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Mystery Deaths in Sierra Leone Spread Fear of Ebola Relapses

submitted by George Hurlburt

      

Sierra Leonean doctors practice wearing protective clothing in the Ebola Training Academy in Freetown, Sierra Leone, December 16, 2014. Reuters

uk.reuters.com - by Kemo Cham and Emma Farge - October 21, 2015

. . . the case of Scottish nurse Pauline Cafferkey – the first known Ebola survivor to have an apparently life-threatening relapse – has revived concerns about the health of some 17,000 survivors in Sierra Leone, neighbouring Guinea and Liberia.

Doctors and health officials in Sierra Leone told Reuters that a handful of mystery deaths among discharged patients may also be types of Ebola relapses, stirring fear that the deadly virus may last far longer than previously thought in the body, causing other potentially lethal complications.

Diagnoses have not been made, partly because of a lack of relevant medical training and insufficient equipment for detecting a virus that can hide in inaccessible corners of the body - such as the spinal fluid or eyeball. In Cafferkey's case, the virus in her brain caused meningitis.

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Ebola outbreak in West Africa 22 months on: Key issues for recovery and preparedness, October 2015

                                                                     

acaps.org

Ebola Project, Thematic Report: Key issues for recovery and preparedness, Oct 2015 (3 page .PDF file)
http://acaps.org/img/documents/e-acaps-ebola-project-thematic-report-key-issues-for-recovery-and-preparedness-oct-2015.pdf

ACAPS - Thematic Reports
http://acaps.org/en/pages/ebola-project-sep-dec-2015-thematic-reports

 

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Ebola RNA Persistence in Semen of Ebola Virus Disease Survivors - Preliminary Report

submitted by Carrie La Jeunesse

                             

nejm.org - October 14, 2015 - DOI: 10.1056/NEJMe1512928

The number of new cases of Ebola virus disease (EVD) in western Africa has declined from a peak of 1063 cases in the week of October 9, 2014, to fewer than 10 confirmed cases per week for 11 consecutive weeks as of October 7, 2015. The main mode of transmission is direct contact with the blood or body fluids of a person with EVD or from the body of a person who died from EVD. However, Ebola virus can persist in the body fluids of survivors during convalescence, which may result in transmission of the virus. The potential for the persistence of Ebola virus in the semen of male survivors raises concern regarding the possible transmission of the virus to sexual partners.

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Ebola Toll in Sierra Leone 'Could Have Been Halved If UK Had Acted Earlier'

             

Sierra Leone health officials check people transiting at the border crossing with Liberia in Jendema in March 2015.
Photograph: Zoom Dosso/AFP/Getty Images

London School of Hygiene and Tropical Medicine finds that if Britain had set up beds one month earlier, about 7,500 people would not have become ill

CLICK HERE - RESEARCH - Measuring the impact of Ebola control measures in Sierra Leone

theguardian.com - by Sarah Boseley - October 12, 2015

The number of Ebola cases in Sierra Leone could have been halved if treatment beds had been set up by the UK government and charities just one month earlier, a report claims.

The slow response of the World Health Organisation and others to the increasingly desperate pleas for help from people on the ground, especially Médecins sans Frontières, has attracted widespread criticism. Now researchers from the London School of Hygiene and Tropical Medicine have revealed how many could have been spared the disease if action had been taken sooner.

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G7 Health Ministers Propose Incentives For New Antibiotics, Commit Help On Ebola

INTELLECTUAL PROPERTY WATCH by Catherine Saez, Oct, 12, 2015

(Scroll down for Ministers' Statement.)

The health ministers of the Group of Seven (G7) most developed countries have issued a declaration on antimicrobial resistance and Ebola. The governments said they would explore innovative economic incentives to promote research and development of new antibiotics, such as a global antibiotic research fund and a market entry reward mechanism.

The G7 (Canada, France, Germany, Italy, Japan, United Kingdom, and United States) met from 8-9 October in Berlin and agreed to the Berlin Declaration [pdf] on Antimicrobial Resistance – Global Union for Antibiotics Research and Development (GUARD), aimed at supporting developing countries to develop national antimicrobial resistance action plans.

The G7 health ministers also issued a commitment on lessons learned from Ebola, and supported the 2005 World Health Organization International Health Regulations (IHR), insisting on the need to comply with them.

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The Chains of Mental Illness in West Africa

submitted by George Hurlburt

         

Yaovi Gaffa, 20, chained in a room at a prayer camp near Lomé, Togo, in April. Chaining is a last resort for families in West Africa where psychiatry is virtually unknown. Credit Joao Silva/The New York Times

nytimes.com - by Benedict Carey - October 11, 2015

KPOVÉ, Togo — The church grounds here sprawled through a strange, dreamlike forest. More than 150 men and women were chained by the ankle to a tree or concrete block, a short walk from the central place of worship. Most were experiencing the fearsome delusions of schizophrenia.

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WHO Director-General Addresses G7 Health Ministers on Ebola

                                         

who.int - October 9, 2015

Dr Margaret Chan
Director-General of the World Health Organization

Remarks at the G7 Health Ministers Meeting. Session on Ebola: lessons learned and the International Health Regulations. Berlin, Germany

Honourable ministers, ladies and gentlemen,

I will focus my remarks on lessons learned and the IHR.

Managing the global regime for controlling the international spread of disease is a central and historical responsibility of WHO. In a given year, WHO manages around 100 outbreaks of familiar diseases, like cholera, dengue, meningitis, and many others. This Ebola outbreak was different. It was complex in size and context, present in three countries which were unfamiliar with the disease and ill-prepared.

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Ebola Nurse Pauline Cafferkey 'In Serious Condition'

            

Pauline Cafferkey previously spent a month in the specialist isolation unit at the Royal Free Hospital in London

bbc.com - October 9, 2015

A Scottish nurse who contracted Ebola in Sierra Leone last year is in a "serious condition" after being readmitted to an isolation unit in London.

NHS Greater Glasgow and Clyde confirmed that the virus is still present in Pauline Cafferkey's body after being left over from the original infection.

She is not thought to be contagious.

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Ebola countries record first week with no new cases

BBC   Oct. 8, 2015  
(Scroll down for WHO Report.)                     

The three West African countries at the heart of the Ebola epidemic recorded their first week with no new cases since the outbreak began in March 2014.

                               The Ebola outbreak in West Africa has killed more than 11,000 people

The outbreak has so far killed more than 11,000 people in Guinea, Liberia and Sierra Leone, according to the World Health Organization (WHO).

New cases have fallen sharply in 2015, but the WHO has warned that the disease could break out again.

Read complete story.
http://www.bbc.com/news/world-africa-34471234?utm_source=Copy+of+October+7%2C+2015+EN&utm_campaign=10%2F8%2F2015+fr&utm_medium=email

WHO SITUATION REPORT 7 Oct.  2015

http://apps.who.int/ebola/current-situation/ebola-situation-report-7-october-2015

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Guinea - Four New Cases of Ebola This Weekend in Forecariah

guineenews.org - September 28, 2015

(Translation to English via Google Translate)

Four new cases of Ebola this weekend in Forecariah: she wants Guinea to end the epidemic?

Two people reported positive for Ebola test this Saturday and two on Sunday yesterday: the sad accounting revealed in the villages and Kintinia Taramassi (Forecariah) by the local coordinating the fight against Ebola. These cases were reported while the prefecture had over two weeks without a new case.

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