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Testing of Ebola vaccine is underway in Sierra Leone

USA TODAY by Liz Szabo                                                                 April 14, 2015
Sierra Leone has begun testing an experimental Ebola vaccine, officials of the Centers for Disease Control and Prevention announced Tuesday.
                                                                                            (Photo: CELLOU BINANI, AFP/Getty Images)

The $25 million study, funded through $5.4 billion in Ebola aid authorized by Congress, will test vaccines on 6,000 "front-line workers," including doctors, nurses, burial workers and others, who are at highest risk of the disease.

But with only a handful of new Ebola cases being reported now in Sierra Leone, it may be difficult to get a clear answer on whether the vaccine actually works, the CDC acknowledges. If there are no new cases of Ebola among vaccinated volunteers, for example, researchers won't know if that's the result of the immunizations or because the outbreak has faded....

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Home > Health Sierra Leone Schools Re-Open After Ebola Closed for 9 Months

ASSOCIATED PRESS  by CLARENCE ROY-MACAULAY    April 14, 2015

FREETOWN, Sierra Leone -- Children in Sierra Leone returned to schools on Tuesday after staying at home for nine months because of the Ebola outbreak that has killed more than 10,000 mostly in West Africa.

More than 8,000 schools are to reopen for about 1.8 million students and the government and U.N. children's agency promise to check temperatures regularly and will promote hand washing to discourage the spread of Ebola in the schools.

"This marks a major step in the normalization of life in Sierra Leone," said Roeland Monasch, UNICEF Representative in Sierra Leone. "It is important that all children get into school including those who were out of school before the Ebola outbreak. Education for all is a key part of the recovery process for the country."

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http://abcnews.go.com/Health/wireStory/sierra-leone-schools-open-ebola-closed-months-30302393

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Ebola: Surviving Survival - Life after recovery

Médecins Sans Frontières                                     April 13, 2015

Dr Maria Barstch spends her days in the small house that serves as MSF’s Ebola survivor clinic in Freetown, Sierra Leone. The peak of the epidemic may have passed in Sierra Leone but new cases continue to emerge almost every day, and with new cases come new survivors. While they are relieved to have defeated the deadly virus, some survivors are facing other debilitating symptoms of the so called “post-Ebola syndrome.”

                   People wait for a consultation at MSF’s survivor clinic in Freetown. Photo: Sophie McNamara/MSF

...MSF has also opened a survivor clinic in Liberia, housed at the site of MSF’s new pediatric hospital in Monrovia. In both Liberia and Sierra Leone, many survivors have previously sought treatment at local public or private hospitals and clinics but were refused care as soon as staff knew they were Ebola survivors.

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Nigeria: Half of Ebola Cases Located On Sierra Leone-Guinea Border - - WHO

ALL AFRICA VANGUARD                                         April 11, 2015
FREETOWN -- The World Health Organisation (WHO) has said that almost half of all Ebola infections in West Africa have been recorded in two districts located in the border region between Sierra Leone and Guinea. Winnie Romeril, WHO Sierra Leone Spokeswoman, said in Freetown efforts were being made to contain the disease in the two worst affected areas of Kambia , western Sierra Leone and Forecariah, eastern Guinea.

"Almost 50 per cent of all Ebola cases in West Africa are currently coming from the region between Kambia and Forecariah," she said. Romeril said the two districts were "the most active areas, adding that investigation was on going in the areas. She said the exercise became necessary because people were still dying at home, adding that there was very high likelihood of infections.

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http://allafrica.com/stories/201504131492.html

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Pattern of Safety Lapses Where Group Worked to Battle Ebola Outbreak

NEW YORK TIMES  by Sheri Fink                                                                               April 13, 2015
Partners in Health, a Boston-based charity dedicated to improving health care for people in poor countries, signed on to the Ebolafight last fall with high ambitions.

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WHO: Ebola survivors at risk of eye and joint problems

BBC by Smitha Mundasad                          April 10, 2015
Many Ebola survivors are likely to face further health issues including eye and joint problems, the World Health Organization has warned....

Officials announced they are attempting to set up clinics in Sierra Leone, Liberia and Guinea to monitor the health consequences Ebola survivors face.

Patients have reported problems with their vision, joints and on-going fatigue.

But Dr Bruce Aylward, assistant director general of the WHO, admitted not much was known about the long-term implications of the virus.

He said the information gathered at these clinics would help the mental and physical health needs of people recovering from the disease.

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http://www.bbc.com/news/health-32250515

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CDC to Launch Ebola Mobile Training App for Clinicians

hitconsultant.net - April 10, 2015

The Centers for Disease Control and Prevention (CDC) will soon launch an Ebola mobile app that provides intuitive coaching to clinicians on CDC’s guidelines for proper use of personal protective equipment (PPE) to prevent transmission of Ebola. 

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Partners in Health clinician declared Ebola-free

BOSTON HERALD by Lindsay Kalter                                                                   April 9, 2015

 A volunteer from Boston-based nonprofit Partners in Health who was sickened with Ebola while volunteering in Sierra Leone last month has been released from the hospital and deemed Ebola-free, according to the organization.

“We’re heartened by the news that our colleague is heading home, free of Ebola, and making his way toward a full recovery,” said Sheila Davis, chief of Ebola response for PIH. “His commitment to strengthening the quality of health care in some of the world’s poorest communities is something we should all be proud of."

The worker, whose name has not been released, was admitted to the National Institutes of Health in Bethesda, Md., March 13 in serious condition. He recently underwent two consecutive tests to confirm that he was indeed rid of the virus.

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https://www.bostonherald.com/news_opinion/local_coverage/herald_bulldog/2015/04/partners_in_health_clinician_declared_ebola_free

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2 new ebola vaccines pass important early test, researchers say

NEW YORK TIMES   by Denis Grady                                                                 April 9. 2015

Two  new Ebola vaccines have passed an important test, protecting monkeys against the strain of the virus responsible for the current deadly outbreak, researchers reported on Wednesday. Only one dose was needed, and there were no apparent side effects..

Thomas W. Geisbert, an Ebola expert at the University of Texas Medical Branch in Galveston, in his office. Credit Michael Stravato for The New York Times

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Conference Summary: Using Lessons Learned from Previous Ebola Outbreaks to Inform Current Risk Management

CENTER FOR DISEASES CONTROL by Dickmann P, Kitua A, Kaczmarek P, Lutwama J, Masumu J, Karimuribo E, et al             April 8,2015 

Summary of conference on lessons learned from Ebola crisis

"...A major conclusion was that infectious disease management will work only when it is established with and within the community and not directed against it. This lesson requires community engagement in formulating infection control measures, as well as implementation, dissemination, and promotion of these measures. Infection control procedures are generally perceived as intrusive and, as such, often interfere with local social, cultural, and religious practices.... Building on this process of finding the right, appropriate containment measures, communication and health promotion work best when they involve community and religious leaders, traditional healers, and other advocates.

National and cross-border Ebola outbreaks are a new development, and engagement with various communities has presented a particular challenge throughout the current outbreak. A key aspect of this engagement is to devise and elaborate solutions for infection control that are consistent with local realities and practices. International health and aid organizations must strive to work in concert with communities to find adequate infection-control solutions....

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