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A New Health Crisis in Liberia

Washington Post

By Lenny Bernstein September 21, Front Page

MONROVIA, Liberia — While the terrifying spread of Ebola has captured the world’s attention, it also has produced a lesser-known crisis: the near-collapse of the already fragile health-care system here, a development that may be as dangerous — for now — as the virus for the average Liberian.

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Sierra Leone Medical Team attacked

 

 

FREETOWN, Sun Sep 21, 2014 Reuters

 

 
 
 

1 of 2. Medical staff working with Medecins sans Frontieres (MSF) prepare to bring food to patients kept in an isolation area at the MSF Ebola treatment centre in Kailahun July 20, 2014.

Credit: Reuters/Tommy Trenchard

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Inside An Ebola Kit: A Little Chlorine And A Lot Of Hope

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September 19, 2014 4:15 PM ET
 

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Mapping Ebola outbreak

More than 1,000 people have died, with Sierra Leona, Guinea and Liberia worst-affected and two deaths in Nigeria, Africa's most populous country.

The World Health Organization (WHO) has declared an International Public Health Emergency.

 

Ebola outbreak

Map: Ebola outbreak in West Africa

 

Researchers from the New England Journal of Medicine have traced the outbreak to a two-year-old girl, who died on 6 December 2013 in a small village in south-eastern Guinea.

 

Cumulative death toll

The WHO has published updates on the spread of the virus in each of the countries affected.

Graphic: Cumulative death toll for the 2014 outbreak

 

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Ebola outbreak - map of affected areas

Ebola outbreak map, chart

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WHO declares Ebola outbreak an international public health emergency

The World Health Organization has declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread.

It is the largest and longest outbreak ever recorded of Ebola, which has a death rate of about 50 per cent and has so far killed at least 932 people.

"Countries affected to date simply do not have the capacity to manage an outbreak of this size and complexity on their own," WHO chief, Dr. Margaret Chan, said at a news conference in Geneva. "I urge the international community to provide this support on the most urgent basis possible."

"Statements won't save lives," said Dr. Bart Janssens, director of operations for Doctors Without Borders. "For weeks, (we) have been repeating that a massive medical, epidemiological and public health response is desperately needed ... Lives are being lost because the response is too slow."

In the United States, the Centers for Disease Control and Prevention have already elevated their Ebola response to the highest level and have recommended against travelling to West Africa. On Thursday, CDC director Dr. Tom Frieden told a Congressional hearing that the current outbreak is set to sicken more people than all previous outbreaks of the disease combined.

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What is Ebola?

Ebola viral disease is a highly infectious illness with fatality rates up to 90 percent, according to the U.N. World Health Organization. Symptoms initially include a sudden fever as well as joint and muscle aches and then typically progress to vomiting, diarrhea and, in some cases, internal and external bleeding — you can see a full, grim description of symptoms compiled by the Centers for Disease Control and Prevention (CDC) here.

The virus spreads through contact with bodily fluids of someone who is infected. Reports of human infections usually first emerge in remote areas that are in proximity to tropical rain forests, where humans can come into contact with animals such as chimpanzees, gorillas and forest antelope. The consumption of bush meat is often a precursor to such outbreaks. The WHO says fruit bats are probably the natural host for the virus.

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WHO launches $100 million plan as Ebola death toll tops 700

The World Health Organization is launching a $100 million response plan to combat an "unprecedented" outbreak of Ebola in West Africa that has killed 729 people out of 1,323 infected since February.

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Ebola epidemic unlikely to spread beyond Africa

The recent, deadliest outbreak ever of Ebola, the killer virus that causes internal and external hemorrhaging, is raising new concerns about the disease's spread.

Doctors Without Borders, the only aid organization that is treating infected people in West Africa, says, "The scale of the current Ebola epidemic is unprecedented in terms of geographical distribution, people infected and deaths."

According to the World Health Organization...

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