Battling Ebola: The African responses that 'will win this war'

People walk past a billboard with a message about Ebola in Freetown, the capital of Sierra Leone, on November 7. Public awareness campaigns are proving vital in the fight against the virus.

Description of African efforts to improve communications to counter the spread of Ebola

CCN                                                                                                                                Nov. 17, 2014

By Alex Court (CNN)-- "When the Ebola outbreak started, it was very terrifying for everybody," recalls Michael Chu'no Ike from Nsukka in Nigeria's Enugu State. "People were afraid it could be transmitted by air and started believing all sorts of rumors about how to boost their immunity."

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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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Reports: 3rd Ebola patient headed to Nebraska

USA TODAY                                                 Nov.13, 2014
By Michael Winter

A third Ebola patient is headed to the Nebraska Medical Center this weekend, according to news reports Thursday.

CBS News said the patient was a surgeon infected with the virus while treating victims in Sierra Leone, one of the hardest-hit areas of West Africa.

NBC News said the patient is a Sierra Leonean national who is a permanent resident of the United States...

The Biocontainment Unit at the University of Nebraska facility in Omaha has already successfully treated and released two others -- Dr. Rick Sacra, a missionary delivering babies in Liberia, and Ashoka Mukpo, an NBC News freelance cameraman who also became infected while working in Liberia.
Read complete story

http://www.usatoday.com/story/news/nation/2014/11/13/ebola-nebraska-third-patient/18995987/

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Bats’ Link to Ebola Finally Solved

 

THE DAILY BEAST                                                                                                           Nov. 11, 2014
By Carfrie Arnold

A new paper outlines five steps required for a virus to ‘spill over’ from bats to humans. But don’t just blame the bats—deforestation and hunting are to blame, too.

These nocturnal fliers might do some good, but their association with night, rabies, and All Things Creepy means that, at best, we tolerate them. Adding to their negative aura is recent research showing that bats can be the source of infectious diseases like SARS and Ebola, as well as lesser-known pathogens like Hendra and Nipah virus.

It’s all too easy to blame bats for causing these human pandemics, including the most recent (and deadliest) Ebola outbreak. After all, these viruses hang out in bats in between outbreaks—trace any outbreak of these viruses back far enough and you will find a bat.

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Out of Africa — Caring for Patients with Ebola

NEW ENGLAND JOURNAL OF MEDICINE                                                                  Nov. 12, 2014

Eric J. Rubin, M.D., Ph.D., and Lindsey R. Baden, M.D.

The Journal has now published detailed clinical information about three patients transferred from West Africa to the United States or Germany in the midst of their illness.

See details of the treatment

http://www.nejm.org/doi/full/10.1056/NEJMe1412744

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Liberia president to end Ebola state of emergency

ASSOCIATED PRESS                                         Nov. 13, 2014

By Jonathan Paye-Leyleh and Baba Ahmed

MONROVIA, Liberia (AP) — Liberia's president said Thursday she is lifting a state of emergency imposed to control an Ebola outbreak that has ravaged the country, as Mali raced to track down everyone who may have come into contact with three people now believed to have died of Ebola in its capital.

Also Thursday, Doctors Without Borders announced that accelerated clinical trials will be launched in West Africa to speed the search for a treatment for the virus that has killed more than 5,000 people.

In a nationwide address, Liberian President Ellen Johnson Sirleaf said enough progress has been made to lift emergency measures but added that the move does not mean the outbreak is over. There have been fewer Ebola cases in Monrovia, the capital, though fresh hotspots have emerged. One of those is near the border with Sierra Leone, which along with Guinea has also been hit hard by the disease.

Read complete story.

http://news.yahoo.com/medical-aid-group-host-3-ebola-clinical-trials-090631858.html

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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.
Read complete article
http://www.homelandsecuritynewswire.com/dr20141113-the-economics-of-ebola

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Are we asking the wrong questions about Ebola?

BBC NEWS MAGAZINE                                            NOV. 11, 2014

By Ben Carter

The Ebola virus has killed about 5,000 people since March - but one scientist who is studying the statistics says this is not the best figure to consider if we really want to understand the current state of the outbreak and how to beat it.

 

 

A total of 4,960 people have died from Ebola this year according to statistics released by the World Health Organisation on 4 November. More than half of those cases - 2,766 - were in Liberia.

But this cumulative figure, which is widely reported, can only go one way - up. It gives no meaningful insight into how the outbreak has developed says Hans Rosling, professor of global health at the Karolinska Institute in Sweden....

Read full story.
http://www.bbc.com/news/magazine-30011521

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Health Officials Reassess Strategy to Combat Ebola in Liberia

NEW YORK TIMES                                                         Nov. 13, 2014

By and

WASHINGTON — As the rate of new Ebola infections in Liberia has slowed, American and Liberian officials are debating whether to build all 17 planned Ebola treatment centers in the country or to shift money from the Obama administration that was planned for the centers into other programs to combat future outbreaks.

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Full Senate Committee on Appropriations Hearing on the U.S. Government Response to Ebola Outbreak

               

appropriations.senate.gov - C-SPAN3 - November 12, 2014

Full Committee Hearing on the U.S. Government Response to the Ebola outbreak
 
WHEN:             WEDNESDAY, November 12, 2014 at 2:00 p.m.
                                                                                                             
WHERE:            Room SD-G50 of the Dirksen Senate Office Building

(VIEW THE RECORDED VIDEO IN THE LINKS BELOW)

http://www.appropriations.senate.gov/webcast/full-committee-hearing-us-government-response-fighting-ebola-and-protecting-america

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Ebola: Online briefing now available to the public

 

 

DOCTORS WITHOUT BORDERS                                                                              Nov. 12, 2014

The international medical organisation Médecins Sans Frontières (MSF) or Doctors Without Borders has posted an online briefing on Ebola for aid workers involved in the battle against the haemorrhagic fever. This briefing package is now available to anyone wishing to gain a basic understanding of the virus and how it can be contained.

http://www.msf.org/article/ebola-online-briefing-now-available-public

View the briefing at
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Major Gaps Persist in West African Battle Against Ebola Virus

VOICE OF AMERICA                              Nov. 12, 2014

By Kim Lewis                            

Doctors Without Borders  (MSF) says there have been slight improvements in the Ebola situation in Liberia and Guinea. However, Sierra Leone has experienced a big surge in reported cases throughout the country in recent weeks.

The group released an update on their assessment of the Ebola crisis in the three countries with reports of gains and losses. 

“I think we can see the most improvements in Liberia,” said MSF spokesman James Kambaki. MSF has large isolation center in the country and is distributing an estimated 300,000 protection kits – gloves, masks and chlorine as a disinfectant - to the public. “Besides that, MSF has also done a mass malaria prophylactic prevention to try and ease up the burden of other illnesses so that you can concentrate on Ebola.”

Kambaki said the prevention measures appear to be helping, but MSF is investigating a recent drop in numbers being admitted to their Ebola isolation centers.

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Lawmakers question Obama's $6-billion request for Ebola funding

LOS ANGELES TIMES                                           Nov. 12, 2014
By Matt Hansen
Weighing President Obama’s request for billions of dollars in new funding to combat the Ebola virus, lawmakers on Wednesday pressed federal agencies to explain how the additional money would help in the fight against the disease.

Members of the Senate Appropriations Committee debated Obama’s request for $6.18 billion in additional funds to battle the virus, which has infected more than 13,000 people, mostly in West Africa...

Health and Human Services Secretary Sylvia Mathews Burwell and Homeland Security Secretary Jeh Johnson appear before the Senate Appropriations Committee during a hearing Tuesday in Washington over the government's response to Ebola. (Michael Reynolds / European Pressphoto Agency)

... the request faced skeptical lawmakers who questioned whether additional money would be well spent by a federal government that has struggled at times with containing the epidemic.

“Instead of an effective response, what we’ve witnessed from various agencies is confusing and at times contradictory plans,” Sen. Richard C. Shelby (R-Ala.) said.

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Doctors Without Borders will begin Ebola drug studies by December in Africa

USA TODAY                                         Nov. 12, 2014
by Liz Sazbo

Doctors Without Borders will begin clinical trials of three experimental Ebola therapies in West Africa in December, the aid group announced Wednesday.

The studies, to be conducted at the group's treatment centers in Guinea and Liberia, will test therapies already used in some Ebola patients in the USA and Europe: the antiviral drugs brincidofovir and favipiravir, as well as blood donations from Ebola survivors.

Brincidofovir, made by Chimerix of North Carolina, was given to cameraman Ashoka Mukpo, Liberian national Thomas Eric Duncan and physician Craig Spencer. Mukpo and Spencer survived. Duncan received the drug just a couple days before he died.

Favipiravir, an anti-flu drug made by Japan's Fujifilm Holding Corp., was given to a French nurse who worked with Doctors Without Borders.

And blood donations from Ebola survivors, which contain antibodies against the virus, have been used since the first Ebola outbreak in 1976.

Read complete story
http://www.usatoday.com/story/news/nation/2014/11/12/ebola-clinical-trial/18919401/

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Ebola death toll tops 5,000; steep rise in Sierra Leone cases

REUTERS                                                                                               Nov. 12, 2014

By Stephanie Nebehay

GENEVA --The death toll from the Ebola outbreak in West Africa's three hardest-hit countries, Guinea, Liberia and Sierra Leone, has risen to 5,147 out of 14,068 cases at the end of Nov. 9, the World Health Organization (WHO) said on Wednesday.

A further 13 deaths and 30 cases have been recorded in five other countries - Nigeria, Senegal, Mali, Spain and the United States, the U.N. agency said.

"There is some evidence that case incidence is no longer increasing nationally in Guinea and Liberia, but steep increases persist in Sierra Leone," the WHO said in a statement. "Cases and deaths continue to be under-reported in this outbreak."

Some 421 new infections were reported in Sierra Leone in the week to Nov. 9, especially in the west and north, it said.

Ebola is still spreading intensely in Sierra Leone's capital of Freetown, with Koinadugu and Kambia northern regions now "emerging areas of concern", it added.

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