Situation Report

4 more aid workers flown back to US for Ebola monitoring

ASSOCIATED PRESS                                March 17, 2015

NEW YORK — Four more American aid workers arrived back in the United States on Tuesday from West Africa to be monitored for Ebola, health officials said.

The latest arrivals bring to 16 the number of aid workers who have returned from Sierra Leone since Friday. None of them have been diagnosed with Ebola, but they will be isolated and monitored during the next three weeks for signs of the disease.

Officials have released few details, citing patient privacy. But all are connected to — or had direct physical contact with — another American who came down with Ebola last week in Africa. The unidentified man is in critical condition at a National Institutes of Health hospital in Bethesda, Maryland.

The other aid workers are staying near the Maryland hospital or hospitals in Atlanta and Omaha with special isolation units — in case they become sick, according to officials with the Centers for Disease Control and Prevention.

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http://www.bostonherald.com/news_opinion/national/2015/03/4_more_aid_workers_flown_back_to_us_for_ebola_monitoring

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Care Differs for American and African With Ebola

NEW YORK TIMES  by Sheri Fink, MD                                                           March 17, 2015
    
The latest American aid worker to contract Ebola overseas, last week in Sierra Leone, was swiftly evacuated to a specialized treatment center for infected health workers run by the British Defense Ministry in the country’s capital, Freetown, then on to the National Institutes of Health clinical center in Bethesda, Md. Doctors at the center said Monday that his condition had worsened from serious to critical since his arrival on Friday.

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Ebola: Moving from emergency to recovery

DEVEX   by Richard Jones                                                         March 17, 2015

(scroll down for link to EU statement.)

As the death toll from Ebola now tops 10,000 in West Africa, donors and aid implementers are figuring out how to best transition from the emergency to the recovery phase of the crisis.

Top EU and U.N. officials, leaders of Ebola-affected nations and representatives from the African Union, nongovernmental organizations, the private sector and the scientific community met in Brussels, Belgium, earlier this month to make progress on this goal. They agreed to embark on the design of a road map to help the economies of Guinea, Sierra Leone and Liberia get back on track, starting with the priority task of rebuilding health systems.

But that, of course, will be no easy feat.

“We are at a really crucial stage of the real fight against Ebola, because this is a turning point when the emergency stage or the emergency response or medical response to Ebola containment is now turning into coordinating and structuring the long-term recovery program,” European Commissioner for International Cooperation and Development Neven Mimica said in an exclusive interview with Devex at the Palais d’Egmont in Brussels.

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Ebola: Getting to Zero

For communities, for children, for the future

UNICEF                                                                                                             March 16, 2015

As slight hints of recovery begin to surface in West Africa, UNICEF is looking at the impact of Ebola on children and the response and work of the affected communities in the report, Ebola: Getting to zero – for communities, for children for the future.

 The document traces some of the outbreak’s history along with the stories of survivors, health care workers and those working to make things better on the ground. The report also helps map out the actions that urgently must continue to help build resiliency and resuscitate basic services and systems decimated by Ebola.

Read the report

http://www.unicef.org/emergencies/ebola/files/EbolaReport.pdf

Also see additional information in the links below:

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Preparing for Ebola, but Stopping Lassa Fever

NEW YORK TIMES  by Pam Belluck                           March. 17, 2015

Last fall, with the Ebola epidemic raging, the small nation of Benin, a few countries away from the outbreak zone, experienced a cluster of unexplained deaths.

In mid-October, a 12-day-old baby was taken to a hospital in Tanguiéta, in northwest Benin, and died two days later. By early November, three employees of the hospital, St. Jean de Dieu, were dead too.

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American Ebola patient worsens to critical condition

USA TODAY  by John Bacon and Liz Sazbo                 March 16, 2015

An American health care worker being treated for Ebola has been deteriorated to critical condition, the National Institutes of Health said Monday.

The patient, who has not been identified, tested positive for Ebola virus while volunteering with Partners in Health at an Ebola treatment unit in Sierra Leone. The patient was airlifted by private charter medevac Friday to the the NIH Clinical Center in Bethesda, Md. The patient is the 11th person with Ebola to be treated in the USA.

On Sunday, 10 health care workers who came in contact with the patient in Sierra Leone were flown to the USA. All were staying near hospitals with high-level biocontainment units capable of treating Ebola, in case they became sick.

On Monday, one of these health workers was moved into the biocontainment unit at Nebraska Medical Center in Omaha because of a change in symptoms, officials say. Hospital staff did not reveal what sort of symptoms the person experienced.
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http://www.usatoday.com/story/news/nation/2015/03/16/ebola-critical-condition/24852331/

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Botswana: Ministry of Health Develops Ebola Preparedness Response

ALL AFRICA DAILY NEWS by Bopa                                                               March 16, 2015

GABORONE,  Botswana — The Minister of Labour of Home Affairs, Mr Edwin Batshu, says following the Ebola outbreak in West Africa, the Ministry of Health reactivated its national multi-sectoral epidemic preparedness response committee and developed a comprehensive Ebola epidemic preparedness and response plan.

Answering a question in Parliament, on behalf of the Minister of Health, he said four technical working groups were established to facilitate implementation of the plan at the national and district level....

Furthermore, he said taking into consideration the rapid spread of the disease and the absence of personnel trained in Ebola, priority was given to training frontline staff that would be directly involved with potential cases.

He said these include nurses, doctors, counsellors, general duty assistants, immigration and police officer and district health management team drivers.

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http://allafrica.com/stories/201503161292.html

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Ebola vaccine trial to combine GSK, Emergent Bio shots

REUTERS                                                                                                          March 16, 2015

LONDON  - Scientists are to test a new two-shot Ebola vaccine using an experimental shot from Britain's GlaxoSmithKline, which is already in clinical trials in Africa, and a new kind of booster from Emergent BioSolutions.

A health worker, left, injects a man in his arm with an Ebola vaccine in Conakry, Guinea, March 7, 2015. The World Health Organization is starting large-scale testing of an experimental Ebola vaccine in Guinea  to see how effective it might be in preventing future outbreaks of the deadly virus.  (AP Photo/ Youssouf Bah)

The Maryland-based biotech company said on Monday its modified vaccinia Ankara (MVA) Ebola Zaire vaccine would be used in an initial Phase I clinical study to be conducted by researchers at the University of Oxford.

Although Ebola case numbers have fallen to a low level, drug companies are still pushing ahead with efforts to develop an effective vaccine, which may help fight the next outbreak, even if it does not come in time for the current epidemic.

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Sierra Leone VP Samuel Sam-Sumana 'goes into hiding'

BBC                                                       March 14, 2015

Sierra Leone's Vice-President Samuel Sam-Sumana has gone into hiding while he seeks political asylum at the US embassy in the capital, Freetown.

               Relations between President Ernest Bai Koroma (left) and Mr Sam-Sumana (right) have long been frosty

Mr Sam-Sumana told the BBC he and his wife fled their home after "a tip-off" that soldiers were surrounding it.

The move comes a week after his expulsion from the ruling party.

Two weeks ago, Mr Sam-Sumana said he was putting himself in quarantine for 21 days after one of his bodyguards died of the Ebola virus.

Police and army sources confirmed to the BBC's Umaru Fofana in Freetown that troops were sent to the vice-president's residence on Saturday morning.However, Information Minister Alpha Kanu told the BBC that the soldiers merely went to Mr Sam-Sumana's house to "strengthen the quarantine".

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http://www.bbc.com/news/world-africa-31885713

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'You cannot stop Ebola' US experts warned British troops

THE TELEGRAPH    by Ben Farmer                                                                           March 15, 2015

British commanders were warned last year it was impossible to halt Ebola in Sierra Leone and they were about to lose control of the deadly outbreak in its capital, it has been disclosed.

British Defence Secretary Michael Fallon on the RFA Argus hospital ship in Sierra Leone Photo: Will Wintercross/The Telegraph

United Nations and American experts said there was nothing British troops could do to stop the virus rampaging through the country and they were about to “lose Freetown”.

Loss of the capital would have triggered an international evacuation from the country, the commander of British troops revealed, as he explained for the first time the scale of the outbreak they have been fighting....

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