Guinea Resilience System

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submitted by George Hurlburt

Sleeplessness, along with abdominal and joint pain are common even months after recovery from the dreaded virus

scientificamerican.com - by Dina Fine Maron - September 9, 2015

The first snapshot of health complications facing Ebola survivors in Sierra Leone presents a dismal picture of their road to recovery. A new study has found that up to four months after blood tests indicated that they were Ebola-free, more than half of survivors continue to suffer from joint pain, headaches or muscle pain. And more than 40 percent of survivors complain of sleeplessness and visual problems. Perhaps most worryingly, almost all the survivors—96 percent—reported being rejected by their communities after they were released from the hospital. The majority said they were still too scared to return home.

submitted by Gavin Macgregor-Skinner

Ebola Outbreak update dated Sep 8 from the National Ebola Response Centre in Sierra Leone.

The four new Sierra Leone cases are in Sella Kaffta, a village in Kambia district in the northwest part of the country on Guinea's border. All the newly reported patients had contact with a 67-year-old woman whose death from Ebola was announced last week. After she died her body was washed before burial. There are 50 high-risk close contacts being monitored. Experimental ring vaccine campaign by WHO began Sep 4 and the newly diagnosed Ebola patients were not among the 116 people who received post-exposure VSV-EBOV vaccine.

Ebola Virus Disease (EVD) Update
http://health.gov.sl/?p=617

Ebola Virus Disease – Situation Report
http://health.gov.sl/?p=537

Ministry of Health and Sanitation - The Republic of Sierra Leone
http://health.gov.sl

National Ebola Response Centre (NERC) - Sierra Leone
http://www.nerc.sl

National Ebola Response Centre (NERC) - Sierra Leone - Evening Briefings
http://nerc.sl/?q=document-types/nerc-briefings

massgeneral.org - August 27, 2015

While most primary care physicians responding to a survey taken in late 2014 and early 2015 expressed confidence in their ability to identify potential cases of Ebola and communicate Ebola risks to their patients, only 50 to 70 percent of them gave answers that fit with CDC guidelines when asked how they would care for hypothetical patients who might have been exposed to Ebola. In addition, those who were least likely to encounter an Ebola patient – based on their location and characteristics of their patients – were most likely to choose overly intense management of patients actually at low risk.  The results of the survey, conducted by a team of Massachusetts General Hospital (MGH) investigators, have been published online in the Journal of General Internal Medicine.

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CLICK HERE - RESEARCH - Ebola Risk and Preparedness: A National Survey of Internists 

Ebolavirus, animal - Uganda: porcine, epidemiological assessment

CLICK HERE - Assessing the Potential Role of Pigs in the Epidemiology of Ebola Virus in Uganda

promedmail.org - September 2, 2015

Summary

Uganda has experienced 4 Ebola outbreaks since the discovery of the virus. Recent epidemiological work has shown pigs are hosts for ebolaviruses. Due to their high reproduction rates, rapid weight gain, potential to provide quick financial returns, and rising demand for pork, pig production in Uganda has undergone massive expansion. The combination of pork sector growth supported by development programmes and Ebola virus risk prompted a foresight exercise using desk, interview, and spatial methods. The study found that the lack of serological evidence for specific reservoir species, the number of human index cases unable to account for their source of infection, domestic pig habitat overlap with potential Ebola virus zoonotic host environments, reported interactions at the human-pig-wildlife interface that could support transmission, fever in pigs as a commonly reported problem by pig farmers, and temporal correlation of outbreaks with peak pork consumption periods, warrants further research into potential zoonotic transmission in Uganda from pigs.