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Waning interest is biggest risk in race to overcome Ebola: WHO

REUTERS     by Tom Miles                                                                                        March 11, 2015

GENEVA -Waning interest in Ebola could jeopardize efforts to stamp out the world's worst recorded outbreak of the disease, the World Health Organization said on Wednesday.

Nameplates are seen at a cemetery for victims of Ebola virus in Suakoko, Liberia, March 11, 2015.  Reuters/James Giahyue

Case numbers have fallen to a low level and it should be possible to stop transmission by mid-year, but the disease is "not waning" and it is much too early to assume the outbreak will end, said WHO Assistant Director General Bruce Aylward.

"We talk often about how steep the drop in cases has been. The only thing that has dropped more quickly and more steeply is the new contributions in financing," he told reporters in Geneva. 

...the failure to make further inroads is "alarming", Aylward said.

"Getting from here to zero is going to require another reinvestment (in the drive to tackle the outbreak)."

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Why we’re still waiting on an Ebola vaccine

Researchers are scrambling to start trials before the outbreak fades, but establishing faith in vaccines will take time

AL JAZEERA AMERICA  by

FREETOWN, Sierra Leone — Since Ebola hit this coastal city last summer, nurses at Connaught Hospital have put their lives on the line by working with patients at risk of the deadly disease. Now researchers aim to recruit them as well as ambulance drivers and other hospital staff as subjects in one of the largest Ebola vaccine trials to date.

But just a few weeks before the trial begins enrollment, many health care workers are voicing discomfort about the shot. “It would be really good to have a vaccine, but we’re scared because it’s new,” said Kadiatu Nubieu, a nurse at Connaught.

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A panel of independent experts to assess WHO's response in the Ebola outbreak

WHO PRESS RELEASE                                                March 10, 2015

The WHO Director-General has commissioned a panel of outside independent experts to undertake an assessment on all aspects of WHO’s response in the Ebola outbreak. This is in response to a resolution passed during the Ebola Special Session of the Executive Board in January 2015.

Dame Barbara Stocking will chair the panel. She was formerly Chief Executive of Oxfam GB (2001-13) and during this time led major humanitarian responses. Currently she is President of Murray Edwards College, University of Cambridge, UK.

The other panel members are: Professor Jean-Jacques Muyembe-Tamfun, Director-General of the National Institute for Biomedical Research, Democratic Republic of the Congo; Dr Faisal Shuaib, Head of the National Ebola Emergency Operations Center, Nigeria; Dr Carmencita Alberto-Banatin, independent consultant and advisor on health emergencies and disasters, Philippines; Professor Julio Frenk, Dean of the Faculty, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA; and Professor Ilona Kickbusch, Director of the Global Health Programme at the Graduate Institute of International and Development Studies, Geneva, Switzerland.

The panel will present a first progress report on its work to the 68th World Health Assembly in May 2015.

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Economist: Some high-tech solutions fail with fight against Ebola in West Africa

THE ECONOMIST                                                                                                   March 9, 2015

As in all Ebola episodes, preventing infection in West Africa during what has been the worst outbreak in history has placed a lot of effort on looking after those dealing with the victims. New high-tech equipment is now available for use by health care workers, but in some countries it may be inappropriate....

Health care workers inside a USAID-funded Ebola clinic in Liberia wearing protective gear. Some of the best protective gear or technology is not available to African countries because of high costs or other conditions.  Photos by Abbas Dulleh • Associated Press,

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Can Mental Health Services Spur Economic Recovery in Ebola-ravaged Liberia?

MAD in AMERICA                                                                                        March 9, 2015

What's the key to rebuilding Liberian communities and igniting the country's economic recovery in the wake of the devastation of the Ebola epidemic and civil war? Expanding mental health services, reported articles in Nature, Devex, StarAfrica and other outlets.

A new three-year, $3 million effort to expand mental health services in Liberia is being funded by the government of Japan through a World Bank-administered trust fund, reported Devex. "Developers of the project hope that an increased focus on mental health will help spur economic recovery and growth in the devastated region by helping build social capital and community trust, while fostering positive coping behaviors," stated Devex. "A new squad of child mental health clinicians will be deployed to approximately 60 schools, while community-based interventions beyond Ebola-affected communities will be strengthened...."

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First look at hospitalized Ebola survivors' immune cells could guide vaccine design

MEDICALXPRESS                                                                                                 March 9, 2015
Researchers from Emory and the Centers for Disease Control and Prevention have now obtained a first look at the responses in four Ebola disease survivors who received care at Emory University Hospital in 2014, by closely examining their T and B cells during the acute phase of the disease. The findings reveal surprisingly high levels of , and have implications for the current effort to develop vaccines against Ebola.

The Ebola virus, isolated in November 2014 from patient blood samples obtained in Mali. The virus was isolated on Vero cells in a BSL-4 suite at Rocky Mountain Laboratories. Credit: NIAID

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Postmortem Stability of Ebola Virus

A CDC study suggests that the Ebola virus may still be able to cause disease a week after a person infected with the virus has died.

CDC  EMERGING INFECTIOUSNESS DISEASE JOURNAL        March, 2015
Abstract

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. Viable virus was isolated 7 days posteuthanasia; viral RNA was detectable for 10 weeks.

Read complete study.

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

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Liberia removes Ebola crematorium after last patient is cured, country's outbreak is contained

MONROVIA, Liberia — Marking the progress in controlling its Ebola outbreak, the Liberian government dismantled a crematorium and removed drums containing the ashes of more than 3,000 Ebola victims cremated during the height of the epidemic, whose last patient was discharged last week.

 Liberia resorted to cremating the bodies of Ebola victims when communities rejected burials in their areas for fear the disease could spread and contaminate their soil and affect them. The cremations were very controversial because they were against traditional burial practices. But those customs, including washing and touching the dead, spread the deadly Ebola which brought the government to impose cremations.

Religious leaders gathered Saturday at the former crematorium outside Monrovia and prayed for the victims who came from many different religious groups, Acting Information Minister Isaac Jackson told The Associated Press.

The 19 barrels of remains will be buried on a 25-acre plot bought by the government as a cemetery for Ebola victims.

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How big data is beating Ebola

Computational epidemiologists at Virginia Bioinformatics Institute (VBI) have been working to combat the world’s largest and deadliest outbreak of Ebola. - See more at: http://www.information-age.com/technology/information-management/123459120/how-big-data-beating-ebola#sthash.CTk2zlgo.dpuf
Computational epidemiologists at Virginia Bioinformatics Institute (VBI) have been working to combat the world’s largest and deadliest outbreak of Ebola. VBI’s Bryan Lewis writes - See more at: http://www.information-age.com/technology/information-management/123459120/how-big-data-beating-ebola#sthash.CTk2zlgo.dpuf
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South African brothers create app to help fight Ebola

PALO ALTO WEEKLY by My Nguyen                      March 6, 2015
PALO ALTO, California -- 

...Malan and Philip Joubert, brothers from South Africa who recently moved to Palo Alto to expand their app-development company, Journey, saw the demand for mobile solutions, so they created the Ebola Care app to help aid organizations in Liberia, Sierra Leone and Guinea. 

 The app has several core functions, including contact tracing, which identifies and diagnoses people who may have come into contact with an infected person; quarantine management, which tracks and manages the 21-day quarantine period of a patient; psychological assessments to determine the well-being of health workers; social work to build case files for orphaned children; survivor surveys, which are assessments of Ebola survivors upon leaving treatment centers; verification that supplies have been distributed; and event feedback, which captures thoughts from the community after educational events.

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