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Maternal health: Ebola’s lasting legacy

One of the most devastating consequences of the Ebola outbreak will be its impact on maternal health.

NATURE  by Erika Check Hayden                                                                                       March 5, 2015
...Ebola is having tremendous knock-on effects for maternal health in Liberia, Guinea and Sierra Leone. Pregnancy seems to make women uniquely vulnerable to the effects of the disease, and babies born to infected women have not been known to survive.

 

Uninfected but affected: women line up for perinatal care at a Marie Stopes centre in Sierra Leone. Marie Stopes, Sierra Leone, supported by DFID/UKAID

Compounding these individual tragedies, the blood and abundant bodily fluid that accompanies delivery or miscarriage pose enormous risk of infection to health workers. As a result, many refuse to treat patients who are pregnant for fear that they will become infected.

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Ebola’s mental-health wounds linger in Africa

 

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

 SCIENCE  by Sarah  Reardon                                                                                       March 3, 2015

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.

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What Are the Long-Term Effects of Ebola?

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.

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Ebola in graphics The toll of a tragedy

THE ECONOMIST   by the Data Team                                                                         March 5, 2015

Graphics illustrating the Ebola situation.


See complete set of Graphics

http://www.economist.com/blogs/graphicdetail/2015/03/ebola-graphics

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Case Study: Nebraska's Ebola isolation and decontamination approach

MEDICAL NEWS TODAY                                                                                                 March 4, 2015

The Nebraska Biocontainment Unit (NBU), located at the Nebraska Medical Center, has shared its protocol for Ebola patient discharge, handling a patient's body after death and environmental disinfection in the March issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

Discharge process for a patient treated for EVD

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Ebola: Epidemic is not over – key areas still need to be tackled

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

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Ebola: UN tells Brussels meeting world must ‘stay on course’ to get to, remain at zero cases

UNITED NATIONS NEWS CENTRE                           March 4, 2015

BRUSSELS --Representatives of United Nations organizations engaged in the response against Ebola pledged their support Ttuesday to the worst-affected West African countries in “each stage of this journey; the drive to zero, the early recovery, the medium and longer term development.”

UN and EU meet in Brussels, Belgium, to take stock of the Ebola situation and identify ways forward. Photo: UNMEER

The pledge was made at a high-level international conference on Ebola sponsored by the European Union in Brussels, Belgium, aimed at maintaining global attention on the crisis, taking stock of the fight against the epidemic and on coordinating next steps and discussing the recovery process.

The UN Secretary-General’s Special Envoy on Ebola, Dr. David Nabarro, said that current phase of the response “is the hardest part and a bumpy road” and urged the international community to remain fully engaged until the task is completed, especially as the virus is moving and as some communities are reticent about being engaged in the response.

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Ebola ‘leaves 12,000 orphans in Sierra Leone’

THE GUARDIAN  by  Lisa O'Carroll                                                                        March 4, 2015

The devastating impact of the Ebola crisis was laid bare this week with a report showing more than 12,000 children have been orphaned by the disease in Sierra Leone.

They have been identified in the first national survey of orphans, which was conducted by the British charity Street Child. It says the future for these children is dire. Many are living in fear without the support and security of parents, but the charity says there is light at the end of the tunnel “if the international aid community works together”.

The charity found that some children, rejected by their friends because of the stigma of Ebola, have tried to take their own lives, while girls are being forced into commercial sex work to earn money for food their parents would have previously provided.

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Sierra Leone's young community leaders are best weapon against Ebola

COMMENTARY: Foreign leaders discussing solutions to the Ebola epidemic must acknowledge the contribution made by local workers to reduce infection rates

    

     International response … leaders of Ebola-hit countries in west Africa and EU commissioners attend a conference in    Brussels on Ebola on Tuesday 3 March. Photograph: Thierry Charlier/AFP/Getty Images

THE GUARDIAN by James Fofanah                                                                    March 3, 2015

...The international community’s initial focus on a purely medical response – and a megaphone broadcast of the over-simplistic message that “Ebola is real” – was a failure, and a major reason for the rapid spread of the disease at the early-to-middle stages of the epidemic.

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Fighting Ebola requires a culture change in the west, as well as west Africa

COMMENTARY: Only by turning our response to Ebola upside down can another epidemic be avoided: communities need to be front and centre to eradicate this disease

THE GUARDIAN by and                      March 3, 2015

Today in Brussels African political leaders and experts will meet to discuss how west Africa should be supported to respond to the Ebola catastrophe that has killed nearly 10,000 people.

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