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Ebola outbreak thrusts MSF into new roles

 Relief agency sees its mission expanding after leading response to West Africa epidemic.

NATURE by  Erika Check Hayden                          June 3, 2015

GENEVA -- Joanne Liu, president of Médecins Sans Frontières (MSF), is not overly concerned with diplomacy. Participating in a panel in Geneva, Switzerland, on 20 May with officials from the United Nations, the World Health Organization (WHO), Liberia and Sierra Leone, she propped her head on her hand, stared into space and rolled her eyes during another speaker’s remarks. When she spoke, she excoriated the world for leaving West Africa vulnerable to the largest Ebola epidemic in history. “We’re failing, guys,” she said.

Joanne Liu visiting an MSF trauma centre in Kunduz, Afghanistan.

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Ban to convene international Ebola recovery conference in New York

UN NEWS CENTRE                                                                                June 2, 2015

To help mobilize needed resources “in the last mile of the response” against the Ebola outbreak and to start the affected West African countries on the path of early recovery, United Nations Secretary-General Ban Ki-moon today announced that he will convene an international conference next month.
In Sierra Leone, local health workers plan for the day ahead, as they continue their vigilance against Ebola. Photo: WHO/S. Aranda

“All of your investments, all of the sacrifices and lives lost, and all of the risks that the relief workers took would be squandered if the outbreak recurs,” Mr. Ban cautioned in his remarks to an informal plenary of the UN General Assembly on the Organization’s Ebola response efforts.

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UNMission for Ebola Emergency Response (UNMEER) External Situation Report 1 June 2015

UNMission for Ebola Emergency Response (UNMEER) External Situation Report  June 1,2015
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Further preparedness measures taking place in Guinea Bissau, following newly confirmed Ebola
cases in adjacent border areas of Guinea
.
Response efforts continue in Boké prefecture, as preparations for the forthcoming sensitisation and
early Ebola case search campaign progress in Dubréka.
...
UNMEER Comment: In Kamsar (Boké prefecture, Guinea)...: the number of burial teams may still
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Ebola threat to Guinea Bissau rises as border zone heats up

REUTERS                                                                                                    June 2, 2015

DAKAR --Violent protests against Ebola controls in a north Guinea town have prompted the Red Cross to withdraw workers, undermining efforts to stop the spread of Ebola into neighbouring Guinea Bissau.

 The Ebola epidemic was detected in Guinea over a year ago and has since killed more than 11,000 people in West Africa.

 But in a huge relief to officials and aid workers, it has not yet spread to Guinea Bissau, whose health system is deemed vulnerable even by low regional standards.

 Now, a spike in new cases in Guinea's Boke border province combined with violent resistance to efforts to control it there are stoking concerns it could spread.

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http://www.firstpost.com/world/ebola-threat-to-guinea-bissau-rises-as-border-zone-heats-up-reuters-2274104.html

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UN Official Says Ebola Will End in Sierra Leone in Weeks

ASSOCIATED PRESS by Edith M. Lederer                                           June 1, 2015

The U.N. Ebola chief said Monday he believes "it's only a matter of weeks" before the Ebola outbreak in Sierra Leone ends, but stopping the deadly disease in Guinea will take more time because in some areas unsafe traditions still hold sway over what's good for people's health.

Dr. David Nabarro stressed in an interview with The Associated Press on Monday that the Ebola epidemic "absolutely isn't over" though Liberia has been Ebola free since May 9.

"We have cases occurring, not in huge numbers but enough to be very disturbing, in Sierra Leone and in Guinea," he said, and the situation in Guinea is especially troubling because surprise cases have been popping up that are not part of known chains of transmission.

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http://abcnews.go.com/Health/wireStory/official-ebola-end-sierra-leone-weeks-31457174

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Health worker Ebola infections in Guinea, Liberia and Sierra Leone : WHO Report


Publication details

 Number of pages: 16
Publication date: May 2015
Languages: English
WHO reference number: WHO/EVD/SDS/REPORT/2015.1

Overview

 This preliminary report summarizes the impact of the Ebola epidemic on the health workforce of Guinea, Liberia and Sierra Leone. It investigates the determinants of infection and describes safe practices put in place to protect health workers during the epidemic. The report covers the period from 1 January 2014 to 31 March 2015 and is presents findings from the 815 confirmed and probable cases for whom individual case reports were available.

The Ebola epidemic has taken a heavy toll on the already scarce health workforce. Among the health workers for whom final outcome is known, two-thirds of those infected died. Preliminary analysis shows that, depending on their occupation in the health service, health workers are between 21 and 32 times more likely to be infected with Ebola than people in the general adult population. With higher risks of exposure in caring for others, health workers were disproportionately impacted and traumatised by Ebola.

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Did Authorities Use the Wrong Approach to Stop Ebola?

A new study suggests there was a better way to respond to the Ebola outbreak

TIME MAGAZINE by Alexandra Sifferlin                                                      May 26, 2015

It’s known that the response to the most recent Ebola outbreak, which as of Tuesday had infected more than 27,000 people and killed 11,130, was far too slow. Now, a new studysuggests that even once they got started, their approach to curbing the spread wasn’t the most efficient or effective.Read complete story.

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Will the Ebola crisis lead to improved global health security?

MEDICAL NEWS by Sally Robertson                                                 May 8, 2015

Unprecedented in both its impact and scale, the Ebola virus outbreak in West Africa has led to a renewed interest in the issue of global health security. How is global health security defined? What qualifies as a global health concern? What are the implications for governmental policies and programmes?

To address some of these questions, The Lancet invited a number of respected global health practitioners to reflect on the wider lessons that can be learned from the crisis and make suggestions about steps that can be taken to counteract such threats in the future.

Through a series of essays, the review discusses whether the outbreak is likely to improve the governance of global health security and reflects on the relevance of several issues, from the use of counterfeit medicines through to the importance of securing people’s access to healthcare.

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http://www.news-medical.net/news/20150508/Will-the-Ebola-crisis-lead-to-improved-global-health-security.aspx

THE LANCET

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Home > Health Ebola Is Found in Doctor's Eye Months After Virus Left Blood

ASSOCIATED PRESS by MARILYNN MARCHIONE AP Chief Medical Writer                                      May 7. 2015

(Scroll down for full study and American Academy of Ophtalolgy statement.)

For the first time, Ebola has been discovered inside the eyes of a patient months after the virus was gone from his blood.

Ebola has infected more than 26,000 people since December 2013 in West Africa. Some survivors have reported eye problems but how often they occur isn't known. The virus also is thought to be able to persist in semen for several months.

The new report concerns Dr. Ian Crozier, a 43-year-old American physician diagnosed with Ebola in September while working with the World Health Organization in Sierra Leone.

He was treated at Emory University Hospital's special Ebola unit in Atlanta and released in October when Ebola was no longer detected in his blood. Two months later, he developed an inflammation and very high blood pressure in one eye, which causes swelling and potentially serious vision problems.

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The Bill & Melinda Gates Foundation to Fund Disease Surveillance Network in Africa and Asia to Prevent Childhood Mortality and Help Prepare for the Next Epidemic

PR NEWSWIRE                                                                                                  May 7, 2015

(Scroll down for interview with Bill Gates)

At its Global Partners Forum, the Bill & Melinda Gates Foundation will announce the Child Health and Mortality Prevention Surveillance Network (CHAMPS), a network of disease surveillance sites in developing countries. These sites will help gather better data, faster, about how, where and why children are getting sick and dying. This data will help the global health community get the right interventions to the right children in the right place to save lives. The network will also be invaluable in providing capacity and training in the event of an epidemic, such as Ebola or SARS. The Gates Foundation plans an initial commitment of up to $75 million on the effort.

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