Guinea

inprofiledaily.com - by mulbah - October 13, 2015

. . . “Dispatches made to health facilities are also being traced for evidence of delivery and receipts and preliminary results are showing that commodities were not received by health facilities as verified by documentation.”

Liberia has not only suffered the lack of essential drugs and medical supplies including quality health facilities to provide needed services to its citizenry over the years, but it has equally suffered the insincerity of people entrusted to manage and control procured drugs and medical supplies intended to prevent and combat diseases in the country.

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submitted by George Hurlburt

Sierra Leonean doctors practice wearing protective clothing in the Ebola Training Academy in Freetown, Sierra Leone, December 16, 2014. Reuters

uk.reuters.com - by Kemo Cham and Emma Farge - October 21, 2015

. . . the case of Scottish nurse Pauline Cafferkey – the first known Ebola survivor to have an apparently life-threatening relapse – has revived concerns about the health of some 17,000 survivors in Sierra Leone, neighbouring Guinea and Liberia.

Doctors and health officials in Sierra Leone told Reuters that a handful of mystery deaths among discharged patients may also be types of Ebola relapses, stirring fear that the deadly virus may last far longer than previously thought in the body, causing other potentially lethal complications.

Diagnoses have not been made, partly because of a lack of relevant medical training and insufficient equipment for detecting a virus that can hide in inaccessible corners of the body - such as the spinal fluid or eyeball. In Cafferkey's case, the virus in her brain caused meningitis.

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submitted by Carrie La Jeunesse

nejm.org - October 14, 2015 - DOI: 10.1056/NEJMe1512928

The number of new cases of Ebola virus disease (EVD) in western Africa has declined from a peak of 1063 cases in the week of October 9, 2014, to fewer than 10 confirmed cases per week for 11 consecutive weeks as of October 7, 2015. The main mode of transmission is direct contact with the blood or body fluids of a person with EVD or from the body of a person who died from EVD. However, Ebola virus can persist in the body fluids of survivors during convalescence, which may result in transmission of the virus. The potential for the persistence of Ebola virus in the semen of male survivors raises concern regarding the possible transmission of the virus to sexual partners.

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