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UN: At Least 50 Ebola Hotspots Remain, but New Cases Falling

ASSOCIATED PRESS   By EDITH M. LEDERER                                                         Jan. 15, 2015

UNITED NATIONS --At least 50 Ebola hotspots remain in the three hardest-hit West African countries but new cases are declining and the deadly disease will be defeated, the U.N.'s Ebola chief said Thursday.

The latest report from the World Health Organization showing reductions in Guinea, Liberia and Sierra Leone "is very good news," Dr. David Nabarro said in an interview with The Associated Press.

In the week ending Jan. 11, WHO said Guinea reported its lowest weekly total of new Ebola cases since mid-August. Liberia had its lowest total since the first week of June and no confirmed new cases for the final two days of the week. And new cases in Sierra Leone declined for a second week to the lowest level since the end of August.

But Nabarro cautioned that "there are still numbers of new cases that are alarming, and there are hotspots that are emerging in new places that make me believe there is still quite a lot of the disease that we're not seeing."

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Ebola Cases Drop Off in West Africa

NBC NEWS     by Maggie Fox                                                                             Jan. 14, 2005
The number of new Ebolacases is starting to drop off in the three worst-hit West African countries, and Liberia has only reported 48 cases in the past three weeks, the World Health Organization reported Wednesday.

Guinea and Liberia both reported the fewest new cases since August, WHO says in its latest daily look at Ebola statistics. Sierra Leone is still suffering badly, with 769 new cases over the past 21 days, but that's a decline in reported cases.

"Sierra Leone has now reported a decline in case incidence for the second week running, and recorded its lowest weekly total of new confirmed cases since the week ending 31 August 2014," WHO said.

Overall, 21,261 people have been infected in this ongoing epidemic of Ebola, and 8,414 have died, WHO says.

http://www.who.int/csr/disease/ebola/situation-reports/en/

Ebola Situation report

WHO                                                                                         Jan. 14, 2015

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Ebola crisis update - 13th January 2015--MSF

 MEDECINS SANS FRONTIERS                                                                       Jan. 13, 2015

In September, 2014, MSF called for states with biological-disaster response capacity to urgently dispatch human and material resources to West Africa, all three of the worst-hit countries have received some assistance from the international community. But foreign governments have focused primarily on financing or building Ebola case management structures, leaving staffing them up to national authorities, local healthcare staff and NGOs.

Across the region, there are still not adequate facilities for isolating and diagnosing patients where they are needed. Other elements that are essential to an Ebola response – such as awareness-raising and community acceptance, safe burials, contact tracing, alert and surveillance, access to health care for non-Ebola patients – are still lacking in parts of West Africa.

Read complete report.

http://www.msf.org/article/ebola-crisis-update-13th-january-2015

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Ebola in Liberia could end by June, says new epidemic model

MEDICAL NEWS TODAY                                                                                   Jan. 14, 2015
A new computer model that takes into account not only features of the virus and how it transmits, but also what is being done to halt its spread, predicts that the Ebola epidemic in Liberia could end by June if current high rates of hospitalization and surveillance continue.

                     The researchers believe their Ebola epidemic tool offers more realistic forecasts.

"That's a realistic possibility but not a foregone conclusion," says John Drake, an ecology professor at the University of Georgia (UGA), who led the project to develop the model with other ecologists at UGA and also at Pennsylvania State University.

The team reports how they developed the model and ran some scenarios through it, in the open access journal PLOS Biology.

Prof. Drake says their epidemic model is probably the first to take into account factors such as where infections occur, where patients are treated, growth in hospital bed numbers, and the adoption of safe burial practices.

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Launching a vital link in the Ebola-response effort

MIT Center for Transportation & Logistics                    Jan. 13, 2015

A shipment of medical equipment that arrived in Monrovia, Liberia, from Miami on Jan. 12 will enable 25 government hospitals to receive infection-control training. Critically, the shipment will help facilities that were partially or fully closed due to the ongoing Ebola crisis to recommence regular operations.

Many resources in the Ebola-response effort have appropriately focused on Ebola treatment; this flight launches an important new step in the response by providing training and supplies for health workers to safely resume vital services.

The delivery was organized by the Academic Consortium Combatting Ebola in Liberia (ACCEL), a network of academic centers with technical expertise in emergency medicine and logistics systems....

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http://newsoffice.mit.edu/2015/cargo-flight-launches-vital-link-ebola-response-effort-liberia-0113

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Liberia says limits Ebola spread to just two counties

REUTERS                                                                                                      Jan. 13, 2015

MONROVIA-- Liberia is on the verge of containing the spread of the Ebola virus with only two of its 15 counties reporting new infections, the head of the country's Ebola response said on Tuesday.

Pedestrians walk past a sign reading ''Ebola disease outbreak'' outside the Ministry of Finance in Monrovia January 12, 2015. Credit: Reuters/James Giahyue

Tolbert Nyenswah, who is also a deputy health minister, said the new cases were reported in Montserrado county, which includes the capital Monrovia, and Grand Cape Mount, on the border with Sierra Leone.

Bong, Nimba, Sinoe, and Margibi counties have not reported a single case since the end of December, he said. According to the World Health Organization (WHO), Bong, Nimba and Sinoe have gone 21 days without a positive case - the maximum incubation period for the virus.

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China sending large Ebola team to West Africa

AJ JAZEERA                                                     Jan. 13, 2015

China is ramping up its assistance in the fight against Ebola by dispatching an additional 232 army medical workers to West Africa, state media reported.

The latest contingent to be sent to afflicted nations will depart on Tuesday evening, with 154 of them headed to Liberia and 78 to Sierra Leone, according to the China Daily newspaper.

They will join 43 army doctors and 35 specialists from the Chinese Center for Disease Control already working in Sierra Leone, where they have treated 61 patients and trained 1,600 local medical workers.

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http://www.aljazeera.com/news/africa/2015/01/china-ebola-west-africa-201511391645512136.html?utm_medium=referral&

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CDC director 'confident' can get to zero Ebola cases

REUTERS                                                                         Jan. 9, 2015

(Two stories. Scroll down.)

WASHINGTON --The director of the U.S. Centers for Diseases Control and Prevention said on Tuesday he was "confident" that the Ebola outbreak ravaging West Africa can be brought under control but that "we are by no means out of the woods."

Speaking at a breakfast meeting in Washington with public health officials and lawmakers, Dr. Tom Frieden said it is vital that every case of the disease is eliminated.

"I remain very confident we can get to zero cases in this epidemic if we continue the way we're going and nothing unexpected happens," Frieden said.

http://www.reuters.com/article/2015/01/13/us-health-ebola-frieden-idUSKBN0KM1KG20150113

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USAID: Eyes on Guinea as Liberia, Sierra Leone improve on Ebola

The rate of new Ebola cases in Liberia has plunged, Sierra Leone is beginning to turn the corner in dealing with the deadly virus and health officials are now focused on Guinea, a USAID official said on Tuesday.

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After Ebola, WHO blames governments and seeks more clout

REUTERS   by Tom Miles                              Jan. 13, 2015

GENEVA - The World Health Organization says governments flouted their obligations during the Ebola crisis and wants more power to tackle health emergencies in future, documents published by the international agency showed on Monday.

The Geneva-based U.N. health organisation has been heavily criticised for its slow response to the Ebola epidemic, which has now killed at least 8,371 people out of more than 21,000 cases in Liberia, Sierra Leone and Guinea.

The WHO promised in October to publish a full review of its handling of the outbreak once the epidemic was under control.

But it has not yet done so.

The documents submitted to its 34-nation Executive Board said governments had put International Health Regulations that cover public health risks and disease outbreaks at risk through actions such as closing borders and discriminating against travellers from Ebola-affected countries.

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http://af.reuters.com/article/topNews/idAFKBN0KM0CU20150113?pageNumber=1&virtualBrandChannel=0

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WHO experts chart next steps for Ebola vaccine trials

CENTER FOR INFECTIOUS DISEASE AND POLICY RESEARCH     by Lisa Schnirring                                 Jan. 9, 2015

The next steps in testing Ebola vaccines as well as a picture of how they might be used in West Africa's outbreak region became clearer today as officials from the World Health Organization (WHO) shared the outcome of yesterday's (Thursday's) high-level meeting in Geneva.

Large phase 3 trials in West Africa's outbreak setting will be next up to see if the vaccines work, with the studies designed to collect more safety data, a task usually covered in phase 2 trials, experts involved in the meeting said today at a WHO media telebriefing. However, as Ebola infections drop off in the outbreak region, scientists face a closing window of opportunity to see how the vaccines perform in a real-life setting.

Experts also signaled a possible role for two Ebola vaccine formulations: a single-dose vaccine providing shorter-term immunity that could be used to tamp down Ebola flare-ups and a prime-boost vaccine that may provide more durable immunity and could be used for other immunization strategies.

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