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Sierra Leone's young community leaders are best weapon against Ebola

COMMENTARY: Foreign leaders discussing solutions to the Ebola epidemic must acknowledge the contribution made by local workers to reduce infection rates

    

     International response … leaders of Ebola-hit countries in west Africa and EU commissioners attend a conference in    Brussels on Ebola on Tuesday 3 March. Photograph: Thierry Charlier/AFP/Getty Images

THE GUARDIAN by James Fofanah                                                                    March 3, 2015

...The international community’s initial focus on a purely medical response – and a megaphone broadcast of the over-simplistic message that “Ebola is real” – was a failure, and a major reason for the rapid spread of the disease at the early-to-middle stages of the epidemic.

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The fear of Ebola led to slayings — and a whole village was punished

Detailed account of the aftermath of murder by local villagers in Guinea of eight persons who came to teach about Ebola

WASHINGTON POST  by Amy Brittain                                                                             March 1, 2015
WOMEY, Guinea — The lecture about the dangers of Ebola had just begun, but the village had heard enough. A group of women started chanting, to warn the others against the visitors, “They are coming to kill you.” A mob of men masked their faces, waved machetes and rushed toward the speakers. Stones began to fly.

 

Thousands of Womey residents fled after the killings when Guinea’s military invaded and looted the vllage. More than a dozen died from malnutrition after living for months in the surrounding bushland. (Jane Hahn/For The Washington Post)

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Traditional healer called back to remove curse of first Ebola-affected village in Guinea

ASSOCIATED PRESS By YOUSSOUF BAH                       Feb. 25, 2015
MELIANDOU, Guinea (AP) — Here at ground zero of West Africa's Ebola outbreak, a local traditional healer returned to complete the removal of a curse residents believe could have been placed on their village in Guinea.

In this photo taken on Feb. 23, 2015, traditional healers, right, take part in a exorcism as villagers hand them a chicken, in Meliandou, Guinea. Here at ground zero of West Africa’s Ebola outbreak, a local traditional healer returned to complete the removal of a curse residents believe could have been placed on their village in Guinea. (AP Photo/Youssouf Bah)

It is the same village where experts believe 2-year-old Emile Ouamouno was the first person to have died from Ebola, on Dec. 28, 2013, in the outbreak that has slowed in recent months but has not been completely stamped out....Hundreds abandoned the village, believing the Ouamouno family or the entire village, was cursed, the village chief Amadou Kamano remembered.

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Sierra Leone: Increasing Community Engagement for Ebola On-Air

      

Zainab Akiwumi in the radio studio of Radio Maria talking about the need to suspend cultural and traditional practices in times of Ebola, Sierra Leone.  WHO/S. Saporito

WHO’s social mobilization team is using radio to reach communities with information about how to prevent the spread of Ebola in Sierra Leone.

who.int - February 2015

Reaching communities not just physically, but psychologically and emotionally as well

“My work as a social mobilizer is to pass on key messages to convince people to stop the cultural and traditional practices that are fuelling the spread of Ebola,” says Zainab Akiwumi, who leads the WHO social mobilization team in Sierra Leone.

One way to convey Ebola messages is using local radio stations to reach out to the community. “On radio I tell the listeners, you who are listening to me now, take this message and go outside to tell those who did not hear me what I said, as a way to spread it on,” she continues.

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As Ebola Ebbs in Africa, Focus Turns From Death to Life

NEW YORK TIMES  by Normitsu Onishi                                                                Feb. 1, 2015

MONROVIA, Liberia — Life is edging back to normal after the deadliest Ebola outbreak in history....

FEAR FADING Beachgoers in Monrovia, Liberia, recently ravaged by Ebola. As fear of the virus ebbs, Liberians are slipping back into their daily rhythm. John Moore/Getty Images

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Sierra Leone: How Kailahun district kicked Ebola out

WHO and medical staff at the Ebola management site in Kailahun District, Sierra Leone
WHO/J. Caminade

Kailahun district in eastern Sierra Leone was one of the country’s first hotspots in the Ebola outbreak, at its peak reporting more than 80 new cases per week in late June 2014. With the assistance of WHO and partners, combined with the close involvement of community leaders, the district has managed to beat the disease and has reported no new cases for several weeks. There is no room for complacency however. Community teams and health workers are on high alert and are ready to react quickly to any possible new infection.

who.int - December 2014

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TDR - Supplement on Integrated Community Case Management in Africa

      

who.int - November 26, 2014

The Journal of Global Health has published a special supplement highlighting the latest evidence on integrated community case management (iCCM) for childhood illnesses. It lists implementation approaches that have and have not worked in various settings, along with recommendations for future programming, given the current context of innovation and funding opportunities.

Entitled “Current scientific evidence and future directions for Integrated Community Case Management in Africa,” the in-depth supplement synthesizes the latest available evidence around eight thematic areas of iCCM programming:

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In Sierra Leone, the ghosts of war haunt an Ebola graveyard

WASHINGTON POST      by Kevin Sieff                                                                                      Dec. 19, 2014

FREETOWN, Sierra Leone — To find Andrew Kondoh, walk through the gates of this city’s largest cemetery, where teams in moonsuits bury more than 50 bodies in white plastic bags each day. Look for the man with the wispy goatee and big belly, who is overseeing one of the world’s most chaotic, dangerous graveyards as if he’s done it all before.

That’s because he has.

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2014 National Health Security Preparedness Index Report released

NHSPI                                                                                                       Dec. 9, 2014

WASHINGTON-- The National Health Security Preparedness Index (NHSPI) for 2014 provides updated information about how well individual states and the nation are preparing for public health and other emergencies.  It was released today at a meeting at Capitol Hill by a group of government and non-government public health specialists. They included Dr. Daniel Sosin, Deputy Director of the CDC's  Office of PubLic Health Preparedness and Respopnse, and Dr. Thomas V. Inglesby, Director of the UPMC Center for Health Security.

More than 35 organizations were partners in preparing the index, which updated the initial 2013 report.

The NHSPI describes it's mission as "providing relevant actionable informtaion to help guide efforts to achieve a higher level of healh security preparedness."  The intended uses include "strengthening preparedness, informng decision makers, guiding quality improvement and advancing the science behind community resilience."

See Executive Summary and the national results.

http://www.nhspi.org/content/executive-summary

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Dr. David Nabarro (UN Special Envoy on Ebola) on Ebola - General Assembly, Informal Meeting, 69th Session (13 November 2014)

webtv.un.org

13 Nov 2014 - Statement by Dr. David Nabarro, UN Special Envoy on Ebola at the General Assembly Informal meeting of the plenary briefing on the Ebola virus outbreak.

(CLICK HERE - VIDEO - Statement by Dr. David Nabarro, UN Special Envoy on Ebola)

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