Liberia

Health-care workers struggle to help people who have been traumatized by the epidemic.

The Ebola epidemic in West Africa may be fading, but its impact on mental health could linger for years. Survivors are often haunted by traumatic memories and face rejection by society when they return home, and those who never contracted the disease may grieve for lost relatives or struggle to cope with extreme anxiety.

The trauma caused by death and fear is having long-term ramifications on the people of Sierra Leone.

LIVE SCIENCE  by Rahael Retner                             March 5, 2015

Texas nurse Nina Pham, who was infected with Ebola, says she has had ongoing health problems since being cured of the disease, and experts say this is not uncommon for Ebola survivors.

The long-term effects of Ebola have not been well studied, and doctors will likely learn a lot more about the disease's aftermath from the most recent outbreak in West Africa, the largest in history, said Dr. Jesse Goodman, an infectious-disease expert and a professor of medicine at Georgetown University Medical Center in Washington, D.C.

 But it is clear that Ebola survivors can experience health problems that remain with them temporarily as a result of their battle with the disease, Goodman said....

 These symptoms may result, in part, from the body's release of certain immune-system chemicals called cytokines. These chemicals fight the disease but make people feel sick. Dehydration, low blood pressure and nutrition problems that people experience during an Ebola infection can also injure a person's muscles or other tissues, Goodman said.

ASSOCIATED PRESS by JONATHAN PAYE-LAYLEH                                             March 5, 2015

MONROVIA -- Liberia released its last Ebola patient, a 58-year old English teacher, from a treatment center in the capital on Thursday, beginning its countdown to being declared Ebola free.

"I am one of the happiest human beings today on earth because it was not easy going through this situation and coming out alive," Beatrice Yardolo told The Associated Press after her release.

...The St. Paul's Bridge community where she resides and teaches had become the last "hotspot" for Ebola cases in Monrovia, according to Tolbert Nyenswah, Assistant Health Minister and head of the country's Ebola response.

Description of key Ebola areas---MSF

MSF                                                        March 3, 2015

The Ebola outbreak in West Africa continues, albeit with decreasing intensity. The virus has infected more than 23,700 people across the region since the outbreak was declared 11 months ago. While the number of new patients in Liberia is declining, numbers are still fluctuating in both Guinea and Sierra Leone. A total of 99 new confirmed cases were reported across the three worst affected countries during the week up to 22 February 2015.

The unpredictable nature of the epidemic means that teams from Médecins Sans Frontières/Doctors Without Borders (MSF) are maintaining a flexible approach and continuing to respond where the needs are greatest in Guinea, Liberia and Sierra Leone.

See country-by-country analysis and complete story.

http://www.msf.org/article/ebola-epidemic-not-over-%E2%80%93-key-areas-still-need-be-tackled