Situation Report

Ebola spreads in Sierra Leone as global cases top 20,000 - WHO

REUTERS                                                                                                             Dec. 31, 2014

GENEVA - The Ebola virus is still spreading in West Africa, especially in Sierra Leone, and the number of known cases globally has now exceeded 20,000, the World Health Organization (WHO) said on Wednesday.

The death toll from the outbreak, which has been mostly confined to West Africa, has risen to 7,905, the WHO said, following 317 fatalities recorded since it last issued figures on Dec. 24.

The number of known cases, including fatalities, totalled 20,206 at year-end, it said.

 However, the number of cases in Sierra Leone over a three-week period has fallen below 1,000 for the first time since Sept. 28, suggesting the spread of the disease is slowing. In neighbouring Guinea, the three-week total rose for a second week to 346, suggesting the epidemic is growing there.

Read complete story.

http://news.yahoo.com/ebola-spreads-sierra-leone-global-cases-top-20-085657794.html;_ylt=AwrBJSA9_qVUoU0AoXTQtDMD

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Ebola outbreak: Canada turned 176 people away after imposing travel ban

THE CANADIAN PRESS                                                                    Dec.31, 2014

Newly-released figures show an estimated 176 people were turned away from Canada after the imposition of a partial travel ban from Ebola-affected countries in West Africa.

The federal government put the controversial measures in place at the end of October, barring people from Guinea, Liberia and Sierra Leone from receiving visas to come to Canada.

At the same time, the government announced it would also stop processing visa and visitor applications in the queue.

http://www.cbc.ca/news/health/ebola-outbreak-canada-turned-176-people-away-after-imposing-travel-ban-1.2887673

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Scientists trace Ebola outbreak to a tree where children play

WASHINGTON POST  by Rachel Feltman     Dec. 14, 2014 

According to research published Tuesday by the Robert Koch-Institute, fruit bats are almost certainly to blame for the current Ebola outbreak, which has claimed 7,800 lives so far. But while most outbreaks caused by a fruit bat would have someone who hunted or handled the mammal for meat to blame for the contagion, the researchers believe that this case of bat-to-human transmission was sparked by children at play.

A child under observation for signs of Ebola. (Michel du Cille/The Washington Post)

Ebola is a zoonotic disease -- one that's spread between species. The first human cases of Ebola can indeed be traced roughly to the hunting, selling, and eating of bushmeat, or wild mammals like bats and non-human primates...

But the first case of 2014's outbreak has been traced to someone who shouldn't have had much contact with bushmeat. In October, researchers reported that patient zero of the outbreak was likely a 2-year-old boy named Emile Ouamouno who lived in the Guinea village of Meliandou.

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Is Ebola Here to Stay?

SCIENTIFIC AMERICAN by Dina Fine Maron                                  Dec. 29, 2014
Kisses are at a premium in the capital of Liberia. Even a hug or a handshake between friends is often out of the question. That’s the new normal ever since Ebola began ravaging communities throughout Liberia, Sierra Leone and Guinea. For much of the past year, residents of these west African countries have wondered if daily life will ever be able to return to the way things once were.

Monrovia, Liberia - November 2014: Ebola survivor Korlia Bonarwolo leads a training of health workers at a mock Ebola Treatment Unit in Liberia. "I think with the knowledge we have now, the treatment is going to be much greater," he says.

Photo: Morgana Wingard/Sarah Grile, 2014

And at the heart of the matter is a scientific question: has Ebola now found a permanent foothold among humans?

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After Slow Ebola Response, WHO Seeks to Avoid Repeat

Health Body to Consider Rapid-Response Teams, Other Changes

WALL STREET JOURNAL by Betsy McKay in Atlanta and Peter Wonacott in Freetown, Sierra Leone             Dec. 30, 2014

The tepid initial response to West Africa’s Ebola outbreak exposed holes in the global health system so gaping it has prompted the World Health Organization to consider steps to prevent a repeat, including emergency-response teams and a fund for public-health crises.

In a special session next month in Geneva, the WHO’s executive board is expected to consider those and other recommendations by its member countries—including a proposal that it commission an outside review of its Ebola response—according to a document reviewed by The Wall Street Journal.

The plan comes as global health officials are struggling with a knotty question: how the WHO could have moved at a slow pace initially despite lessons learned more than a decade ago from another deadly outbreak, of SARS.

Read complete story.
http://www.wsj.com/articles/after-slow-ebola-response-who-seeks-to-avoid-repeat-1419892712

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How Ebola Roared Back

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Scottish government confirms Ebola case in Glasgow

UPDATE: Ebola Patient Is Moved to London, and 2 Others Are Tested in Britain

NEW YORK TIMES     by Alan Cowell                                                 Dec. 30, 2014

LONDON — A health worker who returned from West Africa and was found to have Ebola when she arrived home in Scotland was transferred on Tuesday to Britain’s designated treatment center for the disease in London. The authorities also reported that two more people were being tested for the virus.

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Liberia: Ebola Corpse Arrested, 2000 Persons Quarantined

LIBERIAN OBSERVER  by Gloria T. Tambia                                                              Dec. 29, 2014

MONROVIA, Liberia --Two thousand persons have been quarantined in Lofe Town, Margibi County, after a corpse transported for burial was confirmed by the County Health Authorities of being Ebola infected.

The Margibi health authorities received a call that a body had been transported from Monrovia for burial, according to the Director of Community Health for Margibi County, Mr. Joseph J. Korhene. He said that the health team and Ebola Task Force, on arriving at the scene on December 18, took a specimen of the corpse that confirmed it to be Ebola positive.

Mr. Korhene...said that before the health team arrived in Lofe Town, the family had already finished the wake-keeping, which brought together people from eight surrounding villages. He said the infected corpse was that of a woman who had died in the Bushrod Island community near Monrovia.

Mr. Korhene who declined to reveal the identity of the deceased said that her family knew that she had died of Ebola but had decided to bury her without the involvement of the Ebola Task Force anyway.

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FDA approves new Roche Ebola test for emergency use

WASHINGTON POST by  Rachel Feltman                      Dec. 29, 2014

Pharmaceutical company Roche announced Monday that the U.S. Food and Drug Administration had provided an Emergency Use Authorization -- a sort of pre-approval for use in particularly bad outbreaks -- for a new kind of Ebola test.

This isn't the first test to get this kind of approval during the 2014 outbreak of the Zaire strain of Ebola, which has killed more than 7,500 people to date and is still an ongoing crisis in parts of West Africa.... 

So it's no surprise that Swiss company Roche has put its version of a rapid test forward. The LightMix Ebola Zaire rRT-PCR Test works in about three hours, and is designed for Roche's testing consoles.

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Ebola: How does it compare?

Ebola death rate compared to other diseases

BBC   by James Gallagher Health editor, BBC News website         Dec. 27, 2014

The world has witnessed the largest-ever epidemic of Ebola claim thousands of lives in West Africa in 2014....

Outbreaks such as Ebola have an ability to spread fear around the world, often through the prism of sensationalist media reporting.

So how does Ebola actually compare to previous outbreaks and other diseases? And while the world focuses on Ebola, are we guilty of ignoring much bigger killers?

Analysing the death rates from different viruses shows Ebola is certainly one of the most deadly infections ever encountered.
Read complete report
http://www.bbc.com/news/health-29953765

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