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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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The fear of Ebola led to slayings — and a whole village was punished

Detailed account of the aftermath of murder by local villagers in Guinea of eight persons who came to teach about Ebola

WASHINGTON POST  by Amy Brittain                                                                             March 1, 2015
WOMEY, Guinea — The lecture about the dangers of Ebola had just begun, but the village had heard enough. A group of women started chanting, to warn the others against the visitors, “They are coming to kill you.” A mob of men masked their faces, waved machetes and rushed toward the speakers. Stones began to fly.

 

Thousands of Womey residents fled after the killings when Guinea’s military invaded and looted the vllage. More than a dozen died from malnutrition after living for months in the surrounding bushland. (Jane Hahn/For The Washington Post)

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Thoughts turn to recovery as Ebola slowly ebbs in West Africa

 REUTERS By Daniel Flynn, James Harding Giahyue and Saliou Samb                              Feb. 27, 2015

 DAKAR/MONROVIA/CONAKRY - In the marble atrium of the Mammy Yoko hotel in Freetown, manager Nuno Neves has spotted something he has not seen since the Ebola virus struck Sierra Leone nine months ago: foreign businessmen.

The Radisson Blu chain opened the four-star hotel in April to cater for investors in one of Africa's fastest-growing economies. A month later, Ebola crossed the border from Guinea and those investors fled....

For months, Sierra Leone was cut off from the world amid panic at the worst recorded outbreak of the hemorrhagic fever, which has killed more than 9,500 people in Sierra Leone, Guinea and Liberia and infected over 23,500.

But with infection rates slowly declining, investors have begun to talk about post-Ebola reconstruction. Neves has noted the return of businessmen not seen since the hotel opened.

"They don't bring their teams. They just come to see what is going on and then they leave," he said, adding that 'business as usual' remains far off. "This will be a year focused on Ebola. First the fight to end Ebola and then reconstruction...."

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It Kills Germs For Up To 6 Hours. Can It Wipe Out Ebola?

NATIONAL PUBLIC RADIO  by Emily Sohn                                                              Feb. 27, 2015

Clean hands go a long way toward preventing the spread of many illnesses, including Ebola. But finding the right hand-wash to impede deadly germs is tricky.

           A health worker in Liberia washes up after leaving a clinic's Ebola isolation area. Tommy Trenchard for NPR

A squirt of alcohol-based sanitizer like Purell kills or denatures many microbes on contact. In the case of bacteria, essentially poking holes in their cell membranes, causing them to shrivel up like water balloons. For viruses, the mechanism is not well-understood. But alcohol evaporates after 15 seconds, allowing for rapid recontamination...

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