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The hidden cost of Ebola: thousands of measles deaths

VOX  by Julia Belluz                                            March 12, 2015

(Scroll down for full Science Journal study.)

As if being stricken by the most deadly virus known to man weren't enough, now, it seems, West Africa is on alert for outbreaks of vaccine-preventable diseases including measles, whooping cough, and tuberculosis.

A girl collects her family's laundry after drying it on a rooftop in the West Point township on January 31, 2015 in Monrovia, Liberia. Life has been disrupted by Ebola for many Liberians.

In a new study in the journal Science, researchers focused on measles — the most contagious virus recorded — and applied statistical models to quantify the likelihood of an epidemic in the three countries worst hit by Ebola, Liberia, Sierra Leone, and Guinea.

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Sierra Leone sees worrying spike in Ebola cases over week

ASSOCIATED PRESS  by Clarence Roy-Macaulay                                                      March 12, 2015
 FREETOWN --   Sierra Leone has seen a worrying spike in confirmed Ebola cases over the past week in four districts, the head of the national Ebola response center said Thursday.

New measures must now be put into place to contain the surges, said the head of the National Ebola Response Centre, Alfred Palo Conteh.

Fifteen cases were recorded Wednesday, along with 16 on Monday and Tuesday respectively, according to Sierra Leone's Ministry of Health and Sanitation.

"We are now on a bumpy road to zero number of cases to get to President Ernest Bai Koroma's target of March 31," said Palo Conteh. "It is frustrating."

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http://news.yahoo.com/sierra-leone-sees-worrying-spike-ebola-cases-over-141214859.html;_ylt=AwrBEiTD7gJVy2QANdbQtDMD

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2 Aid Workers In West Africa Are Infected With Ebola

NEW YORK TIMES  by Sheri Fink and Allan Cowell                                                         March 12, 2015

A worker from Partners In Health, the prominent American medical aid organization, and an emergency worker from the British military have been infected with the deadly virus in Sierra Leone, health officials said Thursday.

The Partners In Health worker was the first in that group to be infected since it made an ambitious commitment last fall to help combat Ebola in West Africa, and was the first American health worker in months to get the disease while working in the region. ...

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Ebola death toll passes 10,000: WHO

AFP                                                                                                                    March 12, 2015
(Scroll down for WHO report.)

Geneva -- The global death toll from the Ebola outbreak centred in west Africa has topped 10,000 out of more than 24,000 recorded cases, the World Health Organization said Thursday.

Almost all the deaths and cases have been reported in the three west African countries worst hit by the outbreak: Sierra Leone, Liberia and Guinea.

Sierra Leone, which has overtaken Liberia as the country with the most infections, counted 11,677 cases and 3,655 deaths as of March 10.

As of March 5, Liberia -- long the hardest-hit country -- had recorded a total of 9,343 and 4,162 deaths.

But the tide seems to be turning in the country which in August and September was reporting more than 300 new cases each week, with the WHO saying Wednesday that Liberia had registered no new cases since February 19.

In Guinea, where the outbreak started in December 2013, 3,330 Ebola cases and 2,187 deaths were recorded as of March 10.

The WHO said on Wednesday that the country had seen no new cases in the previous 10 days.

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UNMC dean who just returned from Sierra Leone, another Ebola expert agree: Fight not over

OMAHA WORLD-HERALD by  Bob Glissman                                                             March 11, 2015

  The West African countries hit hardest by the Ebola virus and the countries and groups that have helped battle the disease must remain vigilant if the number of new Ebola cases is to get to zero, health experts said Wednesday.
Dr. Ali Khan, dean of the University of Nebraska Medical Center’s College of Public Health, spent a month in Sierra Leone as a consultant on Ebola for the World Health Organization. 

Dr. Ali Khan, who returned to Omaha late last week after a month in Sierra Leone, said progress is evident, but he cautioned officials there against becoming complacent. “Because with a disease like Ebola,” he said, “all you need is one case to restart an outbreak or a cluster of cases.”

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The hidden cost of Ebola: thousands of measles deaths

VOX  by  Julia Belluz                                           March 12, 2015

(Scroll down for Science journal study.)

As if being stricken by the most deadly virus known to man weren't enough, now, it seems, West Africa is on alert for outbreaks of vaccine-preventable diseases including measles, whooping cough, and tuberculosis.

A girl collects her family's laundry after drying it on a rooftop in the West Point township on January 31, 2015 in Monrovia, Liberia. Life has been disrupted by Ebola for many Liberians.

In a new study in the journal Science, researchers focused on measles — the most contagious virus recorded — and applied statistical models to quantify the likelihood of an epidemic in the three countries worst hit by Ebola, Liberia, Sierra Leone, and Guinea.

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Ebola could cost West Africa $15 billion over three years

REUTERS  by Misha Hussain                                                    March 12, 2015sC

(Scroll down for links to press release and full report.)

DAKAR -- West Africa may lose up to $15 billion over the next three years due to the impact of the Ebola outbreak on trade, investment and tourism, according to a report by the United Nations.

The world's deadliest Ebola epidemic has killed almost 10,000 people in the three most affected countries of Guinea, Liberia and Sierra Leone, deepening poverty in one of the least developed parts of the world.

"The consequences of Ebola are vast," said Abdoulaye Mar Dieye, Africa director of the United Nations Development Programme (UNDP).

"Stigma and risk aversion have caused considerable amounts of damage, shutting down borders and indirectly affecting the economies of a large number of countries in the sub-region."

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http://news.yahoo.com/ebola-could-cost-west-africa-15-billion-over-150805196.html;_ylt=AwrBJSCTtwFVoAIAda3QtDMD

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British Army medic with Ebola evacuated with two other suspected cases

THE TELEGRAPH  by  Victoria Ward and Ben Farmer   March 12, 2015  

A female Army medic who has caught Ebola while working in Sierra Leone is being flown back to Britain by the RAF, along with two workers who have been in close contact with her.

              Beatrice Yordoldo (Seated), an Ebola patient, poses for photographs with medical staff  Photo: AFP

Two further health workers who have been exposed to the unnamed soldier are being tested in Sierra Leone and could be evacuated later...

The woman is the third British health care worker confirmed to have caught the deadly virus...

Justine Greening, the Development Secretary, said the checks on the four other workers were "purely precautionary" after they had close contact with the female patient.

http://www.telegraph.co.uk/news/worldnews/ebola/11466376/British-Army-medic-with-Ebola-being-flown-back-to-UK.html

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New Ebola drug trial starts in Sierra Leone

SCIENCE By Kai Kupferschmidt                                                                       March 11, 2015

Researchers in Sierra Leone today started a new phase II trial of an experimental drug in Ebola patients. The first participant received an injection of the therapeutic, called TKM-Ebola, this morning at an Ebola treatment unit in Kerry Town. The trial may expand to other sites; the study team hopes to have an answer fast so that it can either move on to another drug or start a phase III study of TKM-Ebola.

Produced by Tekmira Pharmaceuticals in Burnaby, Canada, TKM-Ebola is made of synthetic, small interfering RNAs packaged into lipid nanoparticles. The RNAs target three of Ebola’s seven genes, blocking the virus’s replication. TKM-Ebola has been shown to work well in monkeys; the efficacy trial in humans is only starting now because there was not enough of the drug available earlier. Also, the RNAs have been adapted to the strain circulating at the moment.

The study does not have a placebo arm; all patients at the trial site are eligible for the drug, and researchers hope to determine whether it works by comparing them with patients treated elsewhere.

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Study Indicates Ebola-Infected Sewage May Require Longer Holding Period

INFECTION CONTROL TODAY                                          March 11, 2015
Storing Ebola-infected sewage for a week at 86 degrees Fahrenheit or higher should allow enough time for more than 99.99 percent of the virus to die, though lower ambient temperatures may require a longer holding period, according to a new study by researchers at Georgia State University's School of Public Health.

The study co-authored by Lisa M. Casanova, assistant professor of environmental health, and Scott R. Weaver, research assistant professor in Epidemiology and Biostatistics, used bacteriophage Φ6, a type of virus, as a stand-in to study how long Ebola and similar viruses can survive in latrines and other systems for collecting and disposing of sewage. Bacteriophage Φ6 has a lipid envelope, meaning it has structural similarities to Ebola and several other types of virus, allowing for a safe study that did not require use of Ebola itself.

"The places hardest hit by Ebola are the places that often have the least infrastructure for safely disposing of sewage and are using things like pit latrines," says Casanova. "They need the answers to questions like this."

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