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Proposed Ebola biobank would strengthen African science

NATURE by Erika Check Hayden                                                                             Aug. 10, 2015
As West Africa’s Ebola outbreak winds down, an effort is under way to make the best use of the tens of thousands of patient samples collected by public-health agencies fighting the epidemic.  Samples from the Ebola epidemic in West Africa are held by public-health agencies in the region and abroad. Daniel Berehulak/NYT/Redux/Eyevine

On 6–7 August, the World Health Organization (WHO) convened a meeting in Freetown, Sierra Leone, to discuss how to establish a biobank for up to 100,000 samples of blood, semen, urine and breast milk from confirmed and suspected Ebola patients, as well as swabs taken from the bodies of people who died from the virus. Held by health agencies in both West Africa and the West, the samples could be valuable in understanding how the current Ebola crisis evolved, preparing for future outbreaks and developing public-health research capacity in a region that depends on outside experts.

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How to Beat the Next Ebola

submitted by George Hurlburt

             

Graves dug in Freetown, Sierra Leone, to cope with those dying from Ebola in late 2014.  Mads Nissen/Panos

The world is ill-prepared for the next epidemic or pandemic. But the horror of the Ebola outbreak in West Africa may drive change.

nature.com - by Declan Butler - August 5, 2015

If there was one point last year when public-health experts held their breath, it was when a Liberian man infected with Ebola virus flew to Lagos, Nigeria, in July. Ebola was already raging uncontrolled through impoverished countries in West Africa, killing half of those it infected. Now a vomiting man had carried it straight to the heart of Africa's largest megacity — with 21 million inhabitants, many of whom live in slums. Experts were horrified at the prospect that the virus might rip through the city — and then, because Lagos is an international travel hub, spread farther afield.

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Mining Ebola tweets yields valuable outbreak information

MEDICAL NEWS TODAY                                                    June 2, 2015
(Scroll down for study.)
Last year, in the 3 days before the outbreak was officially announced, over 60 million people received tweets about the Ebola outbreak in West Africa, say the authors of a new study published in the American Journal of Infection Control that investigates the useful role that Twitter can play in outbreak monitoring and control.


In the 3 days prior to Nigeria's official announcement about Ebola, Twitter users had already shared around 1,500 tweets about the outbreak....

Social media allow users to play active roles in spreading news. Users can share insights, opinions, fears and ideas, outside the contexts of conventional public health channels.

For their study, two researchers from Columbia University School of Nursing in New York, analyzed Ebola-related tweets posted over a week in the early stages of the West African outbreak - from July 24th to August 1st 2014....

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Ebola in graphics: The toll of a tragedy

Set of graphs on the Ebola Outbreak

THE ECONOMIST   by the Graphics Team                                                                   May 5, 2015 

The outbreak continues to claim lives, but Liberia could be confirmed Ebola free on May 9th. The situation in Guinea and Sierra Leone is also improving with fewer provinces reporting cases than in previous weeks. The World Health Organisation reports that each country now has enough treatment beds to be able to isolate and treat patients with Ebola, and to bury everyone known to have died of the disease.

The chart above shows numbers from both the WHO's regular situation reports and from patient databases, which tend to be more accurate but are less complete for recent weeks.
See complete story and set of graphics.
http://www.economist.com/blogs/graphicdetail/2015/05/ebola-graphics

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Pesticides likely behind 'mysterious killer disease' in Nigeria

Deutsche Welle                                                                            April 19, 2015

 Eighteen people died under mysterious circumstances in southwest Nigeria this week, sparking fears of a new infectious disease outbreak. Weed killer was the likely cause, the World Health Organization has now said.

When over a dozen men in the village of Ode Irele in southwestern Ondo state who complained of similar symptoms all died within a day, alarm bells began to ring. However, according to the World Health Organization (WHO), there is no reason to suspect any outbreak of infectious disease, such as Ebola, which has claimed over 10,000 lives in Sierra Leone, Guinea and Liberia.

The "current hypothesis is herbicides," WHO spokesman Gregory Hartl said on Sunday, adding: "Tests done so far are negative for viral and bacterial infection."

The victims began showing symptoms between April 13 and 15, including blurred vision and loss of consciousness, and Ondo spokesman Kayode Akinmade said it was due to a "mysterious killer disease."

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Nigeria Hit With Mysterious Epidemic In Ondo State, More Deadly Than Ebola: Report

INTERNATIONAL BUSINESS TIMES  by Morgan Winsor        April 17, 2015

A strange disease has ravaged a small community in western Nigeria, killing at least 14 people in the last 10 days. Residents of the Ikale community in Ondo state have described the mysterious epidemic as more deadly than Ebola and many are afraid to touch the dead, the Daily Post in Nigeria reported.

“We are worried. Our people are dying. We don’t know this sickness,” resident Mary Omogbehinla told the Daily Post on Thursday. “We can’t touch those who have been killed. I have counted about 19, others said 14. God please, have mercy on us.”

Four new patients with symptoms of the strange disease were isolated at a local hospital in Ode Irele. The state’s health commissioner, Dayo Adeyanju, said Thursday the government launched an awareness campaign to encourage residents to report any potential cases of the mysterious ailment. The World Health Organization (WHO), Nigeria’s health ministry and other health agencies were also contacted to help identify the disease and to ensure the cases do not spread, the Daily Post said Thursday.

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Public Knowledge, Perception and Source of Information on Ebola Virus Disease – Lagos, Nigeria; September, 2014

PLOS CURRENT OUTBREAKS  by Saheed Gidado and others                                                    April 8, 2015
The first ever outbreak of Ebola virus disease (EVD) in Nigeria was declared in July, 2014. Level of public knowledge, perception and adequacy of information on EVD were unknown. We assessed the public preparedness level to adopt disease preventive behavior which is premised on appropriate knowledge, perception and adequate information.

Methods: We enrolled 5,322 respondents in a community-based cross-sectional study. We used interviewer-administered questionnaire to collect data on socio-demographic characteristics, EVD–related knowledge, perception and source of information...

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Combatting Rumors About Ebola: SMS Done Right

When misinformation is a case of life or death, aid workers and communities need an ear to the ground

INTERNEWS   by  Anahi Ayala Iacucci                                                March 26, 2015

 What is now clear to healthcare organizations working on the ground in West Africa is that the Ebola epidemic has been driven as much by misinformation and rumors as by weaknesses in the health system. It is common sense that information is a critical element in combatting disease, particularly when contagion from common social practices, such as bathing the corpses of the deceased, were central to so much of the early spread of the disease. But in the context of a massive disease outbreak, when hundreds of international organizations and billions of dollars flood into a region whose fragile infrastructure has been damaged by years of civil war, information dissemination becomes a powerful challenge.

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The State of Vaccine Confidence

The Vaccine Confidence Project    2015
LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE 

Lead Authors:  Heidi Larson, PhD and Will Schulz, MPH
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Laboratory support during and after the Ebola virus endgame: towards a sustained laboratory infrastructure

EUROSURVEILLANCE by I. Goodfellow, C. Reusken, and M. Koopmans  

  March 26, 2015                                                              

The Ebola virus epidemic in West Africa is on the brink of entering a second phase in which the (inter)national efforts to slow down virus transmission will be engaged to end the epidemic. The response community must consider the longevity of their current laboratory support, as it is essential that diagnostic capacity in the affected countries be supported beyond the end of the epidemic.

The emergency laboratory response should be used to support building structural diagnostic and outbreak surveillance capacity.

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