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Malaria morbidity and mortality in Ebola-affected countries caused by decreased health-care capacity, and the potential effect of mitigation strategies: a modelling analysis

LANCET by Patrick G. T. Walker and others                               Volume 15, No. 7, p825–832, July 2015
The ongoing Ebola epidemic in parts of west Africa largely overwhelmed health-care systems in 2014, making adequate care for malaria impossible and threatening the gains in malaria control achieved over the past decade. We quantified this additional indirect burden of Ebola virus disease.

We estimated the number of cases and deaths from malaria in Guinea, Liberia, and Sierra Leone from Demographic and Health Surveys data for malaria prevalence and coverage of malaria interventions before the Ebola outbreak. We then removed the effect of treatment and hospital care to estimate additional cases and deaths from malaria caused by reduced health-care capacity and potential disruption of delivery of insecticide-treated bednets. We modelled the potential effect of emergency mass drug administration in affected areas on malaria cases and health-care demand....

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Liberia: Two-Hour School in Lofa County - Students in Class 8-10am

ALLAFRICA  by Mae Azango                                                                   June 10, 2015

Children in Gorlu, Salayea District Lofa County, are only in school two hours a day, or not in school at all. The reason? Their teachers are either running behind their salaries, or volunteer teachers are trying to get their names on the government's payroll.

Matthew Gahndolo, the school's principal laments, "The government of Liberia says, free and compulsory primary education, but what is the use when the children come to school by 8:00 a.m. and leave the class room after 10:00 a.m. to go on the farms, because their teachers are running behind salaries"

The situation of teachers leaving the classrooms and running behind salaries, and lack of qualified teachers to teach the children in rural Liberia, is not only restricted to Lofa County, but nearly all of the fifteen counties in Liberia. With the situation becoming increasingly alarming and dreadful, the government has also witnessed aggrieved health workers also on the streets demanding the Ebola risk benefits as well.

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http://allafrica.com/stories/201506100717.html

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Liberians still face travel headaches, stigma abroad even after country declared Ebola-free

ASSOCIATED PRESS By KRISTA LARSON                   June 19, 2015

DAKAR  Senegal  — Robtel Neajai Pailey hadn't been back home to Liberia since Ebola engulfed the country's capital in July, fearful that doing so could make it harder for her to travel as countries around the globe clamped down on visitors with West African passports.

So it was a mix of shock and anger earlier this month when she couldn't get a visa to attend an important meeting in the United Arab Emirates that had been months in the making.

It didn't matter that she had not even been in Liberia during the epidemic. Nor did it matter that Liberia was declared Ebola-free more than a month ago.

"It's not just affecting people who are in the country — it's all of us who have Liberian passports," said Pailey, an academic, activist and author who is based at SOAS, University of London.

The World Health Organization declared Liberia Ebola-free in early May. Still, fear of the deadly disease still reigns in many places, causing students to miss out on scholarships abroad, and keeping relatives from attending weddings and funerals.
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Vaccine trial won’t cause Ebola - WHO

GRAPHIC ONLINE by Rebecca Quisacde-Duho and Rhodaline Oppong                              June 20, 2015

Rebecca Quaicoe-Duho & Rhodaline Oppong
Rebecca Quaicoe-Duho & Rhodaline Oppong
Rebecca Quaicoe-Duho & Rhodaline Oppong
Rebecca Quaicoe-Duho & Rhodaline Oppong

The World Health Organisation (WHO) has assured Ghanaians that the proposed Ebola vaccine trial will not cause Ebola in the country.

WHO says it views the safety of people as paramount and would, therefore, not overlook any wrongdoing in the development of a vaccine.

 The WHO Country Representative, Dr Magda Robalo, gave the assurance at a public sensitisation forum in Accra last Thursday....

 Recently, following public agitations, the Minister of Health, Mr Alex Segbefia, called for more consultation on the proposed Ebola vaccine trial which was to be undertaken at Hohoe in the Volta Region.

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Surviving Ebola: Physical & Psychological Ailments Linger for Many

LIVE SCIENCE by Rachael Rettner                          June 19, 2015

Many people who survive an Ebola infection experience appetite loss and joint pain for months after they are declared free of the virus, although nearly half say they feel they've made close to a full recovery, according to a new study of more than 100 survivors of the disease.

But in addition to causing physical symptoms, Ebola often leaves a lasting impact on people's social lives and mental health, with nearly all survivors reporting social rejection and a loss of self-confidence, the study found.

"Our findings highlight the need for continued surveillance among survivors of Ebola virus disease," the researchers, from Donka National Hospital in Guinea, wrote in the June 9 issue of the journal Clinical Infectious Diseases. "In countries where psychiatric and psychological care may be limited, provision of such care may require additional resources and awareness."

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http://www.livescience.com/51278-ebola-survivors-physical-mental-health.html

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Staying at zero: Keeping Ebola out of Liberia


WHO                                                                  June 19, 2105
Ebola transmission may be over in Liberia, but in northwestern Lofa County health officials are concerned about its return. The virus first surfaced in the county in March 2014 via a traveller from Guinea and went on to devastate the country.

All 6 districts of northwestern Lofa County share a border with Guinea or Sierra Leone, where the Ebola transmission continues. Every day, hundreds of people pour into Lofa from the 2 Ebola-hit countries — traders, merchants, farmers and other economic migrants, relatives of Liberians attending weddings and funerals and patients going to Liberian health centres in border towns. On market days, the numbers double. They enter Liberia through 33 official border checkpoints and nearly 300 unofficial, mostly unmanned crossings.

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Trial of Canadian Ebola drug stopped; no overall benefit shown

CANADIAN PRESS  by  Helen Branswell                       June 19, 2015

TORONTO -- A Canadian company that had been developing an Ebola drug says a clinical trial of the experimental product has been stopped.

Tekmira Pharmaceuticals says the trial was halted because it seemed clear that continuing was not likely to show that the drug works.

The drug is called TKM-Ebola. It was being tested with Ebola patients in Sierra Leone.

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http://www.ctvnews.ca/health/trial-of-canadian-ebola-drug-stopped-no-overall-benefit-shown-1.2430501

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Ebola showed aid delivery desperately needs an overhaul

REUTERS  by Stella Dawson                                                          JUNE 18, 2015

WASHINGTON -- The Ebola epidemic exposed long-standing holes in aid delivery,  which desperately needs an overhaul before the next international emergency hits, aid experts said on Thursday.

Supplies for the Ebola zone in West Africa wait to be loaded at New York's John F. Kennedy International Airport September 20, 2014. REUTERS/Carlo Allegri

Many of the shortcomings seen during the Haiti earthquake of slow responses and uncoordinated relief efforts were repeated during the Ebola crisis that erupted in West Africa a year ago, they said.

With Sierra Leone and Guinea continuing to report cases of the deadly virus, the international community must act urgently, said Carolyn Reynolds, external relations manager at the World Bank.

"We need to think outside the box," she said at a panel on global health preparedness held on Capitol Hill.

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www.trust.org/item/20150618215202-ilvea/?source=fiOtherNews2

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Pregnant Ebola patient may have been contagious for days without symptoms

REUTERS by Gene Emery                                                                         June 18, 2015

 NEW YORK (Reuters Health) - Pregnant women infected with Ebola may be contagious for days before they show symptoms, a group of doctors is warning in the June 18 New England Journal of Medicine.

The warning is based on a single case and the woman did not actually spread the deadly infection to anyone. But laboratory tests revealed high levels of the virus when no symptoms were present.

Usually people aren't considered to be contagious until they start to feel ill.

The reason pregnant women may be an exception may have to do with the way pregnancy affects the woman's body, the doctors say. Her immune system becomes more tolerate of the fetus, whose tissues would normally be considered foreign.

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http://news.yahoo.com/pregnant-ebola-patient-may-contagious-days-without-symptoms-124114264.html;_ylt=AwrC0wxAAYNVTlEAmp7QtDMD;_ylu=X3oDMTBybGY3bmpvBGNvbG8DYmYxBHBvcwMyBHZ0aWQDBHNlYwNzcg--

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Ebola genetic code analysed to show evolution of worst ever outbreak

THE GUARDIAN   by Ian Sample                                                                             June 18, 2015

Scientists have analysed the genetic code of Ebola viruses from patients across west Africa and pieced together the evolution of the worst ever outbreak of the killer disease.

Experts from Public Health England at Porton Down in Britain, the World Health Organisation (WHO), and other leading labs, used DNA from 179 Ebola samples to reconstruct the spread of the virus from Guinea into surrounding countries last year.

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