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Fearing Ebola surge, Mali widens virus watch to 440 people

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.

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Ambassador John Hoover: Ebola a challenge for U.S. diplomatic team in Sierra Leone

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....

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A doctor’s mistaken Ebola test: ‘We were celebrating. . . . Then everything fell apart’

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.)...

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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

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Ebola and the Lost Children of Sierra Leone

NEW YORK TIMES OP-ED                                                                                                          Nov. 13, 2014

By Chernor Bah,  a former refugee from the civil war in Sierra Leone, is a youth advocate for the Global Partnership for Education and a co-founder of A World at School.

Arriving at Port Loko, one of the largest towns in the north of Sierra Leone, is like reaching a country under siege. In the face of Ebola, the 500,000 inhabitants of this district have been sealed off from the world, stigmatized like a cellblock of criminals, and left largely to fend for themselves. Even to bring them food and schoolbooks, you need a government pass. And they are not alone. Counting other districts under quarantine, more than a third of the nation cannot move freely.

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The economics of Ebola

HOMELAND SECURITY NEWS WIRE                                                                                             Nov. 13, 2014
By Catherine de Fontenay
Economists are being called upon to estimate the costs of the Ebola epidemic to West Africa and elsewhere. Economists, however, should also play a part in estimating the likelihood of the disease spreading. Economics is the study of incentives, and many biological models of the spread of the disease may be underestimating the impact of individual incentives.

 Based on cost-benefit analysis, the potential costs of Ebola spreading are extremely high and the risks may be much higher than they are currently portrayed. Voters and donors should support greater efforts to end Ebola in West Africa. As International Monetary Fund director Christine Lagarde says, “real action” is needed to counter the outbreak. Without such action Ebola places the global economy at risk.

...If Ebola spreads throughout West Africa, the cost could rise to US$32.6 billion by the end of 2015.
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http://www.homelandsecuritynewswire.com/dr20141113-the-economics-of-ebola

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Ebola’s Mystery: One Boy Lives, Another Dies

Medical discussion of why some children suvive Ebola and others do not

NEW YORK TIMES                                   Nov. 10, 2014
By Sheri Fink, MD

... Over and over, doctors here have been confounded by the divergent paths of patients whose cases appeared similar at first. “No matter how long we were there, we didn’t know how to predict it,” said Dr. Steve Whiteley, a California emergency physician who volunteered.

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Exclusive: U.S. Ebola researchers plead for access to virus samples

A transmission electron micrograph shows Ebola virus particles in this undated handout image released by the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) in Fredrick, Maryland. Credit: Reuters/USAMRIID/Handout

Image: A transmission electron micrograph shows Ebola virus particles in this undated handout image released by the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) in Fredrick, Maryland. Credit: Reuters/USAMRIID/Handout

reuters.com - November 5th 2014 - Julie Steenhuysen

Scientists across the United States say they cannot obtain samples of Ebola, complicating efforts to understand how the virus is mutating and develop new drugs, vaccines and diagnostics.

The problems reflect growing caution by regulators and transport companies about handling Ebola as well as the limited resources of West African countries which are struggling to help thousands of infected citizens.

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Infection Secrets of Ebola Explained

By attacking the body's first responders, the virus cripples the immune system before it can mount an effective defense

Researchers often describe the battle between the Ebola virus and the humans it occasionally infects as a race—one that people win only if their immune systems manage to pull ahead before the virus destroys too many of their internal defenses. What they may not know is that the virus is a cheat.

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Ebola crisis draining development budgets in West Africa, study finds

UNITED NATIONS DEVELOPMENT PROGRAMME                                              Nov. 5, 2014

New York  -- The Ebola outbreak in West Africa is impairing the ability of governments to raise revenues, increasing their exposure to domestic and foreign debts and may make them more dependent on aid, according to the latest study (PDF) on the socio-economic impact of the crisis carried out by the UN development agency.

Investments in kick-starting economies and long-term development urgently needed

“We need to make sure that the Ebola outbreak does not lead to socio-economic collapse,” said Abdoulaye Mar Dieye, the Director of the Regional Bureau for Africa at the United Nations Development Programme (UNDP). “This crisis is already taking a toll on budgets and reducing the governments’ policy leeway to make much-needed investments in critical areas such as health and education for their citizens.” He added that the effects of the Ebola crisis will last long after the epidemic is brought under control.

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Ebola Travel Bans Buy Only Time, Not Safety

BLOOMERG BUSINESS WEEK                                                                                            Nov. 4, 2014
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...Blocking most travel from Guinea, Liberia, and Sierra Leone, where a total of more than 13,000 people have been infected with Ebola since the outbreak began in March, would only modestly reduce how long it takes for the virus to reach new countries, according to mathematical simulations published in the journal Eurosurveillance. For example, stopping 71 percent of travelers from entering other nations in Africa from the three countries in which Ebola is widespread would delay a case from appearing elsewhere on the continent by only 30 days, according to the model. ...


Medical staff wait for passengers arriving from Guinea at the airport in Abidjan on Oct. 20,as Ivory Coast's airline resumed flights to the three west African countries worst-hit by Ebola. Photograph by Issouf Sanogo/AFP via Getty Image

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