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The mission of the Global Health Working Group is to explore and improve current and emerging states of health and human security worldwide.

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Ebola Case Uptick Underscores Response Challenges

Unsafe burials have spurred some of the newly reported cases, the WHO said.  UNMEER, Martine Perret / Flickr cc

CLICK HERE - WHO - Ebola Situation Report
4 February 2015

submitted by Stephen Morse

cidrap.umn.edu - by Lisa Schnirring - February 4, 2015

In a sign that West Africa's Ebola response still faces several challenges, Guinea, Liberia, and Sierra Leone all reported an uptick in cases last week, the first time this year that all three countries have seen an increase, the World Health Organization (WHO) said today.

Some of the remaining problems include stubborn pockets of community resistance in some areas, the disease's increased reach in Guinea, and widespread transmission in Sierra Leone, the agency said. The WHO warned of an urgent need to curb the outbreak in as many areas as possible, with the approach of the wet season that will make remote areas difficult for responders to reach.

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Liberia: St. Paul Bridge Community - Liberia's New Ebola Hotspot

Volunteers knocking on doors and advising people to wash their hands as a precaution against the Ebola virus.  Photo - UNHCR

submitted by Gavin Macgregor-Skinner

allafrica.com - by Stephen D. Kollie - February 3, 2015

Monrovia — Despite tremendous efforts by the government of Liberia and international partners aimed at eradicating the deadly Ebola virus, it seems the fight is becoming difficult to reach an end as new cases of Ebola are again being reported in the country.

For the past few days, Liberia, which was recording dozens of Ebola cases daily was only battling with the last five confirmed Ebola cases, but that record is now on a slippery path as five new Ebola cases have been reported in the St. Paul Bridge Community in Montserrado County.

Addressing the Ministry of Information daily Ebola press briefing, Assistant Health Minister and Head of the Incident Management System Tolbert Nyenswah explained that the government has identified a fresh Ebola outbreak in the St. Paul Bridge area, describing it as "the St. Paul bridge cluster infection chain."

(READ COMPLETE ARTICLE)

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MSF says lack of public health messages on Ebola "big mistake"

THOMPSON REUTERS By Misha Hussain                   Feb. 4, 2015

CONAKRY -- Medecins Sans Frontieres (MSF) made the "big mistake" of focusing too much on treatment early on in the Ebola epidemic rather than speaking to people about tackling the disease, a senior member of the medical charity said.

 ...With 20 years of experience of treating Ebola, MSF deployed hundreds to the Ebola "hot zones" and was quick to isolate patients and trace their contacts.

However, Claudia Evers, MSF's Ebola emergency coordinator in Guinea, said: "MSF made a big mistake. We advocated for an increase in beds for too long, and everyone listened to MSF."

"Instead of asking for more beds we should have asked for more sensitisation activities," Evers told the Thomson Reuters Foundation in an interview. Evers said the next stage of the Ebola response required a new approach if the disease was to be brought under control, centred on the promotion of good hygiene practices.

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http://af.reuters.com/article/topNews/idAFKBN0L81SM20150204?sp=true

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Report: Liberia : New Ebola cases reported in Liberia

RFI      By Adolphus Mawolo                              Feb. 3, 2015

MONROVIA --Assistant Health Minister and head of Liberia’s incident management system, Tolbert Nyensuwah, told journalists in Monrovia on Monday that five confirmed cases had been reported around Monrovia over the past seven days.

According to Minister Nyensuwah, the cases were reported from three communities in the western suburbs of the capital....

He has partially blamed the situation on some infected people refusing to seek treatment despite the availability of treatment centres, noting that a full-scale investigation is underway to ascertain why.

Fead complete story.
http://mobile.english.rfi.fr/africa/20150203-liberia-experimental-vaccines-against-ebola?utm_source=February+4+2015+EN&utm_campaign=2%2F4%2F2015&utm_medium=email

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Ebola infection 'linked to visor'

THE PRESS ASSOCIATION                               Feb. 4, 2015
LONDON --A British nurse who contracted Ebola while working in Sierra Leone possibly caught the virus by wearing a visor and not goggles, an investigation has suggested.
Press Association - Save the Children said Pauline Cafferkey, pictured on her return to health, may have contracted Ebola by wearing a visor rather than goggles when treating patients in Sierra Leone

The report by Save the Children said it cannot be completely certain how Pauline Cafferkey contracted Ebola but said both pieces of equipment are "equally safe".

The nurse, from Cambuslang in South Lanarkshire, had volunteered with the charity at the Ebola Treatment Centre (ETC) in Kerry Town before returning to the UK in December....

Save the Children published the findings of an independent review into the possible causes of how the 39-year-old caught the virus. The report said both visors and goggles are safe but there are slight differences in the type of clothing worn with each and in the protocols for putting them on and removing them....

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Only 40 percent of Ebola funds reached target countries: study

REUTERS    by Kate Kelland                                                                                 Feb. 3, 2014

LONDON  - Almost $2.9 billion was pledged by the end of 2014 in donations to fight West Africa's Ebola epidemic, yet only around 40 percent had actually reached affected countries, researchers said on Tuesday.

A study by the U.N. Office for the Coordination of Humanitarian Affairs that tracked international donations showed barely $1.09 billion had reached the worst affected countries by the end of last year, they said.

"These delays ... may have contributed to spread of the virus and could have increased the financial needs," said Karen Grepin, a global health policy expert at New York University who led the study and published it in the BMJ British medical journal.

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http://news.yahoo.com/only-40-percent-ebola-funds-reached-target-countries-233343915.html

Link to full study.

International donations to the Ebola virus outbreak: too little, too late?

BRITISH MEDICAL JOURNAL   by  Karen A Grépin                                                      Feb. 3, 2015

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WHO names Ebola response chief

AFP                                                                      Feb. 3, 2015
GENEVA: The World Health Organization said Tuesday it had appointed its assistant director-general Bruce Aylward to head its overall response to the deadly Ebola outbreak.

It also said an independent commission was being created to assess WHO's widely criticised response to the epidemic, after the UN agency admitted last month it had been caught napping on Ebola and pledged reforms to avoid similar mistakes in the future.

WHO spokeswoman Fadela Chaib told reporters that Alward, a Canadian, will be responsible for coordinating all the different aspects of the agency's response to the devastating outbreak, which has killed nearly 9,000 people, almost all of them in Guinea, Sierra Leone and Liberia.

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Lessons From Africa's Hard-Won Victory Over Ebola

BLOOMBERG  Commentary      by Charles Kenney                                              Feb. 3, 2015
...Without good surveillance, disease threats can fester undetected until they are considerably harder to contain. At the moment, countries simply declare they have the capacity to meet global standards and the WHO takes their word for it. There should be a system of independent review, backed up with international assistance and support to ensure that all countries really do have the capacity to track infectious disease outbreaks and control their spread across borders.

....the global health research system is primarily driven by market pressures. The cost of bringing a drug through the regulatory processes to market averages around $1 billion. That's a big reason why pharmaceutical companies would rather spend money on treatments for the diseases of the rich than for conditions that largely affect people in countries like Liberia...

There are two approaches to deal with that problem: lower the cost of drug development and increase the market for the products that emerge. ...

To increase demand, governments can club together to create an "advanced market commitment": If a drug developer produces a vaccine or therapy that meets certain standards, donors precommit to buy it in bulk....

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Good Fences, Good Neighbors

EBOLA WEEKLY  by   Cinnatus Dumbaya                                                          Feb. 2, 2015

The Mano River Union, which works across the Ebola-affected countries, held a meeting this weekend designed to tackle the challenges of halting the spread of disease at West Africa's porous land borders. Cinnatus Dumbaya spoke to the Reverend Linda Koroma, deputy secretary general of the Mano River Union Secretariat in Freetown, to find out more.

Excerpt from interview:
...."We want to ensure that our border communities are provided with health facilities they can access in the event of another epidemic or any other kind of disease. And so the idea the technical people came up with is to allow people to cross over borders easily in order to access fully equipped health centers that would be built in each of the border towns...."
Read complete story.

http://www.eboladeeply.org/articles/2015/02/7279/good-fences-good-neighbors/

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Ebola: Winning the War, but Battles Remain

      

A worker at a UNICEF-supported Interim Care Center plays with 19-month-old Ebola survivor Tamba in Gueckedou, Forest Region, Guinea on January 11, 2015.  Tamba's mother died of Ebola, then his father abandoned him for fear of catching the disease himself.  UNICEF is working to break down the stigma around Ebola so children like Tamba still have homes to go to.

cnn.com - by Diana Magnay - January 30, 2015

Liberia (CNN) - First, the good news: Ebola is in decline.

2014 was a year of profound fear for communities living with -- and dying of -- the disease; of health workers making the ultimate sacrifice, dying as they tried to save; of apocalyptic forecasts as to the disease's possible spread. . .

. . . Ebola is still critically dangerous. Hotspots remain.

(READ COMPLETE ARTICLE)

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