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U.S. military ends Ebola mission in Liberia

REUTERS    by  James Harding Giahyue                                                          Feb. 26, 2015

MONROVIA -- The United States military officially ended a mission to build treatment facilities to combat an Ebola outbreak in Liberia on Thursday, months earlier than expected, in the latest indication that a year-long epidemic in West Africa is waning.

Washington launched the mission five months ago and the force peaked at over 2,800 troops at a time when Liberia was at the epicenter of the worst Ebola epidemic on record....

"While our large scale military mission is ending...the fight to get to zero cases will continue and the (Joint Force Command) has ensured capabilities were brought that will be sustained in the future," U.S. Army Major General Gary Volesky....

Speaking to lawmakers during a visit to Washington on Thursday, Liberia's President Ellen Johnson Sirleaf thanked the United States for its support during the crisis.

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http://uk.reuters.com/article/2015/02/26/us-health-ebola-usa-idUKKBN0LU2HR20150226

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Report Slams U.S. Ebola Response and Readiness

NBC NEWS  by Maggie Fox                                                                               Feb. 26, 2015

The United States fumbled its response to the Ebola epidemic before it even began, neglecting experiments to make vaccines and drugs against the virus, and cutting funding to key public health agencies, a presidential commission said Thursday.

Americans focused on their own almost nonexistent risk of catching Ebola from travelers instead of pressing to help the truly affected nations, the scathing report from the Presidential Commission for the Study of Bioethical Issues says.

They've been acting against their own best interest, the commission said in its report.

"Both justice and prudence demand that we do our part in combating such devastating outbreaks. Once we recognize our humanitarian obligations and the ability of infectious diseases to travel in our interconnected world, we cannot choose between the ethical and the prudential," it reads.

"Ethics and enlightened interest converge in calling for our country to address epidemics at their source."

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99 Ebola cases in past week, nearly two-thirds in Sierra Leone: WHO

REUTERS                                                  Feb. 25 2015

GENEVA - Guinea, Liberia and Sierra Leone reported 99 new confirmed Ebola cases in the week to Feb. 22, down from 128 the previous week, the World Health Organization (WHO) said on Wednesday.

Sierra Leone accounted for the bulk of the latest infections with 63, signaling a halt to a steep decline recorded from December through January, followed by Guinea with 35 and Liberia just a single case, the U.N. agency said in its weekly report.

"Cases continue to arise from unknown chains of transmission," the WHO said. Sixteen of the new cases were identified in Guinea and Sierra Leone after post-mortem testing of people who died in the community "indicating that a significant number of individuals are still either unable or reluctant to seek treatment."

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http://news.yahoo.com/99-ebola-cases-past-week-nearly-two-thirds-195956152.html
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Update: Ebola Virus Disease Epidemic — West Africa, February 2015

 CDC  Weekly report                                                                    Feb. 24, 2015

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Ending the Ebola Outbreak

Months of declining cases have fed hopes that the Ebola outbreak might finally be ending. “There are now 10 times fewer people diagnosed with Ebola each week than there were in September last year,”said Dr. David Nabarro, the United Nation’s special envoy on the Ebola crisis.

The number of new Ebola cases fell rapidly in December and January, but officials with the United Nations and the World Health Organization cautioned that ending the outbreak entirely would be extremely difficult.

“The outbreak still presents a grave threat,” Dr. Nabarro said. “We have to really work hard to get to what we call zero-zero — zero cases, zero transmissions.”

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Ebola endemic risk remains in west Africa, scientists warn

THE GUARDIAN      by Sarah Boseley                                                                         Feb. 25, 2015
 Scientists are warning of a real risk that the Ebola virus disease could become endemic in west Africa if efforts to end the epidemic slacken as the number of cases falls.

 All previous outbreaks of Ebola were stamped out within months and the virus disappeared from the human population each time. Guinea, Sierra Leone and Liberia, however, have been in the grip of the virus for more than a year. While the numbers of cases dropped dramatically in December and early January, they have now plateaued and there are fears that the disease may not be totally eradicated....

Dr Margaret Harris in the director general’s office of the World Health Organisation said they were at “a bump in the road”.

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Fear of Ebola's sexual transmission drives abstinence, panic

REUTERS                                                            Feb. 25, 2015

 MONROVIA --Musa Pabai left an Ebola treatment centre in Liberia in November, grateful to have survived a disease that has killed nearly 10,000 people across West Africa but fearing he still could pose grave danger the person closest to him.

 

People await medical treatment in the outpatient lounge of Redemption Hospital, formerly an Ebola holding center, on February 2, 2015 in Monrovia, Liberia. Most hospitals and clinics have re-opened, as the Ebola epidemic wanes.
Image by: John Moore / Getty Images.

By Valentine's Day, nearly three months later, the 23-year-old had not yet returned to Hannah, his girlfriend and mother of his young son.

"I don't want to be tempted by her ... It would be a problem," he said in the capital Monrovia, where he spent his self-imposed exile, afraid that he could still infect her through sexual contact despite his clean bill of health.

Research has shown traces of Ebola in semen of some survivors for at least 82 days after the onset of symptoms and in vaginal secretions for a much shorter period.

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6 Challenges to Stamping Out Ebola

Despite a recent sharp drop in the overall number of Ebola cases, the situation remains precarious in West Africa

NATURE MAGAZINE  by Declan Butler                                                                    Feb. 24, 2015
More than a year since the start of one of the worst public health crises in recent history, Ebola cases have been tumbling in West Africa. But the epidemic is far from over: the risk of flare ups and further geographical spread will remain until there are no new cases.

The ease in case numbers means that public-health countermeasures and resources can be shifted in many places, from curbing runaway outbreaks to aggressively targeting the remaining, often smaller outbreaks....

At the same time, there is a danger of complacency. Reducing the number of cases to zero demands identifying and breaking all new chains of transmission, a task that still faces major obstacles—not least the fast approaching rainy season.

Highlighting the precariousness of the current situation, on February 20, the officials leading the United Nations' Ebola response efforts warned that the gains of the past few months risked unravelling.

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2 leading Ebola vaccines appear safe, WHO says

ASSOCIATED PRESS by Maria Cheng                                                                                 Feb. 23, 2015

LONDON – The World Health Organization says the two leading Ebola vaccines appear safe and will soon be tested in healthy volunteers in West Africa.

After an expert meeting this week, WHO said there is now enough information to conclude that the two most advanced Ebola vaccines — one made by GlaxoSmithKline and the other licensed by Merck and NewLink — have "an acceptable safety profile."

In a press briefing Friday, Dr. Marie-Paule Kieny, who heads WHO's Ebola vaccine efforts, said "the cupboard (for Ebola vaccines) is filling up rapidly."

She said further trials in healthy people in West Africa, including health workers, are scheduled to start soon. Kieny added several other vaccines were being developed in the U.S., Russia and elsewhere.

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http://www.baxterbulletin.com/story/life/health/2015/02/23/leading-ebola-vaccines-appear-safe-says/23901829/

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Limited Promise in early results from Ebola drug trial

AFP                                                                                                                     Feb. 23, 2015
Los Angeles  - Early results from an Ebola trial using the experimental drug Avigan (favipiravir) showed Monday it was somewhat effective at saving lives if given early in the illness, but not later.

Early results from an Ebola trial using the experimental drug Avigan (favipiravir) show it is somewhat effective at saving lives if given early in the illness (AFP Photo/George Frey)

The antiviral treatment is being developed by the Japanese company Toyama Chemical, and has been shown safe and effective against some other viruses including influenza, West Nile and yellow fever.

An ongoing clinical trial in Guinea is testing the drug's use in patients with the Ebola virus, which causes severe vomiting, diarrhea and sometimes fatal bleeding.

Results from only 80 people are available so far, but they show that among those who received the drug early in their illness, 15 percent died of Ebola.

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Liberia Lifts Ebola Curfew, Opens Borders

VOICE OF AMERICA  by James Butty    Feb. 23, 2015

MONROVIA -- A Liberian health ministry official said the country will continue to observe all Ebola preventive protocols and regulations until it achieves “zero infections.”

This came as President Ellen Johnson Sirleaf Sunday ordered the lifting of the nationwide Ebola curfew put in place in August to prevent the further spread of the virus. 

Tolbert Nyenswah, the assistant minister of health for preventive services and head of the country’s Ebola response, said Liberia is returning to a more normal state in light of the recent decline in the number of Ebola cases and the reopening of schools....

“Our county health teams in Liberia are more vigilant with cross-border surveillance. All of our border counties have been freed of Ebola either in the last 35 to 42 days, including Grand Cape Mounty, Gbarpolu, Lofa, and Nimba. These counties bordering Sierra Leone and Guinea have been Ebola free over 42 days now,” Nyenswah said.
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http://www.voanews.com/content/liberia-lifts-ebola-curfew-reopens-borders/2654610.html

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