NATIONAL PUBLIC RADIO                                                                                                        Nov. 21, 2014
by Nurith Aizenman

FREETOWN, Sierra Leone

Description of how the Hastings Ebola Treatment Center in Freetown, Sierra Leone is having success by having experienced nurses useIV's to counter the dehydration of Ebola patients.

Health workers are disinfected with a chlorine solution after treating patients at the Hastings Ebola Treatment Center in Freetown.

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http://www.npr.org/blogs/goatsandsoda/2014/11/21/365715575/an-ebola-clinic-figures-out-a-way-to-start-beating-the-odds

THE ASSOCIATED PRESS                                Nov. 22, 2014

FREETOWN, Sierra Leone -- The first wave of volunteers from Britain's National Health Service arrived in Sierra Leone Saturday amid what the World Health Organization has described as an "intense" surge in cases.

A sign reading 'Kill Ebola Before Ebola Kill You', on a gate is mounted as part of the country's Ebola awareness campaign in the city of Freetown, Sierra Leone, Sept. 14, 2014. (AP / Michael Duff, File)

More than 30 NHS staffers, including general practitioners and nurses, were expected to stay in Freetown, the capital, for one week of training before moving to treatment centres across the country, Britain's Department for International Development said in a statement.

They join nearly 1,000 British soldiers, scientists and aid workers already in the country participating in the Ebola fight, International Development Secretary Justine Greening said.

THE GUARDIAN                                                    Nov. 21, 2014
THE UNITED NATIONS --The UN security council has criticized travel bans against nationals from Ebola-hit countries.

Last month the Australian immigration minster, Scott Morrison, announced Australia would stop granting temporary visas to visitors from west Africa. The security council statement criticised such blanket bans and urged countries to maintain links with affected countries.

“The security council expresses its continued concern about the detrimental effect of the isolation of the affected countries as a result of trade and travel restrictions imposed on and to the affected countries as well as acts of discrimination against the nationals of Guinea, Liberia, Mali and Sierra Leone,” said Julia Bishop, the Australian foreign mniister who was presiding over the session Thursday.

The council statement also described the Ebola outbreeak in Africa as "a threat to international peace and security..."

NEW YORK TIMES                                     Nov. 21, 2014
By RICK GLADSTONE and SOMINI SENGUPTA

The leaders of the United Nations and the World Health Organization expressed renewed alarm on Friday about Ebola’s tenacity in Africa and, in particular, its potential to ravage a fourth country, Mali, where they said hundreds of people had been exposed to an infected cleric who died last month.

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

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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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

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

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.

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.

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.

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

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.

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.

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....

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.