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After Ebola, a Look at How Africa Can Respond to Future Health Emergencies

                 

undp.org - theglobalobservatory.org - by Michael R. Snyder - May 14, 2015

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Guinea - Resurgence of Ebola in Boffa, Forecariah and Dubréka (Matam)

africaguinee.com - by BAH Aïssatou - May 16, 2015

(English translation provided below)

(Links to most recent WHO and UNMEER Situation Reports provided below)

Ebola : Nouveau rebondissement de l’épidémie en Guinée…

CONAKRY- Alors que l’épidémie Ebola tendait vers sa fin en Guinée,  elle vient de faire  un rebondissement dans certaines préfectures situées en basse Guinée et à Conakry.  20 cas confirmés ont été enregistrés ces derniers jours, a appris africaguinee.com.

Cette information rapportée par le chargé de  communication à la Coordination de  Lutte Contre Ebola, Fodé Tass Sylla  indique aussi que 5 cas positifs ont été enregistrés à Boffa, Dubréka et Forécariah et  (Matam), dans la seule journée du jeudi 14 mai.  Avec un total de 27 cas d’hospitalisation dont  18 cas  confirmés dans les Centres de traitements d’Ebola. 

 Les raisons  de cette situation  s’expliquent  par le déplacement des malades et des personnes contacts d’une localité  à une autre ;  et le déplacement des personnes vers les cérémonies funèbres, affirme Fodé Tass Sylla

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Koubia-Guinea: Anthrax re-surfaced with several cases

A new outbreak of anthrax has been reported in Middle Guinea in a town in the prefecture of Koubia -- just when Guinea is still struggling to overcome the epidemic of the Ebola haemorrhagic fever.

Several members of the same family, who ate meat from an infected animal, have been contaminated. "They are 11 people, of which 2 developed the disease, with a death in the community. A woman died of the disease, and a 2nd patient is showing signs [of the disease]: a man who is about 25 is currently hospitalized in the prefecture of Koubia, where he is being supported," said Dr.

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WHO Director-General Addresses High-Level Meeting on Ebola R&D

                                                           

From crisis to sustainable development: lessons from the Ebola outbreak

who.int - May 10, 2015

. . . three changes will do the most to improve the world’s collective defence against the infectious disease threat.

First, invest in building resilient communities and well-performing health systems that integrate public health and primary health care. Ideally, health systems should aim for universal health coverage, so the poor are not left behind. This requires new thinking and a new approach to health development.

Second, develop the systems, capacities, and financing mechanisms needed to build surge capacity for responding to outbreaks and humanitarian emergencies.

Third, create incentives for R&D for new medical products for diseases that primarily affect the poor. A fair and just world should not let people die for what boils down to market failure and poverty.

These three things also fit well with the coming agenda for sustainable development that seeks to distribute the benefits of economic growth more evenly and respects our planet’s fragile resources.

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Ebola-Free, but Not Resilient

nytimes.com - by Judith Rodin and Bernice Dahn - May 10, 2015

. . . A resilient health system combines active surveillance mechanisms, robust health care delivery system and a vigorous response to disease. When the first signs of contagion appear, a system should be able to act quickly to stop it in its tracks — all without compromising its core functions. . . .

. . . Resilient systems share several characteristics. One is awareness, which in the case of health systems means, first and foremost, strong disease surveillance. A second characteristic is the ability to adapt to changing conditions. . . . 

. . . A third characteristic is diversity: the ability to address a broad range of challenges. . . .

. . . resilient systems are integrated: information is shared across different levels of government. . . .

. . . When a resilient system is in place, cities and countries alike are prepared to yield what we call a “resilience dividend” — benefits that are independent of crises. Building trust with the public, enhancing access to quality care, and investing in public health are all wise investments at any time, helping to increase productivity and growth. . . .

(READ COMPLETE ARTICLE)

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Home > Health Ebola Is Found in Doctor's Eye Months After Virus Left Blood

ASSOCIATED PRESS by MARILYNN MARCHIONE AP Chief Medical Writer                                      May 7. 2015

(Scroll down for full study and American Academy of Ophtalolgy statement.)

For the first time, Ebola has been discovered inside the eyes of a patient months after the virus was gone from his blood.

Ebola has infected more than 26,000 people since December 2013 in West Africa. Some survivors have reported eye problems but how often they occur isn't known. The virus also is thought to be able to persist in semen for several months.

The new report concerns Dr. Ian Crozier, a 43-year-old American physician diagnosed with Ebola in September while working with the World Health Organization in Sierra Leone.

He was treated at Emory University Hospital's special Ebola unit in Atlanta and released in October when Ebola was no longer detected in his blood. Two months later, he developed an inflammation and very high blood pressure in one eye, which causes swelling and potentially serious vision problems.

Read complete story.

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Ebola Virus Lives on Hospital Surfaces for Days

LIVESCIENCE  by Rachel Rettner                                                          May 6, 2015

The Ebola virus can live on surfaces in hospitals for nearly two weeks, a new study suggests.

Researchers tested how long the Ebola virus could survive on plastic, stainless steel and Tyvek, a material used in Ebola suits. The researchers also simulated different environmental conditions, including a climate-controlled hospital at 70 degrees Fahrenheit (21 degrees Celsius) and 40 percent humidity, and the typical environment of West Africa, at 80 F (27 C) and 80 percent humidity.

In general, the virus survived on surfaces for a longer time when in the climate-controlled conditions than in the West African environment, the study found. Under hospital-like conditions, the virus lived for 11 days on Tyvek, eight days on plastic and four days on stainless steel. The longest the virus was able to survive in the tropical conditions of the West African environment was three days, on Tyvek.

Read complete story.

http://www.livescience.com/50758-ebola-virus-survival-surfaces.html

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Ebola crisis revealed "major fault lines"

CANADIAN MEDICAL ASSOCIATION by Moneeza Walji                                    Mayl 4, 2015
The call to action for the Ebola outbreak extended far and wide, with the epidemic now having more than 26 000 cases and claiming more than 10 000 lives, but the response has raised questions about underlying problems that hinder health care in some countries and about who was best positioned to respond.

At a recent session of the Consortium of Universities for Global Health in Boston, Dr. Peter Piot, one of the discoverers of the Ebola virus, said the outbreak and crisis in West Africa "has revealed major fault lines in the local societies and in the international system; in how we conduct research and how we develop new drugs and vaccines and also in trust and the way that international aid and development and cooperation is operating."

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Tourists abandon Ghana despite its successes against Ebola

HUMANOSPHERE  by Tom Murphy                                                                          May 1, 2015

ELMINA, Ghana – Each evening the fishermen set out in their hand-carved wooden boats. By nightfall, the horizon is dotted by a long row of small lights, their own constellation. Fish are caught, the haul is sold in markets and life continues. But one group is noticeably absent from Elmina and other towns along Ghana’s coast – tourists.

The near-empty Elmina Bay Resort. (Credit: Tom Murphy)

Thousands of college students embark on a trip to see the world and do a bit of learning through the Semester at Sea program. The West African countries of Senegal and Ghana are usually on the itinerary, bringing a steady flow of tourism to the two countries. But the countries are not destinations for three consecutive semesters due to concerns about Ebola.

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Host of Ailments Plague African Ebola Survivors

WALL STREET JOURNAL BY Betsy McKay                     May 1, 2015

MONROVIA, Liberia—Dorbor Sirleaf thought his ordeal with Ebola was over in October, when he walked out of a treatment unit, having overcome the ruinous disease.

 

Instead, the 29-year-old father of four is suffering from symptoms he says he never had before he had Ebola. His legs and other parts of his body ache. Worse, he has trouble seeing, particularly distances. His eyes itch, hurt and often water up. “Sometimes my tears can be rolling,” he said.

More than 15,000 people have survived Ebola in West Africa, and more than 10,800 died, in the largest epidemic of the disease by far in history—one that has yet to be extinguished. But many have emerged with an assortment of mysterious physical ailments, including joint pain, fatigue and a particularly worrisome and common complaint: vision loss. Some, like Mr. Sirleaf, say their eyes hurt. Others report blurred vision or say they can’t see at all.

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