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Neglected Tropical Diseases in the Ebola- Affected Countries of West Africa

PLOS   EDITORIAL by Peter J. Hotez, Sabin Vaccine Institute                          June 25, 2015
While global attention in West Africa is focused on the emergence of Ebola virus infection, new information from the published literature and World Health Organization databases reveals that many other neglected tropical diseases (NTDs) are far more widespread and also require urgent attention.
Well before Ebola virus infection emerged in West Africa at the end of 2013, the three
major affected countries--Guinea, Liberia, and Sierra Leone were already known to
be highly affected by NTDs....
Today, new information from the recent literature and the World Health Organization
(WHO) Preventive Chemotherapy and Transmission (PCT) Control databases reveals that
NTDs remain widespread in Guinea, Liberia, and Sierra Leone.  An estimated
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WHO Ebola Situation Report - June 24, 2015 | UNMEER External Situation Report - June 22, 2015

                  

who.int - June 24, 2015                                                                         ebolaresponse.un.org - June 22, 2015

CLICK HERE - WHO Ebola Situation Report - June 24, 2015

CLICK HERE - UNMEER External Situation Report - June 22, 2015 - (2 page .PDF file)

CLICK HERE - WHO Ebola Situation Reports

CLICK HERE - UN Mission for Ebola Emergency Response (UNMEER) Situation Reports

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Liberia: Flirting With Disaster - Porous Border, Close Ebola Recall

allafrica.com - Front Page Africa - by Bettie Johnson - June 22, 2015

. . . The country is now in a panic mode after a sick lady from neighboring Guinea was intercepted by security officers at a checkpoint deep inside Liberian territory, raising fears that the episode of 2014 which brought Ebola to Liberia is threatening to reemerge. . . .

. . . A Global Communities Surveillance Officer disclosed that although they are carrying out temperature checks on commuters, people using illegal entry points are moving without going through health screening. . . .

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Malaria morbidity and mortality in Ebola-affected countries caused by decreased health-care capacity, and the potential effect of mitigation strategies: a modelling analysis

LANCET by Patrick G. T. Walker and others                               Volume 15, No. 7, p825–832, July 2015
The ongoing Ebola epidemic in parts of west Africa largely overwhelmed health-care systems in 2014, making adequate care for malaria impossible and threatening the gains in malaria control achieved over the past decade. We quantified this additional indirect burden of Ebola virus disease.

We estimated the number of cases and deaths from malaria in Guinea, Liberia, and Sierra Leone from Demographic and Health Surveys data for malaria prevalence and coverage of malaria interventions before the Ebola outbreak. We then removed the effect of treatment and hospital care to estimate additional cases and deaths from malaria caused by reduced health-care capacity and potential disruption of delivery of insecticide-treated bednets. We modelled the potential effect of emergency mass drug administration in affected areas on malaria cases and health-care demand....

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Liberia: Two-Hour School in Lofa County - Students in Class 8-10am

ALLAFRICA  by Mae Azango                                                                   June 10, 2015

Children in Gorlu, Salayea District Lofa County, are only in school two hours a day, or not in school at all. The reason? Their teachers are either running behind their salaries, or volunteer teachers are trying to get their names on the government's payroll.

Matthew Gahndolo, the school's principal laments, "The government of Liberia says, free and compulsory primary education, but what is the use when the children come to school by 8:00 a.m. and leave the class room after 10:00 a.m. to go on the farms, because their teachers are running behind salaries"

The situation of teachers leaving the classrooms and running behind salaries, and lack of qualified teachers to teach the children in rural Liberia, is not only restricted to Lofa County, but nearly all of the fifteen counties in Liberia. With the situation becoming increasingly alarming and dreadful, the government has also witnessed aggrieved health workers also on the streets demanding the Ebola risk benefits as well.

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http://allafrica.com/stories/201506100717.html

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Liberians still face travel headaches, stigma abroad even after country declared Ebola-free

ASSOCIATED PRESS By KRISTA LARSON                   June 19, 2015

DAKAR  Senegal  — Robtel Neajai Pailey hadn't been back home to Liberia since Ebola engulfed the country's capital in July, fearful that doing so could make it harder for her to travel as countries around the globe clamped down on visitors with West African passports.

So it was a mix of shock and anger earlier this month when she couldn't get a visa to attend an important meeting in the United Arab Emirates that had been months in the making.

It didn't matter that she had not even been in Liberia during the epidemic. Nor did it matter that Liberia was declared Ebola-free more than a month ago.

"It's not just affecting people who are in the country — it's all of us who have Liberian passports," said Pailey, an academic, activist and author who is based at SOAS, University of London.

The World Health Organization declared Liberia Ebola-free in early May. Still, fear of the deadly disease still reigns in many places, causing students to miss out on scholarships abroad, and keeping relatives from attending weddings and funerals.
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Staying at zero: Keeping Ebola out of Liberia


WHO                                                                  June 19, 2105
Ebola transmission may be over in Liberia, but in northwestern Lofa County health officials are concerned about its return. The virus first surfaced in the county in March 2014 via a traveller from Guinea and went on to devastate the country.

All 6 districts of northwestern Lofa County share a border with Guinea or Sierra Leone, where the Ebola transmission continues. Every day, hundreds of people pour into Lofa from the 2 Ebola-hit countries — traders, merchants, farmers and other economic migrants, relatives of Liberians attending weddings and funerals and patients going to Liberian health centres in border towns. On market days, the numbers double. They enter Liberia through 33 official border checkpoints and nearly 300 unofficial, mostly unmanned crossings.

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Ebola showed aid delivery desperately needs an overhaul

REUTERS  by Stella Dawson                                                          JUNE 18, 2015

WASHINGTON -- The Ebola epidemic exposed long-standing holes in aid delivery,  which desperately needs an overhaul before the next international emergency hits, aid experts said on Thursday.

Supplies for the Ebola zone in West Africa wait to be loaded at New York's John F. Kennedy International Airport September 20, 2014. REUTERS/Carlo Allegri

Many of the shortcomings seen during the Haiti earthquake of slow responses and uncoordinated relief efforts were repeated during the Ebola crisis that erupted in West Africa a year ago, they said.

With Sierra Leone and Guinea continuing to report cases of the deadly virus, the international community must act urgently, said Carolyn Reynolds, external relations manager at the World Bank.

"We need to think outside the box," she said at a panel on global health preparedness held on Capitol Hill.

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www.trust.org/item/20150618215202-ilvea/?source=fiOtherNews2

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Pregnant Ebola patient may have been contagious for days without symptoms

REUTERS by Gene Emery                                                                         June 18, 2015

 NEW YORK (Reuters Health) - Pregnant women infected with Ebola may be contagious for days before they show symptoms, a group of doctors is warning in the June 18 New England Journal of Medicine.

The warning is based on a single case and the woman did not actually spread the deadly infection to anyone. But laboratory tests revealed high levels of the virus when no symptoms were present.

Usually people aren't considered to be contagious until they start to feel ill.

The reason pregnant women may be an exception may have to do with the way pregnancy affects the woman's body, the doctors say. Her immune system becomes more tolerate of the fetus, whose tissues would normally be considered foreign.

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http://news.yahoo.com/pregnant-ebola-patient-may-contagious-days-without-symptoms-124114264.html;_ylt=AwrC0wxAAYNVTlEAmp7QtDMD;_ylu=X3oDMTBybGY3bmpvBGNvbG8DYmYxBHBvcwMyBHZ0aWQDBHNlYwNzcg--

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Ebola genetic code analysed to show evolution of worst ever outbreak

THE GUARDIAN   by Ian Sample                                                                             June 18, 2015

Scientists have analysed the genetic code of Ebola viruses from patients across west Africa and pieced together the evolution of the worst ever outbreak of the killer disease.

Experts from Public Health England at Porton Down in Britain, the World Health Organisation (WHO), and other leading labs, used DNA from 179 Ebola samples to reconstruct the spread of the virus from Guinea into surrounding countries last year.

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