Situation Report

Troops get malaria during Ebola deployment

MILITARY TIMES by Patrice Kimm                                                                    April 23, 2015

The unprecedented deployment of U.S. troops to West Africa last year as part of the international response to the Ebola crisis saw no American service members contracting the deadly virus.

But five soldiers did fall prey to another disease. They contracted malaria, a concern that underscores the need for continued vaccine research, according to Army Surgeon General Lt. Gen. Patricia Horoho.

Army officials say three troops contracted malaria in Liberia between October and November and two more were suspected of having a malaria infection.

All responded to treatment, Horoho said.

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http://www.militarytimes.com/story/military/benefits/health-care/2015/04/23/us-military-ebola-deployment-malaria/26236769/

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Ebola survivors donate plasma to tackle outbreak

EUREKALERT                                                                           April 22, 2015
UNIVERSITY OF LIVERPOOL -- 
The first donations of plasma, from survivors of the Ebola epidemic in Sierra Leone, have been received by an international research team working to help tackle current and future disease outbreaks in West Africa.

The team, led by scientists at the University of Liverpool and colleagues at the College of Medicine and Allied Health Services, Ministry of Health, Sierra Leone, is investigating how plasma from Ebola survivors could help treat patients with the disease at the Ebola Treatment Unit, run by the 34th Regiment Military Hospital group in Freetown.

Dr Calum Semple, from the University's Institute of Child Health, and his collaborators developed a convalescent plasma protocol in readiness for an outbreak, such as Ebola, as part of the outbreak preparatory work of the International Severe Acute Respiratory and Emerging Infection Consortium.

The study is one of several being supported by the Wellcome Trust's platform for evaluating experimental Ebola therapeutics in West Africa.

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http://www.eurekalert.org/pub_releases/2015-04/uol-esd042215.php

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More than 26,000 have been infected with Ebola: WHO

AFP 

(Scroll down for complete WHO report                                                                                         April 22, 2015

Geneva - More than 26,000 people have been infected with Ebola since the outbreak began and more than 10,800 have died, the World Health Organization said Wednesday.

The UN health body also warned that the decline in confirmed cases appeared to have stagnated, urging increased efforts to stop transmission of the deadly virus.

In all, 26,079 people have contracted the disease over the past 16 months, and 10,823 of them have died, almost all of them in Guinea, Liberia and Sierra Leone....

In the week leading to April 19, 33 new confirmed cases were reported, with 21 in Guinea, 12 in Sierra Leone and none in Liberia.

That compares to 37 new confirmed cases the week before, and 30 the week before that....

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Mapping of Assessments and Identification of Gaps - Sierra Leone and Liberia

ACAPS                                                                                April 22, 2015

Survey of surveys for Liberia and Sierra Leone, April, 1015

A multitude of needs assessments have been conducted to capture impacts of the Ebola outbreak on affected communities, since March 2014. This paper reviews all of the assessments on Liberia and Sierra Leone made available to the Ebola Needs Analysis Project, between December 2014 and 20 March 2015. Several assessments have been conducted at a regional level. This report focuses only on those conducted on a national level or lower, to allow for disaggregation of results. http://acaps.org/img/documents/t-acaps_mapping_assessments_-identifying_gaps_22_april_2015.pdf

Read complete survey.

http://acaps.org/img/documents/t-acaps_mapping_assessments_-identifying_gaps_22_april_2015.pdf

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Tekmira Ebola drug succeeds in small monkey study

REUTERS by Aharon Begley                                                                    Aug. 22, 2015
NEW YORK --An experimental Ebola drug from Tekmira Pharmaceuticals Corp cured all three monkeys intentionally infected with the virus, scientists reported on Wednesday, the first such success against the strain of Ebola in West Africa's 2014-2015 outbreak.

Although other experimental treatments appeared to help Ebola patients last year, especially in the United States, those one-time uses cannot prove efficacy against the "Makona" strain, since patients' recovery might be due to other causes. Similarly, drugs, including Mapp Biopharmaceutical's ZMapp, cured monkeys in lab experiments, but in a strain of Ebola different from that responsible for the current outbreak, the worst ever recorded.

"We can't say for certain that an experimental drug that works against one strain will work in another, even if they're almost identical genetically," said Thomas Geisbert of the University of Texas Medical Branch, senior author of the study published in the journal Nature.

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Eleven handed life sentences over Guinea Ebola worker murders

REUTERS                                                                                                            April 22, 2015

CONAKRY (Reuters) - A court in Guinea has sentenced 11 people to life in prison for murdering a team educating locals about the risks of Ebola in a remote part of the West African country last year, a state prosecutor said on Wednesday.

The broken windshield of an Ebola emergency team vehicle is seen after it had been pelted with stones in Lola

February 9, 2015. REUTERS/Misha Hussain

The bodies of eight people were discovered in September in Womey, a village near the city of Nzerekore around 1,000 km (620 miles) southeast of the capital Conakry.

Some had been hacked to death with machetes or had their throats slit before their bodies were thrown into latrines, witnesses at the trial in Nzerekore said.

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Looking Into the Mirror of EBOLA: A Reminder of the Importance of Nutrition As We Age

HUFFINGTON POST by Dr. Simin Nikbin Meydan                                                               April 21, 2015
When the world was devastated by the deadly outbreak of Ebola in West Africa last year, we were given a warning call on many levels. While I was mulling over the whys and hows of the epidemic, my mind automatically went to the role that nutrition can play in helping to stem the spread, and mortality rates, of diseases and perhaps deter future outbreaks.

 The next step my mind took, (admittedly, I research nutrition, immunology and infection in older adults), was to the role nutrition plays in maintaining a robust immune response and fighting against infections particularly in older adults. Remember the SARS outbreak in 2003? SARS (Severe Acute Respiratory Syndrome) is a viral respiratory disease caused by the SARS coronavirus. The outbreak began in southern China and caused an eventual 8,096 cases with 774 deaths reported in multiple countries. The overall mortality rate in aged populations exceeded 50%. Age matters in fighting infections. As we age, our immune systems gray and we need to factor this into our response to outbreaks.

It is telling that infectious epidemics usually originate in areas of the world that suffer from poor nutrition.

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Understanding the Emergence of Ebola Virus Disease in Sierra Leone: Stalking the Virus in the Threatening Wake of Emergence

PLOS  Current Outbreaks  by Nadia Wauquier and others                                             April 20, 2015

The initial steps of emergence and spread of a virus are critical in the development of a potential outbreak and need to be thoroughly dissected and understood in order to improve on preventative strategies. In the current West African outbreak of EVD, a unique index case has been identified, pinpointing the geographical origin of the epidemic in Guinea.

Herein, we provide an accounting of events that serve as the footprint of EVD emergence in Sierra Leone and a road map for risk mitigation fueled by lessons learned....

...Continuous active surveillance is needed and must be organized by specialized centers joined in local, regional, and international networks. Surveillance centers must be connected to public health systems and also to research teams for increased understanding and awareness to permit identification and implementation of rapid intervention strategies....

Read complete study  and see maps.

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Scientists to share real-time genetic data on deadly MERS, Ebola

REUTERS by Kate Kelland                     April 21, 2015

LONDON, April 21 - Genetic sequence data on two of the deadliest yet most poorly understood viruses are to be made available to researchers worldwide in real time as scientists seek to speed up understanding of Ebola and MERS infections.

The project, led by British scientists with West African and Saudi Arabian collaboration, hopes to encourage laboratories around the world to use the live data -- updated as new cases emerge -- to find new ways to diagnose and treat the killer diseases, and ideally, ultimately, prevent them.

"The collective expertise of the world's infectious disease experts is more powerful than any single lab, and the best way of tapping into this...is to make data freely available as soon as possible," said Jeremy Farrar, director of the Wellcome Trust global health charity which is funding the work.

The gene sequences, already available for MERS cases and soon to come in the case of Ebola, will be posted on the website virological.org for anyone to see, access and use.

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http://af.reuters.com/article/topNews/idAFKBN0NC19W20150421?sp=true

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Ebola Lying in Wait

NEW YORK TIMES by Pam Belluck and William J. Broad     April 20, 2015

A growing body of scientific clues — some ambiguous, others substantive — suggests that the Ebola virus may have lurked in the West African rain forest for years, perhaps decades, before igniting the deadly epidemic that swept the region in the past year, taking more than 10,000 lives.

Around 2004 at a government hospital in Kenema, Sierra Leone, a team of American scientists and West African medical personnel found what appeared to be Ebola antibodies in nearly 9 percent of blood samples. Credit Carl De Souza/Agence France-Presse — Getty Images

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