Effort on Ebola Hurt W.H.O. Chief

NEW YORK TIMES  by Somini Sengupta                                                  Jan. 7, 2015

....Now, Ebola is battering three fragile countries in Africa and with it, the W.H.O.’s standing — in large part, Dr. Chan’s critics say, because she let governments around the world steer the agency to fit their own needs, instead of firmly taking the helm as the world’s doctor in chief.

Diplomacy is an inevitable, even necessary, part of running the world’s main health organization, vital to getting fractious countries to cooperate for the sake of global health, her critics acknowledge.

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Ebola deaths top 8,000; exposures trigger health worker evacuations

Ebola: Roundup of recent developments

(Two items. Scroll down for UNMEER report.)

CENTER FOR INFECTIOUSNESS DISEASE AND POLICY   by Lisa Schnirring                              Jan. 5, 2015

As deaths in West Africa's Ebola outbreak officially topped 8,000 over the weekend, leadership of the United Nations Mission for Ebola Emergency Response (UNMEER) changed hands, and Guinea launched a new effort to battle the disease amid continuing reports of community resistance....

In other developments, Guinea's government has announced the launch of a campaign called "zero Ebola in 60 days", UNMEER said today. Guinea's Ebola case counts have been oscillating over the past several months, and in its most recent update, the WHO said it's not clear what the trend is. The first part of Guinea's campaign will start Tuesday, with expert teams traveling to six regions to assess local response efforts and form an action plan for each prefecture that dovetails with Guinea's national action plan.

UNMEER said the campaign's working groups are targeting surveillance, case management, infection control, community engagement and social mobilization, and safe burials.

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UN: Ebola kills 8,153 people in West Africa, infects 20,650

ASSOCIATED PRESS                                                                                      Jan. 5, 2015

GENEVA --The World Health Organization says at least 8,153 people have died in the Ebola outbreak in West Africa.

The Geneva-based body said Monday that the total number of confirmed, probable and suspected deaths from the disease comes from 20,656 cases in the three most affected countries — a mortality rate of 39 percent.

The U.N. health agency says 2,915 deaths have been reported from Sierra Leone, 3,471 in Liberia and 1,767 in Guinea.

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http://news.yahoo.com/un-ebola-kills-8-153-people-west-africa-175150599.html

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J&J, Bavarian Nordic start clinical tests in Ebola vaccine race

REUTERS     by Ben Hirschler                              Jan. 6, 2015
LONDON --Johnson & Johnson has started clinical trials of its experimental Ebola vaccine, which uses a booster from Denmark's Bavarian Nordic, making it the third such shot to enter human testing.

The initiation of the Phase I study in Britain, which had been expected about now, marks further progress in the race to develop a vaccine against a disease that has killed more than 8,000 people in West Africa since last year.

Two other experimental vaccines, one from GlaxoSmithKline and a rival from NewLink and Merck, are already in clinical development. However, the J&J vaccine offers a different approach, since it involves two separate injections.

Read complete story.

http://www.reuters.com/article/2015/01/06/us-health-ebola-vaccine-j-j-idUSKBN0KF0HH20150106

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Ebola’s legacy: After the passing

The virus will have a long-lasting impact on already poor countries

THE ECONOMIST                                                                                                      Jan. 3, 2015
When Ebola was at its worst in west Africa a few months ago, many worried that weak governments in Guinea, Liberia and Sierra Leone might be swept away by riots or the collapse of order as the virus took hold. In fact, the opposite appears to be the case. Governments have tightened their grip and are displaying authoritarian inclinations in ways rarely seen in the three young democracies....

The disease, meanwhile, continues to spread. In the week to December 21st, Guinea experienced its highest incidence of the virus since the outbreak began (see chart). In Liberia dozens of new cases have been reported along the border with Sierra Leone.

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Liberia close to beating Ebola as cases dwindle

THE GUARDIAN  by Lisa O'Caroll                                                                       Jan. 5, 2015

Liberia appears close to beating Ebola, with plans to reopen schools next month after the latest figures showed the infection rate has dwindled to just over four cases a day.


Liberian president, Ellen Johnson Sirleaf, announced that schools would reopen on 2 February. Photograph: John Moore/Getty Images

The US also plans to withdraw about half its 2,400 troops six months after the virus struck, claiming 3,400 lives.

Optimism has been increased by figures issued by the UN Mission for Ebola Emergency Response (Unmeer). They show the country had no confirmed Ebola cases on 31 December and just 91 cases in the past 21 days.

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Ebola: as ZMapp stocks run out doctors turn to alternative treatments

THE GUARDIAN by                                 Jan, 5, 2015
LONDON --Even at the Royal Free hospital in London, the lead UK specialist centre for Ebola, doctors have limited options for treating their patients. In the end, survival may depend more on the strength of an individual’s immune system than anything medical science is currently able to do.

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Merck-NewLink Ebola vaccine trial resumes at lower dose: Geneva hospital

(Two stories. Scroll down.)

REUTERS                                                       Jan. 5, 2015

GENEVA --The clinical trial of an Ebola vaccine developed by Merck and NewLink resumed on Monday at a lower dose after a pause to assess complaints of joint pains in some volunteers, the University of Geneva hospital said.

The Geneva hospital announced on Dec. 11 that its vaccine trial had been suspended as a precautionary measure after four patients complained of joint pains. On Monday, the hospital said 10 of 59 volunteers who received the vaccine had felt pains in their joints "similar to rheumatism" after some two weeks, but these symptoms had disappeared rapidly without any treatment.

Swissmedic, the Swiss regulatory agency, and ethics and safety committees have approved the resumption of the trial at a lower dose, the hospital said in a statement.

Read complete story.

http://www.reuters.com/article/2015/01/05/us-health-ebola-vaccine-idUSKBN0KE0XP20150105
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Ebola wipes out every mother in Liberian village

In Joeblow, Liberia, every mother has been killed by Ebola leaving a village full of confused and devastated children

THE TELEGRAPH by  Sarah Knapton                          Jan, 5, 2015
JOEBLOW, LIBERIA --

For 11-year-old Montgomery Philip, childhood is over. Six months ago he would have been playing football with his schoolmates, but now his job is to care for his 10-monthold baby brother Jenkie. The pair are both victims of the Ebola virus. Not because they caught the disease, but because they live in Joeblow, Liberia, where the devastating outbreak has killed every mother in the village.

                              Chloe Brett has been working to find homes for children left behind in the aftermath of the outbreak

The women died because social convention decrees it is they who tend to the sick and bury the dead.

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Could a pregnant woman change the way we think about Ebola?

THE WASHINGTON POST by Kevin Sieff                          Jan. 5, 2015

PORT LOKO, Sierra Leone — When Fatmata Kabia walked into the Ebola isolation center, her chances of survival were almost zero.

Not because her symptoms were particularly bad — though they were. Not because the disease had already killed most of her family — though it had. Kabia, 21, appeared doomed for another reason: She was pregnant.

Meratu Koroma, 18, four months pregnant, battles intense pain while waiting for an Ebola test in Port Loko, Sierra Leone. (Nikki Kahn/The Washington Post)

Few diseases are less understood than the Ebola virus, which has claimed more than 7,900 lives across West Africa. But one thing is clear: Pregnant Ebola patients rarely survive. And their babies never do.

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Ebola survivors in west Africa to share stories via mobile app

REUTERS                                                            Jan. 4, 2015   

Ebola survivors in the three west African countries worst hit by the epidemic will share their stories through a mobile application to be launched on Monday, in a Unicef-backed campaign to inform and fight stigma around the disease.

...Although many people have survived the disease, they still face rejection and stigma from their communities, while the virus continues to spread due to lack of information and denial, according to the WHO and other health organisations.

The campaign, called #ISurvivedEbola, is funded by US philanthropist and co-founder of Microsoft Paul G Allen’s foundation which has committed $100m to fight the disease. Unicef, the UN children’s agency is collaborating in the project.

Survivors in Guinea, Sierra Leone and Liberia will be given smartphones and will document their stories and exchange tips on how to cope with it for a mobile app which will be available to the public, the backers said in a statement.

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Victory against Ebola 'within our reach': new UN mission chief

AFP                                                                 Jan 4, 2015

ACCRA -- Ending the deadliest Ebola outbreak in history is a difficult task, but it is "within our reach", the UN's new mission chief on the disease said, warning that the world has no choice but to beat back the infection.

"This is a global crisis. We definitely have a difficult time ahead of us, but we can achieve it," Ismail Ould Cheikh Ahmed, the new head of the UN Mission for Ebola Emergency Response (UNMEER), said on arrival in Ghana on Saturday.

"We have no plan B, we have to get rid of this virus. This is within our reach, but we should not be complacent," said Ahmed, a Mauritanian, who had arrived in Accra to officially assume duty, taking over from American Anthony Banbury...

Ahmed will be visiting Liberia and Sierra Leone this week, and Guinea shortly after, "to reinforce UNMEER's strategic priorities and see first-hand the Ebola response." the text said. He will be accompanied by UN Special Envoy on Ebola, David Nabarro, it added.
Read complete story.

http://news.yahoo.com/victory-against-ebola-within-reach-un-mission-chief-075544472.html;_ylt=AwrBEiEmk6lU7hgAFk3QtDMD

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Sen. Coons calls for change in U.S. Ebola strategy

CBS NEWS                                                                       Jan. 4, 2015

Sen. Chris Coons, D-Delaware, who recently returned from a trip to Liberia, said Sunday that the Pentagon should avoid prematurely withdrawing U.S. military personnel who are fighting the Ebola epidemic in West Africa.

"We can't declare mission accomplished and withdraw too early here," Coons said on "Face the Nation" Sunday. "The raging epidemic that threatened the whole country in September is now down to a few embers scattered across this country but we need a new strategy to adapt to conditions on the ground. Our troops should remain, some of them to the rest of the year, to help make sure that Liberians can transition our emergency Ebola treatment units into community health clinics and transition our high tech military mobile testing labs into Liberian-run local labs so that going forward this epidemic is really brought to an end in Liberia."

Coons said about 1,000 or more of the troops could return home because they have finished their primary missions of building the infrastructure to test for Ebola. But the money that the U.S. continues to spend on the epidemic could be spent more wisely with a change in strategy, he said

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Story Behind the Story: How Times Reporters Unraveled the Ebola Epidemic

NEW YORK TIMES                                               Jan. 2, 2015

Celia W. Dugger, deputy science editor for health, has helped to coordinate the Times’s coverage of Ebola. She edited a feature published Tuesday on the origin of this year’s Ebola outbreak, and shares how the story came together after months of reporting.

As the Ebola epidemic gained velocity this fall, spreading fear and death across one of the world’s poorest regions, I kept coming back to the same questions: How did this one get away? How did the experts — and the media, including editors like me, for that matter — miss the signs in the spring that this time would be catastrophically different from the nearly two dozen prior outbreaks? Why did the most seasoned Ebola hands — men and women who had repeatedly risked their lives battling this lethal foe — let their guard down and scale back in May just when the virus might have been throttled?

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IFRC: Fear Hampering Ebola Fight

THE VOICE OF AMERICA  by Joe DeCapua                                       Jan. 2, 2014

...The Red Cross’ Katherine Mueller gives an assessment of the Ebola epidemic in Guinea, Liberia and Sierra Leone.

“The Ebola outbreak is not under control yet. We do see some leveling off of cases for Liberia, for example. However, we’ve seen it before that somebody attends a funeral. They come back. They’re infected. They infect their village and cases spike. So it really doesn’t take much to have another increase in cases,” she said.

Mueller is the IFRC’s Africa communications manager. She worries that people may become complacent after hearing that the number of new cases has slowed in some places...

Part of the organization’s efforts include going to remote areas in the three hardest hit countries.

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