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Ebola Response Provides Key Lessons for Risk Communications

Commentary: The CDC fumbled initial communications about Ebola transmission but recovered. What about next time?

EMERGENCY MANAGEMENT  by Jim McKay                                                              Jan. 13, 2015

It would be interesting to see what would happen if there was another Ebola scare in the U.S. The answer might depend on when it happened and perhaps where the person became infected. But chances are the health infrastructure would handle it, and perhaps respond to another infectious disease outbreak much better, having had the experience that the recent Ebola episodes provided.

That experience included hiccups and communication errors that resulted not in panic but disagreement on the part of some in the health community and alarm in the public. One target of criticism is the Centers for Disease Control and Prevention (CDC), which was confident from the beginning in expressing that hospitals throughout the U.S. were ready to handle Ebola cases and messaging to the public about the difficulty of transmission of the infection. The CDC chose not to participate in this discussion....

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Ebola survivors in Sierra Leone key in training health providers

Shunned in their communities, they provide invaluable insight to doctors and nurses

 Canadian Broadcasting Corporation      by Carolyn Dunn                                       Jan, 12, 2015

FREETOWN, Sierra Leone --The role of survivors has proven so valuable to training health care professionals who will be treating Ebola for the first time that the course, run by the Ebola response teams for the International Organization of Migration (IOM) and World Health Organization (WHO) is now in high demand, training up to 60 much-needed health care workers a week in Freetown.

... survivor Fonti Kargbo, who often assumes the role of a patient, is timing each scenario to make sure the trainees aren’t in their hot, protective gear for too long.

  

Read complete story.

http://www.cbc.ca/news/world/ebola-survivors-in-sierra-leone-key-in-training-health-providers-1.2897509

 

 

 

 

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Ebola Clue Lurks in 10 Million Zambian Bats

BLOOMBERG       by  Matthew Hill                        Jan. 12, 2015                                    

At 4:50 a.m. at the Kasanka National Park in northern Zambia, tourists watch from a platform in a tree as the sound of millions of wings accompanies the sunrise.

Straw-coloured Fruit Bats fly in Kasanka National Park, Zambia. Photographer: Fabian von Poser/Getty Images

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Sierra Leone: How Kailahun district kicked Ebola out

WHO and medical staff at the Ebola management site in Kailahun District, Sierra Leone
WHO/J. Caminade

Kailahun district in eastern Sierra Leone was one of the country’s first hotspots in the Ebola outbreak, at its peak reporting more than 80 new cases per week in late June 2014. With the assistance of WHO and partners, combined with the close involvement of community leaders, the district has managed to beat the disease and has reported no new cases for several weeks. There is no room for complacency however. Community teams and health workers are on high alert and are ready to react quickly to any possible new infection.

who.int - December 2014

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CDC - Ebola Training in Anniston

            

The CDC’s Karen Williams, right, instructs Kwan Kew Lai to wash her hands before each step in the process before she removes her protective suit at an Ebola-treatment training session in Anniston, Ala.
Steve Gates for The Wall Street Journal

cdc.gov - January 7, 2015

Making the decision to volunteer in an Ebola Treatment Unit (ETU) in West Africa shows a lot of courage and takes support from friends, loved ones, and other healthcare workers. It also requires the knowledge and skills to safely treat very sick patients in a challenging environment. CDC understands that healthcare workers preparing to deploy to West Africa need to know the infection prevention and control principles necessary for working in an ETU. To help meet this need, CDC offers an introductory training course at the Federal Emergency Management Agency’s (FEMA) Center for Domestic Preparedness in Anniston, Alabama.

(READ COMPLETE ARTICLE)

(ALSO SEE RELATED ARTICLE HERE - Oct. 8, 2014)

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Medical charity MSF opens Ebola clinic for pregnant women

REUTERS  BY Umaru Fofana                                                                        Jan. 10, 2015

FREETOWN --Medical charity Medicins Sans Frontiers (MSF) has opened the first care center in the current Ebola epidemic for pregnant women, whose survival rate from the virus is virtually zero, the charity said on Saturday....

An Ebola virus treatment center is seen in Bo, Sierra Leone, November 17, 2014. Credit: Reuters/Benjamin Black

There is currently one patient in the clinic, which is perched on a hill in the compound of a disused Methodist boys high school in the Sierra Leone capital.

Women are particularly vulnerable to a disease spread through direct contact with infected people and with the corpses of victims, because women often care for sick family members, said MSF Field Coordinator, Esperanza Santos.

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EbolaTracks: an automated SMS system for monitoring persons potentially exposed to Ebola virus disease

EUROSURVEILLANCE                                                              Volume 20, Issue 1, Jan. 8 2015

Australian researchers reported on an automated text-message system used for actively monitoring people potentially exposed to Ebola. The system prompts contacts to submit information on symptoms and temperature twice a day. The Department of Health in Western Australia uses the system, called "EbolaTracks," to track travelers returning from West Africa and (potentially) contacts of any local cases.

Twenty-two people were enrolled in the program as of Jan 5, and 14 have completed active monitoring. The system sent 1,108 text messages and got a 91% response rate. Health officials followed up by phone when they didn't get a reply. Such systems could be valuable tools for larger-scale contact monitoring for Ebola or other infectious diseases, they concluded.

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20999

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Ebola: Suitcase kit detects virus in 15 minutes, as vaccine testing nears final stages

INTERNATIONAL BUSINESS TIMES  by                  Jan. 15, 2015

Researchers at DPZ, Germany, have developed a simple Ebola diagnostics kit that detects the virus in 15 minutes, without requiring any electricity, cold chain or lab equipment.

Infection researcher Dr Ahmed Abd El Wahed and the head of the Unit of Infection Models at the German Primate Center (DPZ), Dr med. vet. Christiane Stahl-Hennig, present the ebola suitcase laboratory Abd El Wahed invented.Karin Tilch, DPZ

The diagnostics-in-a-suitcase that comes equipped with all the required reagents is operated by an integrated solar panel and a power pack.

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Health 2 Leading Ebola Vaccines Appear Safe, Further Tests Starting

ASSOCIATED PRESS  by Maria Cheng                                                                          Jan. 9, 2015
LONDON --The World Health Organizationsays the two leading Ebola vaccines appear safe and will soon be tested in healthy volunteers in West Africa.

After an expert meeting this week, WHO said there is now enough information to conclude that the two most advanced Ebola vaccines ? one made by GlaxoSmithKline and the other licensed by Merck and NewLink ? have "an acceptable safety profile."

In a press briefing on Friday, Dr. Marie-Paule Kieny, who heads WHO's Ebola vaccine efforts, said "the cupboard (for Ebola vaccines) is filling up rapidly."

She said further trials in healthy people in West Africa, including health workers, are scheduled to start soon. Kieny added several other vaccines were being developed in the U.S., Russia and elsewhere.

Read complete story.
http://abcnews.go.com/Health/wireStory/leading-ebola-vaccines-safe-tests-starting-28107527

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IMF to provide new funds to help three main Ebola-hit nations

REUTERS   by James Harding Giahyue                                                  Jan. 8, 2015

The International Monetary Fund is preparing around $150 million in additional support to Liberia, Sierra Leone and Guinea, the countries at the heart of the Ebola epidemic, the Fund's representative in Liberia told Reuters on Thursday.

"In Guinea and Sierra Leone, existing Fund financial programs are being augmented to provide more resources to these countries. In Liberia, a one-off disbursement under the Fund's Rapid Credit Facility is being considered," Charles Amo-Yartey told Reuters in an email.

The money could be made available in the first quarter of this year and would add to $130 million disbursed by the Fund in September.

Read complete story.

http://www.reuters.com/article/2015/01/08/health-ebola-imf-idUSL6N0UN3RA20150108

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