Ebola infection 'linked to visor'

THE PRESS ASSOCIATION                               Feb. 4, 2015
LONDON --A British nurse who contracted Ebola while working in Sierra Leone possibly caught the virus by wearing a visor and not goggles, an investigation has suggested.
Press Association - Save the Children said Pauline Cafferkey, pictured on her return to health, may have contracted Ebola by wearing a visor rather than goggles when treating patients in Sierra Leone

The report by Save the Children said it cannot be completely certain how Pauline Cafferkey contracted Ebola but said both pieces of equipment are "equally safe".

The nurse, from Cambuslang in South Lanarkshire, had volunteered with the charity at the Ebola Treatment Centre (ETC) in Kerry Town before returning to the UK in December....

Save the Children published the findings of an independent review into the possible causes of how the 39-year-old caught the virus. The report said both visors and goggles are safe but there are slight differences in the type of clothing worn with each and in the protocols for putting them on and removing them....

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Only 40 percent of Ebola funds reached target countries: study

REUTERS    by Kate Kelland                                                                                 Feb. 3, 2014

LONDON  - Almost $2.9 billion was pledged by the end of 2014 in donations to fight West Africa's Ebola epidemic, yet only around 40 percent had actually reached affected countries, researchers said on Tuesday.

A study by the U.N. Office for the Coordination of Humanitarian Affairs that tracked international donations showed barely $1.09 billion had reached the worst affected countries by the end of last year, they said.

"These delays ... may have contributed to spread of the virus and could have increased the financial needs," said Karen Grepin, a global health policy expert at New York University who led the study and published it in the BMJ British medical journal.

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http://news.yahoo.com/only-40-percent-ebola-funds-reached-target-countries-233343915.html

Link to full study.

International donations to the Ebola virus outbreak: too little, too late?

BRITISH MEDICAL JOURNAL   by  Karen A Grépin                                                      Feb. 3, 2015

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WHO names Ebola response chief

AFP                                                                      Feb. 3, 2015
GENEVA: The World Health Organization said Tuesday it had appointed its assistant director-general Bruce Aylward to head its overall response to the deadly Ebola outbreak.

It also said an independent commission was being created to assess WHO's widely criticised response to the epidemic, after the UN agency admitted last month it had been caught napping on Ebola and pledged reforms to avoid similar mistakes in the future.

WHO spokeswoman Fadela Chaib told reporters that Alward, a Canadian, will be responsible for coordinating all the different aspects of the agency's response to the devastating outbreak, which has killed nearly 9,000 people, almost all of them in Guinea, Sierra Leone and Liberia.

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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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Ebola: Sierra Leone Officials Criticize Travel Relaxation

ASSOCIATED PRESS BY CLARENCE ROY-MACAULAY                                                           Feb. 3, 2015

FREETOWN  --Although Ebola cases are declining in West Africa, Sierra Leone officials are worried that the president's decision to lift travel restrictions may re-ignite the spread of the deadly disease.

President Ernest Bai Koroma two weeks ago announced a relaxation of travel restrictions to support economic activity. Some officials agreed that the closure of roads hurt the economy. Others felt it was too soon.

"It was slightly too early," Freetown Mayor Franklyn Bode Gibson said Tuesday. "We do not know who is safe and who is not," and a second outbreak of the disease would be distrastrous. Gibson saidhe will call for a meeting this week with the National Ebola Response Center to register his disappointment about the re-opening of district roads.

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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...."
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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.

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Ebola: Call for more sharing of scientific data

BBC NEWS      by Helen Briggs, Environment correspondent                                                                     Feb. 2, 2015

The devastation left by the Ebola virus in west Africa raises many questions for science, policy and international development.

One issue that has yet to receive widespread media attention is the handling of genetic data on the virus.

By studying its code, scientists can trace how Ebola leapt across borders, and how, like all viruses, it is constantly evolving and changing.

Yet, researchers have been privately complaining for months about the scarcity of genetic information about the virus that is entering the public domain.

In the last few days, scientists have been speaking on and off the record about their concerns.

http://www.bbc.com/news/science-environment-31091816

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'Good virus' believed to help increase survival chances in Ebola and HIV infections

INTERNATIONAL BUSINESS NEWS by Jayalaksmi K      Feb. 2, 2015

A common virus that infects billions at some point of their lives is believed to deliver some protection against other deadlier viruses like HIV and Ebola.

David O'Connor, a pathology professor at the University of Wisconsin in Madison, found the genetic fingerprints of the virus GBV-C in the records of 13 samples of blood plasma from Ebola patients.

While six of the 13 people who were co-infected with Ebola and GBV-C died, seven survived.

Combined with earlier studies that have hinted persistent infection with the virus slowed disease progression in some HIV patients, researchers think the virus could be beneficial.

"We're very cautious about over-interpreting these results," O'Connor told NPR. He is now waiting to get a bigger sample, to see if there really is a strong connection between GBV-C infection and survival.
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Ebola - is culture the real killer?

IRIN  Humanitarian News and Analysis  by Obinna Anyadike                                                            Jan. 29, 2015

NAIROBI, Kenya --Why do people persist with risky funeral rites, eat Ebola-harbouring bushmeat, and occasionally attack the very health workers sent to help, the news reports leave us wondering. What is the value of “traditional beliefs” when they are harmful: why can’t people just act more rationally?

A pregnant women suspected of having Ebola is taken away to an ETU in Freetown, Sierra Leone

The simple answer is; ask the communities. The growing number of researchers that do, find that people are acting as responsibly as they can in desperate circumstances. The lack of a properly functioning Ebola response and weak healthcare services has forced communities into rough and ready self-reliance. Faced with hotlines going unanswered, overcrowded Ebola Treatment Units (ETU), militarized quarantine areas, communities are actually looking for more information, not less.

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Health Ebola Vaccines Trial Starts in Liberia

ASSOCIATED PRESS by JONATHAN PAYE-LAYLEH                                                        Feb. 2, 2015

MONROVIA--A large-scale human trial of two potential Ebola vaccines got under way in Liberia's capital Monday, part of a global effort to prevent a repeat of the epidemic that has now claimed nearly 9,000 lives in West Africa.

The trials in Liberia are taking place after smaller studies determined that the vaccines were safe for human use. By comparing them now with a placebo shot, scientists hope to learn whether they can prevent people from contracting the ghastly virus that has killed some 60 percent of those hospitalized with the disease.

Yet despite the trials' promise, authorities still must combat fear and suspicion that people could become infected by taking part. Each vaccine uses a different virus to carry non-infectious Ebola genetic material into the body and spark an immune response.

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http://abcnews.go.com/Health/wireStory/ebola-vaccine-trial-starts-liberia-28657084

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In pursuit of next-generation Ebola stockpile vaccines

REUTERS   by Kate Kell and Ben Herschler                                                                        Feb. 1. 2015
LONDON --As West Africa's devastating Ebola outbreak begins to dwindle, scientists are looking beyond the endgame at the kind of next-generation vaccines needed for a vital stockpile to hit another epidemic hard and fast.

 

Research assistant Georgina Bowyer works on a vaccine for Ebola at The Jenner Institute in Oxford, southern England January 16, 2015. Credit: Reuters/Eddie Keogh

Determined not to lose scientific momentum that could make the world's first effective Ebola interventions a reality, researchers say the shots, as well as being proven to work, must be cheap, easy to handle in Africa and able to hit multiple virus strains.

That may mean shifting focus from the stripped-down, fast-tracked vaccine development ideas that have dominated the past six months, but it mustn't mean the field gets bogged down in complexities.

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Kids in Liberia go back to school — in a building where dozens died of Ebola

              Parents resister pupils at Massaquoi less than a month after the last Ebola patient left the school.

WASHINGTON POST   by Martin Sieff                                                                             Feb. 1, 2015

MONROVIA--As the Ebola epidemic fades here, with fewer than 10 new cases reported per week, Liberia is beginning the massive challenge of resuming normal life. Many of its public institutions have been shuttered since June. Its economy has been paralyzed. More than 3,600 Liberians have died of the disease.

Those who endured the crisis are now grappling with a new set of predicaments: whether to sleep in the rooms where relatives died, to have babies in hospitals where Ebola patients were treated. In a country where containing Ebola meant persuading people to fear it, the public may remain traumatized for some time to come.

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As Ebola Ebbs in Africa, Focus Turns From Death to Life

NEW YORK TIMES  by Normitsu Onishi                                                                Feb. 1, 2015

MONROVIA, Liberia — Life is edging back to normal after the deadliest Ebola outbreak in history....

FEAR FADING Beachgoers in Monrovia, Liberia, recently ravaged by Ebola. As fear of the virus ebbs, Liberians are slipping back into their daily rhythm. John Moore/Getty Images

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