THE GUARDIAN by Sam Jones                                                              April 7, 2015

Africa’s efforts to tackle the Ebola crisis have been largely overlooked even though Africans have taken the lead in providing frontline staff and shown themselves “better placed to fight infectious diseases in their continent than outsiders”, according to the African Union (AU).

A Liberian health worker checks the temperature of students to curb the spread of Ebola in Caldwell, outside the capital Monrovia. Photograph: Ahmed Jallanzo/EPA

Dr Olawale Maiyegun, director of social affairs at the AU commission, said that despite the fact that Africans had proved both willing and able to deal with Ebola, the focus had been on the work of international agencies and those with the greatest media clout.

Deutsche Welle                                                                                          April 7, 2015
BERLIN --Two German federal ministers are on their way to West Africa, to offer Berlin's support as the region recovers from the effects of Ebola. They've also flagged creating specialist teams to deal with future crises.

The lawmakers, Health Minister Hermann Gröhe and Development Minister Gerd Müller...will push for a redevelopment of the affected health systems, and ways to better respond to health disasters in Africa, with a 200-million euro aid package sponsored by Germany.

Müller told the Bild newspaper that a team of "white helmets" - groups of doctors, technicians and specialists - would be set up at Germany's development agency, GIZ, to be sent anywhere in the world in three to five days.

Read complete story.

http://www.dw.de/ebola-german-ministers-talks-up-economic-recovery-in-west-africa/a-18364560

NEW YORK TIMES OP-ED  By BERNICE DAHN, VERA MUSSAH and CAMERON NUTT   April 7, 2015               
MONROVIA, Liberia — The conventional wisdom among public health authorities is that the Ebola virus, which killed at least 10,000 people in Liberia, Sierra Leone and Guinea, was a new phenomenon, not seen in West Africa before 2013. (The one exception was an anomalous case in Ivory Coast in 1994, when a Swiss primatologist was infected after performing an autopsy on a chimpanzee.)

ncbi.nlm.nih.gov

CLICK HERE - A Community-Engaged Infection Prevention and Control Approach to Ebola

CLICK HERE - FULL TEXT LINKS - A Community-Engaged Infection Prevention and Control Approach to Ebola

Abstract

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

Baz Ratner/Reuters

thedailybeast.com - by Sheldon Yett - April 3, 2015

The worst of the Ebola epidemic may be over in Liberia, but the damage it inflicted on an already weak health care system could have catastrophic consequences.

Here in Liberia, the goal of zero Ebola cases is tantalizingly close. Only one new case has been recorded since 19 February, and 13 of the country’s 15 counties have not reported any new cases for over 42 days. But Ebola’s impact will be felt long after the last case has been treated.      

As the battle against Ebola continues, the threat of outbreaks of measles, whooping cough and other vaccine-preventable diseases remains high. Given the mobility of Liberia’s population, the danger is that these diseases could spread with the same devastating rapidity that Ebola did.

Malnutrition rates have also increased, and a large proportion of the population is still not using health facilities for fear of contracting Ebola.

(READ COMPLETE ARTICLE)

‘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.

who.int - April 1, 2015

SUMMARY

ASSOCIATED PRESS  by Sarah DiLorenzo                                                               April 2, 2015      

(Scroll below for related Wall Street Journal story.)   

DAKAR, Senegal (AP) — When will the world's largest and longest Ebola outbreak end? The West African countries of Sierra Leone and Liberia both appear to be on steady paths to ending the epidemic. The wild card is Guinea, where Ebola hasn't burned as hot but remains stubbornly entrenched.

In this file photo dated Friday, March. 27, 2015, a usually busy street is deserted as Sierra Leone enters a three day country wide lockdown on movement of people due to the Ebola virus in the city of Freetown, Sierra Leone. Sierra Leone's 6 million people were told to stay home for three days, except for religious services, beginning Friday as the West African nation attempted a final push to rid itself of Ebola. (AP Photo/ Michael Duff, FILE)

Liberia's last Ebola patient died March 27; it is now counting down the 42 days it must wait to be declared free of Ebola. Meanwhile, Sierra Leone recorded no new infections Wednesday for the second time; on average, it has logged a handful each day in recent days.

MEDICAL EXPRESS                                                                       MARCH 31, 2015

(scroll down for complete paper.)

Frequently used approaches to understanding and forecasting emerging epidemics—including the West African Ebola outbreak—can lead to big errors that mask their own presence, according to a University of Michigan ecologist and his colleagues.

 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.

FRONT PAGE AFRICA  by Stephen D. Kollie                                                       March 31, 2015

Monrovia - The Head of the Incident Management System (IMS), the command center responsible to oversee Liberia’s Ebola response, has clarified that contrary to several reports on social media, including Facebook and other sources, Liberia has no other confirmed Ebola case apart from a lady who tested positive for the virus but died last weekend.

“Since the 20th, we have one confirmed case. Unfortunately, the case has since died,” he said Monday. “No other confirmed cases since then as of this morning (March 30). I am not saying it will not be (a case)if it is tested positive. But the cases are being followed up, nobody is sick yet.”

Tolbert Nyenswah disclosed that out of 211 contacts that were being monitored by the Ministry of Health team, 26 contacts have been cleared while 185 contacts are still under surveillance. “We still are intensifying our normal contact tracing. We are investigating to see whether or not the people should remain on the contact list or it is fair enough to release them,” he said.

VOICE OF AMERICA by Benno Muchler                          March 30, 015
MONROVIA—For Liberian survivors of Ebola, the struggle is not over.  Many have lost property and family members, and often face tremendous stigma after being released from the hospital. Unresolved medical issues are another problem.  Despite their suffering, they are still waiting for support a year into the Ebola crisis.

People shun them.  Landlords terminate their leases.  Some lost their jobs.  Many survivors also suffer from headaches and eye problems.  Doctors do not know yet if these Ebola side effects are only temporary.

To make their voices heard, survivors formed a network under the umbrella of Liberia’s Ministry of Health and Social Welfare last September.

Korlia Bonarwolo was part of that, but then broke away and formed his own group. He said that after months without support, it seemed to him the government only used survivors to attract foreign aid.

HUFFINGTON POST Commentary by Robert Klitzman, M.D.   Columbia University                                            March 30, 2015

One year ago, the current Ebola epidemic was announced to the world. Since then, we have learned and accomplished an enormous amount....

Doctors says the kit, if approved by health authorities, could transform the admissions process with its capacity to deliver results within 20 minutes

THE GUARDIAN    by Lisa O'Carroll                              March 29, 2015

A rapid Ebola diagnostic kit similar to a pregnancy kit has been developed by British military scientists and NHS medics in Sierra Leone.

Health care workers prepare to entering a high risk zone at an Ebola virus clinic in Sierra Leone, where the diagnostic kit has been undergoing tests. Photograph: Michael Duff/AP

It can be administered at the bedside and return its first results within 20 minutes, slashing dramatically the normal 24-hour turnaround for lab results.