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Ebola’s legacy: After the passing

The virus will have a long-lasting impact on already poor countries

THE ECONOMIST                                                                                                      Jan. 3, 2015
When Ebola was at its worst in west Africa a few months ago, many worried that weak governments in Guinea, Liberia and Sierra Leone might be swept away by riots or the collapse of order as the virus took hold. In fact, the opposite appears to be the case. Governments have tightened their grip and are displaying authoritarian inclinations in ways rarely seen in the three young democracies....

The disease, meanwhile, continues to spread. In the week to December 21st, Guinea experienced its highest incidence of the virus since the outbreak began (see chart). In Liberia dozens of new cases have been reported along the border with Sierra Leone.

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Could a pregnant woman change the way we think about Ebola?

THE WASHINGTON POST by Kevin Sieff                          Jan. 5, 2015

PORT LOKO, Sierra Leone — When Fatmata Kabia walked into the Ebola isolation center, her chances of survival were almost zero.

Not because her symptoms were particularly bad — though they were. Not because the disease had already killed most of her family — though it had. Kabia, 21, appeared doomed for another reason: She was pregnant.

Meratu Koroma, 18, four months pregnant, battles intense pain while waiting for an Ebola test in Port Loko, Sierra Leone. (Nikki Kahn/The Washington Post)

Few diseases are less understood than the Ebola virus, which has claimed more than 7,900 lives across West Africa. But one thing is clear: Pregnant Ebola patients rarely survive. And their babies never do.

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Ebola survivors in west Africa to share stories via mobile app

REUTERS                                                            Jan. 4, 2015   

Ebola survivors in the three west African countries worst hit by the epidemic will share their stories through a mobile application to be launched on Monday, in a Unicef-backed campaign to inform and fight stigma around the disease.

...Although many people have survived the disease, they still face rejection and stigma from their communities, while the virus continues to spread due to lack of information and denial, according to the WHO and other health organisations.

The campaign, called #ISurvivedEbola, is funded by US philanthropist and co-founder of Microsoft Paul G Allen’s foundation which has committed $100m to fight the disease. Unicef, the UN children’s agency is collaborating in the project.

Survivors in Guinea, Sierra Leone and Liberia will be given smartphones and will document their stories and exchange tips on how to cope with it for a mobile app which will be available to the public, the backers said in a statement.

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Victory against Ebola 'within our reach': new UN mission chief

AFP                                                                 Jan 4, 2015

ACCRA -- Ending the deadliest Ebola outbreak in history is a difficult task, but it is "within our reach", the UN's new mission chief on the disease said, warning that the world has no choice but to beat back the infection.

"This is a global crisis. We definitely have a difficult time ahead of us, but we can achieve it," Ismail Ould Cheikh Ahmed, the new head of the UN Mission for Ebola Emergency Response (UNMEER), said on arrival in Ghana on Saturday.

"We have no plan B, we have to get rid of this virus. This is within our reach, but we should not be complacent," said Ahmed, a Mauritanian, who had arrived in Accra to officially assume duty, taking over from American Anthony Banbury...

Ahmed will be visiting Liberia and Sierra Leone this week, and Guinea shortly after, "to reinforce UNMEER's strategic priorities and see first-hand the Ebola response." the text said. He will be accompanied by UN Special Envoy on Ebola, David Nabarro, it added.
Read complete story.

http://news.yahoo.com/victory-against-ebola-within-reach-un-mission-chief-075544472.html;_ylt=AwrBEiEmk6lU7hgAFk3QtDMD

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Story Behind the Story: How Times Reporters Unraveled the Ebola Epidemic

NEW YORK TIMES                                               Jan. 2, 2015

Celia W. Dugger, deputy science editor for health, has helped to coordinate the Times’s coverage of Ebola. She edited a feature published Tuesday on the origin of this year’s Ebola outbreak, and shares how the story came together after months of reporting.

As the Ebola epidemic gained velocity this fall, spreading fear and death across one of the world’s poorest regions, I kept coming back to the same questions: How did this one get away? How did the experts — and the media, including editors like me, for that matter — miss the signs in the spring that this time would be catastrophically different from the nearly two dozen prior outbreaks? Why did the most seasoned Ebola hands — men and women who had repeatedly risked their lives battling this lethal foe — let their guard down and scale back in May just when the virus might have been throttled?

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IFRC: Fear Hampering Ebola Fight

THE VOICE OF AMERICA  by Joe DeCapua                                       Jan. 2, 2014

...The Red Cross’ Katherine Mueller gives an assessment of the Ebola epidemic in Guinea, Liberia and Sierra Leone.

“The Ebola outbreak is not under control yet. We do see some leveling off of cases for Liberia, for example. However, we’ve seen it before that somebody attends a funeral. They come back. They’re infected. They infect their village and cases spike. So it really doesn’t take much to have another increase in cases,” she said.

Mueller is the IFRC’s Africa communications manager. She worries that people may become complacent after hearing that the number of new cases has slowed in some places...

Part of the organization’s efforts include going to remote areas in the three hardest hit countries.

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Ebola Doctors Are Divided on IV Therapy in Africa

NEW YORK TIMES  by Donald G. McNeil, Jr.                                                     Jan. 1, 2015

Medical experts seeking to stem the Ebola epidemic are sharply divided over whether most patients in West Africa should, or can, be given intravenous hydration, a therapy that is standard in developed countries. Some argue that more aggressive treatment with IV fluids is medically possible and a moral obligation. But others counsel caution, saying that pushing too hard would put overworked doctors and nurses in danger and that the treatment, if given carelessly, could even kill patients.

A nurse gave an Ebola patient intravenous fluids at the Red Cross treatment center in Kenema, Sierra Leone, in November. Credit Francisco Leong/Agence France-Presse — Getty Images

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Ebola spreads in Sierra Leone as global cases top 20,000 - WHO

REUTERS                                                                                                             Dec. 31, 2014

GENEVA - The Ebola virus is still spreading in West Africa, especially in Sierra Leone, and the number of known cases globally has now exceeded 20,000, the World Health Organization (WHO) said on Wednesday.

The death toll from the outbreak, which has been mostly confined to West Africa, has risen to 7,905, the WHO said, following 317 fatalities recorded since it last issued figures on Dec. 24.

The number of known cases, including fatalities, totalled 20,206 at year-end, it said.

 However, the number of cases in Sierra Leone over a three-week period has fallen below 1,000 for the first time since Sept. 28, suggesting the spread of the disease is slowing. In neighbouring Guinea, the three-week total rose for a second week to 346, suggesting the epidemic is growing there.

Read complete story.

http://news.yahoo.com/ebola-spreads-sierra-leone-global-cases-top-20-085657794.html;_ylt=AwrBJSA9_qVUoU0AoXTQtDMD

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Most intense Ebola transmission in West Africa reported in western Sierra Leone – UN

UNITED NATIONS NEWS CENTRE                                                                         Dec. 31, 2014
The number of Ebola cases is fluctuating in Guinea, decreasing in Liberia and showing signs the increase has slowed in Sierra Leone, the United Nations World Health Organization (WHO) reported today as the UN development agency said it is helping the Liberian Government build border posts to cut the cross-border spread of infection in West Africa.

Patients who recover from the Ebola virus disease tie a ribbon to the tree on leaving the Maforki Ebola Treatment Centre in Port Loko, Sierra Leone. UN Photo/Martine Perret

“Infections in Liberia’s Eastern border region have spiked recently as tight-knit cross-border communities spread the disease across the often porous border,” the UN Development Programme (UNDP) said in a press release, adding that 49 new Ebola cases had been recorded in the border county of Grand Cape Mount in December, including 12 in the past four days.

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Ebola Ravages Economies in West Africa

NEW YORK TIMES  by                    Dec. 21, 2014     
FREETOWN, Sierra Leone--The "personal hospitality business" may be the most obvious sector of Sierra Leone’s economy that has been decimated by Ebola. After all, the main slogan in Freetown, the capital, these days is A.B.C. — avoid body contact.Residents in Freetown, Sierra Leone, break rocks in a road project that was halted because of concern about Ebola. In Sierra Leone, Guinea and Liberia, Ebola continues to lay waste not just to immune systems but also to balance sheets. Daniel Berehulak for The New York Times

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