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Food Security in West Africa

From WFP and FAO . . .

FAO – July 2015 – Food and nutrition situation at the beginning of the hunger gap period and agricultural outlook in the Sahel and West Africa (see number 5)
http://www.fao.org/emergencies/resources/documents/resources-detail/en/c/296696/

FAO – Sierra Leone – Food Security and Safety
http://www.fao.org/countryprofiles/index/en/?iso3=SLE&paia=2

FAO in Emergencies – Sierra Leone (see list of reports at the bottom)
http://www.fao.org/emergencies/countries/detail/en/c/161501/

FAO – Liberia – Food Security and Safety
http://www.fao.org/countryprofiles/index/en/?iso3=LBR&paia=2

FAO in Emergencies – Liberia (see list of reports at the bottom)
http://www.fao.org/emergencies/countries/detail/en/c/161431/

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Pitt, Drexel, and NIH team up to study persistence of Ebola virus in wastewater

EUREKEALERT                                                                                                               Aug. 25, 2015
PITTSBURGH--The historic outbreak of Ebola virus disease in West Africa that began in March 2014 and has killed more than 11,000 people since, has raised new questions about the resilience of the virus and tested scientists' understanding of how to contain it. The latest discovery by a group of microbial risk-assessment and virology researchers suggests that the procedures for disposal of Ebola-contaminated liquid waste might underestimate the virus' ability to survive in wastewater.

Current epidemic response procedures from both the World Health Organization and the Centers for Disease Control and Prevention advise that after a period of days, Ebola-contaminated liquid can be disposed of directly into a sewage system without additional treatment.

However, new data recently published by researchers from the University of Pittsburgh, Drexel University, and the National Institutes of Health indicate that Ebola can survive in detectable concentrations in wastewater for at least a week or longer.

Read complete story.
http://www.eurekalert.org/pub_releases/2015-08/uop-pda082515.php

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WHO Director-General addresses the Review Committee of the International Health Regulations focused on the Ebola response

Opening remarks at the Review Committee on the role of the International Health Regulations in the Ebola outbreak and response Geneva, Switzerland by Dr. Margaret Chen Director-General of the World Health Organization
24 August 2015

....Since Ebola first emerged in 1976, WHO and its partners have responded to 22 previous outbreaks of this disease. Even the largest were contained within four to six months....

In West Africa, WHO, and many others, were late in recognizing the potential of the outbreak to grow so explosively. Some warning signals were missed. Why?

Our challenge now is to look for improvements that leave the world better prepared for the next inevitable outbreak.

Managing the global regime for controlling the international spread of disease is a central and historical responsibility of the World Health Organization. We need to pinpoint the reasons why the response fell short,. We need to learn the lessons. We need to put in place corrective strategies just as quickly as possible....

Read complete speech.

http://www.who.int/dg/speeches/2015/review-committee-ihr-ebola/en/

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Sierra Leone releases its last Ebola patient, to start countdown to WHO Ebola-free declaration

ASSOCIATED PRESS by CLARENCE ROY-MACAULAY    Aug. 24, 2015

MATENEH, Sierra Leone  — Health authorities in Sierra Leone released the country's last known Ebola patient from a hospital on Monday, a milestone that allows the nation to begin a 42-day countdown to being declared free of the virus that has killed nearly 4,000 people here.

Adama Sankoh, 40, centre, who contracted Ebola after her son died from the disease late last month stands with health officials the moment after she was discharge from Mateneh Ebola treatment center outskirt of Freetown, Sierra Leone, Monday, Aug. 24, 2015, Health authorities in Sierra Leone released the country's last known Ebola patient from the hospital on Monday, a milestone that allows the nation to begin a 42-day countdown to being declared free of the virus that has killed nearly 4,000 people here. (AP Photo/Alie Turay)

President Ernest Bai Koroma presented a certificate of discharge to Adama Sankoh, 40, who contracted Ebola after her son died from the disease late last month.

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The velocity of Ebola spread in parts of west Africa

THE LANCET by Kate Zinszer and others.                   Aug. 24,2015

In a speed outpacing control efforts, the Ebola virus disease (EVD) epidemic in parts of west Africa spread across Guinea, Liberia, and Sierra Leone infecting an estimated 26 800 individuals and claiming more than 11 000 lives as of May 15, 2015.1 Mobile populations coupled with porous borders1, 2 and commercial air travel patterns3 affected the frequency and breadth of Ebola virus transmission.

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With Many Ebola Survivors Ailing, Doctors Evaluate Situation

ASSOCIATED PRESS  by Carley Petesch              Aug. 23, 2015

DAKAR, Senegal --Lingering health problems afflicting many of the roughly 13,000 Ebola survivors have galvanized global and local health officials to find out how widespread the ailments are, and how to remedy them.

The World Health Organization calls it an emergency within an emergency. Many of the survivors have vision and hearing issues. Some others experience physical and emotional pains, fatigue and other problems. The medical community is negotiating uncharted waters as it tries to measure the scale of this problem that comes on the tail end of the biggest Ebola outbreak in history.

"If we can find out this kind of information, hopefully we can help other Ebola survivors in the future," Dr. Zan Yeong, an eye specialist involved in a study of health problems in survivors in Liberia, told The Associated Press.

About 7,500 people will enroll — 1,500 Ebola survivors and 6,000 of their close contacts — and will be monitored over a five-year period in the study launched by Partnership for Research on Ebola Vaccines in Liberia, or PREVAIL.

Read complete story.

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The role of civil society is very vital to strengthening good governance- State House Chief of Staff

THE PATRIOTIC VANGUARD   Aug. 20, 1015

FREETOWN, Sierra Leone --The Chief of Staff in the Office of the President Saidu Conton Sesay (pictured) has described the role of civil society as very vital in strengthening good governance in Sierra Leone.

He made this statement during a meeting with a consortium of civil society organizations Tuesday 18th August, 2015 at State House, Freetown. The purpose of the meeting was to work in collaboration with Office of the Chief of Staff in the implementation of the National Ebola Recovery Plan to enhance trust between citizens and government.

The Chief of Staff promised that his office is ready to work with civil society organizations in the implementation of the post-Ebola recovery plan not only to help establish public trust, but also keep informing each other about areas that need attention.

"The better society we have, the better the governance," Sesay said, adding that his office has posted two officers each to all districts - one facilitator and one analyst who will be engaging local councils to update them in detail. He expressed desire to meet with the consortium upon the return of officials assigned to the districts for better planning and understanding.

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Cheap Paper Test to Screen Patients for Ebola, Yellow Fever, Dengue

MEDGADGET                                                                                   Aug. 20, 2015

BOSTON --At the 250th National Meeting & Exposition of the American Chemical Society this week, researchers from MIT, Harvard Med School, and the FDA are showing off a new field test that can quickly screen people for Ebola, yellow fever, and dengue. While the researchers don’t claim their technique to be as accurate as PCR and ELISA, it is nevertheless an excellent tool in poor areas of the world where these diseases tend to thrive.

The test doesn’t require any water or electricity nor any complicated and expensive equipment. It works similar to pregnancy tests, providing a color readout that signals whether a disease is detected that is easily readable by just about anyone.

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Ebola: What Happened

COUNCIL ON FOREIGN RELATIONS  BY John Campbell
(Scroll down for Laurie Garett's essay "Ebola's Lessons.")

With a rapidly growing and urbanizing population, persistent poverty, and weak governance, Sub-Saharan Africa is likely to be the source of new epidemics that potentially could spread around the world. Understanding the disastrous response of African governments, international institutions, and donor governments to the Ebola epidemic is essential if history is not to be repeated yet again. That makes Laurie Garrett’s essay, “Ebola’s Lessons,” in the September/October 2015 issue of Foreign Affairs, essential reading.

The Ebola virus treatment center where four people are currently being treated is seen in Paynesville, Liberia, July 16, 2015. (Courtesy Reuters/James Giahyue)

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Ebola in Sierra Leone: after 4,000 deaths, outbreak all but over

THE GUARDIAN   by Sarah Bosley                              Aug. 20, 2015
FREETOWN--The long-running Ebola epidemic in Sierra Leoneis all but over after nearly 13,500 cases and almost 4,000 deaths, those fighting the disease believe.

             People celebrate being released from Ebola quarantine on 14 August 2015. Photograph: Sunday Alamba/AP

The last case in Sierra Leone was an eight-month-old child, who was hospitalised nearly two weeks ago and died four days later.

None of the 29 people who had contact with the child and were moved from the densely packed Freetown slum of Magazine Wharf to a voluntary quarantine facility have so far shown signs of illness.

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