Latest surveys point to declines in employment, food insecurity, and long-term welfare concerns
THE WORLD BANK Jan. 12, 2015
WASHINGTON-- The socio-economic impacts of Ebola in Liberia and Sierra Leone are far-reaching and persistent, according to two new World Bank Group reports. Both countries continue to experience job losses, despite their differing health outlooks. These impacts have not been limited to the areas where infections have been the highest, which points to economy-wide slowdowns. As a result, many households have been forced to take short-term actions to cope, which can have substantial long-term effects on welfare.
“The Ebola virus itself must be eradicated- this is the number one priority,” said Ana Revenga, Senior Director for Poverty at the World Bank Group. “But its socio-economic side effects put the current and future prosperity of households in Liberia and Sierra Leone at high risk. We must pay careful attention to those who are most vulnerable to both health and economic shocks, and ensure that they are supported throughout and after the crisis.”
Ebola is causing mental health problems in Sierra Leone, with the country’s overstretched health system unable to deal with the psychosocial legacy of the outbreak, according to a report by the International Medical Corps (pdf).
Children at an MSF Ebola treatment centre in Kailahun, Sierra Leone, with a psychologist, who looks after family members, patients and staff dealing with stigmatisation and death. Photograph: Joffrey Monnier/MSF
LONDON- A British nurse diagnosed with Ebola last month is recovering and is no longer in a critical condition, the London hospital treating her said in a statement on Monday.
Pauline Cafferkey, a 39-year-old nurse who normally works at a Scottish health center, became the first person to be diagnosed with the disease in Britain after contracting it in Sierra Leone where she was volunteering at an Ebola clinic.
"Pauline Cafferkey is showing signs of improvement and is no longer critically ill," the statement from the Royal Free Hospital said. "She remains in isolation as she receives specialist care for the Ebola virus."
Cafferkey is being treated with blood plasma from an Ebola survivor and an unnamed experimental anti-viral drug, the hospital has said.
As authorities and drug companies hurriedly prepare to begin testing Ebola vaccines in West Africa, they are starting to contemplate a new challenge: whether an ebbing of the outbreak could make it more difficult to determine if the experimental vaccines are effective.
A district in Sierra Leone has been declared Ebola-free, the first to be given the all-clear after 42 days with zero recorded cases of the virus.
Red Cross workers load a suspected Ebola case into an ambulance in Freetown, Sierra Leone, in September. Freetown still has a relatively large number of cases. Photograph: Michael Duff/AP
Pujehun, in the south-east of the country, was hit by Ebola in August and suffered 24 deaths from 31 cases – but it has not had a recorded case since 26 November. This means it has achieved the World Health Organisation’s benchmark for Ebola-free status.
The CDC’s Karen Williams, right, instructs Kwan Kew Lai to wash her hands before each step in the process before she removes her protective suit at an Ebola-treatment training session in Anniston, Ala. Steve Gates for The Wall Street Journal
cdc.gov - January 7, 2015
Making the decision to volunteer in an Ebola Treatment Unit (ETU) in West Africa shows a lot of courage and takes support from friends, loved ones, and other healthcare workers. It also requires the knowledge and skills to safely treat very sick patients in a challenging environment. CDC understands that healthcare workers preparing to deploy to West Africa need to know the infection prevention and control principles necessary for working in an ETU. To help meet this need, CDC offers an introductory training course at the Federal Emergency Management Agency’s (FEMA) Center for Domestic Preparedness in Anniston, Alabama.
FREETOWN --Medical charity Medicins Sans Frontiers (MSF) has opened the first care center in the current Ebola epidemic for pregnant women, whose survival rate from the virus is virtually zero, the charity said on Saturday....
An Ebola virus treatment center is seen in Bo, Sierra Leone, November 17, 2014. Credit: Reuters/Benjamin Black
There is currently one patient in the clinic, which is perched on a hill in the compound of a disused Methodist boys high school in the Sierra Leone capital.
Women are particularly vulnerable to a disease spread through direct contact with infected people and with the corpses of victims, because women often care for sick family members, said MSF Field Coordinator, Esperanza Santos.
THE ASSOCIATED PRESS By MARIA CHENG and CLARENCE ROY-MACAULAY Jan 9, 2015
FREETOWN, Sierra Leone --
...Whether the world's worst-ever Ebola outbreak can be wiped out in West Africa in 2015 is uncertain. To a large extent, it depends as much on locals changing their practices and beliefs as it does on continued international assistance.
One of the biggest problems is finding all contacts of confirmed cases. Teams are in place in Guinea, Liberia and Sierra Leone, the three worst-hit countries, to monitor suspect cases, but too little is known about where the virus is spreading. Typically, every confirmed Ebola case has about 12 to 20 possible contacts who must be monitored. In Sierra Leone, the epicenter of the current crisis, officials are reporting just eight, leading to suspicions that contact tracing is inadequate....
Among concrete progress since the crisis gained international attention last summer, a major initiative led by the U.N. has been put into place, including:
Australian researchers reported on an automated text-message system used for actively monitoring people potentially exposed to Ebola. The system prompts contacts to submit information on symptoms and temperature twice a day. The Department of Health in Western Australia uses the system, called "EbolaTracks," to track travelers returning from West Africa and (potentially) contacts of any local cases.
Twenty-two people were enrolled in the program as of Jan 5, and 14 have completed active monitoring. The system sent 1,108 text messages and got a 91% response rate. Health officials followed up by phone when they didn't get a reply. Such systems could be valuable tools for larger-scale contact monitoring for Ebola or other infectious diseases, they concluded.
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