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Community-Centered Responses to Ebola in Urban Liberia: The View from Below

PLOS   by Saron Alane Abramowitz, Kristen E. McLean and others,                                          April 9, 2015

The West African Ebola epidemic has demonstrated that the existing range of medical and epidemiological responses to emerging disease outbreaks is insufficient, especially in post-conflict contexts with exceedingly poor healthcare infrastructures.

 In this context, community-based responses have proven vital for containing Ebola virus disease (EVD) and shifting the epidemic curve. Despite a surge in interest in local innovations that effectively contained the epidemic, the mechanisms for community-based response remain unclear.

This study provides baseline information on community-based epidemic control priorities and identifies innovative local strategies for containing EVD in Liberia.
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http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003706

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Nigeria: Half of Ebola Cases Located On Sierra Leone-Guinea Border - - WHO

ALL AFRICA VANGUARD                                         April 11, 2015
FREETOWN -- The World Health Organisation (WHO) has said that almost half of all Ebola infections in West Africa have been recorded in two districts located in the border region between Sierra Leone and Guinea. Winnie Romeril, WHO Sierra Leone Spokeswoman, said in Freetown efforts were being made to contain the disease in the two worst affected areas of Kambia , western Sierra Leone and Forecariah, eastern Guinea.

"Almost 50 per cent of all Ebola cases in West Africa are currently coming from the region between Kambia and Forecariah," she said. Romeril said the two districts were "the most active areas, adding that investigation was on going in the areas. She said the exercise became necessary because people were still dying at home, adding that there was very high likelihood of infections.

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http://allafrica.com/stories/201504131492.html

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Pattern of Safety Lapses Where Group Worked to Battle Ebola Outbreak

NEW YORK TIMES  by Sheri Fink                                                                               April 13, 2015
Partners in Health, a Boston-based charity dedicated to improving health care for people in poor countries, signed on to the Ebolafight last fall with high ambitions.

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Empty Ebola Clinics in Liberia Are Seen as Misstep in U.S. Relief Effort

NEW YORK TIMES  by                                                         April 12, 2015

MONROVIA, Liberia — As bodies littered the streets and the sick lay dying in front of overwhelmed clinics last year, President Obama ordered the largest American intervention ever in a global health crisis, hoping to stem the deadliest Ebola epidemic in history.

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Public Knowledge, Perception and Source of Information on Ebola Virus Disease – Lagos, Nigeria; September, 2014

PLOS CURRENT OUTBREAKS  by Saheed Gidado and others                                                    April 8, 2015
The first ever outbreak of Ebola virus disease (EVD) in Nigeria was declared in July, 2014. Level of public knowledge, perception and adequacy of information on EVD were unknown. We assessed the public preparedness level to adopt disease preventive behavior which is premised on appropriate knowledge, perception and adequate information.

Methods: We enrolled 5,322 respondents in a community-based cross-sectional study. We used interviewer-administered questionnaire to collect data on socio-demographic characteristics, EVD–related knowledge, perception and source of information...

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Ebola diaries: Changing health worker culture WHO

WHO                                                                                                 April 10, 2015
"The Ebola Diaries" is a series of first-person accounts describing what it has been like working on the front lines of a global health crisis of unprecedented proportions.

Dr Cota Vallenas talks about her experiences in the early days of the Ebola outbreak as an expert in infection prevention and control. She reminds us that health-care workers are among the most vulnerable and a cultural change is needed around self-protection to ensure these frontline workers don’t become infected.


It was Spring Break in the United States and WHO infection prevention and control (IPC) expert Dr Constanza (Cota) Vallenas was visiting her sons in New York. In late March 2014, she began seeing emails from WHO epidemiologist, Dr Pierre Formenty, about an outbreak of Ebola virus disease (EVD) in Guinea. Although a French-speaking IPC specialist had been deployed, more were needed. On 4 April, she was deployed to Guinea to train health-care professionals in IPC practices that would prove critical to the health and safety of hundreds of frontline workers.

Excerpt:

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CDC to Launch Ebola Mobile Training App for Clinicians

hitconsultant.net - April 10, 2015

The Centers for Disease Control and Prevention (CDC) will soon launch an Ebola mobile app that provides intuitive coaching to clinicians on CDC’s guidelines for proper use of personal protective equipment (PPE) to prevent transmission of Ebola. 

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Risk of Ebola spreading to other countries seems to lessen: WHO

REUTERS  by Stephanie Nebehay                   April 10, 2015

GENEVA  West Africa's Ebola epidemic still poses a threat to other countries, but the risk of it spreading internationally appears to be diminishing, the World Health Organization (WHO) said on Friday.

The U.N. agency declared in August 2014 that the world's worst Ebola outbreak -- which began in December 2013 -- represented a "public health emergency of international concern" that forced all health officials to shore up defenses.

The WHO's Emergency Committee, comprising independent experts who held talks on Thursday, was "absolutely firm" in maintaining that view, said Dr. Bruce Aylward, WHO Special Representative for the Ebola Response.

"They did note, however, that they believe the risk of international spread appeared to be reducing, this was a result of the work being done in the countries," Aylward told a news briefing at WHO headquarters. He cited control measures and exit screening of travelers from Guinea, Liberia and Sierra Leone.

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Liberia names new health minister as it seeks to beat Ebola

REUTERS                                               April 8, 2015

MONROVIA  - Liberian President Ellen Johnson Sirleaf has named new ministers for health and education as her government seeks to bring an end to the Ebola outbreak in the West African country and focus on reconstruction.

Sirleaf promoted Bernice Dahn to be the new minister of health after she won plaudits for her role in tackling the Ebola outbreak in Liberia as chief medical officer.

Dahn placed herself in quarantine in September for nearly a month after one of her assistants died of Ebola. She tested negative for the disease....

George Werner, the former head of the civil service agency, was appointed as minister of education. Liberia reopened its schools in February after a six-month hiatus designed to stem the spread of the outbreak. [

Having weathered the outbreak more successfully than its two neighbours, Liberia's economy is expected to grow by 3 percent this year, according to the World Bank.

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http://af.reuters.com/article/topNews/idAFKBN0MZ1JR20150408

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2 new ebola vaccines pass important early test, researchers say

NEW YORK TIMES   by Denis Grady                                                                 April 9. 2015

Two  new Ebola vaccines have passed an important test, protecting monkeys against the strain of the virus responsible for the current deadly outbreak, researchers reported on Wednesday. Only one dose was needed, and there were no apparent side effects..

Thomas W. Geisbert, an Ebola expert at the University of Texas Medical Branch in Galveston, in his office. Credit Michael Stravato for The New York Times

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