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Senegal reopens land border with Ebola-hit Guinea

REUTERS                                                                                                        Jan. 26, 2015

DAKAR --Senegal reopened on Monday its land border with Guinea, the Interior Ministry said, five months after closing transport links in August to prevent the spread of the worst outbreak on record of the deadly Ebola virus.

A billboard with a message about Ebola is seen on a street in Conakry, Guinea October 26, 2014.Credit: Reuters/Michelle Nichols

Senegal had already lifted in November a ban on air and maritime traffic with Guinea, Liberia and Sierra Leone - the three countries worst-affected by the epidemic of the deadly hemorrhagic fever....

"The decision to open the border follows meetings between Senegalese and Guinean authorities, in the course of which the important efforts made by the sister republic of Guinea to fight the Ebola virus were noted," said a ministry statement.

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http://www.reuters.com/article/2015/01/26/us-health-ebola-senegal-idUSKBN0KZ1GW20150126

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Guinea's Grand Imam Pulls No Punches In His Ebola Message

NATIONAL PUBLIC RADIO by Ofeiba Quist-Arcton                                                      Jan. 26, 2015

"Ebola — you have to do more," roars the barrel-bellied cleric El Hadj Mamadou Saliou Camara, with his white beard and mustache, in a snow-white boubou, the traditional flowing gown of West Africa.

 

Guinea's Grand Imam, El Hadj Mamadou Saliou Camara, tells his fellow clerics: "If there is any doubt at all, then no one must touch the body."Kevin Leahy /NPR

That's the message he delivered over the weekend to hundreds of his fellow clerics, who gathered in Kindia, the third largest city in Guinea and a major crossroads. Many of the residents still blame Westerners for bringing the virus to their country.

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Studies detail Ebola spread, response steps

Four new studies shed new light on Ebola transmission and countermeasures.

CENTER FOR EFFECTIVE FOR RESEARCH AND POLICY  by Lisa Schnirring                                        Jan. 23, 2015

French and Guinean researchers  noted how chains of transmission helped Ebola spread in Conakry, Guinea, the first of the region's capital cities to be hit by the virus, and US officials released three detailed reports on outbreak response.

The Conakry team looked at seven transmission chains that occurred in the area from March to August 2014. They reported their findings in The Lancet Infectious Diseases.

In the first of three reports Friday in Morbidity and Mortality Weekly Report (MMWR), extra flight contact tracing measures undertaken after a Texas nurse took two flights shortly before getting sick with Ebola in October identified 268 people from nine states, none of whom got sick with the virus

In the second report, CDC estimates on the impact of Ebola treatment units (ETUs) and community care centers (CCCs) in Liberia predict that the interventions prevented thousands of new infections and that the interventions when used together were likely had a bigger impact than either alone.

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Ebola: Decline encouraging, but critical gaps remain

 

MEDECINS SANS FRONTIERES                                                                         Jan. 26, 2015

A downward trend of new cases is reported in Médecins Sans Frontières (MSF) Ebola management centres across Guinea, Liberia and Sierra Leone, with just over 50 patients currently in its eight centres. While this is a promising development, the medical-humanitarian organisation cautions that loss of vigilance now would jeopardise the progress made in stemming the epidemic.

“This decline is an opportunity to focus efforts on addressing the serious weaknesses that remain in the response,” says Brice de la Vingne, MSF Director of Operations.  “We are on the right track, but reaching zero cases will be difficult unless significant improvements are made in alerting new cases and tracing those who have been in contact with them.”

The World Health Organization reported last week that only about half of new cases in both Guinea and Liberia are from known Ebola contacts, while in Sierra Leone there is no data available.  “A single new case is enough to reignite an outbreak,” continues de la Vingne. “Until everyone who has come into contact with Ebola has been identified, we cannot rest easy.”

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USAID broadens effort to correct Ebola misinformation in Liberia

DEVEX   by Molly Anders                                                                                   Jan. 26, 2015

In the scramble to reach the most remote residents of Ebola-hit Liberia, the U.S. Agency for International Development has signed on Mercy Corps, Finnish Church Aid and many other organizations to spread information about the disease to the country’s farthest-flung areas, and to correct misinformation along the way.

 

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Report by the Director-General to the Special Session of the Executive Board on Ebola

 

Statement by Dr. Margaret, Director-General of the World Health Organization to a Special Session of the Executive Board on Ebola

WHO PRESS OFFICE, Geneva                                                                                       Jan. 25, 2015

Excerpt:

"The Ebola outbreak points to the need for urgent change in three main areas: to rebuild and strengthen national and international emergency preparedness and response, to address the way new medical products are brought to market, and to strengthen the way WHO operates during emergencies."

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http://www.who.int/dg/speeches/2015/executive-board-ebola/en/

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WHO Board Agrees on Reforms to Fix Ebola Response Mistakes

GENEVA-- The World Health Organization’s board agreed to create a special fund to respond to such outbreaks as Ebola and to set up a global health emergency workforce after the organization acknowledged mis-steps in its response to the epidemic.

 The WHO’s executive board agreed “in principle” at a meeting in Geneva Sunday to a contingency fund, and asked Director General Margaret Chan to develop by May options on its size and sources. Chan should also take immediate steps to establish a public-health reserve workforce that can be promptly deployed in response to health emergencies, according to the resolution adopted by senior health officials from 34 countries.

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Meant to Keep Malaria Out, Mosquito Nets Are Used to Haul Fish In

 

Millions of mosquito nets are given out fight to malaria in Africa, yet many faced with hunger use them as fish nets, creating potential environmental problems. Video by Ben C. Solomon on Publish Date January 24, 2015. Photo by Uriel Sinai for The New York Times.

NEW YORK TIMES   by Jeffery Gettleman                           Jan. 25, 2015

BANGWEULU WETLANDS, Zambi --Across Africa, from the mud flats of Nigeria to the coral reefs off Mozambique, mosquito-net fishing is a growing problem, an unintended consequence of one of the biggest and most celebrated public health campaigns in recent years.

The nets have helped save millions of lives, but scientists worry about the collateral damage: Africa’s fish.

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Anger, mistrust in Guinea villages hinders battle to beat Ebola

REUTERS    by  By Saliou Samb                           Jan. 23, 2015           

CONAKRY --Angry residents are blocking access for health workers to dozens of remote villages in Guinea, in a sign of persistent mistrust that could threaten President Alpha Conde's aim to eradicate Ebola from the country by early March....

Guinea has recorded a sharp fall in infections in recent weeks, fuelling hope that the tide has turned against the epidemic.

But with some people still denying the incurable disease exists, experts say it could prove difficult to trace those who had been in contact with the infected and to change traditional behavior such as burial rituals involving touching the dead. These steps are seen as vital to defeating the disease....

In a sign of the resistance and distrust, medical kits sent by the government to schoolchildren were destroyed by villagers in Ourekaba, southern Guinea. ... locals thought the kits had been sent to contaminate the children.

Two security officials who arrived to investigate reports of a secret Ebola burial were lynched last week by a crowd in Sinkine, in the Forecariah region about 100 km from the capital Conakry, a police source said.

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WHO mulls reforms to repair reputation after bungling Ebola

ASSOCIATED PRESS  by Marian Cheng                                                                       Jan. 25, 2015

GENEVA  — The World Health Organization is debating how to reform itself after botching the response to the Ebola outbreak, a sluggish performance that experts say cost thousands of lives.

On Sunday, WHO's executive board planned to discuss proposals that could radically transform the United Nations health agency in response to sharp criticism over its handling of the West Africa epidemic.

"The Ebola outbreak points to the need for urgent change," said Dr. Margaret Chan, WHO's director-general. She acknowledged that WHO was too slow to grasp the significance of the Ebola outbreak, which is estimated to have killed more than 8,600 people, mainly in Guinea, Liberia and Sierra Leone.

"The groundswell of dissatisfaction and lack of trust in WHO over Ebola has reached such a crescendo that unless there is fundamental reform, I think we might lose confidence in WHO for a generation," said Lawrence Gostin, director of the WHO Collaborating Center on Public Health Law and Human Rights at Georgetown University.

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