British-built Ebola hospital in Sierra Leone only partly operational

THE GUARDIAN                                                                                                                         Nov. 21, 2014
By Lisa O'Carroll

The Ebola hospital built by the British army which opened two weeks ago in the capital of Sierra Leone will not be fully operational until January, it has emerged.

The facility was the first of six hospitals announced by the Department of International Development two months ago as part of Britain’s £250m assistance in the fight against Ebola in the country....

 

Equipment wrapped in plastic inside the Kerry Town Ebola Treatment Centre in Sierra Leone before it opened. Photograph: Louis Leeson/Save the Children

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Ebola Deaths Near 5,500 As Virus Still Rages

WALL STREET JOURNAL                                                                                               Nov. 21, 2014

By Andrew Morse

ZURICH—Nearly 5,500 people have died from Ebola, the World Health Organization said Friday, adding that the rate of transmission remains intense in the three West African countries at the center of the epidemic.

Medical staff members of the Croix Rouge NGO put on protective suits before collecting the corpse of a victim of Ebola, in Monrovia, Liberia. Agence France-Presse/Getty Images

In an update, the United Nations health agency said 15,351 confirmed, suspected or probable cases of Ebola had been reported in eight countries that have been affected by the disease. Most of the cases were concentrated in Guinea, Liberia and Sierra Leone.

A total of 5,459 people have died of Ebola since the outbreak began, the WHO said. On Wednesday, the WHO reported 15,145 cases and 5,420 deaths.

Ebola’s true overall toll is difficult to gauge because some hard-hit villages are remote and urban centers have showed resistance toward clinics....

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WHO Declares End to Ebola Outbreak in DRC

VOICE OF AMERICA                                                                                                       Nov. 21, 2014

The World Health Organization has declared an end to the Ebola outbreak in the Democratic Republic of Congo.

The outbreak -- unrelated to the one affecting West Africa -- was centered in Congo's northwestern Equateur province and killed at least 49 people.  Nurses from Uganda’s Ministry of Health check passengers arriving from Democratic Republic of Congo, Central Africa at Entebbe Airport Kampala Uganda, Friday, Aug. 8, 2014.

The WHO released a statement Friday saying it has been 42 days, or twice the maximum incubation period, since a new case of Ebola has been detected in the DRC.

The WHO declaration confirms a statement by the DRC government last week that the outbreak there is over.

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http://www.voanews.com/content/who-declares-end-to-ebola-outbreak-in-drc/2529068.html

See complete WHO statement

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Six months after Ebola appeared, Sierra Leone still lacks beds for patients

WASHINGTON POST                                                                                                            Nov. 21, 2014
by Kevin Sieff
FREETOWN,Sierra Leone
...while bed space expanded in Liberia’s capital, it did not  here. Pledges were made to build new treatment centers, but many were delayed — sometimes because of logistical challenges. Some aid groups canceled their plans altogether, unable to deliver on their commitments. The closest treatment center with consistently available beds is eight hours from Freetown.

“We thought we would have all these beds coming on line, but it didn’t happen when we needed them,” said Winnie Romeril,
a spokeswoman for the World Health Organization. “Everyone knew the problem here was going to get bigger.”

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http://www.washingtonpost.com/world/africa/six-months-after-ebola-appeared-sierra-leone-still-lacks-beds-for-patients/2014/11/19/6101aa7d-ee68-4370-b2e5-899afc09fb02_story.html

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Researchers Develop Real-Time Monitoring for Ebola Outbreaks

VOICE OF AMERICA                                                                                                        Nov. 20, 2014
By Joe DeCapua
Knowing where the Ebola hot spots are in a country is crucial to getting an outbreak quickly under control. Many have criticized the initial slow response to the West Africa outbreak, saying it’s a big reason the virus quickly spread. Now, a German research center is developing a project to monitor Ebola and other outbreaks in real time.

Professor Gérard Krause said the new project – called EBOKON – uses real-time monitoring to better manage an outbreak.Krause is head of the Department of Epidemiology at the Helmholtz Center for Infection Research – and EBOKON project leader for the German Center for Infection Research....

He said, “This is an information technology tool that we are developing together with colleagues from Nigeria that will take care of all those management aspects.”

The EBOKON project calls for setting up a command center, so to speak, in the capital of affected countries. Then health workers would use cellphones to relay in real time information on suspected cases around the country.

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U.S. to allow people from nations hit by Ebola to stay temporarily

REUTERS                                                                                                                      Nov. 20, 2014
By Julia Edwards

WASHINGTON-- The Department of Homeland Security will grant temporary protected status to people from the three West African countries most affected by Ebola who are currently residing in the United States, department officials said on Thursday.

A U.S. Coast Guard Corpsman working with the Office of Field Operations checks the temperature of a traveler who has recently traveled to either Guinea, Sierra Leone, or Liberia in this handout picture from the U.S. Customs and Border Protection taken at Washington Dulles International Airport October 16, 2014.Credit: Reuters/U.S. Customs and Border Protection/Josh Denmark/Handout via Reuters

People from Liberia, Guinea, and Sierra Leone in the United States as of Thursday may apply for protection from deportation, as well as for work permits, for 18 months, said a Department of Homeland Security official.

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Ebola response in Liberia is hampered by infighting

NEW YORK TIMES                                                                                                      Nov. 20, 2014
By Donald G. McNeil Jr.

The global response to the Ebola virus in Liberia is being hampered by poor coordination and serious disagreements between Liberian officials and the donors and health agencies fighting the epidemic, according to minutes of top-level meetings and interviews with participants. Medical workers handling a blood sample of an Ebola victim as the girl, 9, lay in a shawl in Monrovia, Liberia. She later died. Credit Daniel Berehulak for The New York Times

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Ebola Spreading Intensely In Sierra Leone As Death Toll Rises: WHO

WHO status reports on West Africa
(Two items. Scroll down)

REUTERS                                                                                                                      Nov. 19, 2014

By Stephanie Nebehay
 GENEVA - The toll in the Ebola epidemic has risen to 5,420 deaths out of 15,145 cases in eight countries, the World Health Organization (WHO) said on Wednesday, with transmission of the deadly virus still "intense and widespread" in Sierra Leone.

The figures, through Nov. 16, represent a jump of 243 deaths and 732 cases since those issued last Friday, and cases continue to be under-reported, the WHO said in its latest update.

Sierra Leone, a former British colony, confirmed 533 new cases in the week to Nov. 16, it said, accounting for much of the increase. It also reported 63 deaths since last Friday.

"Much of this was driven by intense transmission in the country's west and north," the WHO said.

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WHO plans to speed development of Ebola rapid test

CENTER FOR INFECTIOUS DISEASE RESEARCH AND POLICY
By Lisa Schnirring                                               Nov.18, 2014

Quicker and simpler diagnostic tests for Ebola could go a long way in helping break chains of disease transmission in West Africa's outbreak region, the World Health Organization (WHO) said today, as it unveiled two new initiatives to expedite their development.

The WHO said it hopes new efforts—similar to those under way to test and deliver an Ebola vaccine—can compress the development of a rapid test in months instead of years.

A Navy worker extracts RNA from a patient sample at a Naval mobile lab in Liberia. US Army Africa

Standard reverse-transcriptase polymerase chain reaction (RT-PCR) tests used in mobile and other labs in the outbreak are very accurate when conducted by trained staff, but they require a full tube of blood, take 2 to 6 hours to get a result, and costs around $100 per test, the WHO said today in a statement....

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Queen Fears Ebola Push at Expense of Other Killer Diseases

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Ebola's impact on Africa economy might be less than feared

REUTERS                                                                                                                             nOV. 19, 2014         
By Joe Brock
JOHANNESBURG (Reuters) - The cost of the Ebola epidemic for Sub-Saharan Africa's economy is likely to be closer to $3 billion-$4 billion and not the worst-case scenario of $32 billion, the World Bank's chief economist for the continent said on Wednesday.

Francisco Ferreira said at a lecture in Johannesburg that successful containment of Ebola in some West African countries made the gloomiest forecasts less likely, but the economic damage could still escalate if there was any complacency.

"The risk of the highest case of economic impact of Ebola has been reduced because of the success of containment in some countries. It has not gone to zero because a great level of preparedness and focus is still needed," Ferreira said.

"I would say the outlook has moved closer to the lower case of $3-$4 billion, than the upper case," he said.

In a report in October, the World Bank said that if the Ebola epidemic spread significantly outside the epicentre states of Guinea, Sierra Leone and Liberia, the potential cost for Africa in disrupted cross-border trade, supply chains and tourism could amount to tens of billions of dollars.

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West African Mining Projects Take Hit From Ebola Crisis

Epidemic Delays Rollout of Jobs Meant for Residents of Guinea, Liberia and Sierra Leone

WALL STREET JOURNAL                                                                                             Nov. 19, 2014
By Patrick McGroarty in Liberia, David Gauthier-Villars in Guinea
and Alex MacDonald in London

...a promising corner of the global economic frontier is pocked with stalled mining projects. The Ebola epidemic has scared off ships and planes; prompted expatriates to abandon their posts; and delayed the rollout of thousands of jobs meant for residents of the three poor West African countries hardest hit by the virus: Guinea, Liberia and Sierra Leone.

A three-story steel shiploader at ArcelorMittal’s port in the Liberian city of Buchanan is part of a $1.7 billion expansion delayed by Ebola. Patrick McGroarty/The Wall Street Journal

“All the projects are at a standstill,” said Mr. Foulah, chief executive of the mining-explosives firm ECP Guinée.

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Cuban Doctor Catches Ebola in Sierra Leone

UPATE:

Cuban doctor with Ebola is stable, has reduced fever, official says

REUTERS                                                                                  NOV. 20, 2014

HAVANA --The Cuban doctor who contracted Ebola while treating patients in Sierra Leone was in stable condition with a reduced fever and no further complications, a Cuban health official said Wednesday.

The doctor, Felix Baez, 43, cannot recall any mistake in procedure that could have led to him catching the virus from a patient, said Jorge Perez, director of the tropical diseases hospital where Cuban doctors train for their Ebola missions.

Baez, who is married with two children, was due to arrive in Geneva late Thursday, Perez said.

Red complete story

http://www.foxnews.com/health/2014/11/20/cuban-doctor-with-ebola-is-stable-has-reduced-fever-official-says/

Earlier story:

ASSOCIATED PRESS                                                                                      N0v. 19, 2014

By MICHAEL WEISSENSTEIN

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Gates Foundation, other donors launch study of Ebola drugs, survivors' blood, in Africa

ASSOCIATED PRESS                                                                                                  Nov. 18, 2014

A coalition of companies and aid groups announced plans Tuesday to test experimental drugs and collect blood plasma from Ebola survivors to treat new victims of the disease in West Africa.

This Nov. 7, 2014, photo shows the inside a mobile donation unit at the Raleigh-Durham International Airport in Raleigh, N.C. The unit was headed to Africa for use in a study of blood plasma treatment for Ebola patients. (AP Photo/Trevor Jenkins) (The Associated Press)

Plasma from survivors contains antibodies, substances the immune system makes to fight the virus. Several Ebola patients have received survivor plasma and recovered, but doctors say there is no way to know whether it really helps without a study like the one they are about to start within a month.

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Hearing: Examining Medical Product Development in the Wake of the Ebola Epidemic

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