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Ebola ebbing in West Africa but vigilance needed: WHO

REUTERS by Stephanie Nebehay                                                                        Jan. 22, 2015

GENEVA (Reuters) - The Ebola epidemic in West Africa appears to be ebbing, with fewer than 150 cases reported in the past week, but efforts must be pursued to stamp out the deadly disease, the World Health Organization (WHO) said on Thursday.

Sierra Leone remains hardest-hit, accounting for 117 of the 145 new confirmed cases, against 184 there the previous week and 248 the week before that, the WHO said in its latest update.

"Case incidence continues to fall in Guinea, Liberia, and Sierra Leone," the United Nations agency said, adding that disease surveillance was being stepped up in border districts of Guinea-Bissau, Ivory Coast, Mali and Senegal....

The WHO's Emergency Committee on Ebola said on Wednesday that passengers should still be screened on leaving Guinea, Liberia and Sierra Leone for temperature or other signs of infection.

The independent experts said in a statement that "more than 40 countries have implemented additional measures, such as quarantine of returning travellers and refusal of entry. Such measures are impeding the recruitment and return of international responders.

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Ebola mutations could make some drugs ineffective

BALTIMORE SUN     by Scott Dance                                                   Jan. 20, 2015

In the year since Ebola began spreading across West Africa, the virus has mutated in more than 600 ways that change it slightly from versions studied in labs and used to develop treatments, according to researchers at Fort Detrick. And 10 of the mutations could make some drugs used to treat the virus ineffective, they wrote in research published Tuesday.

The "genomic drift," as the scientists called it, could make agents similar to the experimental drug ZMapp unable to bind to the virus anymore.

While the changes affect only a tiny fraction of Ebola's genome, they offer new lessons about the virus that might not have been learned because of the wide scope of the outbreak, larger than all others combined
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http://www.baltimoresun.com/health/bs-hs-ebola-mutation-20150120-story.html

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UN: African Countries 'Vital' in Fight Against Ebola

VOICE OF AMERICA    by  Jennifer Lazuta                                                         Jan. 20, 2015
DAKAR, SENEGAL—Sub-Saharan African countries have made relatively small, but “vitally important,” contributions towards the fight against Ebola according to the U.N. Mission for Ebola Emergency Response. This includes sending much-needed health care workers and medical supplies, as well as dedicating already-limited resources toward prevention and surveillance measures within their own borders to stop the further spread of the disease.

Health workers accompany a nine-year-old who contracted the Ebola virus to a Monrovia treatment center.

More than 850 doctors and nurses from African countries have been deployed to Guinea, Liberia and Sierra Leone to help bring an end to West Africa’s Ebola outbreak, which has killed more than 8,500 people since it began nearly a year ago.  

African countries also have collectively donated tens of millions of dollars in financial aid and material resources.

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Davos: Western world ‘vulnerable’ to epidemics, warns Ebola expert

BBC  by Joe Miller                                                                                                    Jan. 21, 2015
DAVOS Switzerland -- The Western world is "vulnerable" to epidemics such as Ebola, and must invest more in researching vaccines, a leading scientist has warned.

Prof Peter Piot told the BBC that developed nations would be in "deep trouble" if they failed to adequately prepare for another outbreak.

Speaking at the World Economic Forum, in Davos, he urged global leaders to take a "long-term view". Public health policies must "transcend politics and borders", he said.

The threat of Ebola, and other infectious diseases such as influenza and Sars, are set to be discussed in Switzerland this week, as politicians and business leaders from around the globe gather for the annual WEF.

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http://www.bbc.com/news/business-30907630

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Ebola Fight Needs $1 Billion More as Outbreak Wanes

BLOOMBERG  By Simeon Bennett and Makiko Kitamura                                                       Jan. 21, 2015
(Two links. Scroll below.)

Ebola remains a global health emergency, the United Nations said today as it sought another $1 billion in donations to fight the deadly outbreak in West Africa.

More money is needed for the World Health Organization, Unicef and the World Food Programme, David Nabarro, the UN’s special envoy for Ebola, said at a briefing today at the World Economic Forum annual meeting in Davos, Switzerland.

“We can’t let down our guard,” Tom Frieden, director of the U.S. Centers for Disease Control and Prevention, said in a Bloomberg Television interview at Davos. “We have to get over the finish line and then learn from this experience to build better systems so that it doesn’t get out of control the next time” an infectious disease epidemic occurs.

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UN Ebola Chief Calls for Final Funding Push to Defeat Virus in West Africa

      

Ebola treatment centres have often not been completed until the virus has passed its peak.
Photograph: Francisco Leong/AFP/Getty Images

UN’s lead Ebola co-ordinator en route to Davos says last third of the $1.5bn pledged to tackle disease needs to be paid in order to end the outbreak

theguardian.com - by Sarah Boseley - January 20, 2015

Half a billion dollars of aid pledged to end the Ebola outbreak in west Africa still hasn’t been paid, according to the UN’s response co-ordinator.

Dr David Nabarro, in London and on his way to Davos to discuss progress against Ebola and future plans, said about two-thirds of the promised $1.5bn had been paid so far. “This last third is the most precious money but probably the most difficult money,” he told the Guardian. “My focus over the next few days here and in Davos is trying to ensure we have enough money to enable the task to be completed.

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U.S.-built Ebola treatment centers in Liberia are nearly empty as outbreak fades


Workers at an Ebola treatment center relax Jan. 10, 2015 in Tubmanburg, Liberia. The facility was built by the U.S. military. (Whitney Leaming/The Washington Post)

WASHINGTON POST  by Kevin Sieff                                                          Jan. 19, 2015

UBMANBURG, Liberia — Near the hillside shelter where dozens of men and women died of Ebola, a row of green U.S. military tents sit atop a vast expanse of imported gravel. The generators hum; chlorinated water churns in brand-new containers; surveillance cameras send a live feed to a large-screen television.

There’s only one thing missing from this state-of-the-art Ebola treatment center: Ebola patients.

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CDC - Mapping for Ebola: A Collaborative Effort

                

cdc.gov - January 14, 2015

One of the difficulties faced by teams responding to the current Ebola outbreak in West Africa is identifying individuals and communities residing in remote areas. Existing maps of these regions either do not exist or are inadequate or outdated. This means that basic data like location of houses, buildings, villages, and roads are not easily accessible, and case finding and contact tracing can be extremely difficult.

To help aid the outbreak response effort, volunteers from around the world are using an open-source online mapping platform called OpenStreetMap (OSM) to create detailed maps and map data of Guinea, Sierra Leone, Liberia, and parts of Mali.

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‘We Are Fighting an Enemy, and the Enemy Is Ebola’

Maj. Gen. Gary Volesky's 2,500 soldiers have spent months battling a rampant killer in Liberia. Is the fight over, or has the front line shifted?

FOREIGN POLICY   by Brian Castner                                                        Jan,. 14, 2014

When Maj. Gen. Gary Volesky arrived in Liberia in late October to assume command of the U.S. military effort to help beat back the Ebola epidemic there, he was handed a to-do list by the U.S. Agency for International Development (USAID) and the Liberian government: build 17 temporary treatment facilities across the country, train a mix of international and local Liberian health-care workers to staff them, and use the Pentagon’s high-end medical equipment to test patients’ blood for the deadly virus.

Nearly every item is now checked off, leaving three options: go home, stay and wait in case the outbreak worsens, or move to start on a similar list in Sierra Leone and Guinea, where the number of Ebola cases has eclipsed that of Liberia.

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Ebola in West Africa: 12 months on

WORLD HEALTH ORGANIZATION MEDIA CENTRE                   Jan, 15, 2015

One year after the first Ebola cases started to surface in Guinea, WHO is publishing this series of 14 papers that take an in-depth look at West Africa’s first epidemic of Ebola virus disease.

The papers explore reasons why the disease evaded detection for several months and the factors, many specific to West Africa, that fuelled its subsequent spread.

The most extensive papers trace events in each of the 3 most severely affected countries – Guinea, Liberia and Sierra Leone...

Key events are set out chronologically, starting with the child who is believed to be the index case of this epidemic through to the Director-General’s commitment to steadfastly support affected countries until they reach zero cases.

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http://www.who.int/mediacentre/news/notes/2015/ebola-one-year-on/en/
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