Situation Report

Sierra Leone locks down 700 homes after Ebola death

AFP                                                                                                                  Feb. 13, 2015

Freetown--  Sierra Leone placed hundreds of homes in the capital under Ebola quarantine on Friday, in a huge blow to its recovery less than a month after lifting travel restrictions.

Health workers put on protective equipment at an Ebola treatment centre on November 15, 2014 in Kenema, Sierra Leone (AFP Photo/Francisco Leong)

"Some 700 homes have been quarantined for 21 days in the tourism and fishing community of Aberdeen in the west of the capital Freetown, after the death of a fisherman who was later diagnosed Ebola positive," said Obi Sesay of the government's National Ebola Response Centre.

The west African nation of six million had seen almost 11,000 cases and 3,363 deaths during the epidemic which has raged in west Africa for more than a year.

This new struggle with the disease comes less than a month after President Ernest Bai Koroma pointed to a "steady downward trend" in new cases and lifted country-wide quarantines and travel bans....

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As Ebola ebbs, Sierra Leone targets another kind of recovery: normalcy

CHRISTIAN SCIENCE MONITOR by Silas Gbandia               Feb. 13, 2015
...with a sharp drop in new Ebola cases, Sierra Leone has announced that schools will reopen on March 30, and focus has now turned toward the recovery process for children whose education has been set back at least half a year. The implementation of the government's new plan – which includes paying for school fees and continuous assessments – will be a key indicator of how well the country can rebound after Ebola.

 “We are now entering the transition phase. Given the progress being made against the disease, we must take action to enable economic and social recovery,” President Ernest Bai Koroma said in a television address to the nation last month...

...a full plan to reintegrate the students nationwide is being implemented, says Mohammed Sillah Sesay, chairman of the Technical Committee on the Reopening of Schools. The plan includes 25 uninterrupted weeks of school until September, continuous assessment of students to verify promotion to the next level, and more broadcasts of teaching material on radio airwaves. The normal school year starts in September and ends in July.
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Ebola spending: will lack of a positive legacy turn dollars to dolour?

Millions were invested in west Africa to tackle the Ebola crisis, but some experts doubt there will be any lasting benefits for public health systems

THE GUARDIAN by 

LONDON -- While it is still too early to call time on the Ebola outbreak, a sense that the worst may have passed is tentatively taking root in west Africa, alongside an acute realisation of the need to ensure a positive long-term legacy for battered healthcare systems.

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Lack of Effect of Lamivudine on Ebola Virus Replication

CDC EID JOURNAL by  Lisa E. Hensley, Julie Dyall, Gene G. Olinger, and Peter B. Jahrlin (NIH)                     Feb. 12, 2015

The unprecedented number of Ebola virus disease (EVD) cases in western Africa has compelled the world to consider experimental and off-label therapeutics to mitigate the current outbreak. For clinicians, approved drugs are an attractive solution because of known safety profiles and availability.

Oral lamivudine (GlaxoSmithKline, Brentford, UK), a US Food and Drug Administration–approved anti-HIV drug, has been suggested as a possible antiviral agent against Ebola virus (EBOV). In September 2014, a Liberian physician, Dr. Gorbee Logan, reported positive results while treating EVD with lamivudine (1). Thirteen of 15 patients treated with lamivudine survived presumed EVD and were declared virus free. Clinical confirmation of EVD in these cases remains to be verified....

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Postmortem Stability of Ebola Virus

CDC  EID JOURNAL                                              Feb. 12, 2015                                   
Study by Joseph Prescott, Trenton Bushmaker, Robert Fischer, Kerri Miazgowicz, Seth Judson, and Vincent J. Munster

The ongoing Ebola virus outbreak in West Africa has highlighted questions regarding stability of the virus and detection of RNA from corpses. We used Ebola virus–infected macaques to model humans who died of Ebola virus disease.

Assessing the stability of corpse-associated virus and determining the most efficient sampling methods for diagnostics will clarify the safest practices for handling bodies and the best methods for determining whether a person has died of EVD and presents a risk for transmission. To facilitate diagnostic efforts, we studied nonhuman primates who died of EVD to examine stability of the virus within tissues and on body surfaces to determine the potential for transmission, and the presence of viral RNA associated with corpses.

http://wwwnc.cdc.gov/eid/article/21/5/15-0041_article

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For Immediate Release February 11, 2015 FACT SHEET: Progress in Our Ebola Response at Home and Abroad

THE WHITE  HOUSE  PRESS OFFICE                                          FEB. 11, 2015

Fact sheet on the Ebola situation

"...Together with our international partners – and the people of the three nations themselves – we have bent the curve of the epidemic and placed it on a much improved trajectory. We have gone from over 1,000 new suspected, probable, and confirmed Ebola cases a week in October, to roughly 150 new confirmed weekly cases in the most recent reports.  Liberia has reported only a handful of new cases per week, a drop of well over 90 percent.  Significant declines also have been reported in Sierra Leone from the epidemic’s peak. Among the accomplishments in this response:..."

Read complete Statement
http://www.whitehouse.gov/the-press-office/2015/02/11/fact-sheet-progress-our-ebola-response-home-and-abroad

Also see:

Most U.S. Troops will be withdrawn, posted yesterday, Feb. 11, 2015

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Ebola cases on the rise for second week: WHO

AFP                                                                                                        Feb. 11, 2015

Geneva -- The number of new Ebola cases in west Africa rose for the second week running after a previous fall, including a "sharp increase" in Guinea, the World Health Organization said Wednesday.

Health workers wearing protective suits carry a patient suspected of having Ebola on their way to an Ebola treatment centre in Macenta, Guinea, on November 21, 2014 (AFP Photo/Kenzo Tribouillard)

Nearly 9,000 people have died from the epidemic, the WHO said while admitting that it was impossible to give a precise number as the outcomes of some cases remained unknown.

All but 15 of the fatalities have happened in the worst-affected west African countries of Sierra Leone, Liberia and Guinea.

In the week up to February 8 a total of 144 new cases were registered, compared to 124 the previous week.

"Guinea reported a sharp increase in incidence, with 65 new confirmed cases compared with 39 the week before," the WHO said in its report.

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Sarepta drug protects lab monkeys from Ebola

REUTERS   by Sharon Begley                                                                                      Feb. 10, 2015

NEW YORK --An experimental Ebola drug from Sarepta Therapeutics Inc protected six of eight lab monkeys injected with the virus, scientists from the company and the U.S. Army reported on Tuesday.

The drug, called AVI-7537, joins ZMapp from Mapp Biopharmaceutical and a compound from Tekmira Pharmaceuticals Corp as the agents shown to cure non-human primates given otherwise-lethal injections of Ebola virus.

The ZMapp and Tekmira drugs protected 100 percent of lab monkeys in studies, giving them a possible edge. But, unlike those, Sarepta's drug has been formally tested in healthy human volunteers at high doses and caused no serious side effects.

Sarepta's $300 million contract with the U.S. Department of Defense to develop drugs against Ebola and the related Marburg virus ended in 2012 due to government funding cuts. The study was completed just before then but not published until the current Ebola outbreak increased interest in the drug....

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How trials will work for Ebola vaccines

The search for an Ebola cure is gearing up — but there may be too few patients.  (Scroll down for Graphics.)

WASHINGTON POST     by  Amy Brittain                                                                      Feb. 10, 2015                        

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Ebola-hit Sierra Leone announces disease control agency

AFP   by Rod Mac Johnson                                        Feb. 10, 2015
Freetown -- Sierra Leone announced Tuesday the launch of an infectious diseases prevention agency, saying it would convert its Ebola clinics into treatment and research units for some of the world's deadliest viruses.

The organisation will follow the model of the United States Centers for Disease Control and Prevention, the leading American public health institute which has been at the forefront of the response the west African Ebola outbreak....

Although some Ebola units are temporary, Sierra Leone and its neighbours Guinea and Liberia have been looking for ways to continue using others launched at great expense at the height of the epidemic.

"We are now on the verge of constructing a permanent Centres for Disease Control in Sierra Leone, and also the introduction of an ambulance service in the country," government spokesman Abdulai Bayraytay told an online news conference.

Read complete story.
http://news.yahoo.com/ebola-hit-sierra-leone-announces-disease-control-agency-222729883.html;_ylt=AwrBJR7GdttUOCIA_kXQtDMD

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