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Liberia succeeds in fighting Ebola with local, sector response

WHO                                                                                                          April 14, 2015
The story of how Liberia’s most populous county, Montserrado, turned around an exponentially-growing Ebola outbreak is intriguing. WHO’s team and national officials, aided by veterans from WHO’s polio eradication group in India, decentralized the response, using quality management principles that empowered local teams and held them accountable for results.

                                                                                                           WHO /Aphaluck Bhatiasevi

These local sector teams involved more than 4,000 community members, using business best practices and an incident management system to vastly improve surveillance, case finding, contact tracing, and overall management of key response activities.
Read full account.
http://www.who.int/features/2015/ebola-sector-approach/en/

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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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Japanese Ebola test gives results in 11 minutes: researcher

AFP     April  9, 2015

Tokyo  A Japanese research team said on Thursday it had developed a field test for Ebola that gives results in just over 11 minutes -- down from the 90-minute test used now.

The breakthrough by Nagasaki University's Institute of Tropical Medicine will allow medics to move much more quickly in treating people with the haemorrhagic fever, Professor Jiro Yasuda told AFP.

"The result time was unexpectedly short," said Yasuda of the trial conducted in Guinea last month on 100 samples, of which 47 proved positive.

The Guinean government has now asked the institute and its collaboration partner Toshiba to supply equipment to roll out the test, he added.

Read complete story.
http://news.yahoo.com/japanese-ebola-test-gives-results-11-minutes-researcher-064839139.html

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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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For Ebola patients, a way to see the faces of those helping

PUBLIC RADIO INTERNATIONAL  by Andrea Crossan                 April 7, 2015

...for those in hospitals suffering, all they see are masks and robot-looking suits of doctors and nurses caring for them. The medics must wear those protective suits to stop them from coming in contact with a patient. But some humanity is stripped away with the intimidating get-up.

Until now.

                      Jianjay Potter and Grace Zardon in Monrovia, Liberia.Credit: Marc Campos

Los Angeles-based artist Mary Beth Heffernan saw the Ebola suits on news reports. She thought about how isolating it was for the patients. And she came up with the idea of taking photos of health workers that could be attached to their protective clothing.

In late February, Heffernan travelled to Monrovia, Liberia to do just that.

She brought cameras, six printers, ink cartridges and sticky labels to print the photos on.

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Rhode Island Hospital Physician Comes Up With New Diagnostic Tool for Ebola Virus

news-medical.net - April 6, 2015

Adam C. Levine, M.D., an emergency medicine physician at Rhode Island Hospital and The Miriam Hospital who treated Ebola-infected patients in Liberia last year, used his field experience to create a tool to determine the likelihood that patients presenting with Ebola symptoms will actually carry the virus. His research was published in the Annals of Emergency Medicine today.

(READ COMPLETE ARTICLE)

CLICK HERE - RESEARCH - Derivation and Internal Validation of the Ebola Prediction Score for Risk Stratification of Patients With Suspected Ebola Virus Disease

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Ebola Upsurge Could Undo Progress in Blink of an Eye, Warns Expert

‘Flare-ups occur and, frankly, before you can blink, we could be back to a situation where Ebola starts climbing up again,’ says the UN special envoy for Ebola, David Nabarro. Photograph: Salvatore Di Nolfi/EPA

UN special envoy for Ebola sounds cautionary note amid fears that individuals who ignore official advice could cause spike in infection rate

theguardian.com - by Sam Jones - March 26, 2015

Despite the massive push to bring the number of new Ebola cases down to zero as quickly as possible, there will inevitably be “flare-ups” that could reverse the overall downward trend and prove difficult to contain, the UN’s response co-ordinator has warned.

Dr David Nabarro, the UN’s special envoy for Ebola, said the huge medical, administrative and logistical operation to fight the disease could still be set back by individuals ignoring official advice. . . .

. . . “It’s [about] getting the full geographical coverage and linking everyone together with the most excellent data systems so the databases are comparable and we don’t end up with a mess because different people can’t talk to each other,” he explained.

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Measures to safeguard schools in Ebola-hit Liberia point to need for continued vigilance

 When students returned to school in Liberia, they learned about the importance of good hygiene. Now they’re teaching others.

UNICEF BY  Tim Irwin                                         March 30, 2015

MONROVIA, Liberia, Classes at the Slipway primary school in central Monrovia resumed only a few weeks ago, but the new morning drill is already well established.

In Liberia, schools were closed for six months because of the Ebola epidemic. Now that class is back in session, students are following a new set of protocols to stave off infection with the deadly disease. Here, children queue to wash their hands before morning devotionals.

“We rub our palms together 10 times, wash between our fingers five times, around our thumbs five times and then scrub around our nails,” says Grace Winnie, who is in Grade 4.

Schools across Liberia reopened on 16 February, following a six-month closure because of the Ebola crisis. UNICEF has helped put in place new procedures aimed at minimizing the risk of infection.

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