Situation Report

Ebola on the wane, Sierra Leone braces for a whole new crisis

WASHINGTON POST  by Todd C. Frankel                                                        April 16, 2015

Sierra Leonean President Ernest Bai Koroma was ready to talk about something besides Ebola.

Sierra Leonean President Ernest Bai Koroma, left, and Liberian President Ellen Johnson Sirleaf listen as U.S. President Barack Obama delivers a statement to the news media in the Cabinet Room at the White House April 15, 2015 in Washington, DC. Obama and his counterparts discussed their progress in the fight against the Ebola virus and their efforts to create long-term economic recovery for the West African countries. (Photo by Chip Somodevilla/Getty Images)

His West African nation is not yet Ebola-free. It is still fighting to rid itself of the feared pathogen, which has killed more than 10,000 people in Sierra Leone, Guinea and Liberia since March 2014. But today the number of new Ebola cases in Sierra Leone has slowed to a trickle. The country recorded just seven new confirmed infections last week. Last November, Sierra Leone was reporting 550 new cases a week.

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Ebola Fighters Say Now Is Not the Time to Let Up

 Cases may be nearing zero in certain areas, but the threat of the disease lingers

 TIME MAGAZINE  by Maya Rhodan                                                   April 16, 2015

There were only 37 confirmed cases of Ebola last week, just a year after the deadly virus was spreading quickly across Western Africa. But key stakeholders in the effort to reduce the number of cases to zero said Thursday that success is not guaranteed.

President Barack Obama, flanked by Liberian President Ellen Johnson Sirleaf, left, and Guinean President Alpha Condé, speaks in the Cabinet Room of the White House in Washington, Wednesday, April 15, 2015, to discuss the progress made in the international Ebola response. Manuel Balce Ceneta—AP

“We are dealing now with the most difficult areas,” said Bruce Aylward, the assistant director-general of polio and emergencies at the World Health Organization. “We’re dealing with issues of fear, of trust with communities that have been marginalized. That have not been fully engaged.”

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Challenges in Guinea spur increase in Ebola cases

CENTER FOR INFECTIOUS DISEASE RESEARCH AND POLICY    by Lisa Schnirring                       April 15, 2015
(Scroll down for full WHO report.)
Ebola progress held steady in Sierra Leone and Liberia last week, but the number of confirmed cases in Guinea increased, with the country's response indicators showing a mixed picture amid sparks of community resistance, the World Health Organization (WHO) said today in its weekly epidemiologic update.

The outbreak region registered 37 confirmed cases last week, up from 30 reported the week before, the WHO said. Guinea's cases increased from 21 to 28, with Sierra Leone reporting 9 lab-confirmed cases, the same as the week before. Liberia hasn't reported any new cases since the middle of March.

Meanwhile, the geographic scope of the outbreak shrank a bit last week, with 8 districts in Guinea and Sierra Leone reporting cases, down from 10 the week before. The hot spots are still located in western Guinea, especially Forecariah district near the border with Sierra Leone. The few cases in Sierra Leone are coming mainly from three western districts in an area that includes the capital city, Freetown.

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Ebola Hit Liberia rebuilds devastated child health care system

AFP    by Zoom Dosso                                       april 16, 2015
Monrovia - Estella Verdier keeps vigil by her sick four-month-old grandson's hospital bed, praying for his recovery but placing her faith in the earthly healing powers of Liberia's first ever children's hospital.

A woman sits next to her baby on April 7, 2015 in Liberia's first ever children's hospital, just opened in Monrovia by Medecins sans Frontieres (MSF), part of the country's response to the daunting challenge of repairing its wrecked health service (AFP Photo/Zoom Dosso)

The 46-bed unit, just opened in Monrovia by Medecins sans Frontieres (MSF), is part of the country's response to the challenge of repairing its wrecked health service as it emerges from the nightmare of Ebola...

With its Ebola clinics now empty, Liberia's priority is curing the ailing healthcare system.

"We basically decided to come and help the medical system in the effort of restoration after Ebola hit," MSF project coordinator Ondrej Horvath told AFP.

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The White House Wants to Explore How Climate Change Makes You Sick

whitehouse.gov 
washingtonpost.com - by Juliet Eilperin - April 7, 2015

President Obama launched an initiative Tuesday aimed at highlighting the connections between climate change and public health, bringing both medical and data experts to the White House this week.

As part of the effort, the White House will hold a Climate Change and Health Summit later this spring, featuring Surgeon General Vivek Murthy. The administration is expanding its Climate Data Initiative, which it launched a year ago, to include more than 150 health-relevant data sets.

(READ COMPLETE ARTICLE)

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Guinea finds nine new Ebola cases near border with Sierra Leone

REUTERS                                                                                              April 16, 2015

CONAKRY - - Guinean authorities have confirmed at least nine new cases of Ebola in the southwest region of Forecariah near the border with Sierra Leone, the area hardest hit by the year-old outbreak, a senior health official said on Thursday.

Authorities launched a four day, door-to-door campaign in Forecariah on April 12 to improve community participation in reporting suspected cases and as part of an emergency 45-day drive to tackle Ebola in the west of the country.

Sakoba Keita, national coordinator for the fight against Ebola in the West African country, said...92 percent of households in Forecariah had been reached in the four day program.

"We have been able to find nine sick people (with Ebola) hiding in Forecariah," Keita told a news conference. "That discovery will allow us at least to stop the development of new chains of infection."

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Avoiding Ebola – how this Chiefdom in Sierra Leone did it

UNICEF CONNECT blogs.unicef.org                                                         April 15, 2015

by Margaret James, a Health Officer with UNICEF, Sierre Leone

When I first heard in February that Lugbu chiefdom was one of the few in Bo District, Sierra Leone, that had not recorded a single case of Ebola, my interest was immediately triggered. On 2 March 2015 we got to visit the chiefdom’s main town, Sumbuya, for several hours of meetings with local leaders, youth, a traditional healer and business people to find out more.

Lugbu chiefdom has several entry points and can be accessed by both land and water. (c)UNICEF Sierra Leone

In our quest for answers, we got permission from the local Paramount Chief, (PC) Mohamed Allie Nallo, who gave his blessing and got in touch with key people to help us in our research. We held group meetings, one-on-one interviews and even carried out spot visits.

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Obama: World must remain ‘fully engaged’ against Ebola

UPDATE with testimony to Congress.

Obama says Ebola-fighting goal is to prevent any new cases

(Scroll down for earlier story and link to Congressional testimony by administration officials)

ASSOCIATED PRESS       by                                              APRIL 15.                                    

WASHINGTON — Citing significant gains in fighting the Ebola outbreak in West Africa, President Obama declared Wednesday that the international goal now is to prevent any new cases of the deadly virus in the afflicted region....

President Barack Obama and Vice President Joe Biden, back right, meets with, from left, Sierra Leone President Ernest Bai Koroma, Liberian President Ellen Johnson Sirleaf, and Guinean President Alpha Condé, in the Cabinet Room of the White House in Washington, Wednesday, April 15, 2015, to discuss progress made in the international Ebola response. (Manuel Balce Ceneta/Associated Press)

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Ebola virus found in semen six months after recovery: WHO

AFP                                                                                                           April 15, 2015

Geneva- Traces of Ebola have been found in the semen of a man six months after his recovery, the World Health Organization said Wednesday, urging survivors to practice safe sex "until further notice".

The man had been declared free of the deadly virus in Liberia last September, WHO spokesman Tarik Jasarevic told AFP.

"He has provided a semen sample which has tested... positive for Ebola, 175 days after his negative blood test," he said in an email.

The UN health agency had previously said the virus had been detected in semen around three months after a patient had been declared Ebola free.

The new finding has led WHO to recommend that survivors abstain from having sex or that they practice safe sex using a condom beyond the three-month period previously prescribed.

Read complete story.

http://news.yahoo.com/ebola-virus-found-semen-six-months-recovery-104351981.html;_ylt=AwrC2Q7WeS5VaEoA82fQtDMD;_ylu=X3oDMTByOHZyb21tBGNvbG8DYmYxBHBvcwMxBHZ0aWQDBHNlYwNzcg--

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Ebola Analysis Finds Virus Hasn't Become Deadlier, Yet

ICT  INFECTION CONTROL TODAY                                                                  April 14, 2015
(Scroll down for full study)
Research from the University of Manchester using cutting-edge computer analysis reveals that despite mutating, Ebola hasn’t evolved to become deadlier since the first outbreak 40 years ago. The surprising results demonstrate that while a high number of genetic changes have been recorded in the virus, it hasn’t changed at a functional level to become more or less virulent.

The findings, published in the journal Virology, demonstrate that the much higher death toll during the current outbreak, with the figure at nearly 10,500, isn’t due to mutations/evolution making the virus more deadly or more virulent.

As professor Simon Lovell from the Faculty of Life Sciences explains.... What we found was that whilst Ebola is mutating, it isn’t evolving to the point of adapting to become more or less virulent. The function of the virus has remained the same over the past four decades which really surprised us. Unfortunately this does mean the Ebola virus that has now emerged on several occasions since the 1970s will very probably do so again.”

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