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Ebola: Decline encouraging, but critical gaps remain

 

MEDECINS SANS FRONTIERES                                                                         Jan. 26, 2015

A downward trend of new cases is reported in Médecins Sans Frontières (MSF) Ebola management centres across Guinea, Liberia and Sierra Leone, with just over 50 patients currently in its eight centres. While this is a promising development, the medical-humanitarian organisation cautions that loss of vigilance now would jeopardise the progress made in stemming the epidemic.

“This decline is an opportunity to focus efforts on addressing the serious weaknesses that remain in the response,” says Brice de la Vingne, MSF Director of Operations.  “We are on the right track, but reaching zero cases will be difficult unless significant improvements are made in alerting new cases and tracing those who have been in contact with them.”

The World Health Organization reported last week that only about half of new cases in both Guinea and Liberia are from known Ebola contacts, while in Sierra Leone there is no data available.  “A single new case is enough to reignite an outbreak,” continues de la Vingne. “Until everyone who has come into contact with Ebola has been identified, we cannot rest easy.”

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Report by the Director-General to the Special Session of the Executive Board on Ebola

 

Statement by Dr. Margaret, Director-General of the World Health Organization to a Special Session of the Executive Board on Ebola

WHO PRESS OFFICE, Geneva                                                                                       Jan. 25, 2015

Excerpt:

"The Ebola outbreak points to the need for urgent change in three main areas: to rebuild and strengthen national and international emergency preparedness and response, to address the way new medical products are brought to market, and to strengthen the way WHO operates during emergencies."

Read complete statement.

http://www.who.int/dg/speeches/2015/executive-board-ebola/en/

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WHO Board Agrees on Reforms to Fix Ebola Response Mistakes

GENEVA-- The World Health Organization’s board agreed to create a special fund to respond to such outbreaks as Ebola and to set up a global health emergency workforce after the organization acknowledged mis-steps in its response to the epidemic.

 The WHO’s executive board agreed “in principle” at a meeting in Geneva Sunday to a contingency fund, and asked Director General Margaret Chan to develop by May options on its size and sources. Chan should also take immediate steps to establish a public-health reserve workforce that can be promptly deployed in response to health emergencies, according to the resolution adopted by senior health officials from 34 countries.

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Nurse who contracted Ebola released from hospital

THE GUARDIAN   by Lin Jenkins                                     Jan. 23, 2015

LONDON --The British nurse who almost died after contracting Ebola while volunteering in Sierra Leone has been discharged from hospital after making a full recovery.

Doctors had described her condition as “critical” during the three weeks she received treatment for the deadly virus and her family and friends were preparing for the worst. Cafferkey admited that then she had felt like “giving up”, but was now looking forward to returning to “normal life” and had no plans to go back to Africa.

The 39-year-old nurse was diagnosed with Ebola after returning to Glasgow last month and was admitted to the city’s Gartnavel hospital on December 29 before being transferred the next day to the Royal Free. She had been working with Save the Children at the Ebola treatment centre in Kerry Town before returning to the UK...

Save the Children has launched an investigation into how Cafferkey was infected, but admits it may never establish the exact circumstances.

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Sierra Leone eases blocks on travel, business as Ebola wanes

ASSOCIATED PRESS  by Clarence Roy-Macaulay                                                                  Jan. 23, 2015

FREETOWN, Sierra Leone (AP) -- With the Ebola outbreak weakening in West Africa, Sierra Leone eased restrictions on movement and commercial activity Friday even as the president warned that the fight against the deadly disease is not yet over.

The outbreak has sickened more than 21,000 people, nearly half of them in Sierra Leone. But the number of new infections is now falling in Sierra Leone, Guinea and Liberia, the three most affected countries.

President Ernest Bai Koroma announced in a national broadcast that, starting Friday, the country would lift all district quarantines and extend business hours on Saturdays. Koroma said that while people must remain vigilant, easing the restrictions would jump-start the economic recovery. In addition to its human toll, Ebola has hammered the economies of the three most affected West African nations...Sierra Leone plans to reopen schools in March...

Read complete story.
http://news.yahoo.com/sierra-leone-eases-blocks-travel-160805983.html;_ylt=AwrBEiI3ssNUX2IAGH3QtDMD

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Ebola Infections Dropping in West Africa, World Health Organization Says

NEW YORK TIMES by NICK CUMMING-BRUCE                                                                         Jan. 23, 2015

GENEVA — The number of people falling victim to the Ebola virus in West Africa has fallen to the lowest level in months, the World Health Organization said on Friday, but dwindling funds and a looming rainy season threaten to hamper efforts to control the disease.

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As Ebola Outbreak Recedes, Global Health Care Leaders Focus On Prevention, Coordinated Action

THE INTERNATIONAL BUSINESS TIMES   by Amy Nordrum                                                                      Jan. 23, 2015

The recent Ebola outbreak, for which the number of new cases reported each week in the three most severely affected countries is finally beginning to fall, underscores the need to prepare for the next disease outbreak. Global health leaders are asking what it will take to prevent the next disease outbreak from spiraling out of control as the global population approaches 7.5 billion people and grows more connected.

 

     A research assistant works on a vaccine for Ebola at the Jenner Institute in Oxford, England. Eddie Keogh/Reuters

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WHO says cash crunch, rains could thwart Ebola efforts

REUTERS             by Stehane Nebehy                                                                                    Jan. 23, 2015

GENEVA --Halting the spread of Ebola in West Africa will depend on mobilising funds and aid workers before the rainy season hits in April-May, otherwise it could up to take a year, the World Health Organization (WHO) warned on Friday.

But the WHO is set to run out of cash in mid-February, a key period as it tries to halt the deadly disease, a senior WHO official said.

"It is a programme that can stop transmission if we have the money and the people, and we don't have either," Dr. Bruce Aylward, WHO assistant director-general in charge of the Ebola response, told a news briefing before a special session of WHO's Executive Board on Sunday.

Read complete report.
http://www.reuters.com/article/2015/01/23/us-health-ebola-who-idUSKBN0KW1NL20150123

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Ebola infection of humans linked to population density and vegetation cover

MEDICAL NEWS TODAY                                             Jan. 22, 2015

Ebola is a "zoonotic" disease: the virus starts out in animal populations - believed to be fruit bats - and then spills over into humans. Now, a new study that investigates landscape features of where spillover occurs suggests human population density and vegetation cover may be important factors.

The researchers examined landscape features of precise geo-locations of Ebola spillover into humans.

The study is the work of two researchers from SUNY Downstate Medical Center in Brooklyn, NY, who write about their findings in the open-access journal PeerJ.

First author Michael G. Walsh, assistant professor of epidemiology and biostatistics in SUNY Downstate's School of Public Health, says they found significant interaction between density of human populations and the extent of green vegetation cover in the parts of Africa that have seen outbreaks of Ebola virus disease (EVD).

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Ebola Epidemic Takes a Toll on Sierra Leone’s Surgeons

Twenty percent of the nation’s surgical practitioners have been killed by Ebola

SCIENTIFIC AMERICAN  by Seema Yasmin and Chethan Sathya                                   Jan. 22, 2015

Thaim Kamara is 60 years old and would like to retire this year. But he is one of only eight remaining surgeons in Sierra Leone, a west African country of about six million people. Kamara lost two friends to Ebola in 2014—Martin Salia and Thomas Rogers, fellow surgeons at Connaught Hospital in the capital, Freetown. In light of the dire circumstances, Kamara has postponed his plan to retire.

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