Situation Report

THE LANCET by Richard Horton                         Sept. 12, 2015

LONDON-- Post-Ebola reverie has given birth to a plethora of expert panels to consider what went wrong. The latest parade of global health specialists appointed to learn lessons gathered at the Wellcome Trust in London last week.
 Under the auspices of the US Institute of Medicine (IOM), a Commission to “deliberate and evaluate options to strengthen global, regional, and local systems to better prepare, detect, and respond to epidemic diseases” spent 2 days amassing evidence.

 There was no shortage of experience brought to bear on these important matters. Here were Margaret Chan, Jeremy Farrar, Ilona Kickbusch, David Heymann, Larry Gostin, Joy Phumaphi, Joanne Liu, and Peter Piot all wrestling with a seemingly intractable challenge. The statements offered to the Commission were arresting. But  the purpose of the meeting was not to talk. It was to identify the best system for an epidemic response....
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http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2900152-X/fulltext

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submitted by George Hurlburt

Sleeplessness, along with abdominal and joint pain are common even months after recovery from the dreaded virus

scientificamerican.com - by Dina Fine Maron - September 9, 2015

The first snapshot of health complications facing Ebola survivors in Sierra Leone presents a dismal picture of their road to recovery. A new study has found that up to four months after blood tests indicated that they were Ebola-free, more than half of survivors continue to suffer from joint pain, headaches or muscle pain. And more than 40 percent of survivors complain of sleeplessness and visual problems. Perhaps most worryingly, almost all the survivors—96 percent—reported being rejected by their communities after they were released from the hospital. The majority said they were still too scared to return home.

submitted by Gavin Macgregor-Skinner

Ebola Outbreak update dated Sep 8 from the National Ebola Response Centre in Sierra Leone.

The four new Sierra Leone cases are in Sella Kaffta, a village in Kambia district in the northwest part of the country on Guinea's border. All the newly reported patients had contact with a 67-year-old woman whose death from Ebola was announced last week. After she died her body was washed before burial. There are 50 high-risk close contacts being monitored. Experimental ring vaccine campaign by WHO began Sep 4 and the newly diagnosed Ebola patients were not among the 116 people who received post-exposure VSV-EBOV vaccine.

Ebola Virus Disease (EVD) Update
http://health.gov.sl/?p=617

Ebola Virus Disease – Situation Report
http://health.gov.sl/?p=537

Ministry of Health and Sanitation - The Republic of Sierra Leone
http://health.gov.sl

National Ebola Response Centre (NERC) - Sierra Leone
http://www.nerc.sl

National Ebola Response Centre (NERC) - Sierra Leone - Evening Briefings
http://nerc.sl/?q=document-types/nerc-briefings

VOICE OF AMERICAN by James Butty  Sept. 9, 2015
Three more people have tested positive for Ebola from the same village in Sierra Leone's northern Kambia district of the country where a 67-year-old woman died last week from the virus, Sierra Leone health officials said.

Chief medical officer Dr. Brima Kargbo told VOA Tuesday the three new patients came from among the 50 high-risk persons identified as close relatives of the deceased woman. 

Sierra Leone has had nearly 14,000 cases of Ebola and about 4,000 deaths since the outbreak began in 2014.  But Dr. Kargbo said the latest outbreak is containable because its origin is traceable....

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http://www.voanews.com/content/new-ebola-patients-found-in-sierra-leone/2953488.html