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Health Care Worker Quarantine for Ebola: To Eradicate the Virus or Alleviate Fear?

ANNALS OF EMERGENCY MEDICINE                                                                               Dec. 11, 014
By Kristi Koenig, MD, Center for Disaster Medical Sciences, University of California at Irvine

Despite our global experience with emerging infectious diseases, politicians empowered with making health policy decisions and even some scientists have created confusion, fear, and stigmatization of health care workers by inconsistent use of quarantine....

Instead of trying to allay public fears by misapplication of quarantine, we should instead educate according to rigorous science and apply evidence-based policies and procedures. Modern technologies exist for robust public health monitoring that can replace an antiquated system of quarantine for exposed persons who have no potential to transmit disease before symptom onset. Health care workers who have cared for Ebola patients and are asymptomatic should not be restricted from work or other activities as long as they can be effectively monitored for symptoms and then isolated and tested if those develop. Politicians must heed their scientific advisors and not be swayed by misinformed public fear. In addition, we should seek out and apply these simple modern technologic solutions that maximize public health and safety.

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Horror in Sierra Leone: A Single Spark Gives Ebola New Life

NBC NEWS      by  Maggie Fox                                                                                               Dec. 15, 2014
In especially deadly outbreak of Ebola burned unseen in a remote part of Sierra Leone for several weeks, giving public health experts a reality check. It's also a perfect embodiment of the warning that they've been giving for months: that a single spark can set off a conflagration of disease and death.

It happened in Kono, a remote district bordering Guinea. World Health Organization workers heard rumors of deaths and traveled there to find scenes out of a horror movie. At least 87 people had died and been hastily buried, often without the precautions needed to stop the corpses from infecting the living....

What happened in Kono illustrates just how fragile any success is.

It's likely that just one person carried the virus there from an affected area, and without precautions in place, it spread like wildfire.

Read complete story.

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What an Ebola curfew looks like

Killian Doherty, an Irish architect working for the Architectural Field Office (AFO), has been in Sierra Leone’s capital, Freetown, for much of the Ebola epidemic. He documented the curfews in some dramatic photographs

THE GUARDIAN by Killian Doherty and René Boer for Failed Architecture                                   Dec. 15, 2014

FREETOWN -- Sierra Leone has been severely affected by Ebola. Over the last six months, the country has seen a high death toll, immense human suffering and a wide range of restrictive measures that have hampered economic and urban life. Most dramatically, in Sierra Leone’s capital, Freetown, the authorities have instituted a set of curfews that have forced residents to stay at home, resulting in a seemingly deserted city. 

 

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Ebola serum supply reaches Liberia

BBC                                                              Dec. 15, 2014

Liberia has begun treating Ebola patients with serum therapy - a treatment made from the blood of recovered survivors.

Doctors hope the experimental treatment could help combat the virus that has been sweeping West Africa and killing thousands of people.

If a person has successfully fought off the infection, it means their body has learned how to combat the virus and they will have antibodies in their blood that can attack Ebola.

Doctors in Liberia will monitor how safe and effective is the serum treatment being given at the ELWA Hospital in Monrovia.

 Dr David Hoover, the programme's director, said: "This will empower local health care systems to become more self-sufficient and better serve their patients during this current epidemic as well as in the future."

Read full story
http://www.bbc.com/news/health-30478512

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12th Sierra Leonean physician contracts Ebola amid junior doctor go-slow

ASSOCIATED PRESS                                                      Dec. 14, 2014
FREETOWN, Sierra Leone — An official in Sierra Leone says one of the country's top doctors has contracted the Ebola virus.

Dr. Victor Willoughby is the 12th Sierra Leonean physician to become infected — 10 of whom have died.

Government Chief Medical Officer Dr. Brima Kargbo confirmed Sunday that Willoughby had tested positive for Ebola.

Junior doctors in Sierra Leone last week launched a strike to demand better medical treatment for health workers who contract the disease. Kargbo said Sunday that skeleton crews have returned to aid the senior doctors.

Complete story
http://www.usnews.com/news/world/articles/2014/12/14/another-sierra-leonean-doctor-sick-with-ebola

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Ebola: UN envoy calls for “big surge” in efforts to reduce transmission rates in Sierra Leone

UNITED NATIONS NEWS CENTRE                                                                                    Dec. 13, 2014
Amid a spike in Ebola transmission rates in Sierra Leone, the United Nations envoy coordinating the massive global crisis response has travelled to the West African nation to help implement a surge in efforts to contain the outbreak.


Anthony Banbury, head of the UN Mission for Ebola Emergency Response (UNMEER), views an International Federation of Red Cross and Red Crescent Societies (IFRC) Ebola Treatment Centre in Kenema, Sierra Leone. (November 2014) UNMEER Photo/Ari Gaitanis

 “We need to put in place a big surge to get those case numbers down, and we've been working on implementing that surge in the last week,” Anthony Banbury, head of the UN Mission for Ebola Emergency Response (UNMEER), said in a press release following his two-day visit to the country's capital, Freetown, from 11 to 12 December. With some 8,069 cases, Sierra Leone is now the worst-affected country in West Africa, according to UNMEER's latest data. Together, Guinea, Liberia and Sierra Leone have so far registered over 18,000 cases of Ebola, including more than 6,300 deaths.

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Contest Seeks Novel Tools for the Fight Against Ebola

NEW YORK TIMES  by Donald G. McNeil, Jr.                                                                              Dec. 13, 2014

NEW YORK --The well-prepared Ebola fighter in West Africa may soon have some new options: protective gear that zips off like a wet suit, ice-cold underwear to make life inside the sweltering suits more bearable, or lotions that go on like bug spray and kill or repel the lethal virus.

A prototype for one of the protective suits in contention for the U.S.A.I.D. "Grand Challenges" award. Credit John Hopkins University/Jhpiego

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The fight against Ebola: Exorcising the ghostly fever

In-depth description of the evolution of the Ebola crisis

THE ECONOMIST                                                                                                                               Dec. 13, 2014

AKPOIMA AND FREETOWN--Slowly and messily, the struggle against the virus is being won

 Read complete story.

http://www.economist.com/news/middle-east-and-africa/21636081-slowly-and-messily-struggle-against-virus-being-won-exorcising

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Sierra Leone Cancels Christmas As Ebola Crisis Deepens

AFP    by Rod Mac Johnson                                                                                                  Dec. 12, 2014

Freetown  - Sierra Leone said Friday it was banning any public Christmas celebrations as the spiralling caseload of Ebola infections continues to spread alarm.

Soldiers are to be deployed throughout the festive period to force people venturing onto the streets back indoors, the government’s Ebola response unit said.

Palo Conteh, head of the department, told reporters in the capital Freetown there would be “no Christmas and New Year celebrations this year.”

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UNICEF Expanding Fight Against Ebola

VOICE OF AMERICA  Lisa Schlein                                                                                            Dec. 12, 2014

GENEVA—The U.N. Children’s Fund is appealing for an additional $300 million to expand its fight against Ebola in the three heavily affected West African countries over the next six months. UNICEF said gaining the confidence of community members, increasing their awareness and knowledge of modes of transmission and prevention are key to winning the battle against this deadly disease.

Women in the village of Boukoloma, in Guinea’s southeastern forest region, listen to messages about Ebola prevention. (Photo courtesy of Christophe Boulierac / UNICEF)

UNICEF officials said money from the appeal would be used to tackle two major drivers of Ebola transmission: lack of early isolation of patients and unsafe burials.  Both of these issues are wound up with traditional cultural practices, which often have stymied aid agencies’ efforts to prevent people from getting infected with the disease and spreading it to others. 

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