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Ebola death in Sierra Leone leads to mass quarantine

DEUTSCHE WELLE    by Susan Houlton                         July 31, 2015
 
A village in northern Sierra Leone has been placed under quarantine after a post-mortem test revealed a man had died from Ebola. Several hospitals failed to recognize him as a potential victim of the disease.


Earlier this week the World Health Organization (WHO) announced the fewest weekly Ebola infections for over a year in West Africa. However the WHO also said it was bracing for a significant new outbreak in Sierra Leone, which alongside Guinea and Liberia, is one of the worst affected countries.

In the week up to Sunday 26 July, there were four confirmed cases in Guinea and three in Sierra Leone. Those three included a patient who died after travelling from the capital Freetown to the northern district of Tonkolili. He was described by the WHO as posing "a substantial risk of further transmission." The patient had only been confirmed Ebola-positive after post-mortem testing....

According to Hassan Abdul Sesay, a member of parliament from the region where the patient died, the man had traveled to his home village to mark the end of the Muslim holy month of Ramadan.
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We Are Literally Farming Ourselves Out of Food

                

NICOLAS ASFOURI via Getty Images

huffingtonpost.com - by Joel K. Bourne, Jr. - July 29, 2015

. . . an article in London's Independent newspaper headlined, "Society will collapse by 2040 due to catastrophic food shortages, says study." The study, based on a model created at Anglia Ruskin University's Global Sustainability Institute, forecasts that if global emissions continue unabated, plausible climate trends will lead to catastrophic crop failures and food riots around the globe. "In this scenario, global society essentially collapses as food production falls permanently short of consumption," Aled Jones, director of the Institute, told reporters. The study echoes a similar, peer-reviewed report from Lloyds of London, which found the probability of a major food crisis "significantly higher" than the insurance industry's benchmark return period of 1:200 years.

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The Individualised versus the Public Health Approach to Treating Ebola

PLOS/Medicine   by  Tom H. Boyles                            July 28, 2015

The mortality rate for patients with Ebola virus disease (EVD) in West Africa is approximately 65% [1]. There are no published figures for high-resource settings, but media sources and individual case reports suggest it is much lower and approaches 0% for those who receive this level of care from the beginning of their illness.

In their article “Ebola Viral Disease: Experience and Decision Making for the First Cases outside of Africa,” David Stephens and colleagues give insight into the care that can be provided when available resources are not the limiting factor [2]. They describe the decision to open the Serious Communicable Diseases Unit (SCDU) of Emory University Hospital (EUH) when two United States patients contracted EVD while working in West Africa. Using a large specialist team, they provided high-quality care in a safe working environment and disseminated their knowledge and experience widely.....

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How West Africa is ramping up food security after Ebola outbreak

Countries in West Africa and the international community are teaming up to fight Ebola's  lingering effects on food security and agriculture.

Volunteers distribute food at a World Food Programme storage center in Monrovia October 16, 2014. Almost a year after the Ebola outbreak garnered strength in West Africa, countries in that region and the international community are teaming up to fight the disease's lingering effects on food security and agriculture. James Giahyue/Reuters/File

CHRISTIAN SCIENCE MONITOR by Clare Algozin                                    July 29, 2015

As the death toll of EVD rose, West African countries began to experience labor shortages, and many fields of crops went unharvested, according to U.N. Food and Agriculture Organization (FAO). As part of the measures to prevent the spread of EVD, many West African governments established quarantine zones and restricted the movements of people.

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Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Stephen O’Brien Remarks to the Press, Juba, South Sudan, 25 July 2015

                                                                      

reliefweb.int - UN OCHA - REMARKS TO THE PRESS - [as delivered]

Juba, South Sudan, 25 July 2015

Today I conclude my four-day visit to South Sudan where I had the opportunity to see for myself the impact of the devastating crisis. This is my first visit to South Sudan since I began my role as the Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator that was almost two months ago. But I have been here few times before. My last visit to South Sudan was in April 2012 to assess the humanitarian situation then, in my capacity as an Under-Secretary of State for International Development in the United Kingdom.

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CDC - Estimating Ebola Treatment Needs, United States

cdc.gov - Volume 21, Number 7—July 2015

Rainisch G, Asher J, George D, Clay M, Smith TL, Cosmos K, et al. Estimating Ebola treatment needs, United States [letter]. Emerg Infect Dis. 2015 Jul - DOI: 10.3201/eid2107.150286

http://dx.doi.org/10.3201/eid2107.150286

To the Editor: By December 31, 2014, the Ebola epidemic in West Africa had resulted in treatment of 10 Ebola case-patients in the United States; a maximum of 4 patients received treatment at any one time (1). Four of these 10 persons became clinically ill in the United States (2 infected outside the United States and 2 infected in the United States), and 6 were clinically ill persons medically evacuated from West Africa (Technical Appendix 1[PDF - 228 KB - 8 pages] Table 6).

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WHO - Ebola Situation Report - 29 July 2015

                                          

who.int - July 29, 2015 - SUMMARY - (See Links to Situation Reports Below)

There were 7 confirmed cases of Ebola virus disease (EVD) reported in the week to 26 July: 4 in Guinea and 3 in Sierra Leone. This is the lowest weekly total for over a year, and comes after 8 consecutive weeks during which case incidence had plateaued at between 20 and 30 cases per week. Although this decline in case incidence is welcome, it is too early to tell whether it will be sustained. There have been several high-risk events in both Guinea and Sierra Leone in the past 14 days, and past experience has shown that it can take a single high-risk case or missed contact to spark a new cluster of cases. In addition, there are over 2000 contacts still within their 21-day follow-up period in Guinea, Liberia, and Sierra Leone, representing a substantial residual risk of further cases. Refinements to the response continue to yield improvements, with recent weeks seeing a higher proportion of cases arising from contacts and a lower proportion of cases identified post-mortem than at any time previously, but the continued occurrence of high-risk transmission events means that an increase in case incidence in the near term is a strong possibility.

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FAO - Manual on Livestock Disease Surveillance and Information Systems

fao.org

Introduction

The FAO has always been concerned with agricultural development and food security. Recent disease epidemics, in both developing and industrialised countries, have once again focussed attention on livestock disease and their potential to harm development. In the context of developing countries, disease epidemics do four things:

They reduce herds and flocks dramatically, which, in the case of pastoral peoples, is a major blow to food security and the ability to survive;

They cause trading partners to - quite understandably - put trade barriers in place in order to protect their own countries from infection. Where livestock or meat exporting countries are affected by epidemics, their "pariah" status can cost millions of dollars in terms of foreign exchange losses, and drive farmers and the local meat industry to the wall.

They are a deterrent to sustained livestock production.

They add significantly to the cost of livestock production through the necessity for the application of costly disease control measures.

(CLICK ON THE LINKS BELOW - FAO - Manual on Livestock Disease Surveillance and Information Systems)

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Addressing therapeutic options for Ebola virus infection in current or future outbreaks

AMERICAN SOCIETY FOR MICROBIOLOGY  by Azizul Haque and others                                July  27, 2015

 Ebola virus can cause severe hemorrhagic disease with high fatality rates. Currently, no specific therapeutic or vaccine has been approved for treatment and prevention of Ebola infection of humans. Although the number of Ebola cases has fallen in the last few weeks, multiple outbreaks of Ebola virus infection and the likelihood of future exposure highlight the need for development and rapid evaluation of pre- and post-exposure treatments.

In this manuscript we briefly review the existing and future options for anti-Ebola therapy, based on the data coming from rare clinical reports, studies on animals and results from in vitro models....

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http://aac.asm.org/content/early/2015/07/21/AAC.01105-15.short?rss=1

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Ebola created a public health emergency—and we weren’t ready for it

Could the international community have done a better job when confronted with the outbreak of Ebola in West Africa? Although the virus appears to be largely contained now, this comes after at least 27,000 people were infected, with 11,000 of them dying. The virus also had the opportunity to spread within the human population for over a year, providing it a potentially dangerous opportunity to adapt to us as hosts.

To find out whether we could have managed the outbreak better, the World Health Organization (WHO) recently convened an Ebola Interim Assessment Panel, which analyzed various aspects of the organization’s response. This panel, commissioned by the WHO Director-General, included the Dean of the Harvard School of Public Health, the founding Director of the UK's national Health Service, and other international public health leaders. It recently released its final report on the crisis.

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