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Ebola: Epidemic is not over – key areas still need to be tackled

Description of key Ebola areas---MSF

MSF                                                        March 3, 2015

The Ebola outbreak in West Africa continues, albeit with decreasing intensity. The virus has infected more than 23,700 people across the region since the outbreak was declared 11 months ago. While the number of new patients in Liberia is declining, numbers are still fluctuating in both Guinea and Sierra Leone. A total of 99 new confirmed cases were reported across the three worst affected countries during the week up to 22 February 2015.

The unpredictable nature of the epidemic means that teams from Médecins Sans Frontières/Doctors Without Borders (MSF) are maintaining a flexible approach and continuing to respond where the needs are greatest in Guinea, Liberia and Sierra Leone.

See country-by-country analysis and complete story.

http://www.msf.org/article/ebola-epidemic-not-over-%E2%80%93-key-areas-still-need-be-tackled

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Ebola: UN tells Brussels meeting world must ‘stay on course’ to get to, remain at zero cases

UNITED NATIONS NEWS CENTRE                           March 4, 2015

BRUSSELS --Representatives of United Nations organizations engaged in the response against Ebola pledged their support Ttuesday to the worst-affected West African countries in “each stage of this journey; the drive to zero, the early recovery, the medium and longer term development.”

UN and EU meet in Brussels, Belgium, to take stock of the Ebola situation and identify ways forward. Photo: UNMEER

The pledge was made at a high-level international conference on Ebola sponsored by the European Union in Brussels, Belgium, aimed at maintaining global attention on the crisis, taking stock of the fight against the epidemic and on coordinating next steps and discussing the recovery process.

The UN Secretary-General’s Special Envoy on Ebola, Dr. David Nabarro, said that current phase of the response “is the hardest part and a bumpy road” and urged the international community to remain fully engaged until the task is completed, especially as the virus is moving and as some communities are reticent about being engaged in the response.

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Ebola ‘leaves 12,000 orphans in Sierra Leone’

THE GUARDIAN  by  Lisa O'Carroll                                                                        March 4, 2015

The devastating impact of the Ebola crisis was laid bare this week with a report showing more than 12,000 children have been orphaned by the disease in Sierra Leone.

They have been identified in the first national survey of orphans, which was conducted by the British charity Street Child. It says the future for these children is dire. Many are living in fear without the support and security of parents, but the charity says there is light at the end of the tunnel “if the international aid community works together”.

The charity found that some children, rejected by their friends because of the stigma of Ebola, have tried to take their own lives, while girls are being forced into commercial sex work to earn money for food their parents would have previously provided.

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Fighting Ebola requires a culture change in the west, as well as west Africa

COMMENTARY: Only by turning our response to Ebola upside down can another epidemic be avoided: communities need to be front and centre to eradicate this disease

THE GUARDIAN by and                      March 3, 2015

Today in Brussels African political leaders and experts will meet to discuss how west Africa should be supported to respond to the Ebola catastrophe that has killed nearly 10,000 people.

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Ebola: Liberia's Johnson Sirleaf urges 'Marshall Plan'

BBC                                                                                                                      March 3, 2015

BRUSSELS --Liberian President Ellen Johnson Sirleaf has called for a "Marshall Plan" for the Ebola-affected countries of West Africa.

                             World leaders met in Brussels on Tuesday to discuss the fight against Ebola

She was referring to the massive US aid programme for Europe launched after World War Two.

Her comments came after Sierra Leone was immediately granted more than $80m (£52m) to help end the Ebola outbreak and recover from its effects.

The IMF has pledged a $187m financial aid package for Sierra Leone.

Read complete story.
http://www.bbc.com/news/world-africa-31705594

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Ebola-hit countries seek help to repair their economies

REUTERS by Adrian Croft                                                                                     March 3, 2015
BRUSSELS - The three West African states hardest hit by the Ebola outbreak asked for help from donors on Tuesday to repair the damage to their economies now that the epidemic seems to be waning.

Leaders of Guinea, Liberia and Sierra Leone voiced confidence at a major international conference on the Ebola outbreak in Brussels that they were winning the battle but said they must remain focused on stamping out new infections....

International donors have pledged nearly $5 billion to help combat the Ebola outbreak, according to EU officials, although only about half of that has been disbursed so far.....

 The World Bank has estimated the epidemic will cost the three countries at least $1.6 billion in lost economic growth this year, or more than 12 percent of their combined output.

Read complete story.

http://news.yahoo.com/ebola-hit-countries-seek-help-repair-economies-161332797.html;_ylt=AwrBJR6.3_VUSjIA7pzQtDMD

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Ebola epidemic is 'wake-up call' for investment in universal healthcare

Investment in universal healthcare: Improving health systems in three Ebola-hit African countries would have cost a third of relief effort there, says new Save the Children report

THE GUARDIAN      by Lisa O'Connell                                                                   March 3, 015
Up to 30 countries are vulnerable to an Ebola-style epidemic, unless the world sits up and helps get urgent investment into universal healthcare, a report (pdf) has found.

Health workers who have returned from west Africa and colleagues based in the UK walk to Westminster in support of Save the Children’s campaign to strengthen health systems globally. Photograph: Jeff Moore/Save the Children

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Isolation can take emotional toll on volunteers at risk of Ebola

LOS ANGELES TIMES by  Erwin Brown                                               March 2, 2015
Dr. Matthew Waxman recently returned to Los Angeles after spending nearly two months in the town of Lunsar, Sierra Leone, where he treated Ebola patients at an isolated medical facility.

He and colleagues toiled in harsh and stressful conditions, caring for people "the best we could." In the quiet stretches between intense bursts of drama and terror, they talked about the reception that would await them at home — at times with a degree of dread, since some returning medical workers have had less than enthusiastic welcomes....

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Exclusive: Guinea says Ebola patients sent home after botched blood tests

REUTERS    by Emma Farge                                                                                      March 2, 2015

 DAKAR - Health officials botched more than 20 Ebola blood tests in January and February which led to the release of at least four positive patients, two of whom later died, Guinea's anti-Ebola coordinator and other health officials told Reuters.

Five health officials and experts familiar with the incidents said the mistakes occurred at two different treatment centers and resulted as many as 52 botched tests, exposing many others to the virus and revealing weaknesses in Guinea's response to the crisis.

Dr Sakoba Keita, Guinea's anti-Ebola coordinator, confirmed the mistake had occurred but gave lower figures. He said in an emailed response to questions that 23 patients were affected, of whom four tested positive when they were retested and two died....

 Health officials, some of whom asked not to be named because they were worried about embarrassing the Guinean government, said the mistakes took place in Coyah, where Cuban medics are supporting a government-run center, and in Conakry, where medical charity Medicins Sans Frontieres runs another center at the Donka hospital complex, when staff placed blood samples in the wrong test tubes, damaging specimens.

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ZMapp Ebola Trial Starts In Liberia: Is It Too Late?

FORBES   by   David Kroll                                                                                          March 1, 2015

The widely-discussed antibody cocktail, ZMapp, is finally going to be tested under standardized, controlled conditions for its safety and efficacy in Ebola virus disease-infected patients in Liberia and, potentially, the United States.

Late Friday, the NIH National Institute of Allergy and Infectious Disease (NIAID) announced the launch of a randomized trial in up to 200 patient volunteers with confirmed Ebola virus infections.

The two-arm study will compare supportive standard of care with or without three intravenous infusions of ZMapp spaced three days apart. This is the same dosing regimen published in Nature that protected 18 of 18 monkeys when given up to five days after experimental infection.

LeafBio, the commercial arm of San Diego-based Mapp Biopharmaceutical, announced concomitantly that the FDA had approved their IND for this trial. The three antibodies that comprise ZMapp target both distinct and overlapping parts of the Ebola virus glycoprotein (GP) that it uses to infect humans.

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