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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Japanese Ebola test gives results in 11 minutes: researcher

AFP     April  9, 2015

Tokyo  A Japanese research team said on Thursday it had developed a field test for Ebola that gives results in just over 11 minutes -- down from the 90-minute test used now.

The breakthrough by Nagasaki University's Institute of Tropical Medicine will allow medics to move much more quickly in treating people with the haemorrhagic fever, Professor Jiro Yasuda told AFP.

"The result time was unexpectedly short," said Yasuda of the trial conducted in Guinea last month on 100 samples, of which 47 proved positive.

The Guinean government has now asked the institute and its collaboration partner Toshiba to supply equipment to roll out the test, he added.

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http://news.yahoo.com/japanese-ebola-test-gives-results-11-minutes-researcher-064839139.html

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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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Conference Summary: Using Lessons Learned from Previous Ebola Outbreaks to Inform Current Risk Management

CENTER FOR DISEASES CONTROL by Dickmann P, Kitua A, Kaczmarek P, Lutwama J, Masumu J, Karimuribo E, et al             April 8,2015 

Summary of conference on lessons learned from Ebola crisis

"...A major conclusion was that infectious disease management will work only when it is established with and within the community and not directed against it. This lesson requires community engagement in formulating infection control measures, as well as implementation, dissemination, and promotion of these measures. Infection control procedures are generally perceived as intrusive and, as such, often interfere with local social, cultural, and religious practices.... Building on this process of finding the right, appropriate containment measures, communication and health promotion work best when they involve community and religious leaders, traditional healers, and other advocates.

National and cross-border Ebola outbreaks are a new development, and engagement with various communities has presented a particular challenge throughout the current outbreak. A key aspect of this engagement is to devise and elaborate solutions for infection control that are consistent with local realities and practices. International health and aid organizations must strive to work in concert with communities to find adequate infection-control solutions....

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30 new Ebola cases, lowest weekly figure in nearly a year: WHO

REUTERS                                                                                                           April 8, 2015

GENEVA -- Thirty confirmed cases of Ebola were reported in West Africa in the past week, the smallest number in nearly a year of the worst ever outbreak of the deadly fever, the World Health Organization said on Wednesday.

"This is the lowest weekly total since the third week of May 2014," the WHO said in its latest update.

The virus is receding in Liberia, which reported no cases in the week to April 5, and in Sierra Leone, which reported nine, its fifth consecutive weekly decrease, it said.

But the picture was "mixed" in Guinea, which had 21 new infections, the WHO said. Unsafe burials of bodies continued in Guinea and "unknown chains of transmission could be a source of new infections in the coming weeks", it warned.

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http://news.yahoo.com/30-ebola-cases-lowest-weekly-figure-nearly-193642702.html;_ylt=AwrBEiE_piVVVQwAjAnQtDMD

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For Ebola patients, a way to see the faces of those helping

PUBLIC RADIO INTERNATIONAL  by Andrea Crossan                 April 7, 2015

...for those in hospitals suffering, all they see are masks and robot-looking suits of doctors and nurses caring for them. The medics must wear those protective suits to stop them from coming in contact with a patient. But some humanity is stripped away with the intimidating get-up.

Until now.

                      Jianjay Potter and Grace Zardon in Monrovia, Liberia.Credit: Marc Campos

Los Angeles-based artist Mary Beth Heffernan saw the Ebola suits on news reports. She thought about how isolating it was for the patients. And she came up with the idea of taking photos of health workers that could be attached to their protective clothing.

In late February, Heffernan travelled to Monrovia, Liberia to do just that.

She brought cameras, six printers, ink cartridges and sticky labels to print the photos on.

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UN envoy: Expect Ebola vaccine in coming months

INQUIRER.NET  by Kristine Angeli Sabillo                  APRIL 8, 2015

MANILA --As the Ebola outbreak in West Africa winds down, the United Nations is optimistic that a vaccine against the deadly virus will be made available in the next several months.

“Clinical trials have have now been undertaken of candidate vaccines, two of them. They are now at an advanced stage,” Dr. David Nabarro, UN secretary general special envoy on Ebola, told reporters in Manila on Wednesday.

“I believe that we will have a vaccine against Ebola that is available and can be used particularly for doctors and nurses who provide treatment for people with the disease in the coming months,” he added.

According to the World Health Organization, the two vaccine candidates undergoing efficacy trials are ChAd3-ZEBOV, developed by GlaxoSmithKline (GSK), and rVSV-ZEBOV, developed by NewLink Genetics and Merck Vaccines USA. The first is being developed in collaboration with the US National Institute of Allergy and Infectious Diseases (NIAID) and the second with the Public Health Agency of Canada.

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http://globalnation.inquirer.net/120463/un-envoy-expect-ebola-vaccine-in-coming-months/

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Ebola Vaccine 2015: Guinea Seen As Best Hope For Preventative Drug Trials, But Time Is Running Out

INTERNATIONAL BUSINESS TIMES by Philip Roth       April 7, 2015

(Two stories. Scroll down)
Health officials’ best bet for discovering a vaccine for Ebola lies with the West African country of Guinea, where the outbreak that has killed an estimated 10,500 over the past year began, and the place that researchers largely ignored when it came time for drug trials. As researchers race to find a vaccine before the window of opportunity closes – essentially, before the epidemic is brought to an end -- scientists with the World Health Organization are beginning to test a vaccine in Guinea manufactured by researchers in the U.S. and Canada.

 

The race to find a vaccine for Ebola is in its final lap. Pictured, research assistant Georgina Bowyer works on a vaccine for Ebola at the Jenner Institute in Oxford, southern England, Jan. 16, 2015. Reuters

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Ebola: media ‘overlooked Africa's role in combating crisis’

THE GUARDIAN by Sam Jones                                                              April 7, 2015

Africa’s efforts to tackle the Ebola crisis have been largely overlooked even though Africans have taken the lead in providing frontline staff and shown themselves “better placed to fight infectious diseases in their continent than outsiders”, according to the African Union (AU).

A Liberian health worker checks the temperature of students to curb the spread of Ebola in Caldwell, outside the capital Monrovia. Photograph: Ahmed Jallanzo/EPA

Dr Olawale Maiyegun, director of social affairs at the AU commission, said that despite the fact that Africans had proved both willing and able to deal with Ebola, the focus had been on the work of international agencies and those with the greatest media clout.

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Ebola: German ministers talks up economic recovery in West Africa

Deutsche Welle                                                                                          April 7, 2015
BERLIN --Two German federal ministers are on their way to West Africa, to offer Berlin's support as the region recovers from the effects of Ebola. They've also flagged creating specialist teams to deal with future crises.

The lawmakers, Health Minister Hermann Gröhe and Development Minister Gerd Müller...will push for a redevelopment of the affected health systems, and ways to better respond to health disasters in Africa, with a 200-million euro aid package sponsored by Germany.

Müller told the Bild newspaper that a team of "white helmets" - groups of doctors, technicians and specialists - would be set up at Germany's development agency, GIZ, to be sent anywhere in the world in three to five days.

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http://www.dw.de/ebola-german-ministers-talks-up-economic-recovery-in-west-africa/a-18364560

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Yes, We Were Warned About Ebola

NEW YORK TIMES OP-ED  By BERNICE DAHN, VERA MUSSAH and CAMERON NUTT   April 7, 2015               
MONROVIA, Liberia — The conventional wisdom among public health authorities is that the Ebola virus, which killed at least 10,000 people in Liberia, Sierra Leone and Guinea, was a new phenomenon, not seen in West Africa before 2013. (The one exception was an anomalous case in Ivory Coast in 1994, when a Swiss primatologist was infected after performing an autopsy on a chimpanzee.)

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A Community-Engaged Infection Prevention and Control Approach to Ebola

CDC - MMWR - Ebola Virus Disease in a Humanitarian Aid Worker — New York City, October 2014

cdc.gov - April 3, 2015

In late October 2014, Ebola virus disease (Ebola) was diagnosed in a humanitarian aid worker who recently returned from West Africa to New York City (NYC). . . .

. . . In NYC, the public health response to one Ebola case was resource intensive for a local health department, with participation of more than 500 DOHMH staff members and expenditures of more than $4,300,000 in DOHMH funds. These figures include not only the direct costs of the local public health response (e.g., contact tracing, environmental issues, and health care worker monitoring) but also the indirect costs of increasing citywide preparedness after identifying the one case (e.g., enhancing hospital preparedness, active monitoring of returning travelers, and community outreach).

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Rhode Island Hospital Physician Comes Up With New Diagnostic Tool for Ebola Virus

news-medical.net - April 6, 2015

Adam C. Levine, M.D., an emergency medicine physician at Rhode Island Hospital and The Miriam Hospital who treated Ebola-infected patients in Liberia last year, used his field experience to create a tool to determine the likelihood that patients presenting with Ebola symptoms will actually carry the virus. His research was published in the Annals of Emergency Medicine today.

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CLICK HERE - RESEARCH - Derivation and Internal Validation of the Ebola Prediction Score for Risk Stratification of Patients With Suspected Ebola Virus Disease

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