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Botswana Doctor Is Named to Lead W.H.O. in Africa

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

A defining moment in the life of Dr. Matshidiso Moeti, the World Health Organization’s new regional director for Africa, came when she was 9 and her father realized that her little sister’s mathematics textbook was below even the level he had studied as a poor child on a South African farm.

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Scientists ask if Ebola immunizes as well as kills

LONDON/DAKAR--A recent sharp drop in new Ebola infections in West Africa is prompting scientists to wonder whether the virus may be silently immunizing some people at the same time as brutally killing their neighbors.

A health worker disinfects a road in the Paynesville neighborhood of Monrovia, Liberia, January 21, 2015. Credit: Reuters/James Giahyue

So-called "asymptomatic" Ebola cases - in which someone is exposed to the virus, develops antibodies, but doesn't get sick or suffer symptoms - are hotly disputed among scientists, with some saying their existence is little more than a pipe dream.

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Ebola infection of humans linked to population density and vegetation cover

MEDICAL NEWS TODAY                                             Jan. 22, 2015

Ebola is a "zoonotic" disease: the virus starts out in animal populations - believed to be fruit bats - and then spills over into humans. Now, a new study that investigates landscape features of where spillover occurs suggests human population density and vegetation cover may be important factors.

The researchers examined landscape features of precise geo-locations of Ebola spillover into humans.

The study is the work of two researchers from SUNY Downstate Medical Center in Brooklyn, NY, who write about their findings in the open-access journal PeerJ.

First author Michael G. Walsh, assistant professor of epidemiology and biostatistics in SUNY Downstate's School of Public Health, says they found significant interaction between density of human populations and the extent of green vegetation cover in the parts of Africa that have seen outbreaks of Ebola virus disease (EVD).

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Ebola: A day with the burial team

BBC      by Tulip Mazumdar                                                                                     Jan. 7, 2015
FREETOWN, Sierra Leone --

...One factor crucial to ending the outbreak is the safe burial of Ebola victims, because their bodies are particularly toxic.

The UK is funding more than 100 burial teams in Sierra Leone. Tulip Mazumdar spent the day with one of them, the Sierra Leone Red Cross Burial Team 9 in the capital Freetown. Here she describes her day....


                 The team is called to collect a body and, before it is removed, the group takes a moment to pray

Each burial team had around 10 people, including family liaison officers, disinfectant sprayers and drivers....

These were not highly trained medics or undertakers used to seeing dead bodies. They were people from the community, for example students and other volunteers. Depending on their job they are being paid approximately $10 (£6.60) a day.This is considered a very good wage in a country where most people survive on much less.

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Ebola Survivor: "You Feel Like ... Maybe ... A Ghost"

Doctor who survived describes the misery of being an Ebola patient in Liberia

NATIONAL PUBLIC RADIO  by Didrik Schanoh and Sami Yenigun                              Dec. 25, 2014

Dr. Senga Omeonga met us under a huge mango tree outside the St. Joseph's Catholic Hospital in Monrovia, Liberia. Behind the main building, several dozens of disinfected rubber boots worn by health care workers were propped upside down on stakes planted on a patch of lawn.

Dr. Senga Omeonga pictured outside St. Joseph's Catholic Hospital in Monrovia. Dr. Omeonga moved to Liberia from DRC in 2011. He contracted Ebola but survived it. John W. Poole/NPR

This is the hospital where he works as general surgeon and the head of Infection Prevention Control. It's also where he came down with Ebola on August 2.

He says his days in treatment were "a living hell." And the experience has changed his view of the world — and the way he treats patients.

Read full interview.

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UN's Ban urges end to discrimination against Ebola workers

REUTERS --By Matthew Mpoke Bigg                                 Dec.20, 2014
CONAKRY--U.N. Secretary-General Ban Ki-moon on Saturday urged countries affected by the Ebola virus to avoid discriminating against healthcare workers fighting to end the disease.

U.N. Secretary General Ban Ki-moon has his temperature checked upon arrival at the Roberts International airport in Liberia's capital Monrovia December 19, 2014. Credit: Reuters/James Giahyue

Ban was speaking in Guinea on the second day of a whistle-stop tour aimed at thanking healthcare workers of the countries at the heart of the epidemic....

Ban's tour began in Liberia and Sierra Leone on Friday and will end later on Saturday in Ghana, site of the U.N. Ebola response mission (UNMEER), after a visit to Mali.

"There should be no discrimination for those who have been working or helping with Ebola. Those people are giving all of themselves," Ban told U.N. officials in Conakry.

Read complete story.

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Time Magazine Person of the Year: the Ebola fighters

 

TIME MAGAZINE    by Nancy Gibbs                                                                                                      Dec. 10, 2014

They risked and persisted, sacrificed and saved. Editor Nancy Gibbs explains why the Ebola Fighters are TIME's choice for Person of the Year 2014

 Read complete story

http://time.com/time-person-of-the-year-ebola-fighters-choice/

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U.S. agency offers legal immunity to Ebola vaccine makers

REUTERS                                                                                                                    Dec. 9, 2014

CHICAGO -- The U.S. Department of Health and Human Services on Tuesday offered liability protections to drugmakers rushing to develop Ebola vaccines and urged other countries to follow suit.

Health and Human Services (HHS) Secretary Sylvia Burwell made the announcement as part of the Public Readiness and Emergency Preparedness (PREP) Act in a move aimed at encouraging the development and availability of experimental Ebola vaccines.

The declaration provides immunity under U.S. law against legal claims related to the manufacturing, testing, development, distribution, and administration of three vaccines for the Ebola virus. However, it does not provide immunity for a claim brought in a court outside the United States...

Read full story

http://www.reuters.com/article/2014/12/09/us-health-ebola-vaccine-idUSKBN0JN1S920141209

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Evaluating Ebola Therapies — The Case for RCTs

THE NEW ENGLAND JOURNAL OF MEDICINE                                                                                 Dec. 3, 2014
By Edward Cox, M.D., M.P.H., Luciana Borio, M.D., and Robert Temple, M.D.

...Studying investigational therapies for EVD presents scientific, practical, and ethical challenges. Not surprisingly, there has been substantial debate about the best and most appropriate study approaches.2,3 It is generally agreed that a trial with a concurrent control group, in which patients are randomly assigned to receive the test drug plus the best available supportive care (BASC) or to BASC alone, would be the most efficient and reliable way to evaluate the safety and effectiveness of candidate products.

 Some people in the health care community, however, have argued against such trials, urging instead use of a historical control — that is, making investigational drugs as widely available as their supply allows and then comparing mortality rates among treated patients with rates that would have been expected absent the drugs, on the basis of past experience with EVD.

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UN security council criticises discrimination against those from Ebola-hit regions

THE GUARDIAN                                                    Nov. 21, 2014
THE UNITED NATIONS --The UN security council has criticized travel bans against nationals from Ebola-hit countries.

Last month the Australian immigration minster, Scott Morrison, announced Australia would stop granting temporary visas to visitors from west Africa. The security council statement criticised such blanket bans and urged countries to maintain links with affected countries.

“The security council expresses its continued concern about the detrimental effect of the isolation of the affected countries as a result of trade and travel restrictions imposed on and to the affected countries as well as acts of discrimination against the nationals of Guinea, Liberia, Mali and Sierra Leone,” said Julia Bishop, the Australian foreign mniister who was presiding over the session Thursday.

The council statement also described the Ebola outbreeak in Africa as "a threat to international peace and security..."

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