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Doctors Link Risky Burials to Ebola Rise in West Africa

          

nytimes.com - by Adam Nossiter - May 19, 2015

Only days after declaring the lowest number of new Ebola cases in Guinea and Sierra Leone this year, officials at the World Health Organization said Tuesday that there had been a nearly fourfold increase during the most recent week of reporting, to about 35 new cases.

With Liberia, the other West African nation at the center of the epidemic, being declared free of Ebola this month, the recent drop in infections in Sierra Leone and Guinea had offered hope that the worst Ebola outbreak in history might end soon. . . .

. . . Health officials said that sharp falls and rises were normal as an epidemic approached its end. But they also said that some persistent risky practices, like unsafe burials of Ebola victims in Guinea, had contributed to the rise.

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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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Nurses with Tablets and Bikers with Smartphones Join Ebola Fight

reuters.com - by Joseph D'Urso

. . . For a two week trial, researchers employed locals to scoot around the province on small motorbikes known as okadas, collecting household, health and population data from villages on simple smartphones.

They travelled in pairs, one riding the motorbike and one using a GPS-enabled smartphone running an Android operating system, preloaded with a specially designed, simple programme for storing the necessary information.

When they arrived in a village they interviewed a village leader or representative to gather as much information as possible, and log GPS coordinates, essential in a region where village names are often duplicated or spelt differently.

Nic Lochlainn said it takes a long time to learn to use the sophisticated satellite devices usually used for mapping but users could master this software in hours and the data let experts assign Ebola cases to specific villages more accurately.

The scheme covered 950 villages in two weeks, and the cost was "very modest" compared with sending foreign aid workers into the field or commissioning detailed satellite imagery, she said.

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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. . . .

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Block By Block, Health Workers Lead Liberia To Victory Over Ebola

NATIONAL PUBLIC RADIO by Jason Beaubein                                              May 9, 2015

MONROVIA -They were the ones who went door to door to stop the spread of Ebola. They were accused of passing on the virus and had water hurled at them. They were the community health workers — the unsung heroes of the Ebola epidemic in Liberia.

Caroline Williams is a community organizer in New Kru Town, a suburb of Monrovia. Here's how she got her message through to Liberians about preventing Ebola: "We talk to them, talk to them, talk to them. At last they started listening to us. All the methods that we been giving them, by God's will, they accepted."Jason Beaubien/NPR

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Liberia, Ravaged by Ebola, Faces a Future Without It

NEW YORK TIMES  by Normitsu Onishia                                                             May 9, 2015          

...“I am thrilled by the significant progress made by the people of Liberia,” said Tolbert Nyenswah, a deputy health minister. But, he warned, “we still need to keep up vigilance.”

The weak health systems in Liberia, Sierra Leone and Guinea, the three nations hit hardest by the disease, did more than just crumple in the face of Ebola’s onslaught last year. They played a central role in spreading the disease.

Clinics routinely misdiagnosed the disease and discharged Ebola patients with pills for common illnesses. Infected health care workers passed the virus to their colleagues, families and communities.

Local and international health officials are now focusing on extinguishing the waning Ebola epidemic in Guinea and Sierra Leone. But they have a bigger goal as well: shoring up beleaguered health systems that were inadequate long before Ebola struck.

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Liberia is declared Ebola free

The World Health Organization announces the end of Ebola in Liberia, but the epidemic continues in nearby Sierra Leone and Guinea.

(Scroll down for text of WHO announcement and WHO May 6 situation report.)

A girl in the West Point township in Monrovia, Liberia, where life has begun to return to normal.

NATURE.COM  by Declad Butler and Erika Check Hayden   <ay 9, 2015

iberia is the first of the three main countries affected by Ebola to be free of the disease, the World Health Organization (WHO) said today (9 May), marking the end of the 15-month-long epidemic in the country. But the epidemic continues in nearby Sierra Leone and Guinea, and the WHO is warning against complacency, highlighting the risk of further flare ups and geographical spread.

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Will the Ebola crisis lead to improved global health security?

MEDICAL NEWS by Sally Robertson                                                 May 8, 2015

Unprecedented in both its impact and scale, the Ebola virus outbreak in West Africa has led to a renewed interest in the issue of global health security. How is global health security defined? What qualifies as a global health concern? What are the implications for governmental policies and programmes?

To address some of these questions, The Lancet invited a number of respected global health practitioners to reflect on the wider lessons that can be learned from the crisis and make suggestions about steps that can be taken to counteract such threats in the future.

Through a series of essays, the review discusses whether the outbreak is likely to improve the governance of global health security and reflects on the relevance of several issues, from the use of counterfeit medicines through to the importance of securing people’s access to healthcare.

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http://www.news-medical.net/news/20150508/Will-the-Ebola-crisis-lead-to-improved-global-health-security.aspx

THE LANCET

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