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Ebola response in rural Sierra Leone not yet rapid enough

REUTERS   by    Emma Farge                                                                                                 Dec. 21, 2014       
KOIDU, Sierra Leone -- The rapid response team has arrived and the chaos is easing, but medics in a remote Sierra Leonean district are struggling to control a local Ebola outbreak when it's too late to nip it in the bud.

Health workers rest outside a quarantine zone at a Red Cross facility in the town of Koidu, Kono district in Eastern Sierra Leone December 19, 2014. Credit: Reuters/Baz Ratner

A deployment of medical workers and equipment to Kono District has been the fastest so far in Sierra Leone, a country with nearly half the total Ebola cases,- under a strategy of tackling epidemic hotspots before they get too big.

But officials say responses need to be yet faster to fight the fever that has killed more than 7,000 people across West Africa.

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Sierra Leone Urges Safe Burials to Stem Ebola

ASSOCIATED PRESS  by SARAH DiLORENZO                       Dec. 21, 2014
DAKAR, Senegal --The radio announcement is chilling and blunt: "If I die, I want the deaths to stop with me."

Dr. Desmond Williams continues: "I want to give my family the permission to request a safe and dignified, medical burial for me."

The announcement is part of a campaign to urge Sierra Leoneans to abandon traditional burial practices, such as relatives touching or washing the dead bodies, that are fueling the spread of Ebola in the West African country.

 Officials are resorting to increasingly desperate measures to clamp down on traditional burials in Sierra Leone, where Ebola is now spreading fastest. The head of the Ebola response has even threatened to jail people who prepare the corpses of their loved ones.

Williams, a Sierra Leonean-American doctor who works for the U.S. Centers for Disease Control and Prevention, took to the airwaves last month as part of efforts to encourage people to avoid dangerous burial practices. Now similar pledges have been made by prominent Sierra Leoneans, including the communications director for the Health Ministry, pop stars and radio DJ's.

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Opinions: Sierra Leone’s crisis deepens as doctors die of Ebola

WASHINGTON POST OP-ED by Claudena Skran                                                                      Dec. 20, 2014

No evacuation plane to the United States or Europe awaited Dr. Thomas Rogers in early December when he fell ill with the Ebola virus in Sierra Leone.

Instead, the highly trained physicianstruggled to be admitted to one of the few Ebola treatment centers in the West African country. After finally securing a bed, Rogers died on Dec. 5 , sharing the tragic course of the Ebola epidemic with his countrymen.

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S Leone to withdraw Somalia troops over Ebola

African Union blocks troops rotation over Ebola fears, forcing Sierra Leone to withdraw its 850 soldiers from Somalia.

ALJAZERA     by     Hansa Mohamed                             Dec. 21, 2014

Sierra Leone is withdrawing its troops from Somalia after the African Union blocked the West African country from rotating its soldiers over fears for the Ebola virus.

Sierra Leone sent 850 troops to Somalia for a 12-month deployment to fight the al-Qaeda-linked rebel group, al-Shabab, in Somalia in 2013.

Their rotation was delayed after a group of 800 soldiers, who were waiting to replace their comrades in Somalia, were quarantined after one of the soldiers was tested positive for Ebola.

"They have to go. We wish they could have stayed but they have been here long. And there is no rotation possible because of the nature of the situation," Maman Sidou, the AU's special representative for Somalia said during a farewell event for the troops held in the port city of Kismayo on Friday.

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Liberian voter turnout low as Ebola overshadows senate election

REUTERS  by James Harding Giahyue                                                                                     Dec. 20, 2014

MONROVIA--Turnout for Liberian parliamentary elections on Saturday appeared to be low as concerns about Ebola kept many voters at home.

 

Bystanders read the headlines illustrating the battle over the holding of elections in Liberia amid the Ebola crisis at a street side chalkboard newspaper in Monrovia, December 2, 2014. Credit: Reuters/James Giahyue

Polling stations were largely empty after voting began at 8 a.m. (3.00 a.m. ET) in the seafront capital Monrovia, with voters occasionally drifting in, despite precautions put in place by the National Elections Commission (NEC).

Staff with temperature guns at polling stations checked voters for any signs of the hemorrhagic fever, which is spread via bodily fluids. Voters were obliged to wash their hands with chlorine solution, to stand at least three feet apart in the queue, and bring their own pens to mark the ballot paper, officials said.

Read complete story.

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Ebola death toll close to 7,400, says World Health Organisation

The Guardian    by Chris Johnston                                        Dec. 20, 2014

(Two items, scroll below.)

FREETOWN, Sierra Leone --The death toll from the worst ever outbreak of Ebola has reached nearly 7,400, with just over 19,000 people infected across west Africa, according to the World Health Organisation (WHO).

The UN secretary general, Ban Ki-moon, addresses health workers in Sierra Leone. Photograph: Evan Schneider/AFP/Getty Images

Sierra Leone reported 400 new fatalities this week, bringing the death toll there to 2,500. As of 18 December, it had the highest number of people infected by the virus – 8,800 cases, of which 6,900 were confirmed, according to the country’s health ministry.

The WHO is attempting to curb an outbreak in the west of the country, where the disease is spreading fastest, by sending a “massive surge of staff and resources” to the area.

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CSIS Podcast - Ebola in West Africa

csis.org - Center for Strategic and International Studies

The CSIS podcast “Ebola in West Africa” has been named by Apple as one of its “Best of 2014” podcasts on iTunes U.

“Ebola in West Africa” was produced by Sahil Angelo, a young professional who works in the CSIS Global Health Policy Center in conjunction with our team of multi-media professionals in the CSIS Ideas Lab.

CSIS multimedia is available on iTunes, iTunes U and on www.CSIS.org/multimedia

CLICK HERE - iTunes - Ebola in West Africa

CLICK HERE - Tweet - iTunes U - Best of 2014

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State Ebola Protocols

CDC                                                                                                                Dec. 19, 2014

 The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa. Two imported cases, including one death, and two locally acquired cases in healthcare workers have been reported in the US. CDC and partners are taking precautions to prevent the further spread of Ebola within the US

CDC/OSTLTS Public Health Law Program and Office of the Associate Director for Policy compiled an Interim Table of State Ebola Screening and Monitoring Policies for Asymptomatic Individuals[PDF 826KB] to help law and policy makers prepare for and respond to Ebola-related situations.

See complete report.

http://www.cdc.gov/phlp/publications/topic/ebola.html

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In Sierra Leone, the ghosts of war haunt an Ebola graveyard

WASHINGTON POST      by Kevin Sieff                                                                                      Dec. 19, 2014

FREETOWN, Sierra Leone — To find Andrew Kondoh, walk through the gates of this city’s largest cemetery, where teams in moonsuits bury more than 50 bodies in white plastic bags each day. Look for the man with the wispy goatee and big belly, who is overseeing one of the world’s most chaotic, dangerous graveyards as if he’s done it all before.

That’s because he has.

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Ebola: ‘Regrettable loss’ caused by warehouse fire in Guinea

UNITED NATIONS NEWS CENTRE                                Dec. 18, 2014
A fire engulfed a United Nations warehouse in Guinea Thursday today that contained medicines and laboratory materials used for the fight against Ebola, causing no casualties but “a regrettable loss” in supplies, which the UN mission there vowed to quickly replace. An investigation into the fire was underway.
UN warehouse with EbolaResponse supplies catches fire in Guinea. Emergency personnel seen here try to contain the flames. Photo: UNMEER

"This is a regrettable loss, but no one was hurt and we will move quickly together with our partners to replace the lost supplies", said Anthony Banbury, Head of the UN Mission for Emergency Ebola Response (UNMEER).

UNMEER reported that the fire in the warehouse, mainly containing medicines and laboratory materials, was discovered around 8:00 a.m. local time when workers arrived at facility in the main humanitarian logistics base of the airport and of the city of Conakry, the capital of Guinea – one of the three most affected countries by Ebola in West Africa.

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