Situation Report

Q&A with Rajiv ‘Raj’ Shah, USAID administrator dealing with Ebola in Liberia

WASHINGTON POST                                          Nov. 13, 2014
By Joel Achenbach
 Excerpt:

"We’re now dealing with an epidemic in a different phase, which is as many as 15 to 20 microepidemics around the country [Liberia] that require a more nimble and more rapid response. So we’re working with our partners to build rapid-response teams that can quickly get to a community, identify where there are clusters of cases, very rapidly stand up a community care center, or almost a mini-ETU [Ebola Treatment Unit], and have the protective equipment and connectivity back to laboratory diagnostics that allows for accelerated disease control of those epidemics."

 
USAID administrator Rajiv “Raj” Shah, second from right, inspects a newly built Ebola treatment center in Monrovia, Liberia, on Oct. 14. (Abbas Dulleh/AP)

See full Q&A

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As Ebola takes lives in Liberia, it leaves hunger in its wake

WASHINGTON POST                                             NOV. 13, 2014

By Lennie Berstein

FOYA, Liberia — The Ebola virus, which has killed more than 2,830 Liberians and collapsed the country’s health-care system, is also attacking Liberia’s food supply, bringing intermittent hunger to a wide swath of this country even as its 4.1 million people try to survive the epidemic.

 The typical family

Liberians carry bags of bulgur wheat and cans of cooking oil after receiving food from a U.N. World Food Program distribution in Kolba City. (Michel du Cille/The Washington Post )

Income, already among the lowest in the world, has declined as the epidemic raged in recent months, shutting workplaces and killing breadwinners. Closed borders with Sierra Leone, Guinea and Ivory Coast have sharply reduced trade. Markets in villages and towns across the country have been shut down to limit large gatherings, which can abet transmission of the virus.

The planting and harvesting seasons were disrupted when Ebola hit the farm belt in June....

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Health Officials Reassess Strategy to Combat Ebola in Liberia

NEW YORK TIMES                                                         Nov. 13, 2014

By and

WASHINGTON — As the rate of new Ebola infections in Liberia has slowed, American and Liberian officials are debating whether to build all 17 planned Ebola treatment centers in the country or to shift money from the Obama administration that was planned for the centers into other programs to combat future outbreaks.

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Full Senate Committee on Appropriations Hearing on the U.S. Government Response to Ebola Outbreak

               

appropriations.senate.gov - C-SPAN3 - November 12, 2014

Full Committee Hearing on the U.S. Government Response to the Ebola outbreak
 
WHEN:             WEDNESDAY, November 12, 2014 at 2:00 p.m.
                                                                                                             
WHERE:            Room SD-G50 of the Dirksen Senate Office Building

(VIEW THE RECORDED VIDEO IN THE LINKS BELOW)

http://www.appropriations.senate.gov/webcast/full-committee-hearing-us-government-response-fighting-ebola-and-protecting-america

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Major Gaps Persist in West African Battle Against Ebola Virus

VOICE OF AMERICA                              Nov. 12, 2014

By Kim Lewis                            

Doctors Without Borders  (MSF) says there have been slight improvements in the Ebola situation in Liberia and Guinea. However, Sierra Leone has experienced a big surge in reported cases throughout the country in recent weeks.

The group released an update on their assessment of the Ebola crisis in the three countries with reports of gains and losses. 

“I think we can see the most improvements in Liberia,” said MSF spokesman James Kambaki. MSF has large isolation center in the country and is distributing an estimated 300,000 protection kits – gloves, masks and chlorine as a disinfectant - to the public. “Besides that, MSF has also done a mass malaria prophylactic prevention to try and ease up the burden of other illnesses so that you can concentrate on Ebola.”

Kambaki said the prevention measures appear to be helping, but MSF is investigating a recent drop in numbers being admitted to their Ebola isolation centers.

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US Scales Back Ebola Response Numbers

VOICE OF AMERICAN                                                                                           Nov.12, 2012
By Carla Babb
PENTAGON--The U.S. military says it is scaling back its planned Ebola response deployments to West Africa from 4,000 troops to 3,000. 

 

FILE- Members of the U.S. Department of Defense's Ebola Military Medical Support Team go through special training at San Antonio Military Medical Center.

Major General Gary Volesky, who heads the U.S. military's response to the Ebola outbreak, said in a call to reporters at the Pentagon from Liberia the United States does not need 4,000 troops to fight Ebola in West Africa.  He said the troop total will increase from about 2,200 today to just under 3,000 by mid-December.

"There is a lot of capacity here that we did not know about before, and so that enabled us to reduce the forces that we thought we originally had to bring," said Volesky....

See complete story
http://www.voanews.com/content/us-scales-back-ebola-response-numbers/2518196.html

Link to Defense Department announcement

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Doctors Without Borders will begin Ebola drug studies by December in Africa

USA TODAY                                         Nov. 12, 2014
by Liz Sazbo

Doctors Without Borders will begin clinical trials of three experimental Ebola therapies in West Africa in December, the aid group announced Wednesday.

The studies, to be conducted at the group's treatment centers in Guinea and Liberia, will test therapies already used in some Ebola patients in the USA and Europe: the antiviral drugs brincidofovir and favipiravir, as well as blood donations from Ebola survivors.

Brincidofovir, made by Chimerix of North Carolina, was given to cameraman Ashoka Mukpo, Liberian national Thomas Eric Duncan and physician Craig Spencer. Mukpo and Spencer survived. Duncan received the drug just a couple days before he died.

Favipiravir, an anti-flu drug made by Japan's Fujifilm Holding Corp., was given to a French nurse who worked with Doctors Without Borders.

And blood donations from Ebola survivors, which contain antibodies against the virus, have been used since the first Ebola outbreak in 1976.

Read complete story
http://www.usatoday.com/story/news/nation/2014/11/12/ebola-clinical-trial/18919401/

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Ebola death toll tops 5,000; steep rise in Sierra Leone cases

REUTERS                                                                                               Nov. 12, 2014

By Stephanie Nebehay

GENEVA --The death toll from the Ebola outbreak in West Africa's three hardest-hit countries, Guinea, Liberia and Sierra Leone, has risen to 5,147 out of 14,068 cases at the end of Nov. 9, the World Health Organization (WHO) said on Wednesday.

A further 13 deaths and 30 cases have been recorded in five other countries - Nigeria, Senegal, Mali, Spain and the United States, the U.N. agency said.

"There is some evidence that case incidence is no longer increasing nationally in Guinea and Liberia, but steep increases persist in Sierra Leone," the WHO said in a statement. "Cases and deaths continue to be under-reported in this outbreak."

Some 421 new infections were reported in Sierra Leone in the week to Nov. 9, especially in the west and north, it said.

Ebola is still spreading intensely in Sierra Leone's capital of Freetown, with Koinadugu and Kambia northern regions now "emerging areas of concern", it added.

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Ebola crisis: Sierra Leone health workers go on strike

BBC                                                    Nov. 12, 2014

More than 400 health workers involved in treating Ebola patients have gone on strike at a clinic in Sierra Leone.

The staff, who include nurses, porters and cleaners, are protesting about the government's failure to pay an agreed weekly $100 (£63) "hazard payment".

There have been almost 300 new Ebola cases in Sierra Leone in the past three days

The clinic, in Bandajuma near Bo, is the only Ebola treatment centre in southern Sierra Leone.

The Bandajuma clinic is run by medical charity MSF, which said it would be forced to close the facility if the strike continued. MSF's emergency co-ordinator in Sierra Leone, Ewald Stars, told the BBC that about 60 patients had been left unattended because of the strike at the clinic in Bandajuma.
Read complete story
http://www.bbc.com/news/world-africa-30019895

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Mali scrambles to contain Ebola after new confirmed death

UPDATE:   Mali quarantines dozens after Ebola kills second victim

REUTERS                                                                              Nov. 12, 2014

By Joe Penney

BAMAKO --Authorities in Mali quarantined dozens of people on Wednesday at the home of a 25-year-old nurse who died from Ebola in the capital, Bamako, and at the clinic where he treated an imam from Guinea who died with Ebola-like symptoms.

Secretary-general of Mali's Health Ministry Ousmane Doumbia (2nd L) speaks to journalists at a news conference in Bamako November 12, 2014. Credit: Reuters/Joe Penney

The imam from the border town of Kouremale was never tested for the disease and his body was washed in Mali and returned to Guinea for burial without precautions against the virus.

Two aid workers said that another person who lived in the house where the imam stayed in Bamako had died this week and was buried without being tested.

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