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Health - West Africa MPHISE

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This working group is focused on discussions about health within the West Africa MPHISE.

The mission of this working group is to focus on discussions about health within the West Africa MPHISE.

Members

evakee John.R.Falco.VMD Kathy Gilbeaux mdmcdonald MDMcDonald_me_com

Email address for group

health_westafrica_mphise@m.resiliencesystem.org

In Guinea, a long, difficult road to zero Ebola cases

SCIENCE   by Martin Enserink                                                                           May 1, 2015
...Guinea is where some of the last embers of West Africa's Ebola epidemic are smoldering. It had only 21 new Ebola cases in the past week, 16 of them in the city of Forécariah, a 3-hour drive from the capital. Guards at many official buildings still routinely point the Thermoflash, a contact less, revolver-shaped thermometer, at visitors' temples, and vats full of bleach are still omnipresent.

 But Ebola rarely makes headlines anymore, and antigovernment protests that paralyzed Conakry last week were about upcoming elections, not the virus.

Still, Guinea's Ebola czar, Sakoba Keita, notes that there have been lulls before, the last one in January, that were invariably followed by flare-ups.

...Guinea's stubborn epidemic means that it may soon be the last place where researchers can do real-world tests of Ebola treatments and vaccines.
Read complete story.

http://www.sciencemag.org/content/348/6234/485.full

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Tracing the Ebola Outbreak, Scientists Hunt a Silent Epidemic

NEW YORK TIMES  by Sheri Fink, MD                         May 5, 2015

(Contains new information on the origin of the Ebola epidemic.)

Scientists are using blood samples collected throughout the Ebola outbreak to map the virus’s spread from country to country by tracking tiny mutations in its gene sequences.

The picture is not yet complete, but intriguing discoveries have been made. Virus mutations first detected in Sierra Leone last spring were found later in Liberia and Mali, and scientists are examining whether this resulted from the chance movements of people across borders....

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Sierra Leone News: More work and engagement for women to end ebola

AWOKO.ORG   by  Berry Milton                             May 4, 2015

Getting ebola  to zero and staying zero is very crucial at this time, it is because of this that the women of Sierra Leone have taken the lead in the Yellow Ribbon Campaign, an initiative by the Sierra Leone Association of Journalists (SLAJ) now led by Women in the Media Sierra Leone (WIMSAL).

Given a background to the campaign which was launched about three months ago, SLAJ President Kelvin Lewis said the aim was to inject new energy into the drive to get zero ebola cases as people are tired and frustrated not seeing the ending of the virus, “even though the figures were going down ebola was fighting back.”

He said the campaign is a personal commitment to be made by people which is very important as it means safe and dignified burial, to keep all sick people away from others and to speak out by calling 117 if they know of any sick person and contacts must stay in one area with food and water.
Read complete story.
http://awoko.org/2015/05/04/sierra-leone-news-more-work-and-engagement-for-women-to-end-ebola/

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Head of U.N. Ebola response stresses importance of stopping virus before rainy season

BIOPREPWATCH                                               May 4, 2015

Peter Jan Graaff, during his first week as the secretary-general’s acting special representative and head of the U.N. Mission for Ebola Emergency Response, declared his commitment to stopping the Ebola outbreak.

“We have made great progress in fighting the virus, but we are not done yet,” Graaff said. “The rainy season is fast approaching, which will complicate efforts to contain the disease. We have a very small window of opportunity, and that window is closing fast. We can’t risk falling behind the virus again. We need to stay ahead of it and eliminate it before it is too late....”

If no cases present themselves by May 9, Liberia will be declared free of Ebola.

“Until we reach zero cases in every country, Ebola still poses a threat to the region, and to the world,” Graaff said. “We must keep up our efforts over the next few weeks to trace and treat every last case.”

Read complete story.
http://bioprepwatch.com/news/head-of-u-n-ebola-response-stresses-importance-of-stopping-virus-before-rainy-season/341712/

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Host of Ailments Plague African Ebola Survivors

WALL STREET JOURNAL BY Betsy McKay                     May 1, 2015

MONROVIA, Liberia—Dorbor Sirleaf thought his ordeal with Ebola was over in October, when he walked out of a treatment unit, having overcome the ruinous disease.

 

Instead, the 29-year-old father of four is suffering from symptoms he says he never had before he had Ebola. His legs and other parts of his body ache. Worse, he has trouble seeing, particularly distances. His eyes itch, hurt and often water up. “Sometimes my tears can be rolling,” he said.

More than 15,000 people have survived Ebola in West Africa, and more than 10,800 died, in the largest epidemic of the disease by far in history—one that has yet to be extinguished. But many have emerged with an assortment of mysterious physical ailments, including joint pain, fatigue and a particularly worrisome and common complaint: vision loss. Some, like Mr. Sirleaf, say their eyes hurt. Others report blurred vision or say they can’t see at all.

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Report: Liberian woman likely got Ebola through sex with man who had illness 5 months earlier

ASSOCIATED PRESS by Mike Stobbe                                                                    May1, 2015

NEW YORK, N.Y. - Health officials now think Ebola survivors can spread the disease through unprotected sex nearly twice as long as previously believed.

Scientists thought the Ebola virus could remain in semen for about three months. But a recent case in West Africa suggests infection through sex can happen more than five months later.

Based on the case, officials are now telling male Ebola survivors to avoid unprotected sex indefinitely. They had previously advised using condoms for at least three months.

A CDC report released Friday detailed the case of a 44-year-old Liberian woman whose infection likely came from a 46-year-old man who had Ebola symptoms last September. She fell ill in March, a week after sex with him, and died. Another woman he had sex with around the same time tested negative.

Read complete story.

http://www.vancouversun.com/health/Report+Liberian+woman+likely+Ebola+through+with+illness+months/11020962/story.html

Possible Sexual Transmission of Ebola Virus — Liberia, 2015

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Liberia Burials Key in Ebola Fight

VOICE OF AMERICA by Joe DeCapua                                                   April 30, 2015

 The World Health Organization is set to declare Liberia Ebola free. It will make that declaration on May 9th if no new cases are reported. In a sign of how the situation has improved, the Liberian Red Cross has handed back responsibility for safe burials to the Ministry of Health.

A man is sprayed with disinfectant after he celebrated the memory of a loved one who died due to the Ebola virus at a newly built grave yard for Ebola virus victims in Monrovia, Liberia, Wednesday, March 11, 2015. Liberians held a church service Wednesday for families who lost members to Ebola to mark the country’s 99th celebration National Decoration Day, a holiday normally set aside for people to clean up and re-decorate the graves of their lost relatives. (AP Photo/Abbas Dulleh)

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Experts call for vigilance, sustained measures against Ebola

STARAFRICA.COM                                                                                 April 30, 2015

ABUJA, Nigeria  --Governments in West Africa should improve health governance by scaling up investments in health infrastructure and human capital to ensure proactive responses against pandemics such as Ebola, a panel of discussants on Ebola has recommended.

A statement by the ECOWAS Commission on Thursday in Abuja said that the panelists at the debate on “Ebola; one year after,” organized by the Friedrich Ebert Stiftung (FES) in Abuja on Tuesday, explained that such investments would engender effective preventive and preparedness initiatives and also address the weak health systems of countries in the region, which suffered the heaviest burden of the latest Ebola Virus Disease (EVD) outbreak...

In particular, they recommended that public education and sensitization as well as community mobilization, participation and vigilance must be sustained until the disease is totally eliminated. There should also be effective psycho-social support and reintegration programmes for survivors and children orphaned by the disease....

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Managing health crises after Ebola

 

SCI DEVELOPMENT NET                                                                                April 29, 2015
(includes links to five feature stories and editorials on communication issues and other subjects.)
The outbreak of Ebola that has affected West Africa since December 2013 is the largest to date, with enormous human and economic costs. It has also exposed weaknesses in the global response system, including the handling of communication and complex social responses. What can we learn from this to better manage future health emergencies?

This Spotlight presents an in-depth analysis including opinions, facts and figures, and key resources. It features commentary by Sylvie Briand of the WHO, Rosamund Southgate of Médecins Sans Frontières and Annie Wilkinson of the Institute of Development Studies. 

It includes first-hand accounts by researchers with experience in the field, and interviews with social science expert Melissa Leach and communications managers at Médecins Sans Frontières-UK and BBC Media Action.
Read complete articles.

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The Next Victims of Ebola

The epidemic may be nearing “zero cases” — but it's still disrupting the delivery of vaccines for measles, polio, and other deadly childhood diseases.

FOREIGN POLICY                                                                                                    April 27, 2015

by Ellen Johnson Sirleaf, President of Liberia, and Seth Berkley,  President and CEO of the Gavi vaccine alliance

When the Ebola epidemic in West Africa comes to an end, it will be marked by two simple words: “zero cases.” But this momentous milestone will also signal the beginning of a new struggle as the long and difficult process of recovering from a crisis that has claimed more than 10,000 lives commences. Ebola has not only drawn attention to the vast gap that exists between rich and poor nations; it has widened that divide too, setting the people of Liberia, Sierra Leone, and Guinea even further back. The opportunity to narrow and ultimately close this gap cannot be neglected.

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