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World Health Assembly Boosts Rapid Emergency Response

The World Health Assembly has approved reforms that will increase the U.N. health agency's ability to respond rapidly and more effectively to health emergencies. In Geneva, a panel of experts discussed how new measures will help countries tackle emergencies, such as Ebola, Zika, and yellow fever.

Material to prevent Zika infection by mosquitoes are displayed at the 69th World Health Assembly at the United Nations European headquarters in Geneva, Switzerland, May 23, 2016

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Beyond Contact Tracing: Community-Based Early Detection for Ebola Response

Introduction: The 2014 Ebola outbreak in West Africa raised many questions about the control of infectious disease in an increasingly connected global society. Limited availability of contact information made contact tracing diffcult or impractical in combating the outbreak. 

Methods: We consider the development of multi-scale public health strategies that act on individual and community levels. We simulate policies for community-level response aimed at early screening all members of a community, as well as travel restrictions to prevent inter-community transmission. 

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Late Ebola Virus Relapse Causing Meningoencephalitis: a Case Report

thelancet.com - May 18, 2016 - DOI: http://dx.doi.org/10.1016/S0140-6736(16)30386-5

Interpretation

Our report shows that previously unanticipated, late, severe relapses of Ebola virus can occur, in this case in the CNS. This finding fundamentally redefines what is known about the natural history of Ebola virus infection. Vigilance should be maintained in the thousands of Ebola survivors for cases of relapsed infection. The potential for these cases to initiate new transmission chains is a serious public health concern.

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Casual healthcare contact with Ebola survivors poses low risk

Non-invasive contact with Ebola survivors 6 weeks after the virus has been cleared poses little risk for healthcare workers, though contact with semen, ocular humor, and cerebrospinal fluid requires Ebola-appropriate precautions, according to a study yesterday in The Lancet Infectious Diseases.

A cross-sectional cohort study evaluated 555 specimens from 112 Ebola survivors without fever seeking follow-up care at a clinic in Freetown, Sierra Leone, from Apr 2 to Jun 16, 2015. Almost one third of survivors (34, or 30%) were under the age of 16, and 50 (40%) were male.

Samples were obtained from the armpit (103 specimens), blood (93), conjunctiva (92), forehead (54), mouth (105), rectum (17), semen (1), urine (69), and vagina (21). The median time from Ebola treatment unit discharge to specimen collection was 142 days.

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WHO calls emergency meeting on yellow fever outbreak

GENEVA - The World Health Organization will hold an emergency meeting Thursday on the yellow fever outbreak that has hit hardest in Angola but risks spreading further if vaccinations are not ramped up.

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Deadly virus detected in sperm of survivors months after recovery

The deadly virus is passed on through contact with body fluids and 

The epidemic has now been declared over but researchers have monitored 450 survivors of both sexes for a year, testing tears, saliva, faeces, vaginal fluids and semen every three months thereafter.

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WHO Ebola Situation Report

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Anne Deborah Atai-Omoruto, Who Helped Lead Ebola Fight in Liberia, Dies at 59

Anne Deborah Atai-Omoruto, who died on May 5, was a doctor instrumental in curbing the 2014 Ebola epidemic in Liberia.
Credit Zoom Dosso/Getty Images

submitted by Carrie La Jeunesse

nytimes.com - by CLAIR MacDOUGALL - MAY 10, 2016

Anne Deborah Atai-Omoruto, a Ugandan doctor who went to Liberia at the height of the Ebola epidemic in 2014 and helped turn the tide in the battle against the disease, died on May 5 in Kampala, Uganda. She was 59.

The cause was pancreatic cancer, her daughter Acom Victoria said.

Dr. Atai-Omoruto, at the request of the World Health Organization, arrived in Liberia in July 2014 with a team of 14 Ugandan health workers she had gathered.

(READ COMPLETE ARTICLE)

 

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Heightened Surveillance: Liberia and Guinea Discharge Ebola Patients

Monrovia – Liberia’s and Guinea’s last known Ebola patients in a latest flare-up of the disease that hit both countries have now been discharged. All remaining contacts of confirmed cases that were placed under a 3-week period of medical monitoring have been cleared.

Liberia’s Ministry of Health, WHO and partners involved in the response held a ceremony at the Ebola treatment facility in Monrovia to celebrate the recovery and discharge of a 2-year-old boy, the final patient in the flare-up in Liberia. 

His 5-year-old brother recovered a week earlier. On 29 April, the country also began a 42-day period of increased surveillance – amounting to two 21-day incubation cycles of the virus.

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Ebola Carriers? Why The Virus Keeps Coming Back

            

Source: World Health Organization - Credit: Michaeleen Doucleff and Alyson Hurt/NPR

CLICK HERE - RESEARCH - Reduced evolutionary rate in reemerged Ebola virus transmission chains

The West African countries at the center of the epidemic have had flareups even after being declared Ebola-free by the World Health Organization.

npr.org - by Michaeleen Doucleff - April 29, 2016

Just when health officials think the Ebola outbreak is over in West Africa, the virus pops up again seemingly out of the blue. It's happened at least five times so far.

Now scientists are starting to figure out why: The virus can lay dormant in a survivor for more than year and then re-emerge to infect others.

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