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Mobile-phone records are an invaluable tool to combat Ebola. They should be made available to researchers

THE ECONOMIST                          Oct. 25, 2014

With at least 4,500 people dead, public-health authorities in west Africa and worldwide are struggling to contain Ebola. Borders have been closed, air passengers screened, schools suspended. But a promising tool for epidemiologists lies unused: mobile cell phone data.

When people make mobile-phone calls, the network generates a call data record (CDR) containing such information as the phone numbers of the caller and receiver, the time of the call and the tower that handled it—which gives a rough indication of the device’s location. This information provides researchers with an insight into mobility patterns...

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MSF Protocols for Staff Returning from Ebola-Affected Countries

DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERE                                      OCT. 23, 2014

Doctors without Borders (MSF)  describes its specific guidelines and protocols for staff members returning from Ebola assignments. The guidlines were posted following the hospitalization of Dr. Craig Smith, one of its workers, in New York City yesterday.

See full description

http://www.doctorswithoutborders.org/article/msf-protocols-staff-returning-ebola-affected-countries

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WHO statement on the third meeting of the International Health Regulations Emergency Committee regarding the 2014 Ebola outbreak in West Africa

 

WHO    GENEVA                                                                         Oct. 23, 2014

 The WHO Ebola Emergency Committee statement issued today, following its meetings this week, said exit screening in Guinea, Liberia and Sierra Leone remains critical for reducing the exportation of Ebola cases.

The statement said "States should maintain and reinforce high-quality exit screening of all persons at international airports, seaport, and major land crossings, for unexplained febrile illness consistent with potential Ebola infection. The exit screening should consist of, at a minimum, a questionnaire, a temperature measurement and, if fever is discovered, an assessment of the risk that the fever is caused by Ebola Virus Disease (EVD). States should collect data from their exit screening processes, monitor their results, and share these with WHO on a regular basis and in a timely fashion. This will increase public confidence and provide important information to other States."

The report also encouraged States that have recently introduced entry screening measures to should share their experiences and lessons learned.

...The Committee reiterated its recommendation that there should be no general ban on international travel or trade.

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Red Cross: Ebola Could Be Contained Within 6 Months

Health workers bury the body of a woman who is suspected of having died of the Ebola virus in Bomi county, on the outskirts of Monrovia, Liberia, Oct. 20, 2014.

VOICE OF AMERICA                                                                            Oct.22, 2014

The head of the International Federation of Red Cross and Red Crescent Societies said the Ebola outbreak that has killed more than 4,500 people in West Africa could be contained within four to six months if the right steps are followed.

Elhadj As Sy told reporters Wednesday in China that the time frame was possible with good isolation and treatment for those with confirmed cases of Ebola, along with proper burials for those who died from the virus.

His comments come as the World Health Organization convenes a meeting of its Emergency Committee on Ebola to discuss the latest developments in the outbreak and whether to alter its recommendations.

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Neighboring countries shore up anti-Ebola defenses

DEUTSCHE  WELLE                                                                             Oct. 21, 1914

 By Philipp Sandner and Ibrahima Bah

West African countries that have escaped the Ebola outbreak intend to stay free of it by preparing for the worst. It is a strategy that can work as events in Senegal and Nigeria have shown. 

Mali, Senegal, Ivory Coast and Guinea-Bissau are countries that border on the epicenter of the Ebola epidemic that encompasses Guinea, Liberia and Sierra Leone. All these nations wish to protect themselves.

A health worker takes the temperature of man entering Mali from Guinea

One of the more obvious measures is to screen people entering the country. "We are using thermal imaging cameras to detect people at airports and borders who are running a temperature," said Malian physician Adamas Daou. He works at Mali's National Action Center for the fight against Ebola. Medical personnel are also on duty urging Malians to practice good personal hygiene. "This includes washing their hands in chlorinated water" Daou said.

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Fighting Ebola, and the Mud

NEW YORK TIMES                         Oct. 21, 2014

Op-ed in Today's New York Times by Karen Huster, a nurse working in Liberia for Last Mile Health says that Liberia’s dysfunctional transportation system is standing in the way of fighting the Ebola epidemic and suggests some solutions
 

"Patients have died on grueling journeys to treatment units. Blood samples have sat waiting for days, eventually becoming invalid....

 "The best solution is removing the need to travel altogether by building more easily accessible treatment centers all over the country, where patients with confirmed or suspected cases of Ebola can be housed and treated. The United States military is building these structures, but it is taking time. Nimbler nongovernmental organizations must also step in. Save the Children has already done so and is also building smaller community care centers — sort of homes away from home, where families can continue to care for their sick loved ones safely removed from the community. A makeshift center with tents instead of permanent structures could be set up within a week.

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Ebola crisis: Worst-hit African nations get key supplies

BBC                                                                                   Oct. 20, 2014

Vital supplies and resources to tackle Ebola are beginning to arrive in the three worst-hit West African countries, Ghana's President John Mahama has said.

Mr Mahama, who heads the regional bloc Ecowas, also told the BBC that treatment centres were being set up in Guinea, Liberia and Sierra Leone. But he called for proper co-ordination between agencies to avoid duplication.


Red Cross workers are among those fighting the outbreak in Sierra Leone

Mr Mahama told the BBC that the World Food Programme was airlifting humanitarian aid to Liberia, Sierra Leone and Guinea.

"Vehicles, motorcycles and other means of transport are going in there. There's more protective clothing being provided," he said.

"But there's no need for us to duplicate each other and have more treatment centres when we do not have volunteers and health workers to treat the people in the treatment centres.

Read full story

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DHS requires West Africa travelers to arrive at five airports

USA TODAY                                                                                     Oct. 21, 2914By Bart Jansen

WASHINGTON — The Department of Homeland Security announced Tuesday that all travelers from Ebola outbreak countries in West Africa will be funneled through one of five U.S. airports with enhanced screening starting Wednesday.

                                                                       (Photo: Melissa Maraj, AP)

Customs and Border Protection within the department began enhanced screening — checking the traveler's temperature and asking about possible exposure to Ebola — at New York's John F. Kennedy International Airport on Oct. 11.

Enhanced screening for travelers from Liberia, Sierra Leone and Guinea was expanded Oct. 16 to Washington's Dulles, Chicago's O'Hare, New Jersey's Newark and Atlanta's Hartsfield-Jackson international airports.

Those airports were supposed to screen 94% of the average 150 people per day arriving from the three countries. But lawmakers from other states asked for enhanced screening at their airports, too.

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Liberia president describes heavy cost of Ebola

Liberia's president calls for more investment in health systems, news article, op-ed

ASSOCIATED PRESS                               Oct. 20, 2014

by Jonathan Paye-Layleh

Monrovia, Liberia — Liberian President Ellen Johnson Sirleaf said Ebola has killed more than 2,000 people in her country and has brought it to “a standstill,” noting that Liberia and two other badly hit countries were already weakened by years of war.

Appealing for more international help, Sirleaf described the devastating effects of Ebola in a “Letter to the World” that was broadcast Sunday by the BBC.   https://soundcloud.com/bbc-world-service/a-letter-to-the-world-on-ebola-from-liberian-president-ellen-johnson-sirleaf?ocid=socialflow_twitter

“Across West Africa, a generation of young people risk being lost to an economic catastrophe as harvests are missed, markets are shut and borders are closed,” the Nobel Peace Prize laureate said. “The virus has been able to spread so rapidly because of the insufficient strength of the emergency, medical and military services that remain under-resourced....”

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Nigeria Is Ebola-Free: Here’s What They Did Right

It's been 42 days since the last new case

TIME MAGAZINE                                                      OCT. 20, 2014

Alexandra Sifferlin

 The World Health Organization declared Nigeria free of Ebola on Monday, a containment victory in an outbreak that has stymied other countries’ response efforts....

 

A school official takes a pupil's temperature using an infrared digital laser thermometer in front of the school premises, at the resumption of private schools, in Lagos, Sept. 22, 2014. Akintunde Akinleye—Reuters

“It’s possible to control Ebola. It’s possible to defeat Ebola. We’ve seen it here in Nigeria,” Nigerian Minister of Health Onyebuchi Chukwu told TIME. “If any cases emerge in the future, it will be considered—by international standards—a separate outbreak. If that happens, Nigeria will be ready and able to confront it exactly as we have done with this outbreak.”

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