in a quest to find new treatments for the Ebola virus.

Using a virtual research technology invented by Chematria, a startup housed at U of T’s Impact Center, the team will use software that learns and thinks like a human chemist to search for new medicines. Running on Canada’s most powerful supercomputer, the effort will simulate and analyze the effectiveness of millions of hypothetical drugs in just a matter of weeks.

“What we are attempting would have been considered science fiction, until now,” says Abraham Heifets, a U of T graduate and the chief executive officer of Chematria. “We are going to explore the possible effectiveness of millions of drugs, something that used to take decades of physical research and tens of millions of dollars, in mere days with our technology.”

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Q. and A. With Sheri Fink on Covering Ebola in Liberia

NEW YORK TIMES                                                                                Nov. 6, 2014

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Ebola’s Mystery: One Boy Lives, Another Dies

Medical discussion of why some children suvive Ebola and others do not

NEW YORK TIMES                                   Nov. 10, 2014
By Sheri Fink, MD

... Over and over, doctors here have been confounded by the divergent paths of patients whose cases appeared similar at first. “No matter how long we were there, we didn’t know how to predict it,” said Dr. Steve Whiteley, a California emergency physician who volunteered.

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Why It's Not Enough to Just Eradicate Ebola

NBC NEWS                                              Nov. 9, 2014
by Maggie Fox

The new U.S. plan to spend $6 billion fighting Ebola has a hidden agenda that aid workers approve of: not only stamping out the epidemic in West Africa, but starting to build a health infrastructure that can prevent this kind of thing from happening again.

Liberian nurses escort a suspec ted patient into the JFK nursing center in Monrovia, Sept. 18, 2014. Ahamed Jallanzo/EPA file  

President Barack Obama's $6.18 billion request is an enormous amount of money — six times what the U.S. has already committed and far more even than what the World Health Organization says is needed.

Most is going for full frontal assault on Ebola — one that hasn’t really gotten off the ground yet...

But billions are also being quietly allocated to building a health care system in the countries suffering the most — a less sexy approach that could prevent another epidemic in the future. 

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