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Fighting an Epidemic With Hands Tied

Detailed discussion of the difficulties in recruiting health workers for West Africa

A health care worker dressed in protective clothing in an Ebola ward last month in Liberia. Organizing workers in West Africa has been a problem. Credit Daniel Berehulak for The New York Times

 NEW YORK TIMES                                Nov. 4, 2014
By LAWRENCE K. ALTMAN, M.D.

WASHINGTON — Hundreds of government and civilian workers of all stripes, and thousands of military personnel, have braved the terrifying prospect of infection to respond to the Ebola emergency in West Africa. And thousands more will be needed for an effort that is expected to go well into 2015.

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Nigerian-virologist-delivers-scathing-analysis-africas-response-ebola

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.

Read complete article

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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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Sierra Leone Leader: Change Behavior to End Ebola

ASSOCIATED PRESS                                      Oct. 29, 2014

By Clarence Roy-Macaulay

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Low HIV and Aids rates saw west Africa ‘miss out on health investment'

THE GUARDIAN                                                                                Oct. 28, 2014
By Sarah Boseley

West Africa, now in the throes of a calamitous Ebola epidemic, missed out on significant health investment over the past decade or more because it had low rates of HIV, a detailed survey of the changing health of Africa and Asia reveals.

The US ambassador to the UN, Samantha Power (centre), visits an ebola emergency response centre in Freetown, Sierra Leone. Healthcare in west Africa now has the world’s attention. Photograph: Reuters

A major project called Indepth, which has looked at the causes of death of more than 110,000 people in 13 countries shows that health improved generally in those given substantial international aid to try to turn around the HIV and Aids epidemic. But west Africa, with severe poverty and low healthcare standards but relatively little HIV, did not benefit.

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Obama Defends C.D.C.’s Ebola Rules as ‘Sensible, Based in Science’

WHITE HOUSE SUPPORTS CDC GUIDELINES FOR CIVILIANS, EXPLAINS DIFFERENT TREATMENT FOR U.S. TROOPS

NEW YORK TIMES                                                              Oct. 28, 2014
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WASHINGTON — President Obama on Tuesday said that new Ebola guidelines from the Centers for Disease Control and Prevention were “sensible, based in science” and would help keep Americans safe while not discouraging volunteers from traveling to West Africa to battle the disease at its source....

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Seeking Unity, U.S. Revises Ebola Monitoring Rules

UPDATE WITH DETAILS OF MARYLAND AND VIRGINIA MONITORING  (Scroll down)

ROUNDUP OF DEVELOPMENTS IN THE QUARANTINE  DISPUTE
NEW YORK TIMES                        Oct. 28, 2014

By , and

The federal government on Monday tried to take charge of an increasingly acrimonious national debate over how to treat people in contact with Ebola patients by announcing guidelines that stopped short of tough measures in New York and New Jersey and were carefully devised, officials said, not to harm the effort to recruit badly needed medical workers to West Africa.

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