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Finishing Off Ebola

NEW YORK TIMES  OP-ED BY Ron Klain, the former White House Ebola response coordinaor                                    FEB. 20, 2015

...The world needs to do a better job of quickly detecting and responding to future outbreaks in unlikely places. The President’s Global Health Security Agenda, the government’s strategy to combat infection disease around the world, will help. But vulnerable countries, including those in Africa, need their own version of our Centers for Disease Control and Prevention, so that they are not so dependent on ours.

For the hardest task of front-line epidemic fighting, our planet is too reliant on courageous and talented — but underfunded, under-equipped and volunteer-dependent — nongovernmental organizations. The world needs a permanent standing force — or a ready reserve that can be quickly organized — of public health emergency responders who have the training, gear and resources to race into a region in the early phases of epidemic control. The United States military cannot do that job every time; future outbreaks might occur in countries where our troops will not be welcomed as they were in West Africa.

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WHO approves breakthrough 15-minute Ebola test

REUTERS    by Tom Miles                             FeB. 20, 2015
GENEVA --The World Health Organization has approved the first rapid test for Ebola in a potential breakthrough for ending an epidemic that has killed almost 10,000 people in West Africa, it said on Friday.

The test, developed by U.S. firm Corgenix Medical Corp, is less accurate than the standard test but is easy to perform, does not require electricity, and can give results within 15 minutes, WHO spokesman Tarik Jasarevic said.

"It's a first rapid test. It's definitely a breakthrough," he said.

The standard laboratory test has a turnaround time of 12-24 hours. While the Corgenix test is not failsafe, it could quickly identify patients who need quarantine and make it much easier to verify rapidly any new outbreaks.

Read complete story.

http://www.reuters.com/article/2015/02/20/us-health-ebola-testing-idUSKBN0LO0R920150220

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Ebola Transmission Through Cough Possible, But Not Likely: Experts

HEALTHDAY NEWS   by Dennis Thompson                                                                 Feb. 19, 2015

The cough of very sick Ebola patients could be as dangerous as their vomit or diarrhea to those around them, a new report suggests.

However, the same experts also cautioned that this does not mean that the deadly virus could spread quickly through the air, as illnesses like measles or flu do.

The report "shouldn't be something that alarms the public into believing that Ebola could become airborne in the way that measles is," said Dr. Amesh Adalja, a senior associate at the University of Pittsburgh Medical Center's Center for Health Security.

"This paper doesn't say that," said Adalja, who was not involved in the study.

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CDC Ready to Vaccinate 6,000 Against Ebola in Sierra Leone

NBC NEWS by Maggie Fox                                                                             Feb. 19, 2015

The Centers for Disease Control and Prevention is helping prepare for a new Ebola vaccine trial in Sierra Leone, the country that's now the worst hit by the Ebola epidemic.

The CDC will work with Sierra Leonean authorities to vaccinate up to 6,000 health care workers, including doctors, nurses and ambulance drivers, against a virus that's infected more than 11,000 people in Sierra Leone alone, killing 3,400 of them.

This trial will test just one of the Ebola vaccines in development - one designed by U.S. and Canadian government researchers with a company called New Link Genetics and licensed to Merck. It uses an animal virus called vesicular stomatitis virus (VSV) to carry tiny pieces of the Ebola virus to help train the immune system to recognize it.

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http://www.nbcnews.com/storyline/ebola-virus-outbreak/cdc-ready-vaccinate-6-000-against-ebola-sierra-leone-n308576

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Unsafe burials increase in Ebola-hit countries: WHO

AFP                                                                                                    Feb. 19, 2015

Geneva - Ebola-hit Sierre Leone and Guinea saw an increase in the last week in unsafe burials that risk spreading the disease, the World Health Organization reported.

A specialized team bury the body of an Ebola victim in Mananeh, Sierra Leone on October 6, 2014 (AFP Photo/Florian Plaucheur)

In Guinea, there were 39 unsafe burials and in Sierre Leone, there were 45 reported in the week to February 15, WHO said in a report late Wednesday.

WHO also warned that more than 40 new confirmed Ebola cases in the two countries had been identified only after the infected people had died in their communities, and not in treatment facilities.

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http://news.yahoo.com/unsafe-burials-increase-ebola-hit-countries-112025290.html;_ylt=AwrBJR8Y8.VU8EYAzAfQtDMD
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3 pitfalls Ebola recovery must avoid

DEVEX   by Molly Anders                                                                                         Feb. 19, 2015

...While the Ebola crisis is far from over, officials in government and the international development community have begun to think more the medium and long term. What can they learn from past post-crisis recovery initiatives?

  Health worker Alivin Davis poses next to the a board featuring handprints of Ebola survivors in Liberia. Photo by: Neil Brandvold / USAID / CC BY-NC

Devex asked aid officials and government officials from the region how to avoid some of the most common pitfalls that can plague — haunt, even — recovery and reconstruction efforts. Here are three of them.

1. Quality over quantity.

....By not paying closer attention to the economic effects of foreign aid on the local market, humanitarian groups hurt livelihoods and slowed reconstruction in the country.

2. Prioritize local ownership....

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Dr. David Nabarro - Ebola - UN General Assembly - Feb. 18, 2015

18 Feb 2015 - Statement by Dr. David Nabarro, Special Envoy of the Secretary-General on Ebola at the informal meeting of the plenary of the General Assembly on the latest developments concerning the Ebola epidemic.

http://webtv.un.org/watch/david-nabarro-on-ebola-informal-meeting-of-the-general-assembly-18-february-2015/4066125793001

CLICK HERE FOR ADDITIONAL RELATED VIDEOS AND SUPPORTING DOCUMENTATION

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UN Ebola Chief Says Community Action Key to Ending Ebola

ASSOCIATED PRESS  by EDITH M. LEDERER                     Feb. 18, 2015

UNITED NATIONS -- The goal set by the presidents of Liberia, Sierra Leone and Guinea of reducing the number of new cases of the deadly disease to zero by April 15 can be reached — but only if local communities stop unsafe burials and healing practices that involve human contact, the U.N. Ebola chief said Wednesday.

Dr. David Nabarro told the U.N. General Assembly that there are now 10 times fewer people diagnosed with Ebola each week than there were last September. But he said preventing the final 10 percent of infections — about 120 to 130 new cases per week — is probably going to be the hardest because it's like looking for a needle in a haystack.

Ismael Ould Cheikh Ahmed, who heads the the U.N. Ebola mission in West Africa SAID ...."denial, distrust and a lack of understanding (of Ebola) continue to create resistance in certain pockets and lead to dangerous practices that probably promote further outbreaks."

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Sierra Leone hunts infected as Ebola crisis hits 'turning point'

AFP    by  Rod Mac Johnson                                        Feb. 18, 2015

Freetown - Sierra Leone launched a door-to-door search Wednesday for "hidden" Ebola patients as the head of the United Nations announced the world was at "a critical turning point" in the crisis.

People walking past a billboard with a message about ebola in Freetown, Sierra Leone, on November 7, 2014 (AFP Photo/Francisco Leong)

Dozens of healthcare workers fanned out across remote parts of Port Loko district, east of the capital Freetown, after a spike in cases attributed to unsafe burials and patients being hidden from the authorities...

UN Secretary-General Ban Ki-moon told the UN General Assembly in New York that proactive leadership by the presidents of Sierra Leone, Liberia and Guinea was behind the retreat of the epidemic.

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Rapid Detection and Response Are Essential to Stopping Ebola

THE HUFFINGTON POST  by, Director, Centers for Disease Control and Prevention (CDC)                                                                                                                              Feb. 18, 2015

 The recent drop in Ebola cases in Liberia is welcome. Many factors are contributing to this decline, including the adoption of safe burials and the emphasis on quickly getting patients into Ebola treatment units or community care centers and community initiatives to isolate and care for patients and track contacts.

 

 

One promising development has been Liberia's creation of RITE teams (short for Rapid Isolation and Treatment of Ebola). These teams are slowing the epidemic, and CDC is working closely with governments and partners in Guinea and Sierra Leone to adopt similar rapid response strategies....

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