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Sierra Leone Doctors Strike for Better Ebola Care

BBC   by CLARENCE ROY-MACAULAY                        Dec. 8, 2014

FREETOWN -- Junior doctors in Sierra Leonewent on strike Monday to demand better treatment for health workers infected with Ebola, a health official said.

The association representing junior doctors asked the government to make sure life-saving equipment, like dialysis machines, is available to treat infected doctors. The government has promised that a new, fully equipped unit is opening soon near the capital. But the doctors began their strike anyway, according to Health Ministry spokesman Jonathan Abass Kamara.

Ten of the 11 Sierra Leonean doctors who have become infected have died....

As infection rates in Liberia and Guinea begin to stabilize, Sierra Leone has now recorded the highest number of cases, and Sierra Leoneans have been asking why the disease is picking up pace there.  Some have lashed out at the British response. In particular, the charity Save the Children, which is running the first U.K.-built treatment center to open, has been criticized for a slow and disorganized rollout.

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Ebola crisis: Sierra Leone case number surpasses Liberia

BBC                                                             Dec. 8, 2014

Sierra Leone has overtaken neighbouring Liberia as the country with the highest number of Ebola cases, the latest World Health Organization figures suggest.

Its latest estimate of the cumulative number of cases since the start of the outbreak in March now stands at 7,780 in Sierra Leone and 7,719 in Liberia.

In Guinea, the figure is 2,283. The virus has killed more than 6,300 people in the three West African countries. Just over half the reported deaths have been in Liberia, the WHO says.

On Monday, the organisation said its 60-day goals for tackling Ebola - treating 70% of patients and burying 70% of victims by 1 December - had been largely met in the three countries at the centre of the outbreak.

However it also said that the treatment figure in Sierra Leone had fallen below the mark.

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http://www.bbc.com/news/world-africa-30387906

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Rapid Ebola test is focus of NIH grant to Rutgers scientist

REPORTS Of RESEARCH ON TWO METHODS OF RAPID TESTING FOR EBOLA

(Two items, scroll down)

MEDICAL PRESS                                                                                     Dec. 8, 2014

Rutgers researcher David Alland, working with the California biotechnology company Cepheid, has received a grant of nearly $640,000 from the National Institutes of Health to develop a rapid test to diagnose Ebola as well as other viruses that can cause symptoms similar to Ebola.

Researchers will adapt this cartridge, now used worldwide for tuberculosis screenings, to collect and test samples from potential Ebola patients. Credit: John Emerson

Alland, a professor of medicine and associate dean for clinical research at Rutgers New Jersey Medical School and the principal investigator of the project, says would be able to take the test to small villages and other remote locations where the spread of Ebola has been especially rampant and diagnose patients where they live...

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In Ebola Outbreak, Bad Data Adds Another Problem

ASSOCIATED PRESS -By MARIA CHENG and SARAH DiLORENZO Dec. 14, 2014

LONDON--As health officials struggle to contain the world's biggest-ever Ebola outbreak, their efforts are being complicated by another problem: bad data.

Having accurate numbers about an outbreak is essential not only to provide a realistic picture of the epidemic, but to determine effective control strategies. Dr. Bruce Aylward, who is leading the World Health Organization's Ebola response, said it's crucial to track every single Ebola patient in West Africa to stop the outbreak and that serious gaps remain in their data.

"As we move into the stage of hunting down the virus instead of just slowing the exponential growth, having good data is going to be at the heart of this," Aylward said. "We are not there yet and this is something we definitely need to fix."

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Sierra Leone Baffled by Doctors' Ebola Deaths

VOICE OF AMERICA  by James Butty                             Dec. 8, 2014
FREETOWN --Sierra Leone’s chief medical officer has said he is baffled by the deaths of three doctors from Ebola over a three-day period.  

Dr. Brima Kargbo said a survey conducted jointly with the U.S. Centers for Disease Control (CDC) found that 70 percent of infections did not come from either the country’s Ebola holding centers or treatment facilities. 

FILE - A health worker prepares to disinfect a van used for burial purposes in Freetown, Sierra Leone.

Kargbo said Dr. Aiah Solomon Konoyeima died Saturday, becoming the 10th Sierra Leonean physician to die of the virus. 

“We have Dr. Tom Rogers and Dr. [Dauda] Koroma, who were buried yesterday, and also Dr. Konoyeima,” Dr. Kargbo said.

Rogers was a surgeon at the Connaught Hospital, the main referral unit in the capital, Freetown. He was reportedly being treated at the British-run Kerry Town Ebola treatment center. He was said to be responding well to treatment when his condition deteriorated dramatically on Friday.

Koroma died at the Hastings Treatment Center, which is run entirely by local Sierra Leone medics.

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An Ebola Doctor’s Return From the Edge of Death

Detailed description of one Doctor’s Story of Fighting Back From Ebola’s Deadly Grip

NEW YORK TIMES by Denise Grady                                Dec. 8, 2014

Dr. Ian Crozier, 44, contracted Ebola in Sierra Leone while treating patients. He was evacuated to Atlanta on Sept. 9 and had an agonizing illness, with 40 days in the hospital and dark stretches when his doctors and his family feared he might sustain brain damage or die. His identity was kept secret at his request, to protect his family’s privacy.

 

Now, for the first time, he is speaking out. His reason, he said, is to thank Emory for the extraordinary care he received, and to draw attention to the continuing epidemic.

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How ‘phenomenal’ staff in Nigeria cut Ebola fatality rate in half

THE TORONTO GLOBE AND MAIL by Kelly Grant                Dec.7, 2014

When the World Health Organization declared Nigeria officially Ebola-free in October, most of the fanfare centred on how Africa’s most populous country had managed to keep the virus from spreading.

But there was another, less heralded aspect of Nigeria’s success story that a Canadian doctor and her colleagues wanted to explore in more depth: How had 12 of Nigeria’s 20 Ebola patients beaten the virus?

The hospitals in Nigeria weren’t maybe to the standards of a Western hospital in terms of equipment, but the staff were phenomenal. They managed to get a very high survival rate,” said Eilish Cleary, a New Brunswick chief medical officer of health who travelled to Nigeria to provide epidemiological support to the World Health Organization during the outbreak. “Case fatality rate for Ebola can be up to 70 to 90 per cent. In Nigeria, it was 40 per cent.”

Dr. Cleary conducted detailed, videotaped interviews with six of the Nigerian patients to learn more about their treatment and recovery. The key to their survival seemed to be guzzling a stunning amount of water with oral rehydration solution [ORS] to fend off the cascade of internal failures typically caused by the virus.

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Ebola fight sees Canadian Forces medical team deployed to Sierra Leone

CBC NEWS                                                                                                                     Dec.6, 2014

A Canadian Forces medical team left CFB Trenton in Ontario on Saturday en route to Britain, where they’ll undergo training before deploying to Sierra Leone as part of the effort to combat the Ebola outbreak, the military said.

Judith Bosse, (left to right), Assistant Deputy Minister at the Public Health Agency of Canada, Defence Minister Rob Nicholson, Health Minister Rona Ambrose and Dr. Gregory Taylor, Canada's Chief Public Health Officer, watch a nurse demonstrate how to remove protective clothing after treating a hypothetical Ebola patient. (Patrick Doyle/Canadian Press)

The Forces said about 40 nurses, doctors, physicians’ assistants, medics and support are to train alongside U.K. military personnel, and most of them will continue on to Sierra Leone by later this month.

The Canadian Forces team will be working at a British-built clinic in Sierra Leone treating local and international health care workers, who themselves have become infected in the course of treating Ebola patients from the general population.

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10th Sierra Leonean Doctor Dies From Ebola

FREETOWN, Sierra Leone --Another Sierra Leonean doctor has died from Ebola, the 10th to succumb to the disease, a health official said Sunday.

Dr. Aiah Solomon Konoyeima died Saturday, according to Chief Medical Officer Dr. Brima Kargbo. His death came a day after two other doctors died from Ebola, emphasizing the tremendous toll the disease has taken on health care workers.

Konoyeima worked at a children's hospital in the capital and tested positive for Ebola about two weeks ago. He was treated at the Hastings Ebola Treatment Center, which is staffed exclusively by Sierra Leonean medical personnel, as compared to many other treatment units, which are run by international organizations or employ some foreign staff.

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http://abcnews.go.com/Health/wireStory/10th-sierra-leonean-doctor-dies-ebola-27424222

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As Ebola Rages, Poor Planning Thwarts Efforts

NEW YORK TIMES --by Jeffrey Gettleman                      Dec. 7, 2014

KERRY TOWN, Sierra Leone —On a freshly cleared hillside outside the capital, where the trees have been chopped down and replaced with acres of smooth gravel, the new Ebolatreatment center seems to have everything. There are racks of clean pink scrubs and white latex boots, bathrooms that smell like Ajax, solar-powered lights, a pharmacy tent, even a thatch-roofed hut to relax in.

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