Sierra Leone

ASSOCIATED PRESS  By CLARENCE ROY-MACAULAY AND BOUBACAR DIALLO                  March 28, 2015

FREETOWN, Sierre Leone --Guinea has deployed security forces to the country's southwest in response to reports that Sierra Leoneans are crossing the border to flee an Ebola lockdown intended to stamp out the deadly disease, an official said Saturday.

A team of Sierra Leone health workers walk as they look for people suffering from Ebola virus symptoms or people they can educate about the virus as their country enters a three day country wide lockdown on movement of people due to the Ebola virus in the city of Freetown, Sierra Leone, Friday, March. 27, 2015. Sierra Leone's 6 million people were told to stay home for three days, except for religious services, beginning Friday as the West African nation attempted a final push to rid itself of Ebola. (AP Photo/ Michael Duff) Close The Associated Press

REUTERS by Josephus Olu-Mammah and Umaru Fofana                                                              March 28, 2015
FREETOWN, Sierra Leone --Police fired tear gas at an angry crowd in Sierra Leone on Saturday after they threw stones at officials during a three-day national lockdown that the government hopes will accelerate the end of the Ebola epidemic, residents said.

Sierra Leone has reported nearly 12,000 Ebola cases and more than 3,000 deaths since the worst epidemic in history was detected in neighbouring Guinea a year ago. New cases have fallen sharply since a peak of more than 500 a week in December but the government says the lockdown, its second, is necessary to identify the last cases and to buck a worrying trend towards complacency.

Officials have ordered the six million residents to stay inside on pain of arrest as hundreds of health official go door-to-door looking for hidden patients and educating residents about the haemorrhagic fever.

Hundreds of people left their homes in the Devil Hole neighbourhood outside the capital to gather at a food collection point. Some residents complained they had not received food and fighting broke out until police arrived to scatter the crowd.

The Vaccine Confidence Project    2015
LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE 

EUROSURVEILLANCE  by  K. Kaasik-Aaslav and  D. Coulombier                                   March 26, 2015

Upon entering what seems to be the tail of the epidemic and, as in any such moment, the ‘Ebola endgame’ strategy requires adaptation to the heterogeneity of the epidemiological situation. The tools for EVD control need to be fine-tuned and the commitment from the teams supporting local authorities in affected countries needs to be sustained.

While the pressure on clinical and laboratory expertise gradually decreases, the demand shifts towards field epidemiologists to assist local public health experts and support community workers to engage in active surveillance and to monitor remaining transmission chains in affected communities.