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Ebola cases rise sharply in Sierra Leone

USA TODAY                                                Nov.6, 200r

by Liz Aazbo

Sierra Leone is reporting an alarming increase in the number of new Ebola cases, with 435 confirmed in the past week.

About 24% of the Ebola cases in Sierra Leone have been reported in the past three weeks, although the outbreak began in March, according to the World Health Organization.

Mothers wait inline for their children to be vaccinated by heath workers at the Pipeline Community Health Center, situated on the outskirts of Monrovia, Liberia. The Ebola outbreak has spawned hidden cases of malaria, pneumonia, typhoid and the like that are going untreated because people in the countries hardest hit by Ebola either cannot find an open clinic or are too afraid to go to one.(Photo: Abbas Dulleh, AP)

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Treating Those Treating Ebola in Liberia

NEW YORK TIMES                                  Nov. 6, 2014
By Sheri FInk, MD
HARBEL, Liberia — As the number of people sickened with Ebolasoared this summer, American and Liberian officials faced a new challenge: How could they encourage international medical workers, understandably frightened about the risks, to come help fight the disease? The officials knew they would have to provide some assurances to the workers that they would be cared for if they fell ill.

Their answer, a dedicated Ebola field hospital for health workers, is scheduled to open soon outside Monrovia, the capital.

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Ebola crisis draining development budgets in West Africa, study finds

UNITED NATIONS DEVELOPMENT PROGRAMME                                              Nov. 5, 2014

New York  -- The Ebola outbreak in West Africa is impairing the ability of governments to raise revenues, increasing their exposure to domestic and foreign debts and may make them more dependent on aid, according to the latest study (PDF) on the socio-economic impact of the crisis carried out by the UN development agency.

Investments in kick-starting economies and long-term development urgently needed

“We need to make sure that the Ebola outbreak does not lead to socio-economic collapse,” said Abdoulaye Mar Dieye, the Director of the Regional Bureau for Africa at the United Nations Development Programme (UNDP). “This crisis is already taking a toll on budgets and reducing the governments’ policy leeway to make much-needed investments in critical areas such as health and education for their citizens.” He added that the effects of the Ebola crisis will last long after the epidemic is brought under control.

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How Guinea Found the Best Way to Survive Ebola

TIME MAGAZINE                                         Nov. 5, 2014

by Alice Park

As the world waits for new treatrments and a vaccine. doctors in Guinea have found the best way to help patients survive Ebola.

... from the tragic illness and mortality emerge some important lessons from the region.The latest, published in the New England Journal of Medicine, details the cases that first appeared in Guinea’s capital city of Conakry between March and April. Unlike in other parts of the region, where the mortality rate from Ebola averages around 60% to 70%, in Conakry it has remained around 43%.

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Obama Seeks $6.2 Billion for Ebola Fight

UPDATE: Senate Appropriations schedules hearings for Wednesday, Nov. 12.

Moving quickly, the Senate Appropriation Committee announced it wil take up the administration's proposals at a hearng next Wednesday with a full slate of government officials from the key agencies. The committee will remaiend chaired bya  Democat, Senator Barbara Mikulski of Maryland, until the end of this Congressional session. The Republican controlled House Appropriations Committee has not yet announced hearings.

See Senate statement.

http://www.appropriations.senate.gov/news/chairwoman-mikulski-statement-funding-request-white-house-fight-ebola-here-and-abroad, 

Text of White House letter to Congress

http://www.whitehouse.gov/the-press-office/2014/11/05/letter-president-emergency-appropriations-request-ebola-fiscal-year-2015

See earlier story

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THE ASSOCIATED PRESS                                     Nov. 5, 2014

By JIM KUHNHENN and ANDREW TAYLOR

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World Bank brings Ebola funding to nearly $1 billion

REUTERS                                                                                    Nov. 5, 2014
(WASHINGTON) - The World Bank's private sector arm pledged $450 million on Wednesday to support trade, investment and employment in the three West African countries affected the most by the deadly Ebola outbreak.

The announcement from the bank's International Finance Corporation (IFC) brings total World Bank commitments for Ebola to nearly $1 billion in the past three months, an unprecedented rapid response for a development institution that has been accused of dragging its feet on project approval in the past.

World Bank President Jim Yong Kim, a doctor and anthropologist, said 

"The fear swirling around Ebola has the potential to do long-term harm to businesses globally, and especially in the Ebola-affected countries," Kim said in a statement. "IFC .. will find ways to help boost trade and investment in West Africa, which will be essential to ensure that private companies continue to operate and sustain employment under difficult circumstances."

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West Africa Short 75 Percent of Needed Beds for Ebola

BLOOMBERG  NEWS                                  Nov. 4, 2014
By Jason Gale and Makiko Kitamura

The countries most affected by the Ebola outbreak in West Africa are still lacking about three-fourths of the treatment beds needed for patients, the World Health Organizationsaid.

As many as 4,388 beds are required in 50 Ebola treatment units across Liberia, Sierra Leone and Guinea, and there are now 1,126 beds, about 25 percent of the necessary capacity, Fadela Chaib, a WHO spokeswoman, told reporters in Geneva today. Twelve of 28 laboratories needed are operational, and 20 more foreign medical teams are needed to staff existing treatment centers, she said.

While empty beds exist at some treatment centers in Liberia, it’s important to maintain overcapacity as new cases can appear anywhere across the country, Bruce Aylward, the WHO’s assistant-general in charge of Ebola responses, said last week. International responders to the crisis have a Dec. 1 target to isolate 70 percent of cases and bury 70 percent of dead bodies safely.

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Journey to the center of an epidemic

A Pulitzer winning science writer's saga of flying to the Ebola zones of Liberia
 
FOREIGN POLICY                                  Nov. 3, 014
By Laura Garrett

MONROVIA, Liberia — The journey to Liberia tests the mettle of any American wanting to help the nation in its Ebola crisis. The trek really begins with fears about how the Samaritan will be received once he or she returns from the epidemic, facing quarantines and stigma. And the first leg lands the traveler in a political and cultural climate in steamy West Africa marked by resilience in the face of genuine threat.

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Ebola Travel Bans Buy Only Time, Not Safety

BLOOMERG BUSINESS WEEK                                                                                            Nov. 4, 2014
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...Blocking most travel from Guinea, Liberia, and Sierra Leone, where a total of more than 13,000 people have been infected with Ebola since the outbreak began in March, would only modestly reduce how long it takes for the virus to reach new countries, according to mathematical simulations published in the journal Eurosurveillance. For example, stopping 71 percent of travelers from entering other nations in Africa from the three countries in which Ebola is widespread would delay a case from appearing elsewhere on the continent by only 30 days, according to the model. ...


Medical staff wait for passengers arriving from Guinea at the airport in Abidjan on Oct. 20,as Ivory Coast's airline resumed flights to the three west African countries worst-hit by Ebola. Photograph by Issouf Sanogo/AFP via Getty Image

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Fighting an Epidemic With Hands Tied

Detailed discussion of the difficulties in recruiting health workers for West Africa

A health care worker dressed in protective clothing in an Ebola ward last month in Liberia. Organizing workers in West Africa has been a problem. Credit Daniel Berehulak for The New York Times

 NEW YORK TIMES                                Nov. 4, 2014
By LAWRENCE K. ALTMAN, M.D.

WASHINGTON — Hundreds of government and civilian workers of all stripes, and thousands of military personnel, have braved the terrifying prospect of infection to respond to the Ebola emergency in West Africa. And thousands more will be needed for an effort that is expected to go well into 2015.

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