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How Ebola Spread: Map Could Aid Outbreak Responses

submitted by George Hurlburt

          

CLICK HERE - STUDY - Transmission network of the 2014–2015 Ebola epidemic in Sierra Leone

livescience.com - by Agata Blaszczak-Boxe - November 10, 2015

A new map reveals the path that the Ebola virus took during the outbreak in Sierra Leone, giving a detailed picture of how and where the disease spread, a new study said.

The researchers made the map using a new statistical model, and they say it could be used in the future to improve the way help is delivered to outbreak regions.

"For a future outbreak, this is something that can be readily applied to help identify the regions that need intervention most critically," said study author Jeffrey Shaman, an associate professor of environmental health sciences at Columbia University's Mailman School of Public Health. The model could help authorities figure out where to best deploy people to respond to the outbreak, he said.

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Sierra Leone May Be Ebola-Free But The Virus Still Casts A Shadow

Health workers in Sierra Leone check travelers entering the country from Liberia. Zoom Dosso/AFP/Getty Images

Image: Health workers in Sierra Leone check travelers entering the country from Liberia. Zoom Dosso/AFP/Getty Images

npr.org - November 7th, 2015 - Nahid Bhadelia

Today marks the 42nd day that Sierra Leone has had no new cases of Ebola. That potentially signals the end of the epidemic in that country.

I spent almost three months in Sierra Leone over the last year, both as a clinician in Ebola treatment units and as an infection control educator.

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Sierra Leone Declared Free of Ebola Transmissions

NEW YORK TIMES by and      Nov. 7, 2015

DAKAR, Senegal — After a nerve-racking countdown, Sierra Leone celebrated a national milestone on Saturday that government officials hoped would help the country finally leave behind a grim chapter in its history: it was officially declared free of Ebola transmissions.

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To Prevent Malaria in Humans, Scientists Try Protecting Pigs

 New York TImes, November 2, 2015

http://www.nytimes.com/2015/11/03/health/to-prevent-malaria-in-humans-scientists-try-protecting-pigs.html?_r=1&WT.mc_id=SmartBriefs-Newsletter&WT.mc_ev=click

 

 

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Ebola Virus Disease Complicated by Late-Onset Encephalitis and Polyarthritis, Sierra Leone

cdc.gov

To the Editor: Ebola virus (EBOV) disease is usually an acute illness, but increasing evidence exists of persistent infections and post-Ebola syndromes. We report a case of EBOV encephalitis.

A 30-year-old woman with no known EBOV contact sought treatment at an Ebola isolation unit in Freetown, Sierra Leone, on January 1, 2015 (day 7 of illness). 

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WHO - Ebola - Situation Reports - Interagency Collaboration on Ebola

                    

                                                   who.int                                                       ebolaresponse.un.org

Ebola Situation Reports:

CLICK HERE -WHO - Ebola Situation Report - 28 October 2015

CLICK HERE -  Interagency Collaboration on Ebola - Situation Report - 21 October 2015 (7 page .PDF report)

CLICK ON THE LINKS BELOW - WHO - Report Archives
http://apps.who.int/ebola/ebola-situation-reports
http://apps.who.int/ebola/ebola-situation-reports-archive
http://www.who.int/csr/disease/ebola/situation-reports/archive/en/
http://apps.who.int/gho/data/node.ebola-sitrep

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Ebola Returns: 2nd Case of Relapse Raises Questions

A microscopic view of the Ebola virus. Credit: CDC/Cynthia Goldsmith/Public Health Image LibraryImage: A microscopic view of the Ebola virus. Credit: CDC/Cynthia Goldsmith/Public Health Image Library

livescience.com - October 20th, 2015 - Ashley P. Taylor

Scottish nurse Pauline Cafferkey — who became sick with Ebola about a year ago and recovered, but then became very ill again last week with what may be a relapse of the deadly virus — is now improving.

"Pauline Cafferkey's condition has improved to serious but stable," representatives from London's Royal Free Hospital said in a statement Monday (Oct. 19).

Hospital representatives said on Oct. 9 that the nurse had developed an "unusual late complication" of the virus, and reported last week that she was "critically ill."

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Mystery Deaths in Sierra Leone Spread Fear of Ebola Relapses

submitted by George Hurlburt

      

Sierra Leonean doctors practice wearing protective clothing in the Ebola Training Academy in Freetown, Sierra Leone, December 16, 2014. Reuters

uk.reuters.com - by Kemo Cham and Emma Farge - October 21, 2015

. . . the case of Scottish nurse Pauline Cafferkey – the first known Ebola survivor to have an apparently life-threatening relapse – has revived concerns about the health of some 17,000 survivors in Sierra Leone, neighbouring Guinea and Liberia.

Doctors and health officials in Sierra Leone told Reuters that a handful of mystery deaths among discharged patients may also be types of Ebola relapses, stirring fear that the deadly virus may last far longer than previously thought in the body, causing other potentially lethal complications.

Diagnoses have not been made, partly because of a lack of relevant medical training and insufficient equipment for detecting a virus that can hide in inaccessible corners of the body - such as the spinal fluid or eyeball. In Cafferkey's case, the virus in her brain caused meningitis.

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Ebola outbreak in West Africa 22 months on: Key issues for recovery and preparedness, October 2015

                                                                     

acaps.org

Ebola Project, Thematic Report: Key issues for recovery and preparedness, Oct 2015 (3 page .PDF file)
http://acaps.org/img/documents/e-acaps-ebola-project-thematic-report-key-issues-for-recovery-and-preparedness-oct-2015.pdf

ACAPS - Thematic Reports
http://acaps.org/en/pages/ebola-project-sep-dec-2015-thematic-reports

 

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Ebola RNA Persistence in Semen of Ebola Virus Disease Survivors - Preliminary Report

submitted by Carrie La Jeunesse

                             

nejm.org - October 14, 2015 - DOI: 10.1056/NEJMe1512928

The number of new cases of Ebola virus disease (EVD) in western Africa has declined from a peak of 1063 cases in the week of October 9, 2014, to fewer than 10 confirmed cases per week for 11 consecutive weeks as of October 7, 2015. The main mode of transmission is direct contact with the blood or body fluids of a person with EVD or from the body of a person who died from EVD. However, Ebola virus can persist in the body fluids of survivors during convalescence, which may result in transmission of the virus. The potential for the persistence of Ebola virus in the semen of male survivors raises concern regarding the possible transmission of the virus to sexual partners.

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