Liberian President urges more support for recovery, to meet next week with President Obama

(Two stories. Scroll down.)

ASSOCIATED PRESS                                                                                      Feb. 22, 2015
HARJAH, United Arab Emirates — Liberia’s leader on Sunday urged the United States and other countries to keep up their support to the West African nation as it recovers from the Ebola epidemic and refocuses attention on infrastructure projects that will better position it to tackle future outbreaks of disease.

NATIONAL PUBLIC RADIO INTERVIEW by Laura Starecheski                                     Feb. 20, 2015
BARKEDU,  LIBERIA --If you'd like to get an idea of what resilience is all about, take a lesson from Mamuedeh Kanneh.

She lost her husband to Ebola. But she's stayed strong. She's caring for 13 children, her own and orphans whose parents died of the virus.

Mamuedeh Kanneh was married to Laiye Barwor, the man who brought Ebola to Barkedu, Liberia. He died of the virus. She now cares for her children as well as children who lost their parents to the disease. John W. Poole/NPR

Kanneh lives in Barkedu, a village of about 6,000 in northern Liberia. Ebola took more than 150 lives. In her neighborhood there were many deaths, so people in other parts of Barkedu are scared of the orphans.

Kanneh has a strategy to help these children — and the village overall — get back to normal life. She sends the youngsters on errands so people can get used to seeing them and get over their fear. And the children can start to feel they're part of the community again....

NEW YORK TIMES  by Rick Gladstone                                    Feb. 20, 2015

The top two health officials managing the Ebola epidemic cast doubt Friday on a pledge by West African leaders to reduce new cases to zero by mid-April, and expressed concern about a possible rebound of the disease.

 BBC NEWS                                                                                                         Feb. 20, 2015

Liberia is to reopen its borders following a reduction in the number of Ebola cases being reported in the country.

President Ellen Johnson Sirleaf made the announcement on Friday and said nationwide curfews would also be lifted.

New infections have dropped to one-tenth of the level seen when the virus was at its peak.

But health officials warned the decline has levelled off in the last month.

Dr Bruce Aylward, who leads the World Health Organization's official Ebola response, said data showed the steep decrease in infections had now flattened, at a rate of around 120 to 150 new cases a week.

Read complete story.
http://www.bbc.com/news/world-africa-31558363

submitted by Gavin Macgregor-Skinner

S.D.A. Cooper Hospital in Sinkor - Monrovia, Liberia

allafrica.com - by Bettie Johnson - February 20, 2015

Monrovia — At one of Liberia's private hospitals, more than 30 persons are said to be quarantined after authorities say a woman who knew she had Ebola deliberately tried to infect the staff of the S.D. Cooper Hospital in Sinkor. Madam Amanda Blah who died early this month disguised herself and went to over three health facilities including Mawah, JFK and S.D. Cooper.

The death of Blah followed when her cousin named Steve Yadolo who died from the virus in the Bong Mines bridge community, but infected three persons, including Blah, his sister Marlene Yadolo, and brother Elijah Yadolo who are presently at an ETU in the country.

(READ COMPLETE ARTICLE)

(ALSO SEE SAME ARTICLE HERE)

NEW YORK TIMES  OP-ED BY Ron Klain, the former White House Ebola response coordinaor                                    FEB. 20, 2015

...The world needs to do a better job of quickly detecting and responding to future outbreaks in unlikely places. The President’s Global Health Security Agenda, the government’s strategy to combat infection disease around the world, will help. But vulnerable countries, including those in Africa, need their own version of our Centers for Disease Control and Prevention, so that they are not so dependent on ours.

For the hardest task of front-line epidemic fighting, our planet is too reliant on courageous and talented — but underfunded, under-equipped and volunteer-dependent — nongovernmental organizations. The world needs a permanent standing force — or a ready reserve that can be quickly organized — of public health emergency responders who have the training, gear and resources to race into a region in the early phases of epidemic control. The United States military cannot do that job every time; future outbreaks might occur in countries where our troops will not be welcomed as they were in West Africa.

REUTERS    by Tom Miles                             FeB. 20, 2015
GENEVA --The World Health Organization has approved the first rapid test for Ebola in a potential breakthrough for ending an epidemic that has killed almost 10,000 people in West Africa, it said on Friday.

The test, developed by U.S. firm Corgenix Medical Corp, is less accurate than the standard test but is easy to perform, does not require electricity, and can give results within 15 minutes, WHO spokesman Tarik Jasarevic said.

"It's a first rapid test. It's definitely a breakthrough," he said.

The standard laboratory test has a turnaround time of 12-24 hours. While the Corgenix test is not failsafe, it could quickly identify patients who need quarantine and make it much easier to verify rapidly any new outbreaks.

Read complete story.

http://www.reuters.com/article/2015/02/20/us-health-ebola-testing-idUSKBN0LO0R920150220

HEALTHDAY NEWS   by Dennis Thompson                                                                 Feb. 19, 2015

AFP                                                                                                    Feb. 19, 2015

Geneva - Ebola-hit Sierre Leone and Guinea saw an increase in the last week in unsafe burials that risk spreading the disease, the World Health Organization reported.

A specialized team bury the body of an Ebola victim in Mananeh, Sierra Leone on October 6, 2014 (AFP Photo/Florian Plaucheur)

In Guinea, there were 39 unsafe burials and in Sierre Leone, there were 45 reported in the week to February 15, WHO said in a report late Wednesday.

WHO also warned that more than 40 new confirmed Ebola cases in the two countries had been identified only after the infected people had died in their communities, and not in treatment facilities.

Read complete story.
http://news.yahoo.com/unsafe-burials-increase-ebola-hit-countries-112025290.html;_ylt=AwrBJR8Y8.VU8EYAzAfQtDMD
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DEVEX   by Molly Anders                                                                                         Feb. 19, 2015

...While the Ebola crisis is far from over, officials in government and the international development community have begun to think more the medium and long term. What can they learn from past post-crisis recovery initiatives?

  Health worker Alivin Davis poses next to the a board featuring handprints of Ebola survivors in Liberia. Photo by: Neil Brandvold / USAID / CC BY-NC

Devex asked aid officials and government officials from the region how to avoid some of the most common pitfalls that can plague — haunt, even — recovery and reconstruction efforts. Here are three of them.

1. Quality over quantity.

....By not paying closer attention to the economic effects of foreign aid on the local market, humanitarian groups hurt livelihoods and slowed reconstruction in the country.

2. Prioritize local ownership....

18 Feb 2015 - Statement by Dr. David Nabarro, Special Envoy of the Secretary-General on Ebola at the informal meeting of the plenary of the General Assembly on the latest developments concerning the Ebola epidemic.

http://webtv.un.org/watch/david-nabarro-on-ebola-informal-meeting-of-the-general-assembly-18-february-2015/4066125793001

CLICK HERE FOR ADDITIONAL RELATED VIDEOS AND SUPPORTING DOCUMENTATION

ASSOCIATED PRESS  by EDITH M. LEDERER                     Feb. 18, 2015

UNITED NATIONS -- The goal set by the presidents of Liberia, Sierra Leone and Guinea of reducing the number of new cases of the deadly disease to zero by April 15 can be reached — but only if local communities stop unsafe burials and healing practices that involve human contact, the U.N. Ebola chief said Wednesday.

Dr. David Nabarro told the U.N. General Assembly that there are now 10 times fewer people diagnosed with Ebola each week than there were last September. But he said preventing the final 10 percent of infections — about 120 to 130 new cases per week — is probably going to be the hardest because it's like looking for a needle in a haystack.

Ismael Ould Cheikh Ahmed, who heads the the U.N. Ebola mission in West Africa SAID ...."denial, distrust and a lack of understanding (of Ebola) continue to create resistance in certain pockets and lead to dangerous practices that probably promote further outbreaks."

THE HUFFINGTON POST  by Tom Frieden, MD, MPH, Director, Centers for Disease Control and Prevention (CDC)                                                                                                                              Feb. 18, 2015

One promising development has been Liberia's creation of RITE teams (short for Rapid Isolation and Treatment of Ebola). These teams are slowing the epidemic, and CDC is working closely with governments and partners in Guinea and Sierra Leone to adopt similar rapid response strategies....

CNN             by Rick Sacra, MD                                                                                               Feb. 18, 2015

Editor's note: Dr. Rick Sacra is an American Ebola survivor and doctor who works with SIM, a Christian missionary nonprofit that has been bringing medical help to the people of Africa. His home base is the ELWA Hospital in Liberia. He agreed to keep a journal and share it exclusively with CNN to provide a glimpse into life in the heart of what has been the Ebola zone.

The following is his report.
http://www.cnn.com/2015/02/18/health/feat-rick-sacra-ebola-final/

submitted by Stephen Morse

elifesciences.org - September 8, 2014 - eLife 2014;3:e04395
DOI: http://dx.doi.org/10.7554/eLife.04395

Ebola virus disease (EVD) is a complex zoonosis that is highly virulent in humans. The largest recorded outbreak of EVD is ongoing in West Africa, outside of its previously reported and predicted niche. We assembled location data on all recorded zoonotic transmission to humans and Ebola virus infection in bats and primates (1976–2014). Using species distribution models, these occurrence data were paired with environmental covariates to predict a zoonotic transmission niche covering 22 countries across Central and West Africa. Vegetation, elevation, temperature, evapotranspiration, and suspected reservoir bat distributions define this relationship. At-risk areas are inhabited by 22 million people; however, the rarity of human outbreaks emphasises the very low probability of transmission to humans. Increasing population sizes and international connectivity by air since the first detection of EVD in 1976 suggest that the dynamics of human-to-human secondary transmission in contemporary outbreaks will be very different to those of the past.