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Ebola-hit countries seek help to repair their economies

REUTERS by Adrian Croft                                                                                     March 3, 2015
BRUSSELS - The three West African states hardest hit by the Ebola outbreak asked for help from donors on Tuesday to repair the damage to their economies now that the epidemic seems to be waning.

Leaders of Guinea, Liberia and Sierra Leone voiced confidence at a major international conference on the Ebola outbreak in Brussels that they were winning the battle but said they must remain focused on stamping out new infections....

International donors have pledged nearly $5 billion to help combat the Ebola outbreak, according to EU officials, although only about half of that has been disbursed so far.....

 The World Bank has estimated the epidemic will cost the three countries at least $1.6 billion in lost economic growth this year, or more than 12 percent of their combined output.

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http://news.yahoo.com/ebola-hit-countries-seek-help-repair-economies-161332797.html;_ylt=AwrBJR6.3_VUSjIA7pzQtDMD

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Ebola epidemic is 'wake-up call' for investment in universal healthcare

Investment in universal healthcare: Improving health systems in three Ebola-hit African countries would have cost a third of relief effort there, says new Save the Children report

THE GUARDIAN      by Lisa O'Connell                                                                   March 3, 015
Up to 30 countries are vulnerable to an Ebola-style epidemic, unless the world sits up and helps get urgent investment into universal healthcare, a report (pdf) has found.

Health workers who have returned from west Africa and colleagues based in the UK walk to Westminster in support of Save the Children’s campaign to strengthen health systems globally. Photograph: Jeff Moore/Save the Children

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Liberia's President: Ebola Re-Energized Her Downtrodden Country

NATIONAL PUBLIC RADIO interview by David Greene                                                    March 2, 2015

There's a lot to celebrate in Liberia: The number of new Ebola cases have been declining, kids are going back to school and life is returning to some semblance of normalcy.

Last year, Ebola struck the country and since then, it has killed more than 4,000 Liberians. But among the three hardest-hit countries in West Africa, Liberia has been the fastest at containing the outbreak. Just last week, the region reported 99 new cases of Ebola. Only one of those came out of Liberia.

   Liberian President Ellen Johnson-Sirleaf, photographed in Washington, D.C., on February 26. Ariel Zambelich/NPR

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ZMapp Ebola Trial Starts In Liberia: Is It Too Late?

FORBES   by   David Kroll                                                                                          March 1, 2015

The widely-discussed antibody cocktail, ZMapp, is finally going to be tested under standardized, controlled conditions for its safety and efficacy in Ebola virus disease-infected patients in Liberia and, potentially, the United States.

Late Friday, the NIH National Institute of Allergy and Infectious Disease (NIAID) announced the launch of a randomized trial in up to 200 patient volunteers with confirmed Ebola virus infections.

The two-arm study will compare supportive standard of care with or without three intravenous infusions of ZMapp spaced three days apart. This is the same dosing regimen published in Nature that protected 18 of 18 monkeys when given up to five days after experimental infection.

LeafBio, the commercial arm of San Diego-based Mapp Biopharmaceutical, announced concomitantly that the FDA had approved their IND for this trial. The three antibodies that comprise ZMapp target both distinct and overlapping parts of the Ebola virus glycoprotein (GP) that it uses to infect humans.

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Liberia’s President Urges U.S. to Continue Ebola Aid

NEW YORK TIMES  by Helene Cooper                     Feb. 27, 2015

WASHINGTON — President Ellen Johnson Sirleaf of Liberia on Friday urged the United States to maintain its assistance to her country as it continues to fight to recover from the Ebola outbreak, which began about one year ago.

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Thoughts turn to recovery as Ebola slowly ebbs in West Africa

 REUTERS By Daniel Flynn, James Harding Giahyue and Saliou Samb                              Feb. 27, 2015

 DAKAR/MONROVIA/CONAKRY - In the marble atrium of the Mammy Yoko hotel in Freetown, manager Nuno Neves has spotted something he has not seen since the Ebola virus struck Sierra Leone nine months ago: foreign businessmen.

The Radisson Blu chain opened the four-star hotel in April to cater for investors in one of Africa's fastest-growing economies. A month later, Ebola crossed the border from Guinea and those investors fled....

For months, Sierra Leone was cut off from the world amid panic at the worst recorded outbreak of the hemorrhagic fever, which has killed more than 9,500 people in Sierra Leone, Guinea and Liberia and infected over 23,500.

But with infection rates slowly declining, investors have begun to talk about post-Ebola reconstruction. Neves has noted the return of businessmen not seen since the hotel opened.

"They don't bring their teams. They just come to see what is going on and then they leave," he said, adding that 'business as usual' remains far off. "This will be a year focused on Ebola. First the fight to end Ebola and then reconstruction...."

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It Kills Germs For Up To 6 Hours. Can It Wipe Out Ebola?

NATIONAL PUBLIC RADIO  by Emily Sohn                                                              Feb. 27, 2015

Clean hands go a long way toward preventing the spread of many illnesses, including Ebola. But finding the right hand-wash to impede deadly germs is tricky.

           A health worker in Liberia washes up after leaving a clinic's Ebola isolation area. Tommy Trenchard for NPR

A squirt of alcohol-based sanitizer like Purell kills or denatures many microbes on contact. In the case of bacteria, essentially poking holes in their cell membranes, causing them to shrivel up like water balloons. For viruses, the mechanism is not well-understood. But alcohol evaporates after 15 seconds, allowing for rapid recontamination...

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Rapid Response to Ebola Outbreaks in Remote Areas — Liberia, July–November 2014 Weekly

Morbidity and Mortality Weekly Report (MMWR)

 CDC                                                                        Feb. 27, 2015

Outbreaks in remote areas posed a significant challenge to CHTs to mount an effective investigation and rapid response because of limited resources, personnel, and means to reach remote areas.

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http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6407a7.htm?s_cid=mm6407a7_x

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Decision on Ebola mass vaccination in August at earliest: WHO

REUTERS by Stephanie Nebehay                                                             Feb. 27, 2015

GENEVA -- An independent advisory body will decide in August at the earliest on whether to recommend widespread introduction of an Ebola vaccine, depending on results of clinical trials and the epidemic's course, the World Health Organization said on Friday.

All three worst-hit countries in West Africa - Guinea, Liberia and Sierra Leone - aim to conduct phase III final-stage clinical trials of experimental vaccines.

Liberia is already testing both the GlaxoSmithKline and Merck-NewLink vaccines, while Sierra Leone and Guinea are due to announce plans soon....

WHO spokesman Christian Lindmeier, reporting on a three-day meeting of experts, told a news briefing: "Vaccine introduction is by no means a given and will depend on the results of clinical trials and recommendations from WHO's Strategy Advisory Group of Experts (SAGE) on vaccines and immunization....

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Fatality Rate Is Falling in West African Ebola Clinics

NEW YORK TIMES  by Donald G. McNeil, Jr.                 Feb. 27, 2015

SEATTLE — As the Ebola epidemic in West Africa wanes, physicians from Doctors Without Borders are confronting a mystery: More of their patients are surviving. They do not know why.

Benetha Coleman, an Ebola survivor and nurse’s aide, comforted a baby with Ebola symptoms in Liberia, as seen through a net. Credit John Moore/Getty Images

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