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Vaccines Face Same Mistrust That Fed Ebola

NEW YORK TIMES  by and         March 14, 2015

MONROVIA, Liberia — West Africa’s Ebola epidemic may be waning, but another outbreak in the future is a near certainty, health officials say.

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The hidden cost of Ebola: thousands of measles deaths

VOX  by Julia Belluz                                            March 12, 2015

(Scroll down for full Science Journal study.)

As if being stricken by the most deadly virus known to man weren't enough, now, it seems, West Africa is on alert for outbreaks of vaccine-preventable diseases including measles, whooping cough, and tuberculosis.

A girl collects her family's laundry after drying it on a rooftop in the West Point township on January 31, 2015 in Monrovia, Liberia. Life has been disrupted by Ebola for many Liberians.

In a new study in the journal Science, researchers focused on measles — the most contagious virus recorded — and applied statistical models to quantify the likelihood of an epidemic in the three countries worst hit by Ebola, Liberia, Sierra Leone, and Guinea.

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The hidden cost of Ebola: thousands of measles deaths

VOX  by  Julia Belluz                                           March 12, 2015

(Scroll down for Science journal study.)

As if being stricken by the most deadly virus known to man weren't enough, now, it seems, West Africa is on alert for outbreaks of vaccine-preventable diseases including measles, whooping cough, and tuberculosis.

A girl collects her family's laundry after drying it on a rooftop in the West Point township on January 31, 2015 in Monrovia, Liberia. Life has been disrupted by Ebola for many Liberians.

In a new study in the journal Science, researchers focused on measles — the most contagious virus recorded — and applied statistical models to quantify the likelihood of an epidemic in the three countries worst hit by Ebola, Liberia, Sierra Leone, and Guinea.

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Ebola could cost West Africa $15 billion over three years

REUTERS  by Misha Hussain                                                    March 12, 2015sC

(Scroll down for links to press release and full report.)

DAKAR -- West Africa may lose up to $15 billion over the next three years due to the impact of the Ebola outbreak on trade, investment and tourism, according to a report by the United Nations.

The world's deadliest Ebola epidemic has killed almost 10,000 people in the three most affected countries of Guinea, Liberia and Sierra Leone, deepening poverty in one of the least developed parts of the world.

"The consequences of Ebola are vast," said Abdoulaye Mar Dieye, Africa director of the United Nations Development Programme (UNDP).

"Stigma and risk aversion have caused considerable amounts of damage, shutting down borders and indirectly affecting the economies of a large number of countries in the sub-region."

Read complete story

http://news.yahoo.com/ebola-could-cost-west-africa-15-billion-over-150805196.html;_ylt=AwrBJSCTtwFVoAIAda3QtDMD

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Study Indicates Ebola-Infected Sewage May Require Longer Holding Period

INFECTION CONTROL TODAY                                          March 11, 2015
Storing Ebola-infected sewage for a week at 86 degrees Fahrenheit or higher should allow enough time for more than 99.99 percent of the virus to die, though lower ambient temperatures may require a longer holding period, according to a new study by researchers at Georgia State University's School of Public Health.

The study co-authored by Lisa M. Casanova, assistant professor of environmental health, and Scott R. Weaver, research assistant professor in Epidemiology and Biostatistics, used bacteriophage Φ6, a type of virus, as a stand-in to study how long Ebola and similar viruses can survive in latrines and other systems for collecting and disposing of sewage. Bacteriophage Φ6 has a lipid envelope, meaning it has structural similarities to Ebola and several other types of virus, allowing for a safe study that did not require use of Ebola itself.

"The places hardest hit by Ebola are the places that often have the least infrastructure for safely disposing of sewage and are using things like pit latrines," says Casanova. "They need the answers to questions like this."

Read full article.

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Waning interest is biggest risk in race to overcome Ebola: WHO

REUTERS     by Tom Miles                                                                                        March 11, 2015

GENEVA -Waning interest in Ebola could jeopardize efforts to stamp out the world's worst recorded outbreak of the disease, the World Health Organization said on Wednesday.

Nameplates are seen at a cemetery for victims of Ebola virus in Suakoko, Liberia, March 11, 2015.  Reuters/James Giahyue

Case numbers have fallen to a low level and it should be possible to stop transmission by mid-year, but the disease is "not waning" and it is much too early to assume the outbreak will end, said WHO Assistant Director General Bruce Aylward.

"We talk often about how steep the drop in cases has been. The only thing that has dropped more quickly and more steeply is the new contributions in financing," he told reporters in Geneva. 

...the failure to make further inroads is "alarming", Aylward said.

"Getting from here to zero is going to require another reinvestment (in the drive to tackle the outbreak)."

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Economist: Some high-tech solutions fail with fight against Ebola in West Africa

THE ECONOMIST                                                                                                   March 9, 2015

As in all Ebola episodes, preventing infection in West Africa during what has been the worst outbreak in history has placed a lot of effort on looking after those dealing with the victims. New high-tech equipment is now available for use by health care workers, but in some countries it may be inappropriate....

Health care workers inside a USAID-funded Ebola clinic in Liberia wearing protective gear. Some of the best protective gear or technology is not available to African countries because of high costs or other conditions.  Photos by Abbas Dulleh • Associated Press,

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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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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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Nearly halted in Sierra Leone, Ebola makes a comeback by sea

NEW YORK TIMES     by Sheri Fink                                                                     March 1, 2015

FREETOWN, Sierra Leone — It seemed as if the Ebola crisis was abating.

New cases were plummeting. The president lifted travel restrictions, and schools were to reopen. A local politician announced on the radio that two 21-day incubation cycles had passed with no new infections in his Freetown neighborhood. The country, many health officials said, was “on the road to zero.”

Then Ebola washed in from the sea.

A resident of Tamba Kula, a small fishing community in the Aberdeen district of Freetown, bathing at the shoreline as boats sit idle. Bryan Denton for The New York Times

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