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3 ways mobile helped stop the spread of Ebola in Nigeria

BROOKINGS TECH TANK   by Joshua Bleiberg and Darrell M. West                                       March 19, 2015

...There were a variety of factors that contributed to Nigeria’s success at combating the (Ebola)  disease. One important factorwas the use of mobile electronic health records programs.

1. Training Healthcare Workers

Training health care providers was a priority at the beginning of the Ebola outbreak. A survey found that 85 percent of health care workers in the country believed you could avoid Ebola by abstaining from handshakes or touching. Correcting these myths about the disease was a critical part of the response effort, especially for health care workers.

2. Rapid Deployment

One of the virtues of mHealth is its speed and flexibility. Mobile allows officials to quickly disseminate the latest information to front line health care workers. Increasing the speed of communication is a general boon to any large public health response.

3. Virtual Records

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The case for EOCs post-Ebola

DEVEX    by  By Jenny Lei Ravelo                        March 19, 2015
Emergency operation centers have been critical in stemming potential Ebola outbreaks in several West African countries like Nigeria and Mali, but there remain doubts about whether countries would keep them post-Ebola. Ismail Ould Cheikh Ahmed, special representative of the secretary-general and head of the U.N. Mission for Ebola Emergency Response, meets with UNMEER staff at the Ebola Operation Center in Bamako, Mali. Should EOCs be retained post-Ebola? Photo by: Pierre Peron / UNMEER / CC BY-ND

This is largely because of its potential to cause “institutional turf wars” within the government structure, according to Madji Sock, partner at global development advisory firm Dalberg.

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How to Fight the Next Epidemic

The Ebola Crisis Was Terrible. But Next Time Could Be Much Worse.

 

NEW YORK TIMES OPINION PAGE by Bill Gates                                                           March 18, 2015

(Scroll down for fuller Bill Gates article in the New England Journal of Medicine)

SEATTLE — The Ebola epidemic in West Africa has killed more than 10,000 people. If anything good can come from this continuing tragedy, it is that Ebola can awaken the world to a sobering fact: We are simply not prepared to deal with a global epidemic.

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Ebola: Getting to Zero

For communities, for children, for the future

UNICEF                                                                                                             March 16, 2015

As slight hints of recovery begin to surface in West Africa, UNICEF is looking at the impact of Ebola on children and the response and work of the affected communities in the report, Ebola: Getting to zero – for communities, for children for the future.

 The document traces some of the outbreak’s history along with the stories of survivors, health care workers and those working to make things better on the ground. The report also helps map out the actions that urgently must continue to help build resiliency and resuscitate basic services and systems decimated by Ebola.

Read the report

http://www.unicef.org/emergencies/ebola/files/EbolaReport.pdf

Also see additional information in the links below:

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Africa tourism acts to shake off Ebola stigma

AFP  by Marie Julie                                                                                                        March 7, 2015
Berlin - - The impact of the deadly Ebola virus fell mainly on three African countries but tourism has taken a hit across the continent of more than 50 nations as fear has kept many visitors away, tourism chiefs say.

Visitors pass by a poster of flight route information at the 49th International Tourism Fair (ITB Berlin 2015) in Berlin on March 4, 2015 (AFP Photo/Tobias Schwarz)

Some 56 million tourists visited Africa in 2014, a two-percent rise from the previous year, according to UNWTO figures, but growth in Africa lagged behind that in Europe, Asia or the Americas.

Africa had seen a robust 4.8-percent increase in tourists a year earlier.

"Africa... did well (last year) in spite of suffering from the Ebola symptoms which were associated unfairly" with Africa as a whole, Taleb Rifai, head of the UN World Tourism Organization (UNWTO), said at the Berlin tourism fair (ITB).

He said Africa needed support, especially after the Ebola crisis, adding: "It was very unfair the generalisation that happened."

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What Are the Long-Term Effects of Ebola?

LIVE SCIENCE  by Rahael Retner                             March 5, 2015

Texas nurse Nina Pham, who was infected with Ebola, says she has had ongoing health problems since being cured of the disease, and experts say this is not uncommon for Ebola survivors.

The long-term effects of Ebola have not been well studied, and doctors will likely learn a lot more about the disease's aftermath from the most recent outbreak in West Africa, the largest in history, said Dr. Jesse Goodman, an infectious-disease expert and a professor of medicine at Georgetown University Medical Center in Washington, D.C.

 But it is clear that Ebola survivors can experience health problems that remain with them temporarily as a result of their battle with the disease, Goodman said....

 These symptoms may result, in part, from the body's release of certain immune-system chemicals called cytokines. These chemicals fight the disease but make people feel sick. Dehydration, low blood pressure and nutrition problems that people experience during an Ebola infection can also injure a person's muscles or other tissues, Goodman said.

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Mapping the Zoonotic Niche of Ebola Virus Disease in Africa

submitted by Stephen Morse

elifesciences.org - September 8, 2014 - eLife 2014;3:e04395
DOI: http://dx.doi.org/10.7554/eLife.04395

Ebola virus disease (EVD) is a complex zoonosis that is highly virulent in humans. The largest recorded outbreak of EVD is ongoing in West Africa, outside of its previously reported and predicted niche. We assembled location data on all recorded zoonotic transmission to humans and Ebola virus infection in bats and primates (1976–2014). Using species distribution models, these occurrence data were paired with environmental covariates to predict a zoonotic transmission niche covering 22 countries across Central and West Africa. Vegetation, elevation, temperature, evapotranspiration, and suspected reservoir bat distributions define this relationship. At-risk areas are inhabited by 22 million people; however, the rarity of human outbreaks emphasises the very low probability of transmission to humans. Increasing population sizes and international connectivity by air since the first detection of EVD in 1976 suggest that the dynamics of human-to-human secondary transmission in contemporary outbreaks will be very different to those of the past.

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Use of Group Quarantine in Ebola Control — Nigeria, 2014

Morbidity and Mortality Weekly Report (MMWR)

CDC                                                                                                                            Feb. 13, 2015

by Cheri Grigg, DVM1,2, Ndadilnasiya E. Waziri, DVM3, Adebola T. Olayinka, MD3, John F. Vertefeuille, PhD4

On July 20, 2014, the first known case of Ebola virus disease (Ebola) in Nigeria, in a traveler from Liberia  led to an outbreak that was successfully curtailed with infection control, contact tracing, isolation, and quarantine measures coordinated through an incident management system.

During this outbreak, most contacts underwent home monitoring, which included instructions to stay home or to avoid crowded areas if staying home was not possible. However, for five contacts with high-risk exposures, group quarantine in an observation unit was preferred because the five had crowded home environments or occupations that could have resulted in a large number of community exposures if they developed Ebola.

Read complete report.

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6405a3.htm?s_cid=mm6405a3_x

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As Ebola Ebbs in Africa, Focus Turns From Death to Life

NEW YORK TIMES  by Normitsu Onishi                                                                Feb. 1, 2015

MONROVIA, Liberia — Life is edging back to normal after the deadliest Ebola outbreak in history....

FEAR FADING Beachgoers in Monrovia, Liberia, recently ravaged by Ebola. As fear of the virus ebbs, Liberians are slipping back into their daily rhythm. John Moore/Getty Images

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What worked in controlling the Ebola outbreak in West Africa

One Lesson: Rush to Help, not to declare victory

EDITORIAL    THE WASHINGTON POST                                Jan. 31, 2015

THE WORLD’S tardy response to the Ebola virus outbreak in West Africa, which has killed 8,810 people, demands that lessons be learned.

 Toward that end, a fresh batch of scientific reports has emerged in recent days to guide future responses. The World Health Organization, which stumbled in the initial period, seems to be recognizing its mistakes and looking for ways to correct them.... it is vital to keep medical interventions in place for long periods — and a big mistake to declare victory too early. The research also shows that most transmission of Ebola occurred in families....

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