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New UN special envoy on Ebola response makes first visit to Sierra Leone

UNITED NATIONS NEWS CENTRE                                                                April 29, 2015
The United Nations World Health Organization (WHO) today said that surveillance and community engagement still require improvement in some areas of Guinea and Sierra Leone where new cases continued to surface, a day after the new Special Representative for UN Ebola Response, Peter Graff, was informed of a continued transmission epicentre on the border between those two countries.

Mr. Graff joined outgoing Special Representative Ismail Ould Cheikh Ahmed, and the Secretary-General’s Special Envoy on Ebola, David Nabarro, on a visit to Freetown, Sierra Leone, during which they were briefed by the National Ebola response Centre (NERC) on efforts to achieve zero transmission.

“They were informed that Kambia District was still a transmission epicentre due in part to it neighbouring Forécariah in Guinea, which continues to record a high number of Ebola cases,” the UN Mission for Ebola Emergency Response (UNMEER) reported.

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Ebola Situation Report - 29 April 2015

WHO                                                                                                   April 29, 2015

Weekly report

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As Sierra Leone emerges from Ebola crisis, new innovations are helping poor villages

DESERET NEWS  by Kimberley Curtis                                                                       April 29, 2015

Thirteen years after civil war devastated the country, basic infrastructure and services are still lacking in many parts of Sierra Leone. This means transporting food throughout the country is prohibitively expensive and staple foods are out-priced for many of the roughly 60 percent of the population that lives in poverty. 

 

     HESE AFFORDABLE GREENHOUSE

In particular, basic vegetables such as carrots and tomatoes are in short supply in the country for most of the year as they are only grown in a few regions with a limited season. You can’t eat your vegetables if you can’t afford to buy them, which is one of the reasons why Sierra Leone has one of the highest rates of malnutrition in the world.

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Managing health crises after Ebola

 

SCI DEVELOPMENT NET                                                                                April 29, 2015
(includes links to five feature stories and editorials on communication issues and other subjects.)
The outbreak of Ebola that has affected West Africa since December 2013 is the largest to date, with enormous human and economic costs. It has also exposed weaknesses in the global response system, including the handling of communication and complex social responses. What can we learn from this to better manage future health emergencies?

This Spotlight presents an in-depth analysis including opinions, facts and figures, and key resources. It features commentary by Sylvie Briand of the WHO, Rosamund Southgate of Médecins Sans Frontières and Annie Wilkinson of the Institute of Development Studies. 

It includes first-hand accounts by researchers with experience in the field, and interviews with social science expert Melissa Leach and communications managers at Médecins Sans Frontières-UK and BBC Media Action.
Read complete articles.

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Too many dying in Sierra Leone as result of Ebola response not virus itself – report

THE GUARDIAN  by Sarah Boseley                                                                  April 28, 2015

Too many people are dying in Sierra Leone not from Ebola but as a result of the response to it, according to a report on the collapse of healthcare in the west African country.

 

Health workers at the Kerry Town Ebola treatment centre on the outskirts of Freetown, Sierra Leone, last November. Photograph: Francisco Leong/AFP/Getty Images

Ebola has killed at least 3,900 people in Sierra Leone so far, but the epidemic has critically damaged the ability of the country’s limited healthcare system to cope with anything else, including soaring HIV and tuberculosis rates.

More people are believed to have died from malaria than from Ebola, while deaths of mothers and babies in childbirth are thought to have risen significantly.

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The Next Victims of Ebola

The epidemic may be nearing “zero cases” — but it's still disrupting the delivery of vaccines for measles, polio, and other deadly childhood diseases.

FOREIGN POLICY                                                                                                    April 27, 2015

by Ellen Johnson Sirleaf, President of Liberia, and Seth Berkley,  President and CEO of the Gavi vaccine alliance

When the Ebola epidemic in West Africa comes to an end, it will be marked by two simple words: “zero cases.” But this momentous milestone will also signal the beginning of a new struggle as the long and difficult process of recovering from a crisis that has claimed more than 10,000 lives commences. Ebola has not only drawn attention to the vast gap that exists between rich and poor nations; it has widened that divide too, setting the people of Liberia, Sierra Leone, and Guinea even further back. The opportunity to narrow and ultimately close this gap cannot be neglected.

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UN Says It Will Try to Identify All Ebola Cases by June

ASSOCIATED PRESS by Maria Cheng                                                        April 28, 2015

LONDON — The World Health Organization says it aims to identify and isolate all new Ebola cases in West Africa by the end of May to stop the spread of the lethal virus before the rainy season.

In a new Ebola plan released on Tuesday, the U.N. health agency said it hopes to limit transmission of the virus to the coastal areas of Guinea, Liberia and Sierra Leone before the rainy season begins, normally in April or May.

WHO said the decline in Ebola's spread has "plateaued," partly due to "persistently high transmission" in Guinea and Sierra Leone. Officials say the rainy season will make it more difficult for responders to reach remote areas....

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Nine Ways We Are Beating the Ebola Epidemic in West Africa

THE HUFFINGTON POST by                  April 26, 2015
.. Addressing an Ebola epidemic of this scale has taken the international community on a journey never before walked. Previously tried and tested methods have been used as well as novel strategies, but the scale that has been required is unprecedented.

Rapid response medical team outside a mobile treatment facility
Nathalie MacDermott/Samaritan's Purse International Relief

It is also apparent that no 'one size fits all' approach can work - the approach must be multifactorial, addressing the problem at it's roots within the communities where the outbreaks occur, but also on a national level to provide large scale isolation of cases and interrupt transmission of the virus.

Below are nine ways in which we are beating the Ebola epidemic in West Africa:

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Ella Foundation announces key outcomes in Ebola vaccine research

BUSINESS STANDARD                                                                        April 27, 2015

HYDERABAD, India --Ella Foundation, which has taken up research for finding a potential vaccine for the deadly Ebola virus, today said it had successfully completed preliminary studies on the virus, which was responsible for high fatalities among humans in central Africa.

The Hyderabad-based foundation said it had completed the preliminary animal (with mice) experiments of the virus' glycoprotein with the targeted adenovirus, and the "immune response results have been good", which would be followed by toxicology tests and the subsequent clinical trials involving human beings.

Adenoviruses are responsible for respiratory infections, gastroenteritis, cystitis, and primary pneumonia in humans, and are therefore used as a clear target to understand the human immunity characteristics in laboratory. However, the efficacy of the vaccine is judged by the outcomes seen in human trials.

Read complete story.

http://www.business-standard.com/article/current-affairs/ella-foundation-announces-key-outcomes-in-ebola-vaccine-research-115042700631_1.html

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UN chief names new head of Ebola mission as outbreak calms

ASSOCIATED PRESS by Jonathan Paye-Layleh             April 25, 2015

MONROVIA, Liberia — The U.N. chief on Saturday appointed a new head of the emergency mission responding to West Africa’s Ebola crisis amid hopes that the world’s deadliest outbreak of the virus will soon come to an end.

A statement from Ban Ki-moon’s office said Peter Jan Graaff of the Netherlands will work closely with David Nabarro, the U.N.’s special Ebola envoy, in addressing an epidemic that has claimed more than 10,000 lives in the three hardest-hit countries: Liberia, Guinea and Sierra Leone.

Outgoing head Ismail Ould Cheikh Ahmed was appointed as special envoy to Yemen on Saturday.

Graaff had been serving since October as the U.N.’s Ebola crisis manager in Liberia, which has recorded more Ebola deaths than any other country.

Read complete story.
http://www.washingtonpost.com/world/africa/un-chief-names-new-head-of-ebola-mission-as-outbreak-calms/2015/04/25/46ba3320-eb84-11e4-8581-633c536add4b_story.html

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