Crowdsourced Mapping Could Help Prevent the Next Big Ebola Outbreak

TAKEPART.COM by Jessica Dollin                                                                     April 14, 2015

Ebola dominated headlines this past year, but the epicenter of the outbreak wasn’t on a map until after the virus had infected and killed thousands. Without geographical resources, aid workers were tasked with the challenge of navigating remote areas to locate people in need of assistance.

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Ebola virus found in semen six months after recovery: WHO

AFP                                                                                                           April 15, 2015

Geneva- Traces of Ebola have been found in the semen of a man six months after his recovery, the World Health Organization said Wednesday, urging survivors to practice safe sex "until further notice".

The man had been declared free of the deadly virus in Liberia last September, WHO spokesman Tarik Jasarevic told AFP.

"He has provided a semen sample which has tested... positive for Ebola, 175 days after his negative blood test," he said in an email.

The UN health agency had previously said the virus had been detected in semen around three months after a patient had been declared Ebola free.

The new finding has led WHO to recommend that survivors abstain from having sex or that they practice safe sex using a condom beyond the three-month period previously prescribed.

Read complete story.

http://news.yahoo.com/ebola-virus-found-semen-six-months-recovery-104351981.html;_ylt=AwrC2Q7WeS5VaEoA82fQtDMD;_ylu=X3oDMTByOHZyb21tBGNvbG8DYmYxBHBvcwMxBHZ0aWQDBHNlYwNzcg--

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Assessment of the Effect of Ebola on Education in Liberia - February 2015

submitted by Carrie La Jeunesse

CLICK HERE - Assessment of the Effect of Ebola on Education in Liberia - February 2015
(47 page .PDF report)

educationcluster.net - February 26, 2015

Following the Ebola outbreak, schools in Liberia were ordered closed in July 2014. They remained closed for more than 7 months, until the start of the school year 2014/2015, from 16 February onwards. In order to determine the impact of Ebola on education in Liberia, the Ministry of Education (MoE) and partners agreed to conduct a Joint Education Needs Assessment aimed at informing a) The reopening of the schools at the national, county and district level, and b) The upcoming education sector review.

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4 Myths About Ebola Recovery in West Africa

GLOBAL HEALTH NOW Commentary by  Michael Murphy and Alan Ricks                       April 14, 2015
The aftermath of the world’s worst Ebola outbreak in history provides an important opportunity to reflect on the response; but most importantly, to acknowledge we have much more to do...our great fear is that the international community will declare Ebola’s containment a victory and move on, without addressing the reasons the outbreak was so devastating in the first place. The crisis is the canary in the mine, indicating a broader problem that long existed.

An unfortunate reality that plagues development assistance worldwide is what we call “short-termism.” It’s the tendency to mobilize health infrastructure resources only in crises. This is a reactive and costly strategy that prioritizes temporary stabilization without considerations for long-term security.... 

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Ebola Analysis Finds Virus Hasn't Become Deadlier, Yet

ICT  INFECTION CONTROL TODAY                                                                  April 14, 2015
(Scroll down for full study)
Research from the University of Manchester using cutting-edge computer analysis reveals that despite mutating, Ebola hasn’t evolved to become deadlier since the first outbreak 40 years ago. The surprising results demonstrate that while a high number of genetic changes have been recorded in the virus, it hasn’t changed at a functional level to become more or less virulent.

The findings, published in the journal Virology, demonstrate that the much higher death toll during the current outbreak, with the figure at nearly 10,500, isn’t due to mutations/evolution making the virus more deadly or more virulent.

As professor Simon Lovell from the Faculty of Life Sciences explains.... What we found was that whilst Ebola is mutating, it isn’t evolving to the point of adapting to become more or less virulent. The function of the virus has remained the same over the past four decades which really surprised us. Unfortunately this does mean the Ebola virus that has now emerged on several occasions since the 1970s will very probably do so again.”

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Testing of Ebola vaccine is underway in Sierra Leone

USA TODAY by Liz Szabo                                                                 April 14, 2015
Sierra Leone has begun testing an experimental Ebola vaccine, officials of the Centers for Disease Control and Prevention announced Tuesday.
                                                                                            (Photo: CELLOU BINANI, AFP/Getty Images)

The $25 million study, funded through $5.4 billion in Ebola aid authorized by Congress, will test vaccines on 6,000 "front-line workers," including doctors, nurses, burial workers and others, who are at highest risk of the disease.

But with only a handful of new Ebola cases being reported now in Sierra Leone, it may be difficult to get a clear answer on whether the vaccine actually works, the CDC acknowledges. If there are no new cases of Ebola among vaccinated volunteers, for example, researchers won't know if that's the result of the immunizations or because the outbreak has faded....

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Liberia succeeds in fighting Ebola with local, sector response

WHO                                                                                                          April 14, 2015
The story of how Liberia’s most populous county, Montserrado, turned around an exponentially-growing Ebola outbreak is intriguing. WHO’s team and national officials, aided by veterans from WHO’s polio eradication group in India, decentralized the response, using quality management principles that empowered local teams and held them accountable for results.

                                                                                                           WHO /Aphaluck Bhatiasevi

These local sector teams involved more than 4,000 community members, using business best practices and an incident management system to vastly improve surveillance, case finding, contact tracing, and overall management of key response activities.
Read full account.
http://www.who.int/features/2015/ebola-sector-approach/en/

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Home > Health Sierra Leone Schools Re-Open After Ebola Closed for 9 Months

ASSOCIATED PRESS  by CLARENCE ROY-MACAULAY    April 14, 2015

FREETOWN, Sierra Leone -- Children in Sierra Leone returned to schools on Tuesday after staying at home for nine months because of the Ebola outbreak that has killed more than 10,000 mostly in West Africa.

More than 8,000 schools are to reopen for about 1.8 million students and the government and U.N. children's agency promise to check temperatures regularly and will promote hand washing to discourage the spread of Ebola in the schools.

"This marks a major step in the normalization of life in Sierra Leone," said Roeland Monasch, UNICEF Representative in Sierra Leone. "It is important that all children get into school including those who were out of school before the Ebola outbreak. Education for all is a key part of the recovery process for the country."

Read complete story.

http://abcnews.go.com/Health/wireStory/sierra-leone-schools-open-ebola-closed-months-30302393

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Ebola: Surviving Survival - Life after recovery

Médecins Sans Frontières                                     April 13, 2015

Dr Maria Barstch spends her days in the small house that serves as MSF’s Ebola survivor clinic in Freetown, Sierra Leone. The peak of the epidemic may have passed in Sierra Leone but new cases continue to emerge almost every day, and with new cases come new survivors. While they are relieved to have defeated the deadly virus, some survivors are facing other debilitating symptoms of the so called “post-Ebola syndrome.”

                   People wait for a consultation at MSF’s survivor clinic in Freetown. Photo: Sophie McNamara/MSF

...MSF has also opened a survivor clinic in Liberia, housed at the site of MSF’s new pediatric hospital in Monrovia. In both Liberia and Sierra Leone, many survivors have previously sought treatment at local public or private hospitals and clinics but were refused care as soon as staff knew they were Ebola survivors.

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Community-Centered Responses to Ebola in Urban Liberia: The View from Below

PLOS   by Saron Alane Abramowitz, Kristen E. McLean and others,                                          April 9, 2015

The West African Ebola epidemic has demonstrated that the existing range of medical and epidemiological responses to emerging disease outbreaks is insufficient, especially in post-conflict contexts with exceedingly poor healthcare infrastructures.

 In this context, community-based responses have proven vital for containing Ebola virus disease (EVD) and shifting the epidemic curve. Despite a surge in interest in local innovations that effectively contained the epidemic, the mechanisms for community-based response remain unclear.

This study provides baseline information on community-based epidemic control priorities and identifies innovative local strategies for containing EVD in Liberia.
Read complete study.

http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003706

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Nigeria: Half of Ebola Cases Located On Sierra Leone-Guinea Border - - WHO

ALL AFRICA VANGUARD                                         April 11, 2015
FREETOWN -- The World Health Organisation (WHO) has said that almost half of all Ebola infections in West Africa have been recorded in two districts located in the border region between Sierra Leone and Guinea. Winnie Romeril, WHO Sierra Leone Spokeswoman, said in Freetown efforts were being made to contain the disease in the two worst affected areas of Kambia , western Sierra Leone and Forecariah, eastern Guinea.

"Almost 50 per cent of all Ebola cases in West Africa are currently coming from the region between Kambia and Forecariah," she said. Romeril said the two districts were "the most active areas, adding that investigation was on going in the areas. She said the exercise became necessary because people were still dying at home, adding that there was very high likelihood of infections.

Read complete story.
http://allafrica.com/stories/201504131492.html

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Pattern of Safety Lapses Where Group Worked to Battle Ebola Outbreak

NEW YORK TIMES  by Sheri Fink                                                                               April 13, 2015
Partners in Health, a Boston-based charity dedicated to improving health care for people in poor countries, signed on to the Ebolafight last fall with high ambitions.

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Empty Ebola Clinics in Liberia Are Seen as Misstep in U.S. Relief Effort

NEW YORK TIMES  by                                                         April 12, 2015

MONROVIA, Liberia — As bodies littered the streets and the sick lay dying in front of overwhelmed clinics last year, President Obama ordered the largest American intervention ever in a global health crisis, hoping to stem the deadliest Ebola epidemic in history.

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Public Knowledge, Perception and Source of Information on Ebola Virus Disease – Lagos, Nigeria; September, 2014

PLOS CURRENT OUTBREAKS  by Saheed Gidado and others                                                    April 8, 2015
The first ever outbreak of Ebola virus disease (EVD) in Nigeria was declared in July, 2014. Level of public knowledge, perception and adequacy of information on EVD were unknown. We assessed the public preparedness level to adopt disease preventive behavior which is premised on appropriate knowledge, perception and adequate information.

Methods: We enrolled 5,322 respondents in a community-based cross-sectional study. We used interviewer-administered questionnaire to collect data on socio-demographic characteristics, EVD–related knowledge, perception and source of information...

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WHO: Ebola survivors at risk of eye and joint problems

BBC by Smitha Mundasad                          April 10, 2015
Many Ebola survivors are likely to face further health issues including eye and joint problems, the World Health Organization has warned....

Officials announced they are attempting to set up clinics in Sierra Leone, Liberia and Guinea to monitor the health consequences Ebola survivors face.

Patients have reported problems with their vision, joints and on-going fatigue.

But Dr Bruce Aylward, assistant director general of the WHO, admitted not much was known about the long-term implications of the virus.

He said the information gathered at these clinics would help the mental and physical health needs of people recovering from the disease.

Read complete story.
http://www.bbc.com/news/health-32250515

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