Situation Report

Watch closely and explain frequently: Liberia's Ebola lessons

REUTERS   By James Harding Giahyue and Emma Farge                                                   March 13, 2015

MONROVIA/DAKAR - Seven months after Ebola paralysed Liberia's capital, Friday marked 21 days since the country registered a case of the virus - offering lessons to its neighbors on the importance of surveillance and education in beating the deadly epidemic....

 A massive influx of international aid, including crucial U.S. military assistance, helped Liberia to turn the tide of the outbreak.

But, notes Tariq Riebl, Oxfam's Ebola response manager in Liberia, "What got us to the endgame is that communities took things into their own hands...."

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http://news.yahoo.com/watch-closely-explain-frequently-liberias-ebola-lessons-184507811.html;_ylt=AwrBJR6EmAVV3D0AbnTQtDMD

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10 Americans to leave Sierra Leone amid Ebola scare

ASSOCIATED PRESS                                                     March 15, 2015

FREETOWN, Sierra Leone (AP) — Ten clinicians with a Boston-based nonprofit organization responding to the Ebola outbreak in Sierra Leone are to be transported to the United States after one of their colleagues was infected with the deadly disease.

Partners in Health said in a statement Saturday that the medical workers would be evacuated on non-commercial aircraft and isolated in Ebola treatment facilities.

On March 11, a Partners in Health clinician in Sierra Leone tested positive for Ebola, and the 10 fellow workers "came to the aid of their ailing colleague," the group's statement said. They have not shown signs of Ebola, and Partners in Health said the evacuations were ordered "out of an abundance of caution."

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http://www.usatoday.com/story/news/world/2015/03/15/10-us-charity-staff-to-leave-sierra-leone-amid-ebola-scare/24804779/

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Vaccines Face Same Mistrust That Fed Ebola

NEW YORK TIMES  by and         March 14, 2015

MONROVIA, Liberia — West Africa’s Ebola epidemic may be waning, but another outbreak in the future is a near certainty, health officials say.

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Lack of Ebola Cases Shifts Vaccine Trials Away From Liberia

TIME MAGAZINE  by Alexandra Sifferlin                                                                        March 13, 2015

The National Institutes of Health (NIH) may relocate its clinical trials of Ebola vaccines to Guinea, since there are no longer enough Ebola cases in Liberia for a proper efficacy trial.

On Feb. 2, the NIH launched an initial safety trial for two vaccines to protect against Ebola in Liberia. The plan was to test 600 people for overall safety and then launch a second phase of the trial in 27,000 people to see whether or not the vaccine prevents infection with Ebola virus compared to a placebo.

The safety test was successfully completed the week of March 9—but around the same time, Liberia announced that it had released its last confirmed patient from its Ebola treatment centers. ...

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Sierra Leone sees worrying spike in Ebola cases over week

ASSOCIATED PRESS  by Clarence Roy-Macaulay                                                      March 12, 2015
 FREETOWN --   Sierra Leone has seen a worrying spike in confirmed Ebola cases over the past week in four districts, the head of the national Ebola response center said Thursday.

New measures must now be put into place to contain the surges, said the head of the National Ebola Response Centre, Alfred Palo Conteh.

Fifteen cases were recorded Wednesday, along with 16 on Monday and Tuesday respectively, according to Sierra Leone's Ministry of Health and Sanitation.

"We are now on a bumpy road to zero number of cases to get to President Ernest Bai Koroma's target of March 31," said Palo Conteh. "It is frustrating."

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http://news.yahoo.com/sierra-leone-sees-worrying-spike-ebola-cases-over-141214859.html;_ylt=AwrBEiTD7gJVy2QANdbQtDMD

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2 Aid Workers In West Africa Are Infected With Ebola

NEW YORK TIMES  by Sheri Fink and Allan Cowell                                                         March 12, 2015

A worker from Partners In Health, the prominent American medical aid organization, and an emergency worker from the British military have been infected with the deadly virus in Sierra Leone, health officials said Thursday.

The Partners In Health worker was the first in that group to be infected since it made an ambitious commitment last fall to help combat Ebola in West Africa, and was the first American health worker in months to get the disease while working in the region. ...

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Ebola death toll passes 10,000: WHO

AFP                                                                                                                    March 12, 2015
(Scroll down for WHO report.)

Geneva -- The global death toll from the Ebola outbreak centred in west Africa has topped 10,000 out of more than 24,000 recorded cases, the World Health Organization said Thursday.

Almost all the deaths and cases have been reported in the three west African countries worst hit by the outbreak: Sierra Leone, Liberia and Guinea.

Sierra Leone, which has overtaken Liberia as the country with the most infections, counted 11,677 cases and 3,655 deaths as of March 10.

As of March 5, Liberia -- long the hardest-hit country -- had recorded a total of 9,343 and 4,162 deaths.

But the tide seems to be turning in the country which in August and September was reporting more than 300 new cases each week, with the WHO saying Wednesday that Liberia had registered no new cases since February 19.

In Guinea, where the outbreak started in December 2013, 3,330 Ebola cases and 2,187 deaths were recorded as of March 10.

The WHO said on Wednesday that the country had seen no new cases in the previous 10 days.

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UNMC dean who just returned from Sierra Leone, another Ebola expert agree: Fight not over

OMAHA WORLD-HERALD by  Bob Glissman                                                             March 11, 2015

  The West African countries hit hardest by the Ebola virus and the countries and groups that have helped battle the disease must remain vigilant if the number of new Ebola cases is to get to zero, health experts said Wednesday.
Dr. Ali Khan, dean of the University of Nebraska Medical Center’s College of Public Health, spent a month in Sierra Leone as a consultant on Ebola for the World Health Organization. 

Dr. Ali Khan, who returned to Omaha late last week after a month in Sierra Leone, said progress is evident, but he cautioned officials there against becoming complacent. “Because with a disease like Ebola,” he said, “all you need is one case to restart an outbreak or a cluster of cases.”

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Ebola could cost West Africa $15 billion over three years

REUTERS  by Misha Hussain                                                    March 12, 2015sC

(Scroll down for links to press release and full report.)

DAKAR -- West Africa may lose up to $15 billion over the next three years due to the impact of the Ebola outbreak on trade, investment and tourism, according to a report by the United Nations.

The world's deadliest Ebola epidemic has killed almost 10,000 people in the three most affected countries of Guinea, Liberia and Sierra Leone, deepening poverty in one of the least developed parts of the world.

"The consequences of Ebola are vast," said Abdoulaye Mar Dieye, Africa director of the United Nations Development Programme (UNDP).

"Stigma and risk aversion have caused considerable amounts of damage, shutting down borders and indirectly affecting the economies of a large number of countries in the sub-region."

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http://news.yahoo.com/ebola-could-cost-west-africa-15-billion-over-150805196.html;_ylt=AwrBJSCTtwFVoAIAda3QtDMD

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British Army medic with Ebola evacuated with two other suspected cases

THE TELEGRAPH  by  Victoria Ward and Ben Farmer   March 12, 2015  

A female Army medic who has caught Ebola while working in Sierra Leone is being flown back to Britain by the RAF, along with two workers who have been in close contact with her.

              Beatrice Yordoldo (Seated), an Ebola patient, poses for photographs with medical staff  Photo: AFP

Two further health workers who have been exposed to the unnamed soldier are being tested in Sierra Leone and could be evacuated later...

The woman is the third British health care worker confirmed to have caught the deadly virus...

Justine Greening, the Development Secretary, said the checks on the four other workers were "purely precautionary" after they had close contact with the female patient.

http://www.telegraph.co.uk/news/worldnews/ebola/11466376/British-Army-medic-with-Ebola-being-flown-back-to-UK.html

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