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Morbidity and Mortality Weekly Report (MMWR)

Update: Ebola Virus Disease Epidemic — West Africa, December 2014

CDC                                                                                                                         Dec. 16, 2014

...There were 4,281 new Ebola cases reported during the 4-week period of November 9–December 6, compared with the 2,705 new cases reported during the 3-week period of October 19–November 8.. Cases were widely distributed geographically among districts in all three countries, with the prefecture of Mamou in Guinea reported to be newly affected.

During both periods, counts of reported Ebola cases were highest in the area around Monrovia, including Grand Cape Mount, Liberia; the Western Area and northwest districts of Sierra Leone, particularly Bombali and Port Loko; and Conakry, Guinea .

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http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e1216a1.htm?s_cid=mm63e1216a1_x

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For Ebola Patients in Sierra Leone, Survival Takes More Than Medicine

WIRED             by Erika Check Hayden                                                                                         Dec. 16, 2014

BO, Sierra Leone—Morning rounds have just begun at an Ebola treatment center here in the city of Bo, in central Sierra Leone.

An Ebola management center run by Doctors Without Borders in Bo, Sierra Leone.  Erika Check Hayden

The patients who are able shuffle out of a tent towards two layers of chain-link fence that separate them from the outside—2 meters minimum distance. Some clutch bottles of water, bright orange soda, or foil-wrapped nutritional bars. A woman in an orange printed wrap skirt lags behind the others, struggling to slide a sandal on to her foot. She came here in bad shape with her husband and three children, but she is improving; she was recently taken off intravenous fluids....

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Endless Ebola Epidemic? That's The 'Risk We Face Now,' CDC Says

NATIONAL PUBLIC RADIO  by Michaeleen Doucleff                                                               Dec. 16, 2014

Speed. That's key to ending the Ebola epidemic, says the director of the U.S. Centers for Disease Control and Prevention.

Dr. Thomas Frieden is visiting West Africa this week to figure out how to reduce the time it takes to find new Ebola cases and isolate them.

Otherwise, Ebola could become a permanent disease in West Africa.

 

Dr. Thomas Frieden, director of the U.S. Centers for Disease Control and Prevention, talks with Doctors Without Borders staff during a visit in August to an Ebola treatment center in Monrovia, Liberia. Tommy Trenchard for NPR

"That's exactly the risk we face now. That Ebola will simmer along, become endemic and be a problem for Africa and the world, for years to come," Frieden tells NPR. "That is what I fear most."

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Fewer Ebola Cases Go Unreported Than Thought, Study Finds

NEW YORK TIMES    by Donald G. McNeil, Jr.                                                                 Dec. 16, 2014

Transmission of the Ebola virus occurs mostly within families, in hospitals and at funerals, not randomly like the flu, Yale scientists said Tuesday, and far fewer cases go unreported than has previously been estimated.

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Horror in Sierra Leone: A Single Spark Gives Ebola New Life

NBC NEWS      by  Maggie Fox                                                                                               Dec. 15, 2014
In especially deadly outbreak of Ebola burned unseen in a remote part of Sierra Leone for several weeks, giving public health experts a reality check. It's also a perfect embodiment of the warning that they've been giving for months: that a single spark can set off a conflagration of disease and death.

It happened in Kono, a remote district bordering Guinea. World Health Organization workers heard rumors of deaths and traveled there to find scenes out of a horror movie. At least 87 people had died and been hastily buried, often without the precautions needed to stop the corpses from infecting the living....

What happened in Kono illustrates just how fragile any success is.

It's likely that just one person carried the virus there from an affected area, and without precautions in place, it spread like wildfire.

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What an Ebola curfew looks like

Killian Doherty, an Irish architect working for the Architectural Field Office (AFO), has been in Sierra Leone’s capital, Freetown, for much of the Ebola epidemic. He documented the curfews in some dramatic photographs

THE GUARDIAN by Killian Doherty and René Boer for Failed Architecture                                   Dec. 15, 2014

FREETOWN -- Sierra Leone has been severely affected by Ebola. Over the last six months, the country has seen a high death toll, immense human suffering and a wide range of restrictive measures that have hampered economic and urban life. Most dramatically, in Sierra Leone’s capital, Freetown, the authorities have instituted a set of curfews that have forced residents to stay at home, resulting in a seemingly deserted city. 

 

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Ebola-Zone Airline Capacity to Outside World Declines Up to 81%

BLOOMBERG by Chris Jasper and Simeon Bennett                                                                          Dec. 15, 2014

The number of airline seats on offer between Liberia, the African nation with the most deaths from the Ebola outbreak, and the outside world has dropped 81 percent in the past year, according to official capacity figures.

Seat availability to Sierra Leone will be 75 percent lower in January than it was a year earlier, while the total for Guinea will be down 39 percent, flight scheduling database provider OAG said today in a report.

Kenyan health officials prepare to receive arriving passengers at an observation area at the Jomo Kenyatta International Airport in Nairobi on Oct. 28. The number of flights in the Ebola zone has plummeted after outside carriers scrapped services in response to the spread of the disease... Photographer:Tony Karumba/AFP via Getty Images

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Ebola serum supply reaches Liberia

BBC                                                              Dec. 15, 2014

Liberia has begun treating Ebola patients with serum therapy - a treatment made from the blood of recovered survivors.

Doctors hope the experimental treatment could help combat the virus that has been sweeping West Africa and killing thousands of people.

If a person has successfully fought off the infection, it means their body has learned how to combat the virus and they will have antibodies in their blood that can attack Ebola.

Doctors in Liberia will monitor how safe and effective is the serum treatment being given at the ELWA Hospital in Monrovia.

 Dr David Hoover, the programme's director, said: "This will empower local health care systems to become more self-sufficient and better serve their patients during this current epidemic as well as in the future."

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http://www.bbc.com/news/health-30478512

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Health Liberia Postpones Elections Again Because of Ebola

Assoicated Press By JONATHAN PAYE-LAYLEH                Dec. 14, 2014

MONROVIA-- Officials in Ebola-stricken Liberia have postponed senatorial elections until the end of the week, while some urged calling off the vote for fear the results would not be credible.

Ebola has killed nearly 3,200 people this year in Liberia, and many question whether elections can be held at all under such circumstances.

The elections, first scheduled in October, were supposed to be held Monday, but have been moved back to Saturday. It was not immediately clear whether the extra days would be sufficient delay to address the logistical problems posed by Ebola.

While health authorities say the situation has stabilized somewhat in recent weeks, there are fears that mass gatherings at polling stations could spark a new surge in Ebola cases...

Alaric Tokpa, from the opposition National Democratic Alliance, walked out of Sunday's meeting, telling the AP as he departed that the elections would not be credible.

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http://abcnews.go.com/Health/wireStory/sierra-leonean-doctor-sick-ebola-27588102

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12th Sierra Leonean physician contracts Ebola amid junior doctor go-slow

ASSOCIATED PRESS                                                      Dec. 14, 2014
FREETOWN, Sierra Leone — An official in Sierra Leone says one of the country's top doctors has contracted the Ebola virus.

Dr. Victor Willoughby is the 12th Sierra Leonean physician to become infected — 10 of whom have died.

Government Chief Medical Officer Dr. Brima Kargbo confirmed Sunday that Willoughby had tested positive for Ebola.

Junior doctors in Sierra Leone last week launched a strike to demand better medical treatment for health workers who contract the disease. Kargbo said Sunday that skeleton crews have returned to aid the senior doctors.

Complete story
http://www.usnews.com/news/world/articles/2014/12/14/another-sierra-leonean-doctor-sick-with-ebola

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