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4 Myths About Ebola Recovery in West Africa

GLOBAL HEALTH NOW Commentary by  Michael Murphy and Alan Ricks                       April 14, 2015
The aftermath of the world’s worst Ebola outbreak in history provides an important opportunity to reflect on the response; but most importantly, to acknowledge we have much more to do...our great fear is that the international community will declare Ebola’s containment a victory and move on, without addressing the reasons the outbreak was so devastating in the first place. The crisis is the canary in the mine, indicating a broader problem that long existed.

An unfortunate reality that plagues development assistance worldwide is what we call “short-termism.” It’s the tendency to mobilize health infrastructure resources only in crises. This is a reactive and costly strategy that prioritizes temporary stabilization without considerations for long-term security.... 

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Ebola Analysis Finds Virus Hasn't Become Deadlier, Yet

ICT  INFECTION CONTROL TODAY                                                                  April 14, 2015
(Scroll down for full study)
Research from the University of Manchester using cutting-edge computer analysis reveals that despite mutating, Ebola hasn’t evolved to become deadlier since the first outbreak 40 years ago. The surprising results demonstrate that while a high number of genetic changes have been recorded in the virus, it hasn’t changed at a functional level to become more or less virulent.

The findings, published in the journal Virology, demonstrate that the much higher death toll during the current outbreak, with the figure at nearly 10,500, isn’t due to mutations/evolution making the virus more deadly or more virulent.

As professor Simon Lovell from the Faculty of Life Sciences explains.... What we found was that whilst Ebola is mutating, it isn’t evolving to the point of adapting to become more or less virulent. The function of the virus has remained the same over the past four decades which really surprised us. Unfortunately this does mean the Ebola virus that has now emerged on several occasions since the 1970s will very probably do so again.”

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Liberia succeeds in fighting Ebola with local, sector response

WHO                                                                                                          April 14, 2015
The story of how Liberia’s most populous county, Montserrado, turned around an exponentially-growing Ebola outbreak is intriguing. WHO’s team and national officials, aided by veterans from WHO’s polio eradication group in India, decentralized the response, using quality management principles that empowered local teams and held them accountable for results.

                                                                                                           WHO /Aphaluck Bhatiasevi

These local sector teams involved more than 4,000 community members, using business best practices and an incident management system to vastly improve surveillance, case finding, contact tracing, and overall management of key response activities.
Read full account.
http://www.who.int/features/2015/ebola-sector-approach/en/

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Ebola: Surviving Survival - Life after recovery

Médecins Sans Frontières                                     April 13, 2015

Dr Maria Barstch spends her days in the small house that serves as MSF’s Ebola survivor clinic in Freetown, Sierra Leone. The peak of the epidemic may have passed in Sierra Leone but new cases continue to emerge almost every day, and with new cases come new survivors. While they are relieved to have defeated the deadly virus, some survivors are facing other debilitating symptoms of the so called “post-Ebola syndrome.”

                   People wait for a consultation at MSF’s survivor clinic in Freetown. Photo: Sophie McNamara/MSF

...MSF has also opened a survivor clinic in Liberia, housed at the site of MSF’s new pediatric hospital in Monrovia. In both Liberia and Sierra Leone, many survivors have previously sought treatment at local public or private hospitals and clinics but were refused care as soon as staff knew they were Ebola survivors.

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Community-Centered Responses to Ebola in Urban Liberia: The View from Below

PLOS   by Saron Alane Abramowitz, Kristen E. McLean and others,                                          April 9, 2015

The West African Ebola epidemic has demonstrated that the existing range of medical and epidemiological responses to emerging disease outbreaks is insufficient, especially in post-conflict contexts with exceedingly poor healthcare infrastructures.

 In this context, community-based responses have proven vital for containing Ebola virus disease (EVD) and shifting the epidemic curve. Despite a surge in interest in local innovations that effectively contained the epidemic, the mechanisms for community-based response remain unclear.

This study provides baseline information on community-based epidemic control priorities and identifies innovative local strategies for containing EVD in Liberia.
Read complete study.

http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003706

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Empty Ebola Clinics in Liberia Are Seen as Misstep in U.S. Relief Effort

NEW YORK TIMES  by                                                         April 12, 2015

MONROVIA, Liberia — As bodies littered the streets and the sick lay dying in front of overwhelmed clinics last year, President Obama ordered the largest American intervention ever in a global health crisis, hoping to stem the deadliest Ebola epidemic in history.

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WHO: Ebola survivors at risk of eye and joint problems

BBC by Smitha Mundasad                          April 10, 2015
Many Ebola survivors are likely to face further health issues including eye and joint problems, the World Health Organization has warned....

Officials announced they are attempting to set up clinics in Sierra Leone, Liberia and Guinea to monitor the health consequences Ebola survivors face.

Patients have reported problems with their vision, joints and on-going fatigue.

But Dr Bruce Aylward, assistant director general of the WHO, admitted not much was known about the long-term implications of the virus.

He said the information gathered at these clinics would help the mental and physical health needs of people recovering from the disease.

Read complete story.
http://www.bbc.com/news/health-32250515

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CDC to Launch Ebola Mobile Training App for Clinicians

hitconsultant.net - April 10, 2015

The Centers for Disease Control and Prevention (CDC) will soon launch an Ebola mobile app that provides intuitive coaching to clinicians on CDC’s guidelines for proper use of personal protective equipment (PPE) to prevent transmission of Ebola. 

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Risk of Ebola spreading to other countries seems to lessen: WHO

REUTERS  by Stephanie Nebehay                   April 10, 2015

GENEVA  West Africa's Ebola epidemic still poses a threat to other countries, but the risk of it spreading internationally appears to be diminishing, the World Health Organization (WHO) said on Friday.

The U.N. agency declared in August 2014 that the world's worst Ebola outbreak -- which began in December 2013 -- represented a "public health emergency of international concern" that forced all health officials to shore up defenses.

The WHO's Emergency Committee, comprising independent experts who held talks on Thursday, was "absolutely firm" in maintaining that view, said Dr. Bruce Aylward, WHO Special Representative for the Ebola Response.

"They did note, however, that they believe the risk of international spread appeared to be reducing, this was a result of the work being done in the countries," Aylward told a news briefing at WHO headquarters. He cited control measures and exit screening of travelers from Guinea, Liberia and Sierra Leone.

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Ebola virus: Liberia watchdog says $800,000 in funding for fight against outbreak unaccounted for

AUSTRALIAN BROADCASTING CORPORATION               April 9, 2015

Liberia's anti-corruption watchdog says some $800,000 in funding to fight the Ebola epidemic has not been properly accounted for, most of it passing through the defence ministry.

A report by the General Auditing Commission (GAC) covering the height of the outbreak last year analysed more than $13 million spent by the National Ebola Trust Fund (NETF).

"The conduct of the affairs of the ... [NETF] were marred by financial irregularities and material control deficiencies," read the report, published on the GAC web site....

The audit did not include donations from international organisations including the World Bank, the United States Agency for International Development (USAID), and other foreign donors whose contribution did not flow through the NETF.
Read complete story.

http://www.abc.net.au/news/2015-04-10/liberia-watchdog-says-some-ebola-funds-unaccounted-for/6382402

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