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The role of civil society is very vital to strengthening good governance- State House Chief of Staff

THE PATRIOTIC VANGUARD   Aug. 20, 1015

FREETOWN, Sierra Leone --The Chief of Staff in the Office of the President Saidu Conton Sesay (pictured) has described the role of civil society as very vital in strengthening good governance in Sierra Leone.

He made this statement during a meeting with a consortium of civil society organizations Tuesday 18th August, 2015 at State House, Freetown. The purpose of the meeting was to work in collaboration with Office of the Chief of Staff in the implementation of the National Ebola Recovery Plan to enhance trust between citizens and government.

The Chief of Staff promised that his office is ready to work with civil society organizations in the implementation of the post-Ebola recovery plan not only to help establish public trust, but also keep informing each other about areas that need attention.

"The better society we have, the better the governance," Sesay said, adding that his office has posted two officers each to all districts - one facilitator and one analyst who will be engaging local councils to update them in detail. He expressed desire to meet with the consortium upon the return of officials assigned to the districts for better planning and understanding.

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Cheap Paper Test to Screen Patients for Ebola, Yellow Fever, Dengue

MEDGADGET                                                                                   Aug. 20, 2015

BOSTON --At the 250th National Meeting & Exposition of the American Chemical Society this week, researchers from MIT, Harvard Med School, and the FDA are showing off a new field test that can quickly screen people for Ebola, yellow fever, and dengue. While the researchers don’t claim their technique to be as accurate as PCR and ELISA, it is nevertheless an excellent tool in poor areas of the world where these diseases tend to thrive.

The test doesn’t require any water or electricity nor any complicated and expensive equipment. It works similar to pregnancy tests, providing a color readout that signals whether a disease is detected that is easily readable by just about anyone.

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Ebola: What Happened

COUNCIL ON FOREIGN RELATIONS  BY John Campbell
(Scroll down for Laurie Garett's essay "Ebola's Lessons.")

With a rapidly growing and urbanizing population, persistent poverty, and weak governance, Sub-Saharan Africa is likely to be the source of new epidemics that potentially could spread around the world. Understanding the disastrous response of African governments, international institutions, and donor governments to the Ebola epidemic is essential if history is not to be repeated yet again. That makes Laurie Garrett’s essay, “Ebola’s Lessons,” in the September/October 2015 issue of Foreign Affairs, essential reading.

The Ebola virus treatment center where four people are currently being treated is seen in Paynesville, Liberia, July 16, 2015. (Courtesy Reuters/James Giahyue)

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Ebola in Sierra Leone: after 4,000 deaths, outbreak all but over

THE GUARDIAN   by Sarah Bosley                              Aug. 20, 2015
FREETOWN--The long-running Ebola epidemic in Sierra Leoneis all but over after nearly 13,500 cases and almost 4,000 deaths, those fighting the disease believe.

             People celebrate being released from Ebola quarantine on 14 August 2015. Photograph: Sunday Alamba/AP

The last case in Sierra Leone was an eight-month-old child, who was hospitalised nearly two weeks ago and died four days later.

None of the 29 people who had contact with the child and were moved from the densely packed Freetown slum of Magazine Wharf to a voluntary quarantine facility have so far shown signs of illness.

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Study: Ebola Infections 17 Times Less Likely in Communities that Participated in Community-Led Total Sanitation

globalcommunities.org - August 13, 2015

100% of 284 Open Defecation-Free Liberian communities reported they were Ebola-free

Research evidence points to a strong correlation between Community-Led Total Sanitation and Open Defecation-Free status and reduced risk of Ebola

Global Communities today released results of a study to examine whether communities in Liberia stood a better chance of resisting Ebola during the outbreak of the past 18 months if they participated in efforts to achieve Open Defecation Free (ODF) status. The study confirmed that a representative sample drawn from 284 Liberian communities that achieved ODF status by participating in the Community-Led Total Sanitation (CLTS) process were Ebola-free despite their proximity to Ebola hotspots. Communities that began but did not complete the CLTS process also experienced significant protection and were 17 times less likely to experience Ebola Virus Disease infections.

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Ebola Scares Off Trainee Nurses in Liberia

      

Marconi Collins, a nursing student at the Redemption Hospital in Liberia, cares for a patient as part of her internship, despite fears of Ebola.  Photo: Prince Collins/IRIN

irinnews.org - by Prince Collins

MONROVIA, 18 August 2015 (IRIN) - Like hundreds of other nursing students in Liberia, Jerry Songu should have been beginning his internship this month, the final step to graduating and earning his license. Instead, he has chosen to put his studies and future career on hold.

“Ebola has no boundaries,” the 36-year-old, who is in his third year of nursing school at the Caldwell Community Nursing School in the capital Monrovia, told IRIN. “It killed registered nurses and it can also kill practising nurses. So this is nothing to play with.”

“For me, I have resolved to wait until everything [the Ebola outbreak] is totally over,” he said. “My life is important and I must do everything to protect it. Big [senior] doctors died in this country from Ebola and who am I to take the risk? I am just a student. No rush now.”

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As Ebola crisis ebbs for Sierra Leone, food insecurity gnaws at recovery

The deadly virus overwhelmed Sierra Leone's key agricultural district, leaving thousands of farms, and their farmers, abandoned. The impact of that lost harvest has shaken the economy — and its food supply.

CHRISTIAN SCIENCE MONITOR  by Ryan Lenora Brown                    Aug. 16, 2015

Kailahun, Sierra Leone —...Today, the Ebola virus appears to be in retreat. Massive tented treatment centers built by international donors stand vacant and ghostly across the countryside, unnecessary to cope with the single-digit numbers of new cases recorded in recent weeks. Schools, closed for nearly nine months, have reopened. On weekend mornings, Freetown’s Atlantic Ocean beaches are once again thronged with joggers, pick-up soccer games, and informal aerobics classes, as fears fade of passing Ebola through physical contact.

Lahai Momoh, a buying agent for cacao in the eastern Sierra Leonean town of Kenema, seen here talking on his cellphone in August 2015, says 2014 was the worst year of his career due to the country's Ebola outbreak.

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The Use of Intraosseous Fluid Resuscitation in a Pediatric Patient with Ebola Virus Disease

jem-journal.com - by Michael L. Paterson and Charles W. Callahan - August 14, 2015

 
Abstract
 
Background

Vomiting, diarrhea, and severe dehydration are common manifestations of Ebola virus disease (EVD), leading to its high mortality. Mortality is especially high in patients older than 45 years, younger than 5 years, and in pregnant women and their fetuses. The majority of patients with EVD are not able to tolerate the quantities of oral hydration solutions necessary to rehydrate properly. Although some have speculated that IV and intraosseous lines are not practical in the austere, resource-constrained settings of an Ebola treatment unit during an epidemic, it is necessary to provide parenteral fluids and electrolyte replacements to significantly decrease mortality. Due to the inability to spend long periods of time working in hot environments wearing personal protective equipment, it is necessary to maximize the use of rapidly obtainable and safe parenteral access.

Case Report
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Laws Prohibiting Bush Meat Are Actually A Boon For The Bush Meat Biz

The dik-dik is a small antelope that is hunted as bush meat. This picture was taken in Voi, a town in southern Kenya. Courtesy of Marcus Bleasdale

Image: The dik-dik is a small antelope that is hunted as bush meat. This picture was taken in Voi, a town in southern Kenya. Courtesy of Marcus Bleasdale

npr.org - August 14th, 2015 - Emily Sohn

Note: This post contains a photo of a monkey carcass, on sale at a bush meat market, that may be disturbing to some readers.

What's for dinner?

Porcupines, giant squirrels, dwarf crocodiles and a variety of primates, including golden-bellied crowned monkeys and Bioko black colobus monkeys.

Those are some of the bush meat offerings at the outdoor covered market in Malabo on Bioko Island, part of Equatorial Guinea in Central Africa.

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