Ebola: UN forum urges debt relief for hard-hit countries, as search for faster diagnostics gets underway

UNITED NATONS NEWS CENTRE                                                                                      Dec. 15, 2014
The United Nations Economic Commission for Africa (ECA) today recommended that creditors should seriously consider debt cancellation for the countries worst-hit by the Ebola epidemic in West Africa, and also projected that even if those most affected were to register zero economic growth, the impact on Africa as a continent would be minimal.

With the cost of transport and goods going up and sales going down since the Ebola outbreak, vendors in Waterside Market, Monrovia, Liberia, are making no profit to support their families. Photo: UNDP/Morgana Wingard

“Educational systems, rising social stigma, unemployment, and decreased food security are some of the big issues that Ebola-affected countries must deal with,” according to study on the Socio-Economic Impacts of the Ebola Virus Disease (EVD) on Africa released today by the Addis-Ababa based UN regional forum.

In other news, the UN World Health Organization (WHO) announced that nine companies have made 19 submissions of proposed diagnostic tests for Ebola.

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WHO Ebola response chief says virus still spreading due to lack of change in behaviors

REUTERS                                                                                                                       Dec. 15, 2014

GENEVA –  The failure of Sierra Leone's strategy for fighting Ebola may be down to a missing ingredient: a big shock that could change people's behavior and finally prevent further infection.

Bruce Aylward, the head of Ebola response at the World Health Organization, said Sierra Leone was well placed to contain the disease -- its worst outbreak on record -- with infrastructure, organization and aid.

 

Health workers spray themselves with chlorine disinfectants after removing the body a woman who died of Ebola virus in the Aberdeen district of Freetown, Sierra Leone. (REUTERS/Josephus Olu-Mammah)

The problem is that its people have yet to be shocked out of behavior that is helping the disease to spread, still keeping infected loved ones close and touching the bodies of the dead.

"Every new place that gets infected goes through that same terrible learning curve where a lot of people have to die ... before those behaviors start to change," Aylward told Reuters.

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What an Ebola curfew looks like

Killian Doherty, an Irish architect working for the Architectural Field Office (AFO), has been in Sierra Leone’s capital, Freetown, for much of the Ebola epidemic. He documented the curfews in some dramatic photographs

THE GUARDIAN by Killian Doherty and René Boer for Failed Architecture                                   Dec. 15, 2014

FREETOWN -- Sierra Leone has been severely affected by Ebola. Over the last six months, the country has seen a high death toll, immense human suffering and a wide range of restrictive measures that have hampered economic and urban life. Most dramatically, in Sierra Leone’s capital, Freetown, the authorities have instituted a set of curfews that have forced residents to stay at home, resulting in a seemingly deserted city. 

 

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Ebola-Zone Airline Capacity to Outside World Declines Up to 81%

BLOOMBERG by Chris Jasper and Simeon Bennett                                                                          Dec. 15, 2014

The number of airline seats on offer between Liberia, the African nation with the most deaths from the Ebola outbreak, and the outside world has dropped 81 percent in the past year, according to official capacity figures.

Seat availability to Sierra Leone will be 75 percent lower in January than it was a year earlier, while the total for Guinea will be down 39 percent, flight scheduling database provider OAG said today in a report.

Kenyan health officials prepare to receive arriving passengers at an observation area at the Jomo Kenyatta International Airport in Nairobi on Oct. 28. The number of flights in the Ebola zone has plummeted after outside carriers scrapped services in response to the spread of the disease... Photographer:Tony Karumba/AFP via Getty Images

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Ebola serum supply reaches Liberia

BBC                                                              Dec. 15, 2014

Liberia has begun treating Ebola patients with serum therapy - a treatment made from the blood of recovered survivors.

Doctors hope the experimental treatment could help combat the virus that has been sweeping West Africa and killing thousands of people.

If a person has successfully fought off the infection, it means their body has learned how to combat the virus and they will have antibodies in their blood that can attack Ebola.

Doctors in Liberia will monitor how safe and effective is the serum treatment being given at the ELWA Hospital in Monrovia.

 Dr David Hoover, the programme's director, said: "This will empower local health care systems to become more self-sufficient and better serve their patients during this current epidemic as well as in the future."

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http://www.bbc.com/news/health-30478512

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Health Liberia Postpones Elections Again Because of Ebola

Assoicated Press By JONATHAN PAYE-LAYLEH                Dec. 14, 2014

MONROVIA-- Officials in Ebola-stricken Liberia have postponed senatorial elections until the end of the week, while some urged calling off the vote for fear the results would not be credible.

Ebola has killed nearly 3,200 people this year in Liberia, and many question whether elections can be held at all under such circumstances.

The elections, first scheduled in October, were supposed to be held Monday, but have been moved back to Saturday. It was not immediately clear whether the extra days would be sufficient delay to address the logistical problems posed by Ebola.

While health authorities say the situation has stabilized somewhat in recent weeks, there are fears that mass gatherings at polling stations could spark a new surge in Ebola cases...

Alaric Tokpa, from the opposition National Democratic Alliance, walked out of Sunday's meeting, telling the AP as he departed that the elections would not be credible.

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http://abcnews.go.com/Health/wireStory/sierra-leonean-doctor-sick-ebola-27588102

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They survived Ebola only to become social outcasts

USA TODAY  by Greg Zoroya                                                                                          Dec. 13, 2014

MONROVIA, Liberia — Landlords won't rent to them. Employers won't hire them. Taxi drivers won't give them a lift. Barber shops refuse to cut their hair without gloves.

Juliet Boima, 19, a survivor who works at the ebola clinic since she is immune now. Despite being unable to contract ebola, she still must wear protective gear to eliminate the chance that she could carry the virus to someone else.(Photo: Gregory H Stemn for USA TODAY)

They are Ebola survivors. In one place where they are desperately needed as workers, Ebola treatment clinics, many survivors have nightmarish memories of barely staying alive.

Thousands of West Africans have beaten the odds and survived Ebola. More than 6,500 people have died in the outbreak, and only 30% who have contracted Ebola have survived the aggressive disease that robs the body of fluids and causes major organs to fail.

Most who emerge from the clinics fully recovered discover a cruel society eager to distance itself from them and the plague.

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Ebola Survivors Face Hardships, But New Programs Help

LIVE SCIENCE  by Rachel Rettner                                                                                  Dec. 12, 2014

Ebola survivors in West Africa are often shunned by their communities, and they have few possessions because many of their personal belongings are destroyed to prevent the disease from spreading.

But several organizations are working to help Ebola survivors make the transition back into their communities — for example, by providing them with bedding and other basic items, and speaking with community members to reduce the stigma, according to the Centers for Disease Control and Prevention.

Survivors are thought to be immune to the strain of Ebola causing the current outbreak, and many now work as caregivers for those with Ebola, the report said.

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http://www.livescience.com/49110-ebola-survivor-support.html

A 2014 photograph of a West African Ebola treatment cente. Credit CDC

 

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Contest Seeks Novel Tools for the Fight Against Ebola

NEW YORK TIMES  by Donald G. McNeil, Jr.                                                                              Dec. 13, 2014

NEW YORK --The well-prepared Ebola fighter in West Africa may soon have some new options: protective gear that zips off like a wet suit, ice-cold underwear to make life inside the sweltering suits more bearable, or lotions that go on like bug spray and kill or repel the lethal virus.

A prototype for one of the protective suits in contention for the U.S.A.I.D. "Grand Challenges" award. Credit John Hopkins University/Jhpiego

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The fight against Ebola: Exorcising the ghostly fever

In-depth description of the evolution of the Ebola crisis

THE ECONOMIST                                                                                                                               Dec. 13, 2014

AKPOIMA AND FREETOWN--Slowly and messily, the struggle against the virus is being won

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http://www.economist.com/news/middle-east-and-africa/21636081-slowly-and-messily-struggle-against-virus-being-won-exorcising

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Sierra Leone Cancels Christmas As Ebola Crisis Deepens

AFP    by Rod Mac Johnson                                                                                                  Dec. 12, 2014

Freetown  - Sierra Leone said Friday it was banning any public Christmas celebrations as the spiralling caseload of Ebola infections continues to spread alarm.

Soldiers are to be deployed throughout the festive period to force people venturing onto the streets back indoors, the government’s Ebola response unit said.

Palo Conteh, head of the department, told reporters in the capital Freetown there would be “no Christmas and New Year celebrations this year.”

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UNICEF Expanding Fight Against Ebola

VOICE OF AMERICA  Lisa Schlein                                                                                            Dec. 12, 2014

GENEVA—The U.N. Children’s Fund is appealing for an additional $300 million to expand its fight against Ebola in the three heavily affected West African countries over the next six months. UNICEF said gaining the confidence of community members, increasing their awareness and knowledge of modes of transmission and prevention are key to winning the battle against this deadly disease.

Women in the village of Boukoloma, in Guinea’s southeastern forest region, listen to messages about Ebola prevention. (Photo courtesy of Christophe Boulierac / UNICEF)

UNICEF officials said money from the appeal would be used to tackle two major drivers of Ebola transmission: lack of early isolation of patients and unsafe burials.  Both of these issues are wound up with traditional cultural practices, which often have stymied aid agencies’ efforts to prevent people from getting infected with the disease and spreading it to others. 

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Ebola outbreak: weaknesses in health-care systems in Liberia, Sierra Leone revealed

CANADIAN BROADCASTING CORP                                                                                               Dec. 11, 2014

GENEVA --Ebola in West Africa has made it almost impossible for people to get treatment for other ailments, health ministers from the three worst affected countries say.

The health systems in Sierra Leone, Liberia and Guinea were barely functional before the Ebola outbreak struck.

Liberia's Chief Medical Officer, Bernice Dahn, said the country's Ebola outbreak needs to be contained and routine health-care services need to be revived.

Liberia's Chief Medical Officer, Bernice Dahn, said the country's Ebola outbreak needs to be contained and routine health-care services need to be revived. (Martial Trezzini/Keystone/Associated Press)

"We want to expand the health workforce because it's crucial for providing quality health care," Dr. Bernice Dahn, Liberia’s chief medical officer, told World Health Organization in Geneva today....

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Mali says has no remaining Ebola cases as last patient recovers

REUTERS                                                                                  Dec. 11, 2014
BAMAKO-Mali has no remaining cases of the Ebola virus as the last patient in the country has recovered and left hospital, the Ministry of Health said on Thursday.

Six people have died of Ebola in Mali, while two others have recovered. The country is the sixth West African state to be hit by the worst outbreak on record of the hemorrhagic fever.

Ebola first entered Mali through an infant girl who died of the disease in October after arriving from neighboring Guinea. Later that month, an imam who also arrived from Guinea with the disease died in Mali. He infected other people.

"The only remaining case in treatment has recovered and has been released today so there are no more people sick with Ebola in Mali," said Ministry of Health spokesman Markatié Daou.

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http://www.reuters.com/article/2014/12/11/us-health-ebola-mali-idUSKBN0JP2HG20141211

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The Path to Zero Ebola Cases

Op-ed

NEW YORK TIMES by Jim Yong Kim, President of the World Bank Group      Dec. 11, 2014                                              

MONROVIA, Liberia — In my career as a medical doctor and global health policy maker, I have been in the middle of monumental struggles, including fights to make treatment accessible in the developing world for those living with H.I.V./AIDS as well as multi-drug resistant tuberculosis. But the Ebola epidemic is the worst I’ve ever seen...

Members of District 13 ambulance service disinfect a room in a village north of Monrovia, Liberia. Credit Jerome Delay/Associated Press

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