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Still Fighting Ebola: A View from Liberia’s Front Line

WIRED  by                                                                                            Feb. 16, 2015
Interview with F. Zeela Zaizay, a registered nurse and the Liberian team leader for MAP International, a Christian medical-assistance nonprofit. MAP, which is based in Atlanta and has sent $1.7 million’ worth of supplies such as “no touch” infrared thermometers and protective equipment for health workers, and helped organize Ebola-education efforts in townships and on local radio.

“We are having an average now of less than one case per day,” he told me in a Skype call from Monrovia, Liberia’s capital. “That shows we have made tremendous gains in the fight against Ebola. But the practices that led to the gains we are having are being abandoned just as the cases are declining too, so it brings about fear. If we are not careful we could have more cases again.”

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Liberia schools reopen after 6-month Ebola closure

ASSOCIATED PRESS  by Jonathan Paye-Layleh                                                                               Feb. 16, 2015

MONROVIA, Liberia — Students in Liberia began returning to the classroom Monday after a six-month closure during the Ebola epidemic that left thousands dead in this West African country.

In the capital, lines formed outside entrances where returning students' temperatures were being taken. Ebola's main symptom is a high fever, and only those who are sick can spread the deadly virus to others.

Deputy Education Minister Remses Kumbuyah said more than 5,000 kits were distributed to schools that included thermometers and chlorine for hand-washing.

Read complete story.

http://news.yahoo.com/liberia-schools-reopen-6-month-ebola-closure-102403539.html;_ylt=AwrBEiHK9eFUTkwAAOHQtDMD

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Human trial of 4th Ebola vaccine launches in Australia

CENTER FOR INFECTIOUS DISEASE AND POLICY by  Lisa Schnirring                                                      Feb. 13, 2015

Novavax yesterday announced the launch of the first human trial of its recombinant Ebola vaccine, which will make it the fourth candidate vaccine to be tested in phase 1 trials.

Novavax's product is a glycoprotein recombinant nanoparticle vaccine adjuvanted with Matrix M (Ebola GP) to boost immune response. Conducted in Australia, the study will test the safety and immunogenicity of the vaccine, with and without the adjuvant, in 230 healthy adults ages 18 to 50. Subjects will be given two intramuscular injections 3 weeks apart....

Three other Ebola vaccines are in clinical trials. Phase 2 and 3 studies of the two vaccines that are furthest along in trials got under way in Liberia at the end of January. They include two vector virus vaccines, ChAd3, developed by the National Institutes of Health (NIH) and GlaxoSmithKline (GSK), and VSV-EBOV, developed by the Canadian government and licensed by NewLink Genetics and Merck.

A phase 1 trial of a prime-boost Ebola vaccine regimen from Johnson & Johnson launched in early January in the United Kingdom.

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Ebola: UN health agency turns to foreign medical teams in last phase of combat against virus

UNITED NATIONS NEWS CENTRE                                      Feb. 13, 2015
The United Nations World Health Organization (WHO) announced Friday that it will huddle with medical teams from outside the Ebola-affected countries next week in Geneva to see how they can help in the last phases of the fight to bring the number of cases down to zero.
UN Development Program (UNDP) Administrator Helen Clark washes her hands on arrival in Ebola-affected Monrovia, Liberia. Photo: UNDP/Dylan Lowthian

Earlier, UN Development Program (UNDP) Administrator Helen Clark... met with a number community groups in Conakry, Guinea, where she stressed the vital importance of community advocacy in stopping the outbreak. Her mission will conclude with a visit to Sierra Leone early next week.

UNDP is working with the national authorities and local, regional and international partners, including the African Development Bank, the European Union and the World Bank, on an Ebola Recovery Assessment, and in support of national strategies, as part of its mandate to the lead the UN system in the Ebola-related recovery efforts.

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How trials will work for Ebola vaccines

The search for an Ebola cure is gearing up — but there may be too few patients.  (Scroll down for Graphics.)

WASHINGTON POST     by  Amy Brittain                                                                      Feb. 10, 2015                        

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Ebola Survivor Corps Establishment Guidance Toolkit

submitted by Novil Wijesekara

communityresiliencecenter.org

Ebola virus disease (EVD), formerly known as Ebola hemorrhagic fever, is a severe, illness in human with average case fatality rate of around 50% (range 25%-90%). At present, survivors of EVD face psychological effects, social isolation and serious repercussions on health care seeking behavior for EVD.  Ebola Survivor Corps is a comprehensive and sustainable program aimed at getting survivors of EVD back to their communities and society as helpers, advocates, champions and heroes of health and development.

Vision of Ebola Survivor Corps:

A world with zero discrimination for Ebola Survivors

Mission of Ebola Survivor Corps:

To establish a comprehensive and sustainable social organization with Ebola Survivors at the heart for reintegrating, empowering and engaging Ebola Survivors as leaders, advocates, champions and heroes of health and development.

Objectives:

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Ebola Survivor Corps Tool Kits

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COMMUNITY RESILIENCE CENTER

Ebola virus disease (EVD), formerly known as Ebola hemorrhagic fever, is a severe, illness in human with average case fatality rate of around 50% (range 25%-90%). At present, survivors of EVD face psychological effects, social isolation and serious repercussions on health care seeking behavior for EVD. 

Lessons From Africa's Hard-Won Victory Over Ebola

BLOOMBERG  Commentary      by Charles Kenney                                              Feb. 3, 2015
...Without good surveillance, disease threats can fester undetected until they are considerably harder to contain. At the moment, countries simply declare they have the capacity to meet global standards and the WHO takes their word for it. There should be a system of independent review, backed up with international assistance and support to ensure that all countries really do have the capacity to track infectious disease outbreaks and control their spread across borders.

....the global health research system is primarily driven by market pressures. The cost of bringing a drug through the regulatory processes to market averages around $1 billion. That's a big reason why pharmaceutical companies would rather spend money on treatments for the diseases of the rich than for conditions that largely affect people in countries like Liberia...

There are two approaches to deal with that problem: lower the cost of drug development and increase the market for the products that emerge. ...

To increase demand, governments can club together to create an "advanced market commitment": If a drug developer produces a vaccine or therapy that meets certain standards, donors precommit to buy it in bulk....

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Good Fences, Good Neighbors

EBOLA WEEKLY  by   Cinnatus Dumbaya                                                          Feb. 2, 2015

The Mano River Union, which works across the Ebola-affected countries, held a meeting this weekend designed to tackle the challenges of halting the spread of disease at West Africa's porous land borders. Cinnatus Dumbaya spoke to the Reverend Linda Koroma, deputy secretary general of the Mano River Union Secretariat in Freetown, to find out more.

Excerpt from interview:
...."We want to ensure that our border communities are provided with health facilities they can access in the event of another epidemic or any other kind of disease. And so the idea the technical people came up with is to allow people to cross over borders easily in order to access fully equipped health centers that would be built in each of the border towns...."
Read complete story.

http://www.eboladeeply.org/articles/2015/02/7279/good-fences-good-neighbors/

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Ebola: Winning the War, but Battles Remain

      

A worker at a UNICEF-supported Interim Care Center plays with 19-month-old Ebola survivor Tamba in Gueckedou, Forest Region, Guinea on January 11, 2015.  Tamba's mother died of Ebola, then his father abandoned him for fear of catching the disease himself.  UNICEF is working to break down the stigma around Ebola so children like Tamba still have homes to go to.

cnn.com - by Diana Magnay - January 30, 2015

Liberia (CNN) - First, the good news: Ebola is in decline.

2014 was a year of profound fear for communities living with -- and dying of -- the disease; of health workers making the ultimate sacrifice, dying as they tried to save; of apocalyptic forecasts as to the disease's possible spread. . .

. . . Ebola is still critically dangerous. Hotspots remain.

(READ COMPLETE ARTICLE)

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