Sierra Leone

USA TODAY by Bart Jansen                           Sept. 19, 2015

WASHINGTON – Federal authorities will end mandatory Ebola screening Monday for travelers from Liberia to five U.S. airports, but will continue to scrutinize travelers from Sierra Leone and Guinea, federal officials announced Friday.

The Department of Homeland Security's Customs and Border Protection had provided extra screening for more than 30,000 travelers during the past year, after an outbreak of the often fatal disease in West Africa.....

Customs and Border Protection and the Centers for Disease Control and Prevention agreed to remove Liberia from the list of countries subject to enhanced visa and port-of-entry screening, effective Monday....

The U.S. will maintain extra screening for travelers from Sierra Leone and Guinea, which still see a handful of new cases each week, and for people who traveled through those countries during the previous three weeks.

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http://www.usatoday.com/story/news/2015/09/18/ebola-travel-airport-screening-liberia-sierra-leone-guinea-customs-border-protection/72398942/

THE LANCET by Richard Horton                         Sept. 12, 2015

LONDON-- Post-Ebola reverie has given birth to a plethora of expert panels to consider what went wrong. The latest parade of global health specialists appointed to learn lessons gathered at the Wellcome Trust in London last week.
 Under the auspices of the US Institute of Medicine (IOM), a Commission to “deliberate and evaluate options to strengthen global, regional, and local systems to better prepare, detect, and respond to epidemic diseases” spent 2 days amassing evidence.

 There was no shortage of experience brought to bear on these important matters. Here were Margaret Chan, Jeremy Farrar, Ilona Kickbusch, David Heymann, Larry Gostin, Joy Phumaphi, Joanne Liu, and Peter Piot all wrestling with a seemingly intractable challenge. The statements offered to the Commission were arresting. But  the purpose of the meeting was not to talk. It was to identify the best system for an epidemic response....
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http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2900152-X/fulltext

TECH TIMES by rina Maria Doctor     Sept. 3, 2015
The World Health Organization (WHO) is set to vaccinate about 200 people in Sierra Leone, who were believed to have been directly or indirectly exposed to a woman who succumbed to death due to the virus on Saturday, Aug. 29.

The 67-year-old woman, whose diagnostic test results came positive for Ebola, was a merchant from the Kambia District, which is close to the border of Guinea. She died five days after Sierra Leone has begun a countdown projected to last for 42 days before the country may be declared free from the deadly virus. Before her diagnosis, the last patient diagnosed with the disease was reported on Aug. 8....

WHO will immunize the people in the area of Tonko Limba who have had direct and indirect exposures to the deceased, says Margaret Harris, a spokesperson from WHO. This effort will also include people who have had close contacts with the said exposed individuals....

Source:Centers for Disease Control and Prevention (CDC) - Date Published:08/20/2015

Annotation:This 38-page document provides a standard format for creating an Ebola Concept of Operations (ConOps) plan at the state, territorial, or major metropolitan area government level. It provides information on measures local governments, agencies, and organizations can take to support the plan. The ConOps in the template describes strategic, high-level considerations for establishing a regional tiered system to safely and effectively manage persons under investigation (PUIs) or patients confirmed with Ebola.

(38 page .PDF document)
URL: http://www.cdc.gov/phpr/documents/ebola-concept-of-operations-planning-template-8-20-2015.pdf

Authors:Dugas, Robert; Lamoureux, Joe; Mangieri, William; et al.
Type:Guideline/Assessment Tool
ID:11129. From Disaster LitTM, a database of the U.S. National Library of Medicine.

http://disasterlit.nlm.nih.gov/record/11129