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NEJM - Ebola Outbreak

           

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A collection of articles and other resources on the Ebola outbreak, including clinical reports, management guidelines, and commentary.

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Ebola Now Preoccupies Once-Skeptical Leader in Guinea

NEW YORK TIMES -- BY Adam Nossiter                                                                    Dec. 1, 2014                          
Description of the way that President Alpha Conde, after intially minmizing the Ebola threat, "is mustering a late-career tenacity to confront the deadly epidemic that still infects hundreds in this battered West African nation."

                            “While shaving I think of Ebola, while eating I think of Ebola,” said President Alpha Condé of Guinea. The response of nearby nations helped galvanize Mr. Condé. Credit Samuel Aranda for The New York Times

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http://www.nytimes.com/2014/12/01/world/africa/ebola-now-preoccupies-once-skeptical-leader-in-guinea.html?hp&action=click&pgtype=Homepage&module=second-column-region&region=top-news&WT.nav=top-news&_r=0

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Free Fall in Oil Price Underscores Shift Away From OPEC

A hydraulic fracturing well in Colorado. With the technology, America is expected to surpass Saudi Arabia in oil production. Credit Brennan Linsley/Associated Press

Image:  A hydraulic fracturing well in Colorado. With the technology, America is expected to surpass Saudi Arabia in oil production. Credit Brennan Linsley/Associated Press

nytimes.com - November 28th, 2014 - Clifford Krauss

Since the economically crippling oil embargo of 1973, every American president has pledged to seek and achieve energy independence.

That elusive goal may finally have arrived, at least for the foreseeable future, with the failure of Saudi Arabia and its 11 oil cartel partners in the Organization of the Petroleum Exporting Countries to agree to a production cut that would put a brake on plummeting crude prices.

On Friday, the benchmark American price for crude oil continued the free fall that began on Thursday, closing at $66.15, its lowest price in more than four years.

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No more Ebola cases in Mali after patient cured

DAKAR - Nov 29, 2014 - reuters.com

Nov 29 (Reuters) - Mali has no more confirmed cases of Ebola after the last patient known to be suffering from the virus was cured, President Ibrahim Boubacar Keita said on Saturday.

Mali has registered eight cases of Ebola - seven of them confirmed and one probable - after the virus spread from neighbouring Guinea, the World Health Organization (WHO) said this week.

http://www.reuters.com/article/2014/11/29/health-ebola-mali-idUSL6N0TJ0AC20141129

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Ebola outbreak: West Africa death toll nears 7,000

29 Nov 2014 - BBC

Protective measures are key to stopping the spread of the virusThe number of people killed by the Ebola outbreak in West Africa has risen to 6,928, the World Health Organisation (WHO) says.

The toll has increased by over 1,000 since the WHO's last report on Wednesday, but it includes unreported deaths from earlier in the outbreak.

Experts say the infection rate is more significant that the death toll, as it reflects how the virus is spreading. Infection rates are decreasing in Liberia, but are high in Sierra Leone.

There have been over 16,000 reported cases in Guinea, Sierra and Liberia.

Latest Ebola death tolls

Liberia: 7,244 cases, 4,181 deaths

Sierra Leone: 6,802 cases, 1,463 deaths

Guinea: 2,123 cases, 1,284 deaths

http://www.bbc.com/news/health-30260532

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New 15-Minute Test for Ebola to be Trialled in Guinea

                              

wellcome.ac.uk - November 28, 2014

A rapid, point-of-care diagnostic test for the Ebola virus will be trialled in the coming weeks at the Ebola treatment centre in Conakry, Guinea. The trial is one of six health research projects that have been jointly funded by the Wellcome Trust and the UK government.

The 15-minute Ebola test is six times faster than similar tests currently in use and aims to speed up the diagnosis of Ebola cases. Early detection of Ebola leads to better infection control as medical staff can identify and isolate confirmed cases of Ebola faster, and start treating patients sooner. Ultimately, a faster test could reduce Ebola transmission and mortality.

The project is supported through a joint Department for International Development (DFID) and Wellcome Trust fund for rapid health research during the Ebola outbreak. The six projects are managed by Enhancing Learning & Research for Humanitarian Assistance (ELRHA).

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WHO advises male Ebola survivors to abstain from sex

REUTERS                                                                                                                      NOV. 28, 2014

LONDON --Men who recover from Ebola should abstain from sex for three months to minimize the risk of passing the virus on in their semen, the World Health Organization (WHO) said on Friday.

Ebola, a disease that has infected and killing thousands in a vast epidemic in West Africa, normally spreads via bodily fluids such as blood, saliva and faeces. Although sexual transmission of Ebola virus disease has never been documented, the virus has been detected in the survivors' semen.

"Men who have recovered from Ebola virus disease should be aware that seminal fluid may be infectious for as long as three months after onset of symptoms," the WHO said in a statement....

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http://www.reuters.com/article/2014/11/28/us-health-ebola-sex-idUSKCN0JC0UP20141128

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Ebola aid dogged by coordination lags in Guinea

ASSOCIATED PRESS  By MICHELLE FAUL and JAMEY KEATEN Nov. 27, 2014

CONAKRY, Guinea --   ...President Alpha Conde says his government must coordinate the  (expected French)  response, one that aid workers say is confusing and inefficient. Overall the responsibility for the crisis has changed hands several times, from WHO’s regional Africa office, to its headquarters and finally to the U.N. mission.

“It’s difficult for us to understand who is working for (which) WHO” - the local Africa division or the central office in Geneva, said Pascal Piguet, a logistics expert with Doctors Without Borders who leads the Ebola treatment center in the southern town of Gueckedou....

Oyewale Tomori, a professor of virology at Redeemer’s University in Nigeria who sits on WHO’s emergency committee on Ebola, said countries themselves should be coordinating the Ebola control efforts with help from agencies like the U.S. CDC and WHO. “But that’s not happening. We have a very fractured response,” Tomori added....

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Despite Aid Push, Ebola Is Raging in Sierra Leone

NEW YORK TIMES   By Jeffrey Gettleman                        Nov.28, 2014

KISSI TOWN, Sierra Leone-- ...While health officials say they are making headway against the Ebola epidemic in neighboring Liberia, the disease is still raging in Sierra Leone, despite the big international push. In November alone, the World Health Organization has reported more than 1,800 new cases in this country, about three times as many as in Liberia, which until recently had been the center of the outbreak....

On Freetown’s outskirts, burly youth are setting up roadblocks. The police are nowhere to be found. The young men barricade the road brandishing digital thermometers. Credit Daniel Berehulak for The New York Times

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African Stars Give ‘Band Aid 30’ Ebola Track Cool Welcome

voanews.com - by Henry Ridgwell - Nov 28, 2014



Dozens of British music stars have come together to record a new version of the song ‘Do They Know It’s Christmas?’ to raise money for the fight against Ebola. But as Henry Ridgwell reports from London, the song has not been universally welcomed in Africa - where local music stars have recorded their own Ebola single.

http://www.voanews.com/media/video/african-stars-give-band-aid-thirty-ebola-track-cool-welcome/2538714.html

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