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SCIENCE INSIDER                                         Nov. 3, 2014

By Kai Kupferschmidt

VIENNA—After Oyewale Tomori finished his talk on Ebola here at the International Meeting on Emerging Diseases and Surveillance, there was stunned silence. Tomori, the president of the Nigerian Academy of Science, used his plenary to deliver a scathing critique of how African countries have handled the threat of Ebola and how corruption is hampering efforts to improve health. Aid money often simply disappears, Tomori charged, "and we are left underdeveloped, totally and completely unprepared to tackle emerging pathogens."

"Ebola is Africa's problem," says Oyewale Tomori.

 

Trained as a veterinarian, Tomori was the World Health Organization’s (WHO's) regional virologist for the African region in 1995 during the Ebola outbreak in Kikwit in the Democratic Republic of the Congo (DRC).

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Home> Health 'Post-Ebola Syndrome' Persists After Virus Is Cured, Doctor Says

ABC NEWS                                       Nov. 3, 2014
By via Good Morning America

West Africans fortunate to survive Ebola may go on to develop what's being called "post-Ebola syndrome," characterized by vision loss and long-term poor health, a doctor told a World health Organization.

People stand in the "red zone" where they are being treated for Ebola at the Bong County Ebola Treatment Unit in Monrovia, Liberia, Oct. 28, 2014.

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The toll of a tragedy

An infographic of the toll of the Ebola outbreak.

Image: An infographic of the toll of the Ebola outbreak.

economist.com - October 31st 2014

The first reported case in the Ebola outbreak ravaging west Africa dates back to December 2013, in Guéckédou, a forested area of Guinea near the border with Liberia and Sierra Leone. Travellers took it across the border: by late March, Liberia had reported eight suspected cases and Sierra Leone six. By the end of June 759 people had been infected and 467 people had died from the disease, making this the worst ever Ebola outbreak.

(VIEW COMPLETE ARTICLE AND FULL SIZE INFOGRAPHIC)

 

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What We Don’t Know About Ebola

Overview of what still needs to be learned about the Ebola virus

Research studies have suggested at least three potential paths through which the Ebola virus can invade tissues. Credit Photograph by the C.D.C. via Getty Images

THE NEW YORKER                                      Nov. 1, 2014

By

...there are still serious gaps in what we know about the biology of Ebola, and that ignorance inhibits us from preventing future outbreaks and reducing death rates that still exceed seventy per cent. We don’t know enough about the biology of Ebola to bring the outbreak under full control, or to neutralize the virus once the outbreak is contained. Between on-the-ground efforts and advances in science, we need a balanced approach.

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WHO Updates Guidelines on Ebola Protective Gear

A U.S. doctor in a protective suit in Liberia adjust that of a colleague before entering an Ebola treatment unit in Monrovia in this photo released Sept. 16, 2014.

These updated guidelines aim to clarify and standardize safe and effective PPE options to protect health care workers and patients, as well as provide information for procurement of PPE stock in the current Ebola outbreak. The guidelines are based on a review of evidence of PPE use during care of suspected and confirmed Ebola virus disease patients.

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http://www.who.int/mediacentre/news/releases/2014/ebola-ppe-guidelines/en/

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Better Staffing Seen as Crucial to Ebola Treatment in Africa

NEW YORK TIMES                               Nov. 1, 2014

By Denise Grady

...The stark difference in the care available in West Africa and the United States is reflected in the outcomes...., In West Africa, 70 percent of people with Ebola are dying, while seven of the first eight Ebola patients treated in the United States have walked out of the hospital in good health. Only one died: Thomas Eric Duncan, a Liberian, whose treatment was delayed when a Dallas hospital initially misdiagnosed his illness.

  

Dr. Rick Sacra, a missionary who was infected with Ebola in Liberia and was successfully treated at the Nebraska Medical Center. Credit Brendan Sullivan/Omaha World-Herald, via Associated Press

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Canada imposes visa ban on three Ebola-hit countries

REUTERS                                                                                      Oct. 31,2014

OTTAWA - Canada will stop issuing visas to people from the three West African nations where Ebola is widespread--- Guinea, Liberia and Sierra Leone-- the government said on Friday.

Canada, which has not reported any cases of Ebola, is following in the footsteps of Australia, which on Tuesday became the first rich nation to issue such a ban. The country's official in charge of the response to Ebola said the move was medically unjustified.

Under the new regulations, which come into force immediately, Canada will not process visa applications from foreign nationals who have been in an Ebola-affected country within the previous three months.

The Conservative government's decision drew fire from Canada's opposition New Democratic Party.

"The experts we’re relying on to fight Ebola are saying this is not the right approach," the party's health critic Libby Davies said in a statement.

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 http://www.reuters.com/article/2014/10/31/us-health-ebola-canada-idUSKBN0IK27T20141031

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EBOLA EPIDEMIOLOGY: Strategies for containing Ebola in West Africa

SCIENCE MAGAZINE                             Oct. 30, 2014

A study to assess the effectiveness of containment strategies, using a stochastic model of Ebola transmission between and within the general community, hospitals, and funerals, calibrated to incidence data from Liberia.

ABSTRACT

The ongoing Ebola outbreak poses an alarming risk to the countries of West Africa and beyond. To assess the effectiveness of containment strategies, we developed a stochastic model of Ebola transmission between and within the general community, hospitals, and funerals, calibrated to incidence data from Liberia. We find that a combined approach of case isolation, contact tracing with quarantine and sanitary funeral practices must be implemented with utmost urgency in order to reverse the growth of the outbreak. Under status quo intervention, our projections indicate that the Ebola outbreak will continue to spread, generating a predicted 224 (95% CI: 134 – 358) cases daily in Liberia alone by December, highlighting the need for swift application of multifaceted control interventions.

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US Envoy: 'Alarming Gaps' Remain in Fighting Ebola

VOICE OF AMERICA                                                              Oct. 31, 2014

By Al Pessin

The international community must do more to fill "alarming gaps" in the fight against the Ebola epidemic, U.S. ambassador to the United Nations Samantha Power said to an audience in Brussels as she headed home from a visit to the three hardest-hit countries in West Africa.

U.S. Ambassador to the United Nations Samantha Power speaks during a lecture regarding the Ebola virus at the Residence Palace in Brussels, Oct. 30, 2014.

Power said the initial international response is making a difference, and has created what she called “the first tangible signs that the virus can and will be beaten.”

But, she said, many countries have not done enough, and urged them to not assume the job is done...

She called for more flexible planning, faster decision-making, and for support for the affected countries as they try to rebuild and expand their health care systems. Those systems were inadequate before the epidemic and have now been devastated by the deaths of hundreds of doctors and nurses.

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World Bank funding for Ebola fight hits $500 million

REUTERS                                                                                          Oct. 30, 2014

(GENEVA)- The World Bank pledged $100 million on Thursday to help recruit more foreign health workers in the fight against Ebola, taking its funding for the three worst-hit countries to more than half a billion dollars over the past three months.

 

People sit near a banner reading ''The Ministry of Agriculture, Dixinn Commune, Together to defeat Ebola,'' in Conakry, Guinea October 26, 2014.Credit: Reuters/Michelle Nichols

The latest tranche will go towards setting up a coordination hub to recruit, train and deploy qualified foreign health workers and support the three countries' efforts to isolate Ebola patients and bury the dead safely, the bank said.

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http://www.reuters.com/article/2014/10/30/us-health-ebola-worldbank-idUSKBN0IJ1NV20141030

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