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In Ebola Outbreak, Bad Data Adds Another Problem

ASSOCIATED PRESS -By MARIA CHENG and SARAH DiLORENZO Dec. 14, 2014

LONDON--As health officials struggle to contain the world's biggest-ever Ebola outbreak, their efforts are being complicated by another problem: bad data.

Having accurate numbers about an outbreak is essential not only to provide a realistic picture of the epidemic, but to determine effective control strategies. Dr. Bruce Aylward, who is leading the World Health Organization's Ebola response, said it's crucial to track every single Ebola patient in West Africa to stop the outbreak and that serious gaps remain in their data.

"As we move into the stage of hunting down the virus instead of just slowing the exponential growth, having good data is going to be at the heart of this," Aylward said. "We are not there yet and this is something we definitely need to fix."

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An Ebola Doctor’s Return From the Edge of Death

Detailed description of one Doctor’s Story of Fighting Back From Ebola’s Deadly Grip

NEW YORK TIMES by Denise Grady                                Dec. 8, 2014

Dr. Ian Crozier, 44, contracted Ebola in Sierra Leone while treating patients. He was evacuated to Atlanta on Sept. 9 and had an agonizing illness, with 40 days in the hospital and dark stretches when his doctors and his family feared he might sustain brain damage or die. His identity was kept secret at his request, to protect his family’s privacy.

 

Now, for the first time, he is speaking out. His reason, he said, is to thank Emory for the extraordinary care he received, and to draw attention to the continuing epidemic.

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Ebola fight sees Canadian Forces medical team deployed to Sierra Leone

CBC NEWS                                                                                                                     Dec.6, 2014

A Canadian Forces medical team left CFB Trenton in Ontario on Saturday en route to Britain, where they’ll undergo training before deploying to Sierra Leone as part of the effort to combat the Ebola outbreak, the military said.

Judith Bosse, (left to right), Assistant Deputy Minister at the Public Health Agency of Canada, Defence Minister Rob Nicholson, Health Minister Rona Ambrose and Dr. Gregory Taylor, Canada's Chief Public Health Officer, watch a nurse demonstrate how to remove protective clothing after treating a hypothetical Ebola patient. (Patrick Doyle/Canadian Press)

The Forces said about 40 nurses, doctors, physicians’ assistants, medics and support are to train alongside U.K. military personnel, and most of them will continue on to Sierra Leone by later this month.

The Canadian Forces team will be working at a British-built clinic in Sierra Leone treating local and international health care workers, who themselves have become infected in the course of treating Ebola patients from the general population.

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10th Sierra Leonean Doctor Dies From Ebola

FREETOWN, Sierra Leone --Another Sierra Leonean doctor has died from Ebola, the 10th to succumb to the disease, a health official said Sunday.

Dr. Aiah Solomon Konoyeima died Saturday, according to Chief Medical Officer Dr. Brima Kargbo. His death came a day after two other doctors died from Ebola, emphasizing the tremendous toll the disease has taken on health care workers.

Konoyeima worked at a children's hospital in the capital and tested positive for Ebola about two weeks ago. He was treated at the Hastings Ebola Treatment Center, which is staffed exclusively by Sierra Leonean medical personnel, as compared to many other treatment units, which are run by international organizations or employ some foreign staff.

Read complete story
http://abcnews.go.com/Health/wireStory/10th-sierra-leonean-doctor-dies-ebola-27424222

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As Ebola Rages, Poor Planning Thwarts Efforts

NEW YORK TIMES --by Jeffrey Gettleman                      Dec. 7, 2014

KERRY TOWN, Sierra Leone —On a freshly cleared hillside outside the capital, where the trees have been chopped down and replaced with acres of smooth gravel, the new Ebolatreatment center seems to have everything. There are racks of clean pink scrubs and white latex boots, bathrooms that smell like Ajax, solar-powered lights, a pharmacy tent, even a thatch-roofed hut to relax in.

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Cuban Ebola patient recovers after treatment in Geneva

REUTERS                                                                                                                                      Dec. 2014
                   
GENEVA-- Cuban doctor who received experimental treatment for Ebola in a Geneva hospital has made a full recovery and left Switzerland to be reunited with his family, the hospital said on Saturday.

Felix Baez, 43, was one of 256 Cuban doctors and nurses who went to West Africa to treat patients from the worst outbreak of the virus on record...

Soon after arriving in Geneva, Baez received the Canadian experimental treatment ZMab, a precursor to the Ebola drug ZMapp, which has been used to treat several U.S. patients...

A hospital spokeswoman said he received both ZMab and the untested flu drug favipiravir, made by Japan's Fujifilm, which the WHO has included on a list of potential Ebola treatments

Read complete story.
http://www.reuters.com/article/2014/12/06/us-health-ebola-cuba-idUSKBN0JK0BN20141206

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Ebola in Graphics: The toll of a tragedy

THE ECONOMIST                                                                                                      Dec. 4, 2014

THE first reported case in the Ebola outbreak ravaging west Africa dates back to December 2013, in Guéckédou, a forested area of Guinea near the border with Liberia and Sierra Leone. Travellers took it across the border: by late March, Liberia had reported eight suspected cases and Sierra Leone six. By the end of June 759 people had been infected and 467 people had died from the disease, making this the worst ever Ebola outbreak. The numbers keep climbing. As of November 30th, 17,145 cases and 6,070 deaths had been reported worldwide, the vast majority of them in these same three countries. Many suspect these estimates are badly undercooked.

Read complete posting
http://www.economist.com/blogs/graphicdetail/2014/12/ebola-graphics

Link to an interactive map of the virus's current global reach:

http://www.economist.com/blogs/graphicdetail/2014/12/interactive-ebola-map

 

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Mali releases UN peacekeepers from Ebola quarantine

DEUTSCHE WELLE                                                                                                     Dec. 6, 2014

Mali has released UN peacekeepers after involuntarily quarantining them in an Ebola clinic....

Mali released the peacekeepers from quarantine Saturday. Weeks ago, the Pasteur Clinic, in Mali's capital, Bamako, had admitted the soldiers from the UN's Multidimensional Integrated Stabilization Mission in Mali (MINUSMA) with various injuries connected to their service in the country's restive north. However, officials then locked the soldiers into the clinic with other patients and staff when a nurse died after contracting Ebola from a Muslim cleric who had traveled from Guinea to seek treatment for the virus.

"Having all been placed under observation, the quarantined MINUSMA soldiers showed no symptoms of the disease so they just left the establishment," the mission spokesman said.

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Doctors Try Survivors’ Blood to Treat Ebola

Clinical Trials Are Being Launched in Africa but Face Challenges in Designing Ethical Studies, Compensating Donors

WALL STREET JOURNAL                                                                                                    Dec. 5, 2014
by Betsy McKay in Atlanta, David Gauthier-Villars in Conakry, Guinea, and Patrick McGroarty in Monrovia, Liberia

...Nearly a year after Ebola began spreading in West Africa, and with a proven drug or vaccine still far off, researchers are launching clinical trials on a product at hand: the blood of survivors.

 They want to determine whether so-called convalescent plasma or serum, chock full of antibodies, can help fight off the disease. But they face a number of complexities in carrying out the trials, including persuading survivors to participate....

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Is Ebola Taking a Heavier Toll on Women?

VOICE OF AMERICA  by Carol Guensburg                                                                                 Dec. 5, 2014
The Ebola virus, indiscriminate and opportunistic, has infected more than 17,000 people in West Africa, the World Health Organization reports. But some observers fear the epidemic may be exacting an especially heavy toll on women and girls.    

Its impact goes well beyond the disease itself, amplifying females’ vulnerabilities, exploiting their limits within traditional societies, and motivating responses of strength and resilience.

Fatmata Sowa, 28, is among the few women who've joined the Red Cross safe and dignified burial teams in Sierra Leone. ( Lisa Pattison / IFRC)

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