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Ebola threat to Guinea Bissau rises as border zone heats up

REUTERS                                                                                                    June 2, 2015

DAKAR --Violent protests against Ebola controls in a north Guinea town have prompted the Red Cross to withdraw workers, undermining efforts to stop the spread of Ebola into neighbouring Guinea Bissau.

 The Ebola epidemic was detected in Guinea over a year ago and has since killed more than 11,000 people in West Africa.

 But in a huge relief to officials and aid workers, it has not yet spread to Guinea Bissau, whose health system is deemed vulnerable even by low regional standards.

 Now, a spike in new cases in Guinea's Boke border province combined with violent resistance to efforts to control it there are stoking concerns it could spread.

Read complete story.

http://www.firstpost.com/world/ebola-threat-to-guinea-bissau-rises-as-border-zone-heats-up-reuters-2274104.html

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UN Official Says Ebola Will End in Sierra Leone in Weeks

ASSOCIATED PRESS by Edith M. Lederer                                           June 1, 2015

The U.N. Ebola chief said Monday he believes "it's only a matter of weeks" before the Ebola outbreak in Sierra Leone ends, but stopping the deadly disease in Guinea will take more time because in some areas unsafe traditions still hold sway over what's good for people's health.

Dr. David Nabarro stressed in an interview with The Associated Press on Monday that the Ebola epidemic "absolutely isn't over" though Liberia has been Ebola free since May 9.

"We have cases occurring, not in huge numbers but enough to be very disturbing, in Sierra Leone and in Guinea," he said, and the situation in Guinea is especially troubling because surprise cases have been popping up that are not part of known chains of transmission.

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http://abcnews.go.com/Health/wireStory/official-ebola-end-sierra-leone-weeks-31457174

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Health worker Ebola infections in Guinea, Liberia and Sierra Leone : WHO Report


Publication details

 Number of pages: 16
Publication date: May 2015
Languages: English
WHO reference number: WHO/EVD/SDS/REPORT/2015.1

Overview

 This preliminary report summarizes the impact of the Ebola epidemic on the health workforce of Guinea, Liberia and Sierra Leone. It investigates the determinants of infection and describes safe practices put in place to protect health workers during the epidemic. The report covers the period from 1 January 2014 to 31 March 2015 and is presents findings from the 815 confirmed and probable cases for whom individual case reports were available.

The Ebola epidemic has taken a heavy toll on the already scarce health workforce. Among the health workers for whom final outcome is known, two-thirds of those infected died. Preliminary analysis shows that, depending on their occupation in the health service, health workers are between 21 and 32 times more likely to be infected with Ebola than people in the general adult population. With higher risks of exposure in caring for others, health workers were disproportionately impacted and traumatised by Ebola.

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Did Authorities Use the Wrong Approach to Stop Ebola?

A new study suggests there was a better way to respond to the Ebola outbreak

TIME MAGAZINE by Alexandra Sifferlin                                                      May 26, 2015

It’s known that the response to the most recent Ebola outbreak, which as of Tuesday had infected more than 27,000 people and killed 11,130, was far too slow. Now, a new studysuggests that even once they got started, their approach to curbing the spread wasn’t the most efficient or effective.Read complete story.

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After Ebola, a Look at How Africa Can Respond to Future Health Emergencies

                 

undp.org - theglobalobservatory.org - by Michael R. Snyder - May 14, 2015

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Guinea - Resurgence of Ebola in Boffa, Forecariah and Dubréka (Matam)

africaguinee.com - by BAH Aïssatou - May 16, 2015

(English translation provided below)

(Links to most recent WHO and UNMEER Situation Reports provided below)

Ebola : Nouveau rebondissement de l’épidémie en Guinée…

CONAKRY- Alors que l’épidémie Ebola tendait vers sa fin en Guinée,  elle vient de faire  un rebondissement dans certaines préfectures situées en basse Guinée et à Conakry.  20 cas confirmés ont été enregistrés ces derniers jours, a appris africaguinee.com.

Cette information rapportée par le chargé de  communication à la Coordination de  Lutte Contre Ebola, Fodé Tass Sylla  indique aussi que 5 cas positifs ont été enregistrés à Boffa, Dubréka et Forécariah et  (Matam), dans la seule journée du jeudi 14 mai.  Avec un total de 27 cas d’hospitalisation dont  18 cas  confirmés dans les Centres de traitements d’Ebola. 

 Les raisons  de cette situation  s’expliquent  par le déplacement des malades et des personnes contacts d’une localité  à une autre ;  et le déplacement des personnes vers les cérémonies funèbres, affirme Fodé Tass Sylla

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Koubia-Guinea: Anthrax re-surfaced with several cases

A new outbreak of anthrax has been reported in Middle Guinea in a town in the prefecture of Koubia -- just when Guinea is still struggling to overcome the epidemic of the Ebola haemorrhagic fever.

Several members of the same family, who ate meat from an infected animal, have been contaminated. "They are 11 people, of which 2 developed the disease, with a death in the community. A woman died of the disease, and a 2nd patient is showing signs [of the disease]: a man who is about 25 is currently hospitalized in the prefecture of Koubia, where he is being supported," said Dr.

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WHO Director-General Addresses High-Level Meeting on Ebola R&D

                                                           

From crisis to sustainable development: lessons from the Ebola outbreak

who.int - May 10, 2015

. . . three changes will do the most to improve the world’s collective defence against the infectious disease threat.

First, invest in building resilient communities and well-performing health systems that integrate public health and primary health care. Ideally, health systems should aim for universal health coverage, so the poor are not left behind. This requires new thinking and a new approach to health development.

Second, develop the systems, capacities, and financing mechanisms needed to build surge capacity for responding to outbreaks and humanitarian emergencies.

Third, create incentives for R&D for new medical products for diseases that primarily affect the poor. A fair and just world should not let people die for what boils down to market failure and poverty.

These three things also fit well with the coming agenda for sustainable development that seeks to distribute the benefits of economic growth more evenly and respects our planet’s fragile resources.

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Ebola-Free, but Not Resilient

nytimes.com - by Judith Rodin and Bernice Dahn - May 10, 2015

. . . A resilient health system combines active surveillance mechanisms, robust health care delivery system and a vigorous response to disease. When the first signs of contagion appear, a system should be able to act quickly to stop it in its tracks — all without compromising its core functions. . . .

. . . Resilient systems share several characteristics. One is awareness, which in the case of health systems means, first and foremost, strong disease surveillance. A second characteristic is the ability to adapt to changing conditions. . . . 

. . . A third characteristic is diversity: the ability to address a broad range of challenges. . . .

. . . resilient systems are integrated: information is shared across different levels of government. . . .

. . . When a resilient system is in place, cities and countries alike are prepared to yield what we call a “resilience dividend” — benefits that are independent of crises. Building trust with the public, enhancing access to quality care, and investing in public health are all wise investments at any time, helping to increase productivity and growth. . . .

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Will the Ebola crisis lead to improved global health security?

MEDICAL NEWS by Sally Robertson                                                 May 8, 2015

Unprecedented in both its impact and scale, the Ebola virus outbreak in West Africa has led to a renewed interest in the issue of global health security. How is global health security defined? What qualifies as a global health concern? What are the implications for governmental policies and programmes?

To address some of these questions, The Lancet invited a number of respected global health practitioners to reflect on the wider lessons that can be learned from the crisis and make suggestions about steps that can be taken to counteract such threats in the future.

Through a series of essays, the review discusses whether the outbreak is likely to improve the governance of global health security and reflects on the relevance of several issues, from the use of counterfeit medicines through to the importance of securing people’s access to healthcare.

Read complete story.

http://www.news-medical.net/news/20150508/Will-the-Ebola-crisis-lead-to-improved-global-health-security.aspx

THE LANCET

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