C’est la semaine dernière que le ministère de la Santé a été informé du décès de trois agents de l’hôpital St Jean de Dieu de Tanguiéta. Parmi eux, il y aurait deux infirmières en néonatologie. Vendredi, c’est un pédiatre qui est mort à Porto-Novo où il avait été transféré.

THE ASSOCIATED PRESS                                       Nov. 18, 2014
By Darlene Superville

WASHINGTON--President Barack Obama said Tuesday that West Africa is "nowhere near out of the woods" in its fight against Ebola despite some improvement in the three countries hardest hit by the virus.

Obama said the disease remains a threat to the world, including the U.S., and he urged Congress to quickly approve his request for billions of dollars in emergency spending to combat the spread of Ebola at home and abroad.

CONGRESSIONAL TESTIMONY: Nebraska University cites treatment costs

NBC NEWS                                                                                               Nov. 18, 2014

It cost more than $1 million to treat two patients sent to the University of Nebraska’s Medical Center, the hospital’s chancellor said Tuesday. And it’s still not clear who will pay the bill and how.

It is  the first on-the-record estimate of what it’s cost to treat Ebola patients in the United States. So far, 10 people have been treated on U.S. soil — most recently, Sierra Leonean Dr. Martin Salia, who died Monday in Nebraska.

Tuesday, November 18, 2014 - 1:30pm (ET)

Oversight and Investigations

2123 Rayburn

Centers for Disease Control and Prevention Director Dr. Tom Frieden and other federal health officials testify before the House Energy and Commerce Oversight and Investigations Subcommittee on the federal response to the Ebola epidemic.

(CLICK HERE FOR VIDEO RECORDING - C-SPAN3)

In Sierra Leone, Traditional Treatments and Death of a Woman Who Resisted Outside Help Fostered Outbreak

WALL STREET JOURNAL                                                                                                      Nov. 18, 2014
By Peter Wonacott
KAILAHUN, Sierra Leone—When a Red Cross volunteer visited this impoverished border district in mid-May to warn about the spread of Ebola, he faced a formidable adversary: the village healer.

BLOOMBERG BUSINESSWEEK                                Nov. 17, 2014
by Jason Gale

The best medical advice for surviving Ebola right now might fit in one word: drink.

Dr. Fadipe Akinniyi Emmanuel, Ebola survivor, shows the daily dose of oral rehydration salts, or ORS, he and other survivors took to survive in Nigeria. Photographer: Andrew Esiebo/World Health Organization via Bloomberg

With targeted drugs and vaccines at least months away, doctors and public health experts are learning from Ebola survivors what simple steps helped them beat the infection. Turns out drinking 4 liters (1 gallon) or more of rehydration solution a day -- a challenge for anyone and especially those wracked by relentless bouts of vomiting -- is crucial. “When people are infected, they get dry as a crisp really quickly,” said Simon Mardel, an emergency room doctor advising the World Health Organization on Ebola in Sierra Leone. “Then the tragedy is that they don’t want to drink.”

AFP                                                                                                         Nov.17,2014                                 

Fearful of a surge of Ebola cases, Mali has placed more than 440 people under surveillance..

Officials in Mali met to consider increasing security at its border following two confirmed cases of Ebola due to infection in neighboring Guinea.

Police officers stand in front of the quarantined Pasteur clinic in Bamako on November 12, 2014 ©Habibou Kouyate (AFP/File)

Mali has been scrambling to prevent a minor outbreak from turning into a major crisis after the deaths of a Guinean imam and the Malian nurse who treated him in the capital Bamako.

"The number of contacts followed by health services amounts to 442. They have all been placed under observation for health control," Samba Sow, of the Ebola emergency operations center, said in a statement late Sunday.

Teams of investigators have been tracking health workers and scouring Bamako and the imam's village of Kouremale, which straddles the Mali-Guinea border, for people who could have been exposed.

WASHINGTON POST                                                                                                Nov. 17, 2014

By Joel Achenbach

John Hoover, the U.S amabassador to Sierre Leone, .... noted that the response to the epidemic in Sierra Leone poses a management challenge, and he sees a need to “sharpen coordination.”

                                                           Ambassador John Hoover. (Courtesy of State Department)

“There are a great deal of players on the ground,” Hoover said in an interview from Freetown.  “Lots of people doing lots of things. It’s a question of sharpening that coordination so that we’re not missing gaps and not overlapping and tripping over one another.”

He sees progress in that battle in the eastern part of Sierra Leone, but the epidemic is flaring in the western part of the country. Sierra Leone is the country with the highest infection rate, according to the World Health Organization’s most recent update. About 70 employees of the Centers for Disease Control and Prevention have deployed to Sierra Leone to fight Ebola. The U.S. military has focused on neighboring Liberia; Britain has a leading role in Sierra Leone....

Read complete story

In-depth description of the Ebola situation in remote villages in Guinea

A man with symptoms of Ebola walked to the center of Dandano after the chief of the village ordered the removal of sick people from homes. “Bring out your sick!” the chief shouted at the crowd, shaking his fist and warning of illness and death for the whole village if they did not obey. Samuel Aranda for The New York Times

NEW YORK TIMES                                                                                                             Nov. 17, 2014
By Adam Nossiter

DANDANO, Guinea--

WASHINGTON POST                                                                                          Nov. 17, 2014

By Kevin Sieff

...The doctors who tended to him in Freetown appeared to be unaware that an early Ebola test — taken within the first three days of the illness — is often inconclusive. In a country where information about the disease continues to move slowly, it was another potentially tragic mistake.

In many cases, a negative test at that stage means nothing because “there aren’t enough copies of the virus in the blood for the test to pick up,” said Ermias Belay, the head of the CDC’s Ebola response team in Sierra Leone.

But M’Briwa and others treated the test as definitive, even though Salia remained feverish and weak. The first results were delivered by a team of Chinese lab technicians who had opened a nearby hospital. (The technicians declined Sunday to speak about Salia’s case.)...

read complete story

http://www.washingtonpost.com/world/a-doctors-mistaken-ebola-test-we-were-celebrating--then-everything-fell-apart/2014/11/16/946a84da-6dd5-11e4-a2c2-478179fd0489_story.html

LOS ANGELES TIMES                                                                                         Nov. 17, 2014
By Julie Westfall

Dr. Martin Salia, who contracted Ebola in Sierra Leone and was being treated at a Nebraska hospital, has died, a hospital spokesman confirmed Monday.

Martin Salia, 44, was taken to Nebraska Medical Center in Omaha to be treated for Ebola after contracting the disease in Sierra Leone. (UBCentral.org)

"It is with an extremely heavy heart that we share this news," Dr. Phil Smith, medical director of the biocontainment unit at Omaha's Nebraska Medical Center, said in a statement. "Dr. Salia was extremely critical when he arrived here, and unfortunately, despite our best efforts, we weren't able to save him."

Salia was a member of the Church of the United Bretheren in Christ and was working as a surgeon at Kissy United Methodist Hospital in Freetown, Sierra Leone, treating Ebola patients as the disease spread in West Africa.

Description of the way the CDC Foundation, the Allen Foundation and large donors are playing an important role in countering Ebola.

THE WASHINGTON POST                                                                                                          Nov. 17, 2014
By Ariana Eunjung Cha

"...The unpredictable nature of the Ebola virus has made the government’s partnerships with private donors critically important in the crisis response. Working outside the politically charged federal appropriations process and the sometimes sluggish bureaucracy, foundations and private individuals have been able to offer much-needed relief for those on the front lines...."

Read complete story
http://www.washingtonpost.com/national/health-science/in-ebola-fight-private-foundations-provide-critical-financial-aid/2014/11/16/b57ec57e-6109-11e4-9f3a-7e28799e0549_story.html

Martin Salia Treated After Being Transported From Sierra Leone

WALL STREET JOURNAL                                     Nov. 16, 2014 ByBetsy McKay and Scott Calvert

“This is an hour-by-hour situation,” said Philip Smith, medical director of the biocontainment unit and a professor of infectious diseases at the University of Nebraska Medical Center, the hospital’s academic partner. “He is extremely ill. We have multiple highly-trained specialists who are experts in their fields targeting his most serious medical issues.”

webtv.un.org

13 Nov 2014 - Statement by Dr. David Nabarro, UN Special Envoy on Ebola at the General Assembly Informal meeting of the plenary briefing on the Ebola virus outbreak.

(CLICK HERE - VIDEO - Statement by Dr. David Nabarro, UN Special Envoy on Ebola)