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NHS Ebola staff ‘insulted’ by UK travel ban

Volunteers’ anger at restrictions imposed on their return home from west Africa

THE GUARDIAN by Tracy Mcveigh                                                                                   Dec. 21, 2014

As the latest of the six British-built Ebola treatment centres in west Africa admitted its first three patients this weekend, some of the volunteer NHS staff working there over Christmas said they felt insulted by a draconian ramping up of the protocols they have been told they will have to follow when they return to the UK.

 

A British health worker puts on protective clothes at a Red Cross clinic in eastern Sierra Leone. Photograph: Baz Ratner/Reuters

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Ebola death toll close to 7,400, says World Health Organisation

The Guardian    by Chris Johnston                                        Dec. 20, 2014

(Two items, scroll below.)

FREETOWN, Sierra Leone --The death toll from the worst ever outbreak of Ebola has reached nearly 7,400, with just over 19,000 people infected across west Africa, according to the World Health Organisation (WHO).

The UN secretary general, Ban Ki-moon, addresses health workers in Sierra Leone. Photograph: Evan Schneider/AFP/Getty Images

Sierra Leone reported 400 new fatalities this week, bringing the death toll there to 2,500. As of 18 December, it had the highest number of people infected by the virus – 8,800 cases, of which 6,900 were confirmed, according to the country’s health ministry.

The WHO is attempting to curb an outbreak in the west of the country, where the disease is spreading fastest, by sending a “massive surge of staff and resources” to the area.

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UN's Ban urges end to discrimination against Ebola workers

REUTERS --By Matthew Mpoke Bigg                                 Dec.20, 2014
CONAKRY--U.N. Secretary-General Ban Ki-moon on Saturday urged countries affected by the Ebola virus to avoid discriminating against healthcare workers fighting to end the disease.

U.N. Secretary General Ban Ki-moon has his temperature checked upon arrival at the Roberts International airport in Liberia's capital Monrovia December 19, 2014. Credit: Reuters/James Giahyue

Ban was speaking in Guinea on the second day of a whistle-stop tour aimed at thanking healthcare workers of the countries at the heart of the epidemic....

Ban's tour began in Liberia and Sierra Leone on Friday and will end later on Saturday in Ghana, site of the U.N. Ebola response mission (UNMEER), after a visit to Mali.

"There should be no discrimination for those who have been working or helping with Ebola. Those people are giving all of themselves," Ban told U.N. officials in Conakry.

Read complete story.

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Ebola-Stricken Families to Receive Cash Payments

TIME MAGAZINE by ALexandra Sifferlin                                                                            Dec. 19, 2014

In 2015, the three Ebola-affected countries will start offering cash payments for families hit by Ebola, as well as survivors having trouble re-acclimating to society out of stigma for the disease.

Dudu Kromah’s husband died from Ebola. She is looking after ten children, many of them orphans including a 3-month-old baby. She has no income. Carly Learson—Carly Learson / UNDP

Every aspect of Guinea, Liberia and Sierra Leone’s societies have taken a hit from Ebola, and the disease has shocked what were once fragile but growing economies....Every aspect of Guinea, Liberia and Sierra Leone’s societies

“We are seeing a backwards slide of development of about 10 years,” says Boaz Paldi, chief of media and advocacy at the United Nations Development Programme (UNDP). “The outlook is not good. We are fearful for these countries.”

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State Ebola Protocols

CDC                                                                                                                Dec. 19, 2014

 The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa. Two imported cases, including one death, and two locally acquired cases in healthcare workers have been reported in the US. CDC and partners are taking precautions to prevent the further spread of Ebola within the US

CDC/OSTLTS Public Health Law Program and Office of the Associate Director for Policy compiled an Interim Table of State Ebola Screening and Monitoring Policies for Asymptomatic Individuals[PDF 826KB] to help law and policy makers prepare for and respond to Ebola-related situations.

See complete report.

http://www.cdc.gov/phlp/publications/topic/ebola.html

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Ebola: limitations of correcting misinformation

THE LANCET                                                                                                              Dec.18, 2014
Communication and social mobilisation strategies to raise awareness about Ebola virus disease and the risk factors for its transmission are central elements in the response to the current Ebola outbreak in west Africa.1 A principle underpinning these efforts is to change risky "behaviour" related to "traditional" practices and "misinformation".

 Populations at risk of contracting Ebola virus disease have been exhorted to “put aside, tradition, culture and whatever family rites they have and do the right thing”....Such messages follow logically from clinical and epidemiological framings of contagion.

They pay little attention, however, to the historical, political, economic, and social contexts in which they are delivered....

Read the complete article.

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2962382-5/fulltext

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In Sierra Leone, the ghosts of war haunt an Ebola graveyard

WASHINGTON POST      by Kevin Sieff                                                                                      Dec. 19, 2014

FREETOWN, Sierra Leone — To find Andrew Kondoh, walk through the gates of this city’s largest cemetery, where teams in moonsuits bury more than 50 bodies in white plastic bags each day. Look for the man with the wispy goatee and big belly, who is overseeing one of the world’s most chaotic, dangerous graveyards as if he’s done it all before.

That’s because he has.

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GSK Ebola vaccine trial seen moving to wider phase in February

REUTERS                                                                                              Dec. 19, 2014

Trials of GlaxoSmithKline's experimental Ebola vaccine are likely to move to a second phase in February, later than previously suggested, after a meeting of national regulators said they needed more information.

The World Health Organization, which hosted a meeting of national regulatory authorities and ethics committees earlier this week, said they had thoroughly discussed all aspects of the proposed trials at the two-day meeting.

"Reviewing countries requested additional documentation from the manufacturer of the vaccine, GlaxoSmithKline, before authorization of the trials," the WHO said in a statement.

Countries where the trials are planned -- Cameroon, Ghana, Mali, Nigeria and Senegal -- should receive and review the additional information by the end of January.

"If these steps are completed to the satisfaction of the national authorities, Phase II trials are likely to begin in February," the statement said.

The GSK vaccine is already undergoing Phase I trials, to check its safety in humans, in Switzerland, Britain, Mali and the United States, and is one of the two leading candidate vaccines for Ebola already undergoing tests.

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The Ebola Treatment You Haven't Heard Of

FORBES       by David Kroll                                                                                              Dec. 19, 2014

Pharmaceuticals and biotechnology-derived products have attracted the greatest public and professional interest in treating victims of Ebola virus disease. But a privately-held, small company with a treatment for shock and multi-organ failure may be the dark horse victor in the race to stop the West African outbreak. LB1148 from San Diego-based Leading BioSciences is starting Phase 2 clinical trials that build on 12 years of NIH-funded research to address an underappreciated, common denominator in shock and organ failure, including shock caused by Ebola infection.

Read complete story.

http://www.forbes.com/sites/davidkroll/2014/12/19/the-ebola-treatment-you-havent-heard-of/

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Ebola Survivors Fight Prejudice

Organizations seek to help patients reintegrate into society after recovering

SCIENTIFIC AMERICAN   by Erika Check Hayden and Nature magazine                                               Dec. 18, 2014

Katima Kamara survived Ebola. Now she cares for children as a nurse at an Ebola treatment center in Kenema, Sierra Leone. But Kamara’s neighbours are wary of her, despite her bill of good health. Some call her home the ‘Ebola compound’ and avoid taking water from her well.

Kamara’s story is not unusual. Across Sierra Leone, Ebola survivors are working as nurses, caregivers, counsellors, organizers and outreach workers, seeking to halt the spread of the disease that threatened their lives. But they also fight discrimination and stigma, lingering health problems and poverty—a legacy of the ongoing Ebola epidemic that is only now beginning to be addressed, seven months after the virus emerged in the country....

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