Situation Report

CDC - MMWR - Ebola Virus Disease in a Humanitarian Aid Worker — New York City, October 2014

cdc.gov - April 3, 2015

In late October 2014, Ebola virus disease (Ebola) was diagnosed in a humanitarian aid worker who recently returned from West Africa to New York City (NYC). . . .

. . . In NYC, the public health response to one Ebola case was resource intensive for a local health department, with participation of more than 500 DOHMH staff members and expenditures of more than $4,300,000 in DOHMH funds. These figures include not only the direct costs of the local public health response (e.g., contact tracing, environmental issues, and health care worker monitoring) but also the indirect costs of increasing citywide preparedness after identifying the one case (e.g., enhancing hospital preparedness, active monitoring of returning travelers, and community outreach).

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Rhode Island Hospital Physician Comes Up With New Diagnostic Tool for Ebola Virus

news-medical.net - April 6, 2015

Adam C. Levine, M.D., an emergency medicine physician at Rhode Island Hospital and The Miriam Hospital who treated Ebola-infected patients in Liberia last year, used his field experience to create a tool to determine the likelihood that patients presenting with Ebola symptoms will actually carry the virus. His research was published in the Annals of Emergency Medicine today.

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CLICK HERE - RESEARCH - Derivation and Internal Validation of the Ebola Prediction Score for Risk Stratification of Patients With Suspected Ebola Virus Disease

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Sierra Leone to start laying off Ebola workers as cases fall: president

REUTERS  by Umaru Fofana                                                                             April l, 2015

FREETOWN-- Sierra Leone's President Ernest Bai Koroma said on Wednesday authorities would soon start laying off staff recruited to fight Ebola as the numbers of cases decline, but these workers would be employed elsewhere, where possible....

Addressing the country about the outbreak, Koroma said the infection rate was falling "week by week" and the number of treatment facilities and staff would be reduced, despite the need for continued vigilance....

At the peak of the crisis last year, authorities were struggling to recruit local and foreign medics to tackle Ebola, which has killed nearly 500 local health workers in West Africa, according to United Nations statistics.

Read complete storyy.
http://www.reuters.com/article/2015/04/02/us-health-ebola-leone-idUSKBN0MT01120150402

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Liberia, Sierra Leone gain in Ebola crisis; Guinea struggles

ASSOCIATED PRESS  by Sarah DiLorenzo                                                               April 2, 2015      

(Scroll below for related Wall Street Journal story.)   

DAKAR, Senegal (AP) — When will the world's largest and longest Ebola outbreak end? The West African countries of Sierra Leone and Liberia both appear to be on steady paths to ending the epidemic. The wild card is Guinea, where Ebola hasn't burned as hot but remains stubbornly entrenched.

 

In this file photo dated Friday, March. 27, 2015, a usually busy street is deserted as Sierra Leone enters a three day country wide lockdown on movement of people due to the Ebola virus in the city of Freetown, Sierra Leone. Sierra Leone's 6 million people were told to stay home for three days, except for religious services, beginning Friday as the West African nation attempted a final push to rid itself of Ebola. (AP Photo/ Michael Duff, FILE)

Liberia's last Ebola patient died March 27; it is now counting down the 42 days it must wait to be declared free of Ebola. Meanwhile, Sierra Leone recorded no new infections Wednesday for the second time; on average, it has logged a handful each day in recent days.

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Amid Record-Low Snowpack, California Orders Mandatory Curbs on Water Use

California Gov. Jerry Brown (D) announced a sweeping executive order that imposes mandatory water restrictions as the state copes with a historic drought and water shortage. (AP)

washingtonpost.com - by Reid Wilson - April 1, 2015

California Gov. Jerry Brown (D) announced strict new curbs on state water use Wednesday to combat a worsening drought affecting more than 50 million people in the western United States.

The executive order imposes mandatory water reductions across California to reduce water usage by 25 percent.

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Ebola diaries: Regaining the people’s trust

WHO                                                                                                          March 31, 2015
Cristiana Salvi, a risk communications specialist from WHO’s European regional office was deployed to Guinea at the end of April – early May 2014 to provide social mobilization support to the Ebola response. Social mobilization involves working with communities to gain their acceptance of the need for early identification of people with illness, early treatment and identification and follow up of all people who have been in contact with people confirmed to have Ebola virus disease.

 Cristiana was among the first from WHO offices other than Headquarters and the African office to provide support to the field response, many others followed from the “wider WHO”. She travelled to Gueckedou where communities had begun to hide people who were sick, fearing treatment centres, believing rumours Ebola response teams were there for sinister purposes. This is what she found.

Excerpt:

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Faulty modeling studies led to overstated predictions of Ebola outbreak

MEDICAL EXPRESS                                                                       MARCH 31, 2015

(scroll down for complete paper.)

Frequently used approaches to understanding and forecasting emerging epidemics—including the West African Ebola outbreak—can lead to big errors that mask their own presence, according to a University of Michigan ecologist and his colleagues.

Last September, the U.S. Centers for Disease Control and Prevention estimated—based on computer modeling—that Liberia and Sierra Leone could see up to 1.4 million Ebola cases by January 2015 if the viral disease kept spreading without effective methods to contain it. Belatedly, the international community stepped up efforts to control the outbreak, and the explosive growth slowed.

"Those predictions proved to be wrong, and it was not only because of the successful intervention in West Africa," King said. "It's also because the methods people were using to make the forecasts were inappropriate."

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Guinea finds three Ebola cases in the alumina hub of Fria

REUTERS   by Saliou Samb                              March 31, 2105

CONAKRY --Guinea has detected at least three new cases of Ebola in the alumina hub of Fria, according to the national coordination of the fight against the disease, as authorities blamed popular resistance for hampering the battle against the virus.

Fria is home to the only alumina smelter in the West African country, Friguia, which produced some 630,000 tonnes of alumina a year until it was shuttered by Russian aluminium giant RUSAL in 2012.

The report noted the refusal by the local population in Conakry to hand over two other suspected cases, despite the intervention of local authorities. It said families in the town of Coyah, 50 km ( miles) from Conakry had refused to follow contacts of an Ebola case.

The resistance of local communities, which refuse to admit the existence of the disease, has dogged efforts to eradicate Ebola in Guinea since it was detected in March 2014

Read complete story.
http://www.reuters.com/article/2015/03/31/us-health-ebola-guinea-idUSKBN0MR1TL20150331

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Center for Climate Systems Research - Earth Institute | Columbia University

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‘No Confirmed Case’: Liberia Slates Reports on Ebola Return

FRONT PAGE AFRICA  by Stephen D. Kollie                                                       March 31, 2015

Monrovia - The Head of the Incident Management System (IMS), the command center responsible to oversee Liberia’s Ebola response, has clarified that contrary to several reports on social media, including Facebook and other sources, Liberia has no other confirmed Ebola case apart from a lady who tested positive for the virus but died last weekend.

“Since the 20th, we have one confirmed case. Unfortunately, the case has since died,” he said Monday. “No other confirmed cases since then as of this morning (March 30). I am not saying it will not be (a case)if it is tested positive. But the cases are being followed up, nobody is sick yet.”

Tolbert Nyenswah disclosed that out of 211 contacts that were being monitored by the Ministry of Health team, 26 contacts have been cleared while 185 contacts are still under surveillance. “We still are intensifying our normal contact tracing. We are investigating to see whether or not the people should remain on the contact list or it is fair enough to release them,” he said.

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