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Head of U.N. Ebola response stresses importance of stopping virus before rainy season

BIOPREPWATCH                                               May 4, 2015

Peter Jan Graaff, during his first week as the secretary-general’s acting special representative and head of the U.N. Mission for Ebola Emergency Response, declared his commitment to stopping the Ebola outbreak.

“We have made great progress in fighting the virus, but we are not done yet,” Graaff said. “The rainy season is fast approaching, which will complicate efforts to contain the disease. We have a very small window of opportunity, and that window is closing fast. We can’t risk falling behind the virus again. We need to stay ahead of it and eliminate it before it is too late....”

If no cases present themselves by May 9, Liberia will be declared free of Ebola.

“Until we reach zero cases in every country, Ebola still poses a threat to the region, and to the world,” Graaff said. “We must keep up our efforts over the next few weeks to trace and treat every last case.”

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Host of Ailments Plague African Ebola Survivors

WALL STREET JOURNAL BY Betsy McKay                     May 1, 2015

MONROVIA, Liberia—Dorbor Sirleaf thought his ordeal with Ebola was over in October, when he walked out of a treatment unit, having overcome the ruinous disease.

 

Instead, the 29-year-old father of four is suffering from symptoms he says he never had before he had Ebola. His legs and other parts of his body ache. Worse, he has trouble seeing, particularly distances. His eyes itch, hurt and often water up. “Sometimes my tears can be rolling,” he said.

More than 15,000 people have survived Ebola in West Africa, and more than 10,800 died, in the largest epidemic of the disease by far in history—one that has yet to be extinguished. But many have emerged with an assortment of mysterious physical ailments, including joint pain, fatigue and a particularly worrisome and common complaint: vision loss. Some, like Mr. Sirleaf, say their eyes hurt. Others report blurred vision or say they can’t see at all.

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The Ebola Outbreak of 2013–2014: An Assessment of U.S. Actions

THE HERITAGE FOUNDATION Study  by, and

Executive Summary

 This report presents the observations, findings, and recommendations of a task force formed to examine the global response and the response of the U.S. government (USG) to the 2013–2014 Ebola outbreak and global transmission. Specifically, the task force sought to derive lessons learned and insights from the USG response to the Ebola outbreak both internationally and domestically with the goal of crafting recommendations to improve the government’s ability to respond to natural disasters, acts of bioterrorism, and various public health crises related to significant outbreaks, epidemics, and pandemics....

The report’s major recommendations include:

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Experts call for vigilance, sustained measures against Ebola

STARAFRICA.COM                                                                                 April 30, 2015

ABUJA, Nigeria  --Governments in West Africa should improve health governance by scaling up investments in health infrastructure and human capital to ensure proactive responses against pandemics such as Ebola, a panel of discussants on Ebola has recommended.

A statement by the ECOWAS Commission on Thursday in Abuja said that the panelists at the debate on “Ebola; one year after,” organized by the Friedrich Ebert Stiftung (FES) in Abuja on Tuesday, explained that such investments would engender effective preventive and preparedness initiatives and also address the weak health systems of countries in the region, which suffered the heaviest burden of the latest Ebola Virus Disease (EVD) outbreak...

In particular, they recommended that public education and sensitization as well as community mobilization, participation and vigilance must be sustained until the disease is totally eliminated. There should also be effective psycho-social support and reintegration programmes for survivors and children orphaned by the disease....

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Education falls prey to Ebola in Sierra Leone

Amid lingering disease fears and economic fallout, most children have stayed away from recently reopened schools.

 AL JAZEERA  by Tommy Trenchard                                                                    April 30, 2015

FREETOWN, Sierra Leone -- 

...the most dramatic change since Ebola swept across the country last July - forcing the school system to shut down completely - was in the number of students.

Sixth-grade teacher Andrew Kabia writes Ebola prevention messages on a blackboard [Tommy Trenchard/Al Jazeera]

Out of a total of 150 pupils in class six, less than 20 actually turned up on a recent Tuesday. It is not unusual in Sierra Leone for the school year to start slowly, but this year's figures were extremely low. A week later, classrooms were still not even half full....

Between the restrictions on movement brought in to stem the spread of Ebola and the fear of markets and crowded spaces, small businesses everywhere have felt the pinch, leaving many families unable to continue supporting their children's education.

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New UN special envoy on Ebola response makes first visit to Sierra Leone

UNITED NATIONS NEWS CENTRE                                                                April 29, 2015
The United Nations World Health Organization (WHO) today said that surveillance and community engagement still require improvement in some areas of Guinea and Sierra Leone where new cases continued to surface, a day after the new Special Representative for UN Ebola Response, Peter Graff, was informed of a continued transmission epicentre on the border between those two countries.

Mr. Graff joined outgoing Special Representative Ismail Ould Cheikh Ahmed, and the Secretary-General’s Special Envoy on Ebola, David Nabarro, on a visit to Freetown, Sierra Leone, during which they were briefed by the National Ebola response Centre (NERC) on efforts to achieve zero transmission.

“They were informed that Kambia District was still a transmission epicentre due in part to it neighbouring Forécariah in Guinea, which continues to record a high number of Ebola cases,” the UN Mission for Ebola Emergency Response (UNMEER) reported.

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Ebola Situation Report - 29 April 2015

WHO                                                                                                   April 29, 2015

Weekly report

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As Sierra Leone emerges from Ebola crisis, new innovations are helping poor villages

DESERET NEWS  by Kimberley Curtis                                                                       April 29, 2015

Thirteen years after civil war devastated the country, basic infrastructure and services are still lacking in many parts of Sierra Leone. This means transporting food throughout the country is prohibitively expensive and staple foods are out-priced for many of the roughly 60 percent of the population that lives in poverty. 

 

     HESE AFFORDABLE GREENHOUSE

In particular, basic vegetables such as carrots and tomatoes are in short supply in the country for most of the year as they are only grown in a few regions with a limited season. You can’t eat your vegetables if you can’t afford to buy them, which is one of the reasons why Sierra Leone has one of the highest rates of malnutrition in the world.

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Managing health crises after Ebola

 

SCI DEVELOPMENT NET                                                                                April 29, 2015
(includes links to five feature stories and editorials on communication issues and other subjects.)
The outbreak of Ebola that has affected West Africa since December 2013 is the largest to date, with enormous human and economic costs. It has also exposed weaknesses in the global response system, including the handling of communication and complex social responses. What can we learn from this to better manage future health emergencies?

This Spotlight presents an in-depth analysis including opinions, facts and figures, and key resources. It features commentary by Sylvie Briand of the WHO, Rosamund Southgate of Médecins Sans Frontières and Annie Wilkinson of the Institute of Development Studies. 

It includes first-hand accounts by researchers with experience in the field, and interviews with social science expert Melissa Leach and communications managers at Médecins Sans Frontières-UK and BBC Media Action.
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Too many dying in Sierra Leone as result of Ebola response not virus itself – report

THE GUARDIAN  by Sarah Boseley                                                                  April 28, 2015

Too many people are dying in Sierra Leone not from Ebola but as a result of the response to it, according to a report on the collapse of healthcare in the west African country.

 

Health workers at the Kerry Town Ebola treatment centre on the outskirts of Freetown, Sierra Leone, last November. Photograph: Francisco Leong/AFP/Getty Images

Ebola has killed at least 3,900 people in Sierra Leone so far, but the epidemic has critically damaged the ability of the country’s limited healthcare system to cope with anything else, including soaring HIV and tuberculosis rates.

More people are believed to have died from malaria than from Ebola, while deaths of mothers and babies in childbirth are thought to have risen significantly.

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