Problem

NEW YORK TIMES  by Donald G. McNeil, Jr.                                                     Jan. 1, 2015

Medical experts seeking to stem the Ebola epidemic are sharply divided over whether most patients in West Africa should, or can, be given intravenous hydration, a therapy that is standard in developed countries. Some argue that more aggressive treatment with IV fluids is medically possible and a moral obligation. But others counsel caution, saying that pushing too hard would put overworked doctors and nurses in danger and that the treatment, if given carelessly, could even kill patients.

A nurse gave an Ebola patient intravenous fluids at the Red Cross treatment center in Kenema, Sierra Leone, in November. Credit Francisco Leong/Agence France-Presse — Getty Images

Health Body to Consider Rapid-Response Teams, Other Changes

WALL STREET JOURNAL by Betsy McKay in Atlanta and Peter Wonacott in Freetown, Sierra Leone             Dec. 30, 2014

The tepid initial response to West Africa’s Ebola outbreak exposed holes in the global health system so gaping it has prompted the World Health Organization to consider steps to prevent a repeat, including emergency-response teams and a fund for public-health crises.

In a special session next month in Geneva, the WHO’s executive board is expected to consider those and other recommendations by its member countries—including a proposal that it commission an outside review of its Ebola response—according to a document reviewed by The Wall Street Journal.

The plan comes as global health officials are struggling with a knotty question: how the WHO could have moved at a slow pace initially despite lessons learned more than a decade ago from another deadly outbreak, of SARS.

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http://www.wsj.com/articles/after-slow-ebola-response-who-seeks-to-avoid-repeat-1419892712

ASSOCIATED PRESS  by By Michelle Faul                        Dec. 29, 2014

GUECKEDOU, Guinea – West Africa’s fight to contain Ebola has hampered the campaign against malaria, a preventable and treatable disease that is claiming many thousands more lives than the dreaded virus.

Woman in the Guinean village of Meliandou, above, near the area considered to be Ebola's ground zero. The fight against Ebola in West Africa is holding back efforts to prevent and treat malaria. Jerome Delay / AP Photo

In Gueckedou, near the village where Ebola first started killing people in Guinea’s tropical southern forests a year ago, doctors say they have had to stop pricking fingers to do blood tests for malaria.

Editorial urging U.S. academic medical centers to do more to fight Ebola
in West Africa

NEW ENGLAND JOURNAL OF MEDICINE                            Dec. 24, 2014
By Jeffrey M. Drazen, M.D., Edward W. Campion, M.D., Eric J. Rubin. M.D., Ph.D., Stephen Morrissey, Ph.D., and Lindsey R. Baden, M.D.

... As the Ebola outbreak has burned its way deep into Guinea, Liberia, and Sierra Leone, in one of the worst acute public health crises in 50 years, our academic medical centers have sat largely on the sidelines.

...The leaders of academic medical centers that have put roadblocks in the path of those wishing to serve need to rethink their priorities. They should be making it easier, not harder, for altruistic physicians, nurses, and other health care providers to help care for the sick and control the Ebola epidemic in West Africa. ... Something is wrong when some of the greatest health care centers in the world are not helping in the fight against this disastrously dangerous threat to human health. We ask the leaders of every medical center in the country to figure out how to make it possible for their staff, and even qualified trainees, to help on the ground in West Africa.

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