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Ebola Case Uptick Underscores Response Challenges

Unsafe burials have spurred some of the newly reported cases, the WHO said.  UNMEER, Martine Perret / Flickr cc

CLICK HERE - WHO - Ebola Situation Report
4 February 2015

submitted by Stephen Morse

cidrap.umn.edu - by Lisa Schnirring - February 4, 2015

In a sign that West Africa's Ebola response still faces several challenges, Guinea, Liberia, and Sierra Leone all reported an uptick in cases last week, the first time this year that all three countries have seen an increase, the World Health Organization (WHO) said today.

Some of the remaining problems include stubborn pockets of community resistance in some areas, the disease's increased reach in Guinea, and widespread transmission in Sierra Leone, the agency said. The WHO warned of an urgent need to curb the outbreak in as many areas as possible, with the approach of the wet season that will make remote areas difficult for responders to reach.

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Liberia: St. Paul Bridge Community - Liberia's New Ebola Hotspot

Volunteers knocking on doors and advising people to wash their hands as a precaution against the Ebola virus.  Photo - UNHCR

submitted by Gavin Macgregor-Skinner

allafrica.com - by Stephen D. Kollie - February 3, 2015

Monrovia — Despite tremendous efforts by the government of Liberia and international partners aimed at eradicating the deadly Ebola virus, it seems the fight is becoming difficult to reach an end as new cases of Ebola are again being reported in the country.

For the past few days, Liberia, which was recording dozens of Ebola cases daily was only battling with the last five confirmed Ebola cases, but that record is now on a slippery path as five new Ebola cases have been reported in the St. Paul Bridge Community in Montserrado County.

Addressing the Ministry of Information daily Ebola press briefing, Assistant Health Minister and Head of the Incident Management System Tolbert Nyenswah explained that the government has identified a fresh Ebola outbreak in the St. Paul Bridge area, describing it as "the St. Paul bridge cluster infection chain."

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Report: Liberia : New Ebola cases reported in Liberia

RFI      By Adolphus Mawolo                              Feb. 3, 2015

MONROVIA --Assistant Health Minister and head of Liberia’s incident management system, Tolbert Nyensuwah, told journalists in Monrovia on Monday that five confirmed cases had been reported around Monrovia over the past seven days.

According to Minister Nyensuwah, the cases were reported from three communities in the western suburbs of the capital....

He has partially blamed the situation on some infected people refusing to seek treatment despite the availability of treatment centres, noting that a full-scale investigation is underway to ascertain why.

Fead complete story.
http://mobile.english.rfi.fr/africa/20150203-liberia-experimental-vaccines-against-ebola?utm_source=February+4+2015+EN&utm_campaign=2%2F4%2F2015&utm_medium=email

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Ebola infection 'linked to visor'

THE PRESS ASSOCIATION                               Feb. 4, 2015
LONDON --A British nurse who contracted Ebola while working in Sierra Leone possibly caught the virus by wearing a visor and not goggles, an investigation has suggested.
Press Association - Save the Children said Pauline Cafferkey, pictured on her return to health, may have contracted Ebola by wearing a visor rather than goggles when treating patients in Sierra Leone

The report by Save the Children said it cannot be completely certain how Pauline Cafferkey contracted Ebola but said both pieces of equipment are "equally safe".

The nurse, from Cambuslang in South Lanarkshire, had volunteered with the charity at the Ebola Treatment Centre (ETC) in Kerry Town before returning to the UK in December....

Save the Children published the findings of an independent review into the possible causes of how the 39-year-old caught the virus. The report said both visors and goggles are safe but there are slight differences in the type of clothing worn with each and in the protocols for putting them on and removing them....

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WHO names Ebola response chief

AFP                                                                      Feb. 3, 2015
GENEVA: The World Health Organization said Tuesday it had appointed its assistant director-general Bruce Aylward to head its overall response to the deadly Ebola outbreak.

It also said an independent commission was being created to assess WHO's widely criticised response to the epidemic, after the UN agency admitted last month it had been caught napping on Ebola and pledged reforms to avoid similar mistakes in the future.

WHO spokeswoman Fadela Chaib told reporters that Alward, a Canadian, will be responsible for coordinating all the different aspects of the agency's response to the devastating outbreak, which has killed nearly 9,000 people, almost all of them in Guinea, Sierra Leone and Liberia.

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Ebola: Sierra Leone Officials Criticize Travel Relaxation

ASSOCIATED PRESS BY CLARENCE ROY-MACAULAY                                                           Feb. 3, 2015

FREETOWN  --Although Ebola cases are declining in West Africa, Sierra Leone officials are worried that the president's decision to lift travel restrictions may re-ignite the spread of the deadly disease.

President Ernest Bai Koroma two weeks ago announced a relaxation of travel restrictions to support economic activity. Some officials agreed that the closure of roads hurt the economy. Others felt it was too soon.

"It was slightly too early," Freetown Mayor Franklyn Bode Gibson said Tuesday. "We do not know who is safe and who is not," and a second outbreak of the disease would be distrastrous. Gibson saidhe will call for a meeting this week with the National Ebola Response Center to register his disappointment about the re-opening of district roads.

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Good Fences, Good Neighbors

EBOLA WEEKLY  by   Cinnatus Dumbaya                                                          Feb. 2, 2015

The Mano River Union, which works across the Ebola-affected countries, held a meeting this weekend designed to tackle the challenges of halting the spread of disease at West Africa's porous land borders. Cinnatus Dumbaya spoke to the Reverend Linda Koroma, deputy secretary general of the Mano River Union Secretariat in Freetown, to find out more.

Excerpt from interview:
...."We want to ensure that our border communities are provided with health facilities they can access in the event of another epidemic or any other kind of disease. And so the idea the technical people came up with is to allow people to cross over borders easily in order to access fully equipped health centers that would be built in each of the border towns...."
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http://www.eboladeeply.org/articles/2015/02/7279/good-fences-good-neighbors/

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Ebola: Winning the War, but Battles Remain

      

A worker at a UNICEF-supported Interim Care Center plays with 19-month-old Ebola survivor Tamba in Gueckedou, Forest Region, Guinea on January 11, 2015.  Tamba's mother died of Ebola, then his father abandoned him for fear of catching the disease himself.  UNICEF is working to break down the stigma around Ebola so children like Tamba still have homes to go to.

cnn.com - by Diana Magnay - January 30, 2015

Liberia (CNN) - First, the good news: Ebola is in decline.

2014 was a year of profound fear for communities living with -- and dying of -- the disease; of health workers making the ultimate sacrifice, dying as they tried to save; of apocalyptic forecasts as to the disease's possible spread. . .

. . . Ebola is still critically dangerous. Hotspots remain.

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Ebola - is culture the real killer?

IRIN  Humanitarian News and Analysis  by Obinna Anyadike                                                            Jan. 29, 2015

NAIROBI, Kenya --Why do people persist with risky funeral rites, eat Ebola-harbouring bushmeat, and occasionally attack the very health workers sent to help, the news reports leave us wondering. What is the value of “traditional beliefs” when they are harmful: why can’t people just act more rationally?

A pregnant women suspected of having Ebola is taken away to an ETU in Freetown, Sierra Leone

The simple answer is; ask the communities. The growing number of researchers that do, find that people are acting as responsibly as they can in desperate circumstances. The lack of a properly functioning Ebola response and weak healthcare services has forced communities into rough and ready self-reliance. Faced with hotlines going unanswered, overcrowded Ebola Treatment Units (ETU), militarized quarantine areas, communities are actually looking for more information, not less.

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Ebola tests for UK military worker

PRESS ASSOCIATION                                                                                                     Feb. 2, 2015

LONDON --A second UK military healthcare worker has been transported back to England after likely exposure to Ebola via a needle-stick injury while treating someone with the virus in Sierra Leone, Public Health England said.

 

               Press Association - The healthcare worker has been admitted to the Royal Free Hospital in London

The healthcare worker arrived in the UK today and has been admitted to the Royal Free Hospital in London where they are undergoing an assessment.

They have not been diagnosed with Ebola and do not have symptoms, Public Health England added.

It comes after another British military healthcare worker was flown back to England for monitoring after suffering a needle-stick injury, also in Sierra Leone.

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https://uk.news.yahoo.com/ebola-tests-uk-military-worker-105839068.html#tDyqh5N

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