cdc.gov - January 14, 2015

One of the difficulties faced by teams responding to the current Ebola outbreak in West Africa is identifying individuals and communities residing in remote areas. Existing maps of these regions either do not exist or are inadequate or outdated. This means that basic data like location of houses, buildings, villages, and roads are not easily accessible, and case finding and contact tracing can be extremely difficult.

To help aid the outbreak response effort, volunteers from around the world are using an open-source online mapping platform called OpenStreetMap (OSM) to create detailed maps and map data of Guinea, Sierra Leone, Liberia, and parts of Mali.

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Daily life in Freetown, Sierra Leone, one of three West African countries most affected by the outbreak of the Ebola virus.
Photo: World Bank/Dominic Chavez

un.org

15 January 2015 – Spearheaded by the United Nations, a team of international experts has begun an Ebola Recovery Assessment (ERA) mission in Sierra Leone as part of an effort to partner with Governments to address the impact of the virus on affected countries. 

The ERA mission is made up of experts from the European Union, World Bank and the African Development Bank. They are expected to finish their work this weekend in Accra, Ghana after a one-day stop in Guinea tomorrow. 

The mission’s aim is to work with the Governments of the countries hardest hit by the virus –Sierra Leone, Liberia and Guinea – to assess critical areas that will spearhead economic and social recovery in the post-Ebola era.

According to a statement released by the Office of the UN Resident Coordinator in Sierra Leone, David McLachlan-Karr, the ERA is anchored in national ownership.

Many agricultural fields have been abandoned as people retreat from Ebola. Image via World Bank.

zmescience.com - by Livia Rusu - January 15, 2015

The World Health Organization reports a drop in the Ebola cases in the three Western African countries hit most by the disease. However, as farmers abandon their fields in the infected areas, a new problem seems to emerge: a food crisis. . .

. . . The International Fund for Agriculture Development (IFAD), a UN body that finances agriculture in poor countries has warned that if quick action isn’t taken soon, a food crisis is set to take place in the area.

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Maj. Gen. Gary Volesky's 2,500 soldiers have spent months battling a rampant killer in Liberia. Is the fight over, or has the front line shifted?

FOREIGN POLICY   by Brian Castner                                                        Jan,. 14, 2014

When Maj. Gen. Gary Volesky arrived in Liberia in late October to assume command of the U.S. military effort to help beat back the Ebola epidemic there, he was handed a to-do list by the U.S. Agency for International Development (USAID) and the Liberian government: build 17 temporary treatment facilities across the country, train a mix of international and local Liberian health-care workers to staff them, and use the Pentagon’s high-end medical equipment to test patients’ blood for the deadly virus.

Nearly every item is now checked off, leaving three options: go home, stay and wait in case the outbreak worsens, or move to start on a similar list in Sierra Leone and Guinea, where the number of Ebola cases has eclipsed that of Liberia.

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WORLD HEALTH ORGANIZATION MEDIA CENTRE                   Jan, 15, 2015

One year after the first Ebola cases started to surface in Guinea, WHO is publishing this series of 14 papers that take an in-depth look at West Africa’s first epidemic of Ebola virus disease.

The papers explore reasons why the disease evaded detection for several months and the factors, many specific to West Africa, that fuelled its subsequent spread.

The most extensive papers trace events in each of the 3 most severely affected countries – Guinea, Liberia and Sierra Leone...

Key events are set out chronologically, starting with the child who is believed to be the index case of this epidemic through to the Director-General’s commitment to steadfastly support affected countries until they reach zero cases.

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http://www.who.int/mediacentre/news/notes/2015/ebola-one-year-on/en/
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ASSOCIATED PRESS  by  FRANCIS KOKUTSE                   Jan. 16, 2015

ACCRA- Ghana--All schools in Guinea will reopen on Monday after being closed amid the deadly Ebola outbreak, Guinea's health minister said Friday.

Health minister Remy Lamah told The Associated Press in Accra, Ghana during a summit by the Economic Community of West African States that the action is being taken "because the situation has improved." In Liberia, the schools are reopening "next month," said the Liberian Embassy's Charges d'Affaires in Ghana, Musu Ruhle.

Schools will remain closed in Sierra Leone, that country's health minister said.

Read complete story.
http://abcnews.go.com/Health/wireStory/health-minister-schools-guinea-closed-amid-ebola-reopen-28266812

ASSOCIATED PRESS   By EDITH M. LEDERER                                                         Jan. 15, 2015

UNITED NATIONS --At least 50 Ebola hotspots remain in the three hardest-hit West African countries but new cases are declining and the deadly disease will be defeated, the U.N.'s Ebola chief said Thursday.

The latest report from the World Health Organization showing reductions in Guinea, Liberia and Sierra Leone "is very good news," Dr. David Nabarro said in an interview with The Associated Press.

In the week ending Jan. 11, WHO said Guinea reported its lowest weekly total of new Ebola cases since mid-August. Liberia had its lowest total since the first week of June and no confirmed new cases for the final two days of the week. And new cases in Sierra Leone declined for a second week to the lowest level since the end of August.

But Nabarro cautioned that "there are still numbers of new cases that are alarming, and there are hotspots that are emerging in new places that make me believe there is still quite a lot of the disease that we're not seeing."

Principles and target product criteria

THE CENTER FOR INFECTIOUS DESEASE AND POLICY                                              Jan 12, 2015

The unprecedented morbidity and mortality from the 2013- 2015 Ebola virus disease (EVD) epidemic in West Africa has challenged every aspect of our global ability to effectively detect, respond to, and control such a rapidly emerging infectious disease crisis.

NBC NEWS   by Maggie Fox                                                                      Jan. 14, 2015
Cup by cup, Emory University is collecting bags of liquid gold from the small club of American Ebola survivors.

They're collecting the plasma as part of an experiment to see if transfusing blood from people who have lived through the horrific infection can save the newly ill. Many of the survivors have been given this so-called convalescent plasma, but no one knows if it's actually helping.

"The protocol allows us to collect and transfuse convalescent plasma from U.S. Ebola survivors," says Dr. Anne Winkler, the Emory pathologist overseeing the study. "This is a completely voluntary process."

worldbank.org

WHO Executive Board will hold a special session on #Ebola on 25 Jan. Documents & information available here http://t.co/b1xAfJjDbg #EB136

— WHO (@WHO) January 12, 2015

NBC NEWS     by Maggie Fox                                                                             Jan. 14, 2005
The number of new Ebolacases is starting to drop off in the three worst-hit West African countries, and Liberia has only reported 48 cases in the past three weeks, the World Health Organization reported Wednesday.

Guinea and Liberia both reported the fewest new cases since August, WHO says in its latest daily look at Ebola statistics. Sierra Leone is still suffering badly, with 769 new cases over the past 21 days, but that's a decline in reported cases.

"Sierra Leone has now reported a decline in case incidence for the second week running, and recorded its lowest weekly total of new confirmed cases since the week ending 31 August 2014," WHO said.

Overall, 21,261 people have been infected in this ongoing epidemic of Ebola, and 8,414 have died, WHO says.

http://www.who.int/csr/disease/ebola/situation-reports/en/

Ebola Situation report

WHO                                                                                         Jan. 14, 2015

CENTER FOR DISEASE POLICY AND RESEARCH by Lisa Schnirring                                   Jan. 13, 2015

An early September assessment of burial practices in some of Sierra Leone's Ebola hot spots revealed a host of problems that were probably helping fuel ongoing virus transmission in the country, experts from the US Centers for Disease Control and Prevention (CDC) and Sierra Leone's health ministry reported today.

The team conducted its first assessment in three high-risk areas, focusing on burial practices, cemetery management, and adherence to recommended practices. Then they looked at the issues again the following month on a broader scale ahead of the Sierra Leone government's national rollout of standard procedures for safe and dignified burials. They published their findings in Morbidity and Mortality Weekly Report (MMWR).

Read full story.
http://www.cidrap.umn.edu/news-perspective/2015/01/probe-ebola-burial-practices-pinpoints-risks-triggers-changes

REUTERS    by Kieran Guilbert                                                                                       Jan. 14, 2015    

LONDON --Health workers treating women with pregnancy-related problems in Ebola-hit countries have to make life or death decisions for their patients and themselves, experts said on Wednesday.

Health workers have very little time to decide whether a pregnant women with complications is free of Ebola and should have the necessary intervention, or may have Ebola and should have minimal procedures, experts said in BJOG: An International Journal of Obstetrics and Gynaecology.

Dr Benjamin Black, a specialist in obstetrics and gynaecology, said poor infrastructure and limited access to laboratory services meant that test results for suspected Ebola patients could take more than 24 hours to arrive, in which time a woman and her foetus may die....

 MEDECINS SANS FRONTIERS                                                                       Jan. 13, 2015

In September, 2014, MSF called for states with biological-disaster response capacity to urgently dispatch human and material resources to West Africa, all three of the worst-hit countries have received some assistance from the international community. But foreign governments have focused primarily on financing or building Ebola case management structures, leaving staffing them up to national authorities, local healthcare staff and NGOs.

Across the region, there are still not adequate facilities for isolating and diagnosing patients where they are needed. Other elements that are essential to an Ebola response – such as awareness-raising and community acceptance, safe burials, contact tracing, alert and surveillance, access to health care for non-Ebola patients – are still lacking in parts of West Africa.

Read complete report.

http://www.msf.org/article/ebola-crisis-update-13th-january-2015