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Ebola in Sierra Leone: after 4,000 deaths, outbreak all but over

THE GUARDIAN   by Sarah Bosley                              Aug. 20, 2015
FREETOWN--The long-running Ebola epidemic in Sierra Leoneis all but over after nearly 13,500 cases and almost 4,000 deaths, those fighting the disease believe.

             People celebrate being released from Ebola quarantine on 14 August 2015. Photograph: Sunday Alamba/AP

The last case in Sierra Leone was an eight-month-old child, who was hospitalised nearly two weeks ago and died four days later.

None of the 29 people who had contact with the child and were moved from the densely packed Freetown slum of Magazine Wharf to a voluntary quarantine facility have so far shown signs of illness.

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Study: Ebola Infections 17 Times Less Likely in Communities that Participated in Community-Led Total Sanitation

globalcommunities.org - August 13, 2015

100% of 284 Open Defecation-Free Liberian communities reported they were Ebola-free

Research evidence points to a strong correlation between Community-Led Total Sanitation and Open Defecation-Free status and reduced risk of Ebola

Global Communities today released results of a study to examine whether communities in Liberia stood a better chance of resisting Ebola during the outbreak of the past 18 months if they participated in efforts to achieve Open Defecation Free (ODF) status. The study confirmed that a representative sample drawn from 284 Liberian communities that achieved ODF status by participating in the Community-Led Total Sanitation (CLTS) process were Ebola-free despite their proximity to Ebola hotspots. Communities that began but did not complete the CLTS process also experienced significant protection and were 17 times less likely to experience Ebola Virus Disease infections.

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Ebola Scares Off Trainee Nurses in Liberia

      

Marconi Collins, a nursing student at the Redemption Hospital in Liberia, cares for a patient as part of her internship, despite fears of Ebola.  Photo: Prince Collins/IRIN

irinnews.org - by Prince Collins

MONROVIA, 18 August 2015 (IRIN) - Like hundreds of other nursing students in Liberia, Jerry Songu should have been beginning his internship this month, the final step to graduating and earning his license. Instead, he has chosen to put his studies and future career on hold.

“Ebola has no boundaries,” the 36-year-old, who is in his third year of nursing school at the Caldwell Community Nursing School in the capital Monrovia, told IRIN. “It killed registered nurses and it can also kill practising nurses. So this is nothing to play with.”

“For me, I have resolved to wait until everything [the Ebola outbreak] is totally over,” he said. “My life is important and I must do everything to protect it. Big [senior] doctors died in this country from Ebola and who am I to take the risk? I am just a student. No rush now.”

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As Ebola crisis ebbs for Sierra Leone, food insecurity gnaws at recovery

The deadly virus overwhelmed Sierra Leone's key agricultural district, leaving thousands of farms, and their farmers, abandoned. The impact of that lost harvest has shaken the economy — and its food supply.

CHRISTIAN SCIENCE MONITOR  by Ryan Lenora Brown                    Aug. 16, 2015

Kailahun, Sierra Leone —...Today, the Ebola virus appears to be in retreat. Massive tented treatment centers built by international donors stand vacant and ghostly across the countryside, unnecessary to cope with the single-digit numbers of new cases recorded in recent weeks. Schools, closed for nearly nine months, have reopened. On weekend mornings, Freetown’s Atlantic Ocean beaches are once again thronged with joggers, pick-up soccer games, and informal aerobics classes, as fears fade of passing Ebola through physical contact.

Lahai Momoh, a buying agent for cacao in the eastern Sierra Leonean town of Kenema, seen here talking on his cellphone in August 2015, says 2014 was the worst year of his career due to the country's Ebola outbreak.

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The Use of Intraosseous Fluid Resuscitation in a Pediatric Patient with Ebola Virus Disease

jem-journal.com - by Michael L. Paterson and Charles W. Callahan - August 14, 2015

 
Abstract
 
Background

Vomiting, diarrhea, and severe dehydration are common manifestations of Ebola virus disease (EVD), leading to its high mortality. Mortality is especially high in patients older than 45 years, younger than 5 years, and in pregnant women and their fetuses. The majority of patients with EVD are not able to tolerate the quantities of oral hydration solutions necessary to rehydrate properly. Although some have speculated that IV and intraosseous lines are not practical in the austere, resource-constrained settings of an Ebola treatment unit during an epidemic, it is necessary to provide parenteral fluids and electrolyte replacements to significantly decrease mortality. Due to the inability to spend long periods of time working in hot environments wearing personal protective equipment, it is necessary to maximize the use of rapidly obtainable and safe parenteral access.

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Laws Prohibiting Bush Meat Are Actually A Boon For The Bush Meat Biz

The dik-dik is a small antelope that is hunted as bush meat. This picture was taken in Voi, a town in southern Kenya. Courtesy of Marcus Bleasdale

Image: The dik-dik is a small antelope that is hunted as bush meat. This picture was taken in Voi, a town in southern Kenya. Courtesy of Marcus Bleasdale

npr.org - August 14th, 2015 - Emily Sohn

Note: This post contains a photo of a monkey carcass, on sale at a bush meat market, that may be disturbing to some readers.

What's for dinner?

Porcupines, giant squirrels, dwarf crocodiles and a variety of primates, including golden-bellied crowned monkeys and Bioko black colobus monkeys.

Those are some of the bush meat offerings at the outdoor covered market in Malabo on Bioko Island, part of Equatorial Guinea in Central Africa.

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Sierra Leone lifts last major Ebola quarantine as cases recede

REUTERS    by Umaru Fofana                            Aug.15, 2015

ASSESSEBEH, Sierra Leone  - Sierra Leone lifted its last major Ebola quarantine on Friday as President Ernest Bai Koroma expressed confidence that the country would soon be free of the virus.

The more than 500 residents of the northern village of Massessebeh gathered in the streets, singing and waving palm branches, after Koroma cut a piece of tape used as a cordon.

"I am sure within August we will start counting the first 21 days of zero (new cases)," said Koroma, referring to the incubation period of the virus. "I believe we cannot go back, we can only go forward."

read complete story.

http://news.yahoo.com/sierra-leone-lifts-last-major-ebola-quarantine-cases-082712750.html

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Some Ebola Survivors Still Suffer—And Doctors Don’t Know Why

SCIENCE    by  Katie  M. Palmer                      Aug. 15, 2015

For the communities in Guinea, Sierra Leone, and Liberia where Ebola took the greatest toll last year, the worst is over. After claiming 11,000 lives, the fatal virus has finally begun to retreat. Numbers of new Ebola cases are dwindling. But for some of the survivors—the 50 percent or so of the infected who pull through—Ebola’s effects still linger.

                            Ebola survivor Fayiah, 11, sits with her relatives in Monrovia, Liberia. Jerome Delay/AP

For the communities in Guinea, Sierra Leone, and Liberia where Ebola took the greatest toll last year, the worst is over. After claiming 11,000 lives, the fatal virus has finally begun to retreat. Numbers of new Ebola cases are dwindling. But for some of the survivors—the 50 percent or so of the infected who pull through—Ebola’s effects still linger.

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Ebola survivors clinic opens in Monrovia

WHO                                                         August 2015

MONROVIA --  Surviving Ebola is only part of the story. Many patients experience "post-Ebola" symptoms - joint pain, dizziness, blurred vision, inability to concentrate, headaches. The Ebola Survivors Clinic, opened recently at the Redemption Hospital in Monrovia, Liberia, not only offers treatment, support and training for Ebola survivors, but also helps health-care workers better understand this disease.

             A Liberian doctor, Moses Soka, runs the Ebola Survivors Clinic that opened recently at the Redemption        hospital  in  Monrovia  WHO/C. Bailey

The line around Redemption Hospital in Monrovia was already stretching around the street corner when Dr Moses Soka arrived. The Ebola Survivors' Clinic had only been open a week, but word had spread and patients were beginning to come in numbers, patients of all ages and from across the city.

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