Weekly Ebola cases below 100, WHO says endgame begins

REUTERS  by Tom Miles and Stephanie Nebehay               Jan. 29, 2015

The number of new confirmed Ebola cases totaled 99 in the week to Jan. 25, the lowest tally since June 2014, the World Health Organization said on Thursday, signaling the tide might have turned against the epidemic.

"The response to the EVD (Ebola virus disease) epidemic has now moved to a second phase, as the focus shifts from slowing transmission to ending the epidemic," the WHO said.

"To achieve this goal as quickly as possible, efforts have moved from rapidly building infrastructure to ensuring that capacity for case finding, case management, safe burials, and community engagement is used as effectively as possible."

But Guinea reported 30 confirmed cases in the latest week, up from 20 in the previous week. The epidemic is also still spreading geographically there, with a first confirmed case in Guinea's Mali prefecture bordering Senegal, which reopened its border with Guinea on Monday.

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http://www.reuters.com/article/2015/01/29/us-health-ebola-idUSKBN0L20U320150129

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Ebola outbreak: Virus mutating, scientists warn

Scientists tracking the Ebola outbreak in Guinea say the virus has mutated.

Researchers at the Institut Pasteur in France, which first identified the outbreak last March, are investigating whether it could have become more contagious.

They are tracking how the virus is changing and trying to establish whether it's able to jump more easily from person to person

"We know the virus is changing quite a lot," said human geneticist Dr Anavaj Sakuntabhai.

It's not unusual for viruses to change over a period time. Ebola is an RNA virus - like HIV and influenza - which have a high rate of mutation. That makes the virus more able to adapt and raises the potential for it to become more contagious.

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http://www.bbc.com/news/health-31019097

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An experimental Ebola vaccine looks promising in a human trial

Vaccine  was made by introducing an Ebola gene in a chimpanzee cold virus

THE VERGE    by Arielle Duhaime-Ross                                                             Jan. 28, 2015

An Ebola vaccine produced using a chimpanzee common cold virus appears to be safe to use on humans, according to a study published today in the New England Journal of Medicine. Three different doses of vaccine were tested on healthy humans in the UK, and it was well-tolerated; it triggered high levels of antibody formation without also triggering serious side effects. But until the vaccine is tested in an area where an Ebola risk actually exists, it’s efficacy against the disease will remain a mystery.

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http://www.theverge.com/2015/1/28/7930947/ebola-vaccine-human-trials-results

A Monovalent Chimpanzee Adenovirus Ebola Vaccine — Preliminary Report

 New England Journal of Medicine

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Ebola is creating a new epidemic of untreated illness and injury

PUBLC RADIO INTERNATIONAL   Producer Leo Hornak                                                         Jan. 28, 2015

MONROVIA --Sharon McDonnell is seeing a new public health crisis unfold in West Africa: droves of patients without Ebola who are turned away from medical facilities.

The Maine-based epidemiologist, who is in Liberia with the International Rescue Committee, says things are much better now than they were two months ago when she first visited Liberia. The hospital where she is based, Redemption Hospital in New Kru Town, Liberia, has recently reopened after shutting down in October....

A taxi bringing a pregnant women with obstructed labor arrives at Redemption Hospital's "other" entrance for ambulance and inpatients. The Redemption hospital staff member came out in PPE (personal protective equipment) to talk with her and the family to make sure she could be seen in the hospital. Credit: Sharon McDonnell

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WHO - Resolution - Executive Board Special Session on Ebola

                                        

CLICK HERE - WHO - Resolution - Ebola: Ending the current outbreak, strengthening global preparedness and ensuring WHO capacity to prepare for and respond to future large-scale outbreaks and emergencies with health consequences (11 page .PDF report)

CLICK HERE - Executive Board Special Session on Ebola - Additional supporting documentation

chathamhouse.org - by Dr. Charles Clift - January 27, 2015

The executive board of the World Health Organization (WHO) agreed a comprehensive resolution on its response to the Ebola crisis in a special session on 25 January. After the WHO was widely criticized for its perceived inadequacies in dealing with the Ebola outbreak in West Africa, the resolution asks for a transformation in the way the organization works in health emergencies. The WHO admits there is substance in these criticisms – with Margaret Chan, WHO’s director-general (DG), acknowledging shortcomings in WHO’s ‘administrative, managerial and technical infrastructures’.

(READ COMPLETE ARTICLE)

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How Ebola Found Fertile Ground in ​Sierra Leone's Chaotic Capital

 

Kroo Bay in Freetown, Sierra Leone's capital, became an Ebola hot spot in December. In one of the city's most densely populated areas, residents had a difficult time avoiding contact with people potentially infected with Ebola.

NATIONAL GEOGRAPHIC    by Amy Maxman    Photos by Pete Muller                                                       Jan. 27, 2015
....A close examination of what made Freetown so vulnerable to the outbreak offers critical lessons for the future in fighting Ebola or another major calamity. 

Like many developing world cities, Freetown—population 941,000, the largest city in Sierra Leone—lacks the infrastructure to support its impoverished populace, making it prone to tragedy, whether through pestilence, violence, or natural disaster. Despite its congestion, Freetown continues to attract people who come in search of work, school, and the mere promise of electricity. It's no coincidence that typhoid and cholera regularly plague Freetown and that Sierra Leone's civil war climaxed in the city with horrific bloodshed.

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African Union vows Ebola fund as Oxfam calls for 'Marshall Plan'

AFP                                                                                                             Jan. 28, 2015
Addis Ababa - The African Union plans to launch an Ebola fund and disease control centre, officials said Wednesday, as aid agency Oxfam warned leaders needed to keep their promises to boost healthcare systems on the continent.

 Oxfam called for a "massive post-Ebola Marshall Plan", referring to the United States aid package to rebuild Europe after World War II....

AU Commissioner for Social Affairs Mustapha Sidiki Kaloko on Wednesday said an African Centre for Disease Control and Prevention would be set up by mid-2015.

"It is a reality, it is going to happen," Kaloko said, with the first phase concentrating on setting up "an early warning system" for the detection of epidemics. "We should be ready the next time. We shouldn't be caught unprepared."

However, its exact location remains undecided.

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http://news.yahoo.com/african-union-pledges-ebola-fund-oxfam-calls-marshall-145446661.html;_ylt=AwrBEiFLBMlUpSsAOxfQtDMD

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Lessons from Ebola: Toward a Post-2015 Strategy for Pandemic Response


Broadcast live streaming video on Ustream

This event has concluded. View the replay above.

worldbank.org - Date: January 27th 2015 - Location: Georgetown University & Online Time: 4:00 p.m. - 5:00 p.m. ET (21:00 - 22:00 GMT)

Jim Yong Kim, President of the World Bank Group, will deliver Georgetown’s inaugural Global Futures lecture.

The lecture, “Lessons from Ebola: A post-2015 strategy for pandemic response,” will kick off a semester-long conversation about the “Global Future of Development” at Georgetown as part of the university’s new Global Futures Initiative.

His talk on Jan. 27 will connect ongoing efforts to stop the spread of infection in West Africa with longer-term efforts to improve public health systems that support economic and social development in countries vulnerable to future pandemics.

http://live.worldbank.org/lessons-from-ebola-post-2015

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After Ebola, World Bank Chief Proposes Global Insurance Program For Future Outbreaks

INTERNATIONAL BUSINESS TIMES  by       Jan. 27, 2015

World Bank Group President Jim Yong Kim is proposing emerging nations, developed countries and global aid organizations participate in a kind of insurance system to help pay for health crises like West Africa's Ebola outbreak. “We need to prepare for future pandemics that could become far more deadly and infectious than we we have seen so far with Ebola,” Kim told an audience at Georgetown University on Tuesday. “We must learn the lessons from the Ebola outbreak because there is no doubt we will be faced with other pandemics in the years to come.”

 ...according to Kim, the recent outbreak could be just the beginning. And world leaders need a plan.  

He said World Bank officials informally discussed the possibility of a “pandemic response facility” with the World Health Organization, United Nations and other international actors last week at the World Economic Forum in Davos, Switzerland.

“This could work like insurance policies that people understand, like fire insurance,” Kim said. “The more that you are prepared for a fire, such as having several smoke detectors in your home, the lower the premium you pay.”

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Guinea's Ebola Numbers May Be Higher Than Reported

VOICE OF AMERICA by Kim Lewis                                                                                     Jan. 27, 2015

...Emmanuel d’Harcourt, the senior health director for the International Rescue Committee, warned that the story behind declining numbers of new Ebola cases is different for Guinea, Sierra Leone and Liberia.

..In Guinea, he highlighted, there are questions about the actual numbers."

The whole epidemic in the three countries really flared up because the international community and WHO, and Doctors Without Borders declared the epidemic over because there were no infections for 21 days. And in fact what was happening was not that there weren’t cases, but that they were being hidden, and the same dynamic that caused that epidemic to burn underground without being reported is still in place,” said d’Harcourt.Read complese story.

http://www.voanews.com/content/ebola-irc-trust-cases-findings-lessons-government-radio-epidemic-who/2615225.html

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Liberia closes Ebola centre at epicentre of outbreak

AFP                                                                                                         Jan. 27, 2015

Monrovia  - Liberia's president on Monday announced the closure of an Ebola treatment facility which lay at the epicentre of the virus's worst outbreak in history, as the disease's spread has slowed in the country.

 

Red cross workers, wearing masks, carry the body of a person who died from Ebola during a burial with relatives of the victims of the virus, in Monrovia, on January 5, 2015 (AFP Photo/Zoom Dosso)

Ellen Johnson Sirleaf warned Liberians that while they could not yet afford to relax, the country had made significant progress in the fight against Ebola, and thanked states who helped Monrovia combat the virus.

"Lofa, the epicentre of the virus, has had no new cases for over 70 days," she said in the speech at the national parliament.

"The Ebola Treatment Unit in Foya is closed," she said, referring to an area in the north of the country near its border with Guinea, where the virus hit Liberia for the first time.

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Scientists ask if Ebola immunizes as well as kills

LONDON/DAKAR--A recent sharp drop in new Ebola infections in West Africa is prompting scientists to wonder whether the virus may be silently immunizing some people at the same time as brutally killing their neighbors.

A health worker disinfects a road in the Paynesville neighborhood of Monrovia, Liberia, January 21, 2015. Credit: Reuters/James Giahyue

So-called "asymptomatic" Ebola cases - in which someone is exposed to the virus, develops antibodies, but doesn't get sick or suffer symptoms - are hotly disputed among scientists, with some saying their existence is little more than a pipe dream.

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Post-Ebola plan needed to avert 'double disaster' in West Africa: Oxfam

REUTERS   by Magdalena Mis                                                                             Jan. 26, 2015

LONDON -- The three West African countries worst hit by Ebola risk a "double disaster" unless a multi-million dollar plan is put in place to help their economies recover, Oxfam said on Tuesday.

In Liberia, Guinea and Sierra Leone people were struggling to make ends meet having seen their incomes plummet, the aid agency said.

"The world was late in waking up to the Ebola crisis, there can be no excuses for not helping to put these economies and lives back together," Mark Goldring, Oxfam's chief executive, said during a visit to Liberia.

He said a post-Ebola "Marshall Plan" should address three areas of urgent need: cash for families affected by the crisis, investment in jobs and support for basic services.

Read complete story.

http://www.reuters.com/article/2015/01/27/us-health-ebola-oxfam-idUSKBN0L000520150127

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After Ebola: Why Rural Development Matters in a Time of Crisis

COMMENTARY:  HUFFINGTON POST  by President, International Fund for Agricultural Development (IFAD)                                                                                                                                 Jan. 26, 2015

....Now we must begin to look at what happens to the affected communities after Ebola. A food crisis seems increasingly likely to follow in the wake of the epidemic, which has devastated small-scale farmers. Without investment in their long-term development, farming households - and West Africa's future food security - will remain at risk.

Even before the outbreak, the World Food Programme estimated that some 1.7 million people in the region faced food insecurity - defined as a lack of reliable access to sufficient quantities of affordable, nutritious food. As a direct result of Ebola, it is expected that an additional 750,000 to 1.4 million people will become food-insecure by March.

In fact, Ebola has already affected the food supply. Farmers have stayed away from their fields due to illness, fears of infection and quarantines ordered by the authorities - or simply because there is no one left to tend the land....

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Senegal reopens land border with Ebola-hit Guinea

REUTERS                                                                                                        Jan. 26, 2015

DAKAR --Senegal reopened on Monday its land border with Guinea, the Interior Ministry said, five months after closing transport links in August to prevent the spread of the worst outbreak on record of the deadly Ebola virus.

A billboard with a message about Ebola is seen on a street in Conakry, Guinea October 26, 2014.Credit: Reuters/Michelle Nichols

Senegal had already lifted in November a ban on air and maritime traffic with Guinea, Liberia and Sierra Leone - the three countries worst-affected by the epidemic of the deadly hemorrhagic fever....

"The decision to open the border follows meetings between Senegalese and Guinean authorities, in the course of which the important efforts made by the sister republic of Guinea to fight the Ebola virus were noted," said a ministry statement.

Read complete story.

http://www.reuters.com/article/2015/01/26/us-health-ebola-senegal-idUSKBN0KZ1GW20150126

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