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What providers can learn from infectious disease outbreaks

FIERCEHEALTHCARE                 by                                                                Jan. 5. 2015

(Two items. Scroll down.)

With the Ebola crisis far from over as a new year begins, both this current threat to global health as well as past infectious disease outbreaks carry important lessons for critical care providers, according to an article in the American Journal of Critical Care.

Because new pathogens are so unpredictable, "outbreaks reinforce the importance of critical care knowledge, skill and teamwork in uncertain situations," wrote Cindy L. Munro, R.N., Ph.D., and Richard H. Savel, M.D, both editors of the AJCC. "The recent Ebola outbreak reminds us that hand-washing, personal protective equipment and pristine technique are essential."

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Ebola deaths top 8,000; exposures trigger health worker evacuations

Ebola: Roundup of recent developments

(Two items. Scroll down for UNMEER report.)

CENTER FOR INFECTIOUSNESS DISEASE AND POLICY   by Lisa Schnirring                              Jan. 5, 2015

As deaths in West Africa's Ebola outbreak officially topped 8,000 over the weekend, leadership of the United Nations Mission for Ebola Emergency Response (UNMEER) changed hands, and Guinea launched a new effort to battle the disease amid continuing reports of community resistance....

In other developments, Guinea's government has announced the launch of a campaign called "zero Ebola in 60 days", UNMEER said today. Guinea's Ebola case counts have been oscillating over the past several months, and in its most recent update, the WHO said it's not clear what the trend is. The first part of Guinea's campaign will start Tuesday, with expert teams traveling to six regions to assess local response efforts and form an action plan for each prefecture that dovetails with Guinea's national action plan.

UNMEER said the campaign's working groups are targeting surveillance, case management, infection control, community engagement and social mobilization, and safe burials.

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UN: Ebola kills 8,153 people in West Africa, infects 20,650

ASSOCIATED PRESS                                                                                      Jan. 5, 2015

GENEVA --The World Health Organization says at least 8,153 people have died in the Ebola outbreak in West Africa.

The Geneva-based body said Monday that the total number of confirmed, probable and suspected deaths from the disease comes from 20,656 cases in the three most affected countries — a mortality rate of 39 percent.

The U.N. health agency says 2,915 deaths have been reported from Sierra Leone, 3,471 in Liberia and 1,767 in Guinea.

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http://news.yahoo.com/un-ebola-kills-8-153-people-west-africa-175150599.html

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Ebola’s legacy: After the passing

The virus will have a long-lasting impact on already poor countries

THE ECONOMIST                                                                                                      Jan. 3, 2015
When Ebola was at its worst in west Africa a few months ago, many worried that weak governments in Guinea, Liberia and Sierra Leone might be swept away by riots or the collapse of order as the virus took hold. In fact, the opposite appears to be the case. Governments have tightened their grip and are displaying authoritarian inclinations in ways rarely seen in the three young democracies....

The disease, meanwhile, continues to spread. In the week to December 21st, Guinea experienced its highest incidence of the virus since the outbreak began (see chart). In Liberia dozens of new cases have been reported along the border with Sierra Leone.

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Could a pregnant woman change the way we think about Ebola?

THE WASHINGTON POST by Kevin Sieff                          Jan. 5, 2015

PORT LOKO, Sierra Leone — When Fatmata Kabia walked into the Ebola isolation center, her chances of survival were almost zero.

Not because her symptoms were particularly bad — though they were. Not because the disease had already killed most of her family — though it had. Kabia, 21, appeared doomed for another reason: She was pregnant.

Meratu Koroma, 18, four months pregnant, battles intense pain while waiting for an Ebola test in Port Loko, Sierra Leone. (Nikki Kahn/The Washington Post)

Few diseases are less understood than the Ebola virus, which has claimed more than 7,900 lives across West Africa. But one thing is clear: Pregnant Ebola patients rarely survive. And their babies never do.

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Save the Children probe how UK nurse contracted Ebola

BBC                                                                                                   Jan. 5, 2015

The charity Save the Children has said "no stone will be left unturned" in its investigation into how a British nurse working at an Ebola treatment centre contracted the disease.

 Pauline Cafferkey was diagnosed after returning to Glasgow a week ago. She had been working with the charity in Kerrytown, Sierra Leone.

Ms Cafferkey is critically ill in a north London hospital after her condition worsened in recent days.

Save the Children's Sierra Leone Director Rob MacGillivray told the BBC the charity would carry out a special investigation over and above its routine reviews....

He said the investigation would look at how protective equipment is used, and at person-to-person contact both inside and outside the Kerrytown treatment centre where the nurse worked.

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http://www.bbc.com/news/uk-30677619

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New Ebola Lockdown in Sierra Leone as Airport Checks Upped

Agence France-Presse                                                                                    Jan. 4, 2015

Freetown:  The Ebola lockdown in the northern Tonkolili district of Sierra Leone was extended on Sunday for two weeks as authorities stepped up the fight to contain the epidemic.

The move comes as the government imposed "additional screening measures" at Freetown International Airport after two workers apparently caught the disease.

A five-day lockdown had been declared by the government across the badly-hit north of the country last month.

More than 70 cases of the virus had been confirmed in Tonkolili during a five-week locked down there ordered by local authorities, District Coordinator Salieu Bah told journalists.

http://www.ndtv.com/article/world/new-ebola-lockdown-in-sierra-leone-as-airport-checks-upped-644004

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Ebola survivors in west Africa to share stories via mobile app

REUTERS                                                            Jan. 4, 2015   

Ebola survivors in the three west African countries worst hit by the epidemic will share their stories through a mobile application to be launched on Monday, in a Unicef-backed campaign to inform and fight stigma around the disease.

...Although many people have survived the disease, they still face rejection and stigma from their communities, while the virus continues to spread due to lack of information and denial, according to the WHO and other health organisations.

The campaign, called #ISurvivedEbola, is funded by US philanthropist and co-founder of Microsoft Paul G Allen’s foundation which has committed $100m to fight the disease. Unicef, the UN children’s agency is collaborating in the project.

Survivors in Guinea, Sierra Leone and Liberia will be given smartphones and will document their stories and exchange tips on how to cope with it for a mobile app which will be available to the public, the backers said in a statement.

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Victory against Ebola 'within our reach': new UN mission chief

AFP                                                                 Jan 4, 2015

ACCRA -- Ending the deadliest Ebola outbreak in history is a difficult task, but it is "within our reach", the UN's new mission chief on the disease said, warning that the world has no choice but to beat back the infection.

"This is a global crisis. We definitely have a difficult time ahead of us, but we can achieve it," Ismail Ould Cheikh Ahmed, the new head of the UN Mission for Ebola Emergency Response (UNMEER), said on arrival in Ghana on Saturday.

"We have no plan B, we have to get rid of this virus. This is within our reach, but we should not be complacent," said Ahmed, a Mauritanian, who had arrived in Accra to officially assume duty, taking over from American Anthony Banbury...

Ahmed will be visiting Liberia and Sierra Leone this week, and Guinea shortly after, "to reinforce UNMEER's strategic priorities and see first-hand the Ebola response." the text said. He will be accompanied by UN Special Envoy on Ebola, David Nabarro, it added.
Read complete story.

http://news.yahoo.com/victory-against-ebola-within-reach-un-mission-chief-075544472.html;_ylt=AwrBEiEmk6lU7hgAFk3QtDMD

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Italian Ebola patient released from hospital in Rome

REUTERS  by Steve Scherer                                         Jan. 3, 2015

 ROME - Italy's only Ebola patient is fully recovered and was released from hospital on Friday more than a month after being flown to Rome from Sierra Leone where he worked as a doctor treating others stricken by the disease.

Italian Doctor Fabrizio waves as he leaves the Spallanzani hospital in Rome January 2, 2015. Fabrizio, Italy's only Ebola patient is fully recovered and was released from hospital on Friday more than a month after being flown to Rome from Sierra Leone where he worked as a doctor treating others stricken by the disease. REUTERS/Remo Casilli

The 50-year-old Sicilian man has been identified only by his first name, Fabrizio. He contracted the haemorrhagic virus while working for humanitarian group Emergency during the worst Ebola outbreak on record,,,.

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