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Thoughts turn to recovery as Ebola slowly ebbs in West Africa

 REUTERS By Daniel Flynn, James Harding Giahyue and Saliou Samb                              Feb. 27, 2015

 DAKAR/MONROVIA/CONAKRY - In the marble atrium of the Mammy Yoko hotel in Freetown, manager Nuno Neves has spotted something he has not seen since the Ebola virus struck Sierra Leone nine months ago: foreign businessmen.

The Radisson Blu chain opened the four-star hotel in April to cater for investors in one of Africa's fastest-growing economies. A month later, Ebola crossed the border from Guinea and those investors fled....

For months, Sierra Leone was cut off from the world amid panic at the worst recorded outbreak of the hemorrhagic fever, which has killed more than 9,500 people in Sierra Leone, Guinea and Liberia and infected over 23,500.

But with infection rates slowly declining, investors have begun to talk about post-Ebola reconstruction. Neves has noted the return of businessmen not seen since the hotel opened.

"They don't bring their teams. They just come to see what is going on and then they leave," he said, adding that 'business as usual' remains far off. "This will be a year focused on Ebola. First the fight to end Ebola and then reconstruction...."

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FDA approves Corgenix's Ebola test for emergency use

REUTERS                                                           Feb. 26, 2015

Diagnostics company Corgenix Medical Corp said on Thursday U.S. health regulators had approved its rapid Ebola test for emergency use, in response to the world's worst outbreak of the virus that killed more than 10,000 so far.

The company's ReEBOV Antigen Rapid Test, which involves putting a drop of blood on a paper strip and waiting for at least 15 minutes for a reaction, was cleared by the World Health Organization last week.

The test is less accurate than the standard test, which has a turnaround time of 12-24 hours, but is easy to perform and does not require electricity. It is able to correctly identify about 92 percent of Ebola-infected patients and 85 percent of those not infected with the virus, the WHO said.

The WHO is still assessing four or five other rapid test candidates.

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http://www.reuters.com/article/2015/02/26/us-health-ebola-testing-idUSKBN0LU1OO20150226

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Rapid Response to Ebola Outbreaks in Remote Areas — Liberia, July–November 2014 Weekly

Morbidity and Mortality Weekly Report (MMWR)

 CDC                                                                        Feb. 27, 2015

Outbreaks in remote areas posed a significant challenge to CHTs to mount an effective investigation and rapid response because of limited resources, personnel, and means to reach remote areas.

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http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6407a7.htm?s_cid=mm6407a7_x

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Ebola halts HIV progress in Sierra Leone, says UN

Thomson Reuters Foundation by Misha Hussain                                                        Feb.27, 2015

 DAKAR -- The West African Ebola outbreak has halted progress in tackling HIV in Sierra Leone, shutting health clinics and scaring patients from being tested or seeking treatment, the United Nations has said.

In an internal document seen by the Thomson Reuters Foundation, the United Nations Development Programme (UNDP) raised concerns that HIV prevalence and drug resistance in the country could increase as a result.

"Hospitals have closed down because they have been overrun by Ebola patients and non-Ebola patients are too afraid to go to them for fear of catching the virus," said Hakan Bjorkman, who manages UNDP's AIDS programme.

"HIV prevention activities in schools and awareness raising for the general population has been suspended due to the restriction of movement, the closure of all education institutions and the overall ban on public gathering."

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Decision on Ebola mass vaccination in August at earliest: WHO

REUTERS by Stephanie Nebehay                                                             Feb. 27, 2015

GENEVA -- An independent advisory body will decide in August at the earliest on whether to recommend widespread introduction of an Ebola vaccine, depending on results of clinical trials and the epidemic's course, the World Health Organization said on Friday.

All three worst-hit countries in West Africa - Guinea, Liberia and Sierra Leone - aim to conduct phase III final-stage clinical trials of experimental vaccines.

Liberia is already testing both the GlaxoSmithKline and Merck-NewLink vaccines, while Sierra Leone and Guinea are due to announce plans soon....

WHO spokesman Christian Lindmeier, reporting on a three-day meeting of experts, told a news briefing: "Vaccine introduction is by no means a given and will depend on the results of clinical trials and recommendations from WHO's Strategy Advisory Group of Experts (SAGE) on vaccines and immunization....

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Fatality Rate Is Falling in West African Ebola Clinics

NEW YORK TIMES  by Donald G. McNeil, Jr.                 Feb. 27, 2015

SEATTLE — As the Ebola epidemic in West Africa wanes, physicians from Doctors Without Borders are confronting a mystery: More of their patients are surviving. They do not know why.

Benetha Coleman, an Ebola survivor and nurse’s aide, comforted a baby with Ebola symptoms in Liberia, as seen through a net. Credit John Moore/Getty Images

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U.S. military ends Ebola mission in Liberia

REUTERS    by  James Harding Giahyue                                                          Feb. 26, 2015

MONROVIA -- The United States military officially ended a mission to build treatment facilities to combat an Ebola outbreak in Liberia on Thursday, months earlier than expected, in the latest indication that a year-long epidemic in West Africa is waning.

Washington launched the mission five months ago and the force peaked at over 2,800 troops at a time when Liberia was at the epicenter of the worst Ebola epidemic on record....

"While our large scale military mission is ending...the fight to get to zero cases will continue and the (Joint Force Command) has ensured capabilities were brought that will be sustained in the future," U.S. Army Major General Gary Volesky....

Speaking to lawmakers during a visit to Washington on Thursday, Liberia's President Ellen Johnson Sirleaf thanked the United States for its support during the crisis.

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http://uk.reuters.com/article/2015/02/26/us-health-ebola-usa-idUKKBN0LU2HR20150226

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Diagnosing Ebola – a day in the life of a diagnostics lab in Sierra Leone

 Professor Ian Goodfellow describes an average day in an Ebola diagnostics lab, and challenges the team faced in setting it up, Courtesy of the Wells Trust Blog

BIOMED CENTRAL      by  Ian Goodfellow                                                             Feb. 25, 2015

During the first two weeks in Makeni, Sierra Leone, our focus was very much on getting the Ebola diagnostics lab operational as fast as possible. There was a real lack of diagnostic capacity in this area of the country the lab facility needed to go live prior to the opening of the treatment center.

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Traditional healer called back to remove curse of first Ebola-affected village in Guinea

ASSOCIATED PRESS By YOUSSOUF BAH                       Feb. 25, 2015
MELIANDOU, Guinea (AP) — Here at ground zero of West Africa's Ebola outbreak, a local traditional healer returned to complete the removal of a curse residents believe could have been placed on their village in Guinea.

In this photo taken on Feb. 23, 2015, traditional healers, right, take part in a exorcism as villagers hand them a chicken, in Meliandou, Guinea. Here at ground zero of West Africa’s Ebola outbreak, a local traditional healer returned to complete the removal of a curse residents believe could have been placed on their village in Guinea. (AP Photo/Youssouf Bah)

It is the same village where experts believe 2-year-old Emile Ouamouno was the first person to have died from Ebola, on Dec. 28, 2013, in the outbreak that has slowed in recent months but has not been completely stamped out....Hundreds abandoned the village, believing the Ouamouno family or the entire village, was cursed, the village chief Amadou Kamano remembered.

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Report Slams U.S. Ebola Response and Readiness

NBC NEWS  by Maggie Fox                                                                               Feb. 26, 2015

The United States fumbled its response to the Ebola epidemic before it even began, neglecting experiments to make vaccines and drugs against the virus, and cutting funding to key public health agencies, a presidential commission said Thursday.

Americans focused on their own almost nonexistent risk of catching Ebola from travelers instead of pressing to help the truly affected nations, the scathing report from the Presidential Commission for the Study of Bioethical Issues says.

They've been acting against their own best interest, the commission said in its report.

"Both justice and prudence demand that we do our part in combating such devastating outbreaks. Once we recognize our humanitarian obligations and the ability of infectious diseases to travel in our interconnected world, we cannot choose between the ethical and the prudential," it reads.

"Ethics and enlightened interest converge in calling for our country to address epidemics at their source."

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