Situation Report

Conference Summary: Using Lessons Learned from Previous Ebola Outbreaks to Inform Current Risk Management

CENTER FOR DISEASES CONTROL by Dickmann P, Kitua A, Kaczmarek P, Lutwama J, Masumu J, Karimuribo E, et al             April 8,2015 

Summary of conference on lessons learned from Ebola crisis

"...A major conclusion was that infectious disease management will work only when it is established with and within the community and not directed against it. This lesson requires community engagement in formulating infection control measures, as well as implementation, dissemination, and promotion of these measures. Infection control procedures are generally perceived as intrusive and, as such, often interfere with local social, cultural, and religious practices.... Building on this process of finding the right, appropriate containment measures, communication and health promotion work best when they involve community and religious leaders, traditional healers, and other advocates.

National and cross-border Ebola outbreaks are a new development, and engagement with various communities has presented a particular challenge throughout the current outbreak. A key aspect of this engagement is to devise and elaborate solutions for infection control that are consistent with local realities and practices. International health and aid organizations must strive to work in concert with communities to find adequate infection-control solutions....

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30 new Ebola cases, lowest weekly figure in nearly a year: WHO

REUTERS                                                                                                           April 8, 2015

GENEVA -- Thirty confirmed cases of Ebola were reported in West Africa in the past week, the smallest number in nearly a year of the worst ever outbreak of the deadly fever, the World Health Organization said on Wednesday.

"This is the lowest weekly total since the third week of May 2014," the WHO said in its latest update.

The virus is receding in Liberia, which reported no cases in the week to April 5, and in Sierra Leone, which reported nine, its fifth consecutive weekly decrease, it said.

But the picture was "mixed" in Guinea, which had 21 new infections, the WHO said. Unsafe burials of bodies continued in Guinea and "unknown chains of transmission could be a source of new infections in the coming weeks", it warned.

Reas complete story.

http://news.yahoo.com/30-ebola-cases-lowest-weekly-figure-nearly-193642702.html;_ylt=AwrBEiE_piVVVQwAjAnQtDMD

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UN envoy: Expect Ebola vaccine in coming months

INQUIRER.NET  by Kristine Angeli Sabillo                  APRIL 8, 2015

MANILA --As the Ebola outbreak in West Africa winds down, the United Nations is optimistic that a vaccine against the deadly virus will be made available in the next several months.

“Clinical trials have have now been undertaken of candidate vaccines, two of them. They are now at an advanced stage,” Dr. David Nabarro, UN secretary general special envoy on Ebola, told reporters in Manila on Wednesday.

“I believe that we will have a vaccine against Ebola that is available and can be used particularly for doctors and nurses who provide treatment for people with the disease in the coming months,” he added.

According to the World Health Organization, the two vaccine candidates undergoing efficacy trials are ChAd3-ZEBOV, developed by GlaxoSmithKline (GSK), and rVSV-ZEBOV, developed by NewLink Genetics and Merck Vaccines USA. The first is being developed in collaboration with the US National Institute of Allergy and Infectious Diseases (NIAID) and the second with the Public Health Agency of Canada.

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http://globalnation.inquirer.net/120463/un-envoy-expect-ebola-vaccine-in-coming-months/

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Ebola Vaccine 2015: Guinea Seen As Best Hope For Preventative Drug Trials, But Time Is Running Out

INTERNATIONAL BUSINESS TIMES by Philip Roth       April 7, 2015

(Two stories. Scroll down)
Health officials’ best bet for discovering a vaccine for Ebola lies with the West African country of Guinea, where the outbreak that has killed an estimated 10,500 over the past year began, and the place that researchers largely ignored when it came time for drug trials. As researchers race to find a vaccine before the window of opportunity closes – essentially, before the epidemic is brought to an end -- scientists with the World Health Organization are beginning to test a vaccine in Guinea manufactured by researchers in the U.S. and Canada.

 

The race to find a vaccine for Ebola is in its final lap. Pictured, research assistant Georgina Bowyer works on a vaccine for Ebola at the Jenner Institute in Oxford, southern England, Jan. 16, 2015. Reuters

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Sierra Leone says Kailahun Ebola case report was mistaken

REUTERS                                                                                                        April 7, 2015

KENEMA, Sierra Leone-- Sierra Leone said on Tuesday that it had mistakenly reported an Ebola positive case in Kailahun, a former hotspot for the virus which has not seen a case for nearly four months.

A nine-month-old baby was pronounced Ebola positive last week but was later found to have died from other causes, according to National Ebola Response Centre spokesman Sidi Yahya Tunis....

Kailahun district council chairman Alex Bonapha said the false test result had resulted in deaths at a local clinic where medical staff were quarantined as a precaution, "leaving the patients without care".

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http://www.reuters.com/article/2015/04/07/us-health-ebola-leone-idUSKBN0MY1PM20150407

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Ebola: media ‘overlooked Africa's role in combating crisis’

THE GUARDIAN by Sam Jones                                                              April 7, 2015

Africa’s efforts to tackle the Ebola crisis have been largely overlooked even though Africans have taken the lead in providing frontline staff and shown themselves “better placed to fight infectious diseases in their continent than outsiders”, according to the African Union (AU).

A Liberian health worker checks the temperature of students to curb the spread of Ebola in Caldwell, outside the capital Monrovia. Photograph: Ahmed Jallanzo/EPA

Dr Olawale Maiyegun, director of social affairs at the AU commission, said that despite the fact that Africans had proved both willing and able to deal with Ebola, the focus had been on the work of international agencies and those with the greatest media clout.

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Ebola: German ministers talks up economic recovery in West Africa

Deutsche Welle                                                                                          April 7, 2015
BERLIN --Two German federal ministers are on their way to West Africa, to offer Berlin's support as the region recovers from the effects of Ebola. They've also flagged creating specialist teams to deal with future crises.

The lawmakers, Health Minister Hermann Gröhe and Development Minister Gerd Müller...will push for a redevelopment of the affected health systems, and ways to better respond to health disasters in Africa, with a 200-million euro aid package sponsored by Germany.

Müller told the Bild newspaper that a team of "white helmets" - groups of doctors, technicians and specialists - would be set up at Germany's development agency, GIZ, to be sent anywhere in the world in three to five days.

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http://www.dw.de/ebola-german-ministers-talks-up-economic-recovery-in-west-africa/a-18364560

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Yes, We Were Warned About Ebola

NEW YORK TIMES OP-ED  By BERNICE DAHN, VERA MUSSAH and CAMERON NUTT   April 7, 2015               
MONROVIA, Liberia — The conventional wisdom among public health authorities is that the Ebola virus, which killed at least 10,000 people in Liberia, Sierra Leone and Guinea, was a new phenomenon, not seen in West Africa before 2013. (The one exception was an anomalous case in Ivory Coast in 1994, when a Swiss primatologist was infected after performing an autopsy on a chimpanzee.)

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Ebola-hit Sierra Leone arrests 13 at unsafe burial: police

AFP by

FREETOWN -- Police in Ebola-hit Sierra Leone raided a funeral and arrested 13 people suspected of organising an unsafe burial, risking spreading the disease, officers said on Tuesday.

Police superintendent Da Samah said "heavily-armed" police arrived just in time to stop a 50-year-old man being interred on the outskirts of Freetown after they were tipped off about the ceremony....

He said those present at the funeral on Thursday last week were arrested because they had no burial permit or other required documents...

Palo Conteh, the national Ebola response chief, said traditional funeral rights involving contact with the dead remained the biggest driver of Ebola transmission.
 Read complete story.

http://news.yahoo.com/ebola-hit-sierra-leone-arrests-13-unsafe-burial-132356956.html

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