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Fighting an Epidemic With Hands Tied

Detailed discussion of the difficulties in recruiting health workers for West Africa

A health care worker dressed in protective clothing in an Ebola ward last month in Liberia. Organizing workers in West Africa has been a problem. Credit Daniel Berehulak for The New York Times

 NEW YORK TIMES                                Nov. 4, 2014
By LAWRENCE K. ALTMAN, M.D.

WASHINGTON — Hundreds of government and civilian workers of all stripes, and thousands of military personnel, have braved the terrifying prospect of infection to respond to the Ebola emergency in West Africa. And thousands more will be needed for an effort that is expected to go well into 2015.

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Canada contributes more money, but no medical workers in Ebola fight

TORONTO GLOBE AND MAIL                               Nov. 3, 2014
By Kelly Grant
Canada is spending another $30.5-million to fight Ebola, but Ottawa is still not answering pleas from international aid organizations for medical personnel to care for the ill in West Africa.

The bulk of the money announced on Monday – $23.5-million – will be spent on testing a Canadian vaccine and an experimental therapy, ZMapp, both of which were developed largely at the National Microbiology Lab in Winnipeg....

A lab technician at the National Microbiology Lab in Winnipeg, Manitoba November 3, 2014.
(LYLE STAFFORD/THE CANADIAN PRESS)

Canada has so far dispatched two mobile laboratories with rotating teams of scientists to rapidly diagnose or rule out Ebola in Sierra Leone.

But Ottawa has been reluctant to send medical staff to West Africa because the government cannot guarantee they could be airlifted out if they fall ill.

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As Ebola declines in Liberia, health officials reassess response plans

WASHINGTON POST                           NOV. 3, 2014

By Lenny Bernstein

MONROVIA, Liberia — The rate of new Ebola infections here has declined so sharply in recent weeks that even some of the busiest treatment facilities are now only half-full and officials are reassessing the scale of the response needed to quell the epidemic....

No one tracking the outbreak is close to declaring the deadly hemorrhagic disease vanquished, and all are wary that the virus, which has receded at times over the past seven months, could suddenly flare again in this impoverished country, the epicenter of the West African Ebola catastrophe.

But five days after the World Health Organization said new infections were declining in Liberia, a 157-bed treatment center in the city of Foya, where the epidemic began seven months ago, held no patients Monday, according to a nurse there. The same facility received no new admissions last Wednesday, the most recent day for which government statistics were available...

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W.H.O. Deplores Delay in Ebola Vaccine

THE NEW YORK TIMES                                     Nov. 3, 2014
By Rick Gladstone

The leader of the World Health Organization criticized the drug industry on Monday, saying that the drive for profit was one reason no vaccine had yet been found for Ebola.

In a speech at a regional conference in Cotonou, Benin, Dr. Margaret Chan, the director general of the W.H.O., also denounced the glaring absence of effective public health systems in the worst-affected countries.

Dr. Chan said her organization had long warned of the consequences of greed in drug development and of neglect in public health.

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New England researchers help shape the fight on Ebola

THE BOSTON GLOBE                                  Nov. 3, 2014

By Carolyn Y. Johnson

Northeastern University researchers use computers to simulate 20 million virtual Ebola outbreaks each week. Yale scientists are building three models that project the spread of the deadly disease. And a team at Boston Children’s Hospital is combing through data to gauge whether medical interventions are working.

....  they are providing a constant stream of evidence that is beginning to reveal the weak spots of the epidemic. For example, scientists’ models are beginning to identify basic patterns of who is being infected and when and how Ebola is being spread, which could help identify the most meaningful ways to intervene.

...According to their model, isolating three-quarters of the patients within the first four days that they show symptoms would help eliminate the disease.

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http://www.bostonglobe.com/metro/2014/11/02/ebola-disease-modelers-new-england-help-predict-future-spread-best-strategies/LZHSEGlInJs6SflLWW0yaP/story.html

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Nigerian-virologist-delivers-scathing-analysis-africas-response-ebola

SCIENCE INSIDER                                         Nov. 3, 2014

By Kai Kupferschmidt

VIENNA—After Oyewale Tomori finished his talk on Ebola here at the International Meeting on Emerging Diseases and Surveillance, there was stunned silence. Tomori, the president of the Nigerian Academy of Science, used his plenary to deliver a scathing critique of how African countries have handled the threat of Ebola and how corruption is hampering efforts to improve health. Aid money often simply disappears, Tomori charged, "and we are left underdeveloped, totally and completely unprepared to tackle emerging pathogens."

"Ebola is Africa's problem," says Oyewale Tomori.

 

Trained as a veterinarian, Tomori was the World Health Organization’s (WHO's) regional virologist for the African region in 1995 during the Ebola outbreak in Kikwit in the Democratic Republic of the Congo (DRC).

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WHO says currently no Ebola cases in Mali, 39 contacts sought

REUTERS                                         Nov. 3, 2014
By Tom Miles

GENEVA- Thirty-nine people who traveled on buses with a toddler who died from Ebola in Mali are still being sought for checks, although the country is believed to be free of the disease, the World Health Organization said on Monday.

A health worker checks the temperature of a baby entering Mali from Guinea at the border in Kouremale, October 2, 2014. Credit: Reuters/Joe Penney

A WHO spokeswoman said 108 contacts were being followed up, including 33 health workers, but epidemiologists believe those who have not been traced are at low risk, as they are unlikely to have had physical contact with the sick two-year-old.

The girl's five-year-old sister had a fever but was suffering from malaria, not Ebola, tests showed. Other family members are under observation in the same hospital and doing well, with no fever or other symptoms, the WHO said.

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Home> Health 'Post-Ebola Syndrome' Persists After Virus Is Cured, Doctor Says

ABC NEWS                                       Nov. 3, 2014
By via Good Morning America

West Africans fortunate to survive Ebola may go on to develop what's being called "post-Ebola syndrome," characterized by vision loss and long-term poor health, a doctor told a World health Organization.

People stand in the "red zone" where they are being treated for Ebola at the Bong County Ebola Treatment Unit in Monrovia, Liberia, Oct. 28, 2014.

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Hospital Records Are Adapting to Flag Ebola

A New Application Matches Patient’s Travel and Family History With Medical Symptoms

WALL STREET JOURNAL                         Nov. 3, 2014
By Melina Beck

A month ago, Massachusetts General Hospital in Boston had no way to flag in its electronic medical records if an incoming patient had been to West Africa and had symptoms suggesting Ebola.

Now it does. Five days after the first U.S. case was confirmed in Texas, the hospital deployed a new Ebola application made by QPID Health Inc. that automatically matches a patient’s travel and family history with medical symptoms. If Ebola is suspected, the application flashes a blinking “Q” to alert hospital personnel.

Dr. Garry Choy, who helped design Mass General’s QPID system. Dominick Reuter

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Ebola: Are cases levelling off?

BBC                                                                                  Nov. 1, 2014

By James Gallagher Health editor, BBC News website

LONDON--There is growing - but certainly guarded - talk within the World Health Organization that the overall number of new cases is levelling off.

...Dr Christopher Dye, the director of strategy in the office of the director general at the World Health Organization, has the challenge of predicting the spread of Ebola.

"Things clearly have changed with respect to the trajectory of the epidemic," he told the BBC News website....

Dr Dye added: "When we look at the total epidemic now, with the best information we have got available I would guardedly say that the case incidence per week is not going to get larger than it is at the moment, so around 1,000 cases per week.

"We know there's under-reporting so we have to emphasise caution, but broadly we're out of this big epidemic growth phase seen in August and September."

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http://www.bbc.com/news/health-29847058

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