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Maternal health: Ebola’s lasting legacy

One of the most devastating consequences of the Ebola outbreak will be its impact on maternal health.

NATURE  by Erika Check Hayden                                                                                       March 5, 2015
...Ebola is having tremendous knock-on effects for maternal health in Liberia, Guinea and Sierra Leone. Pregnancy seems to make women uniquely vulnerable to the effects of the disease, and babies born to infected women have not been known to survive.

 

Uninfected but affected: women line up for perinatal care at a Marie Stopes centre in Sierra Leone. Marie Stopes, Sierra Leone, supported by DFID/UKAID

Compounding these individual tragedies, the blood and abundant bodily fluid that accompanies delivery or miscarriage pose enormous risk of infection to health workers. As a result, many refuse to treat patients who are pregnant for fear that they will become infected.

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Europe Unlikely to Meet Climate Goal, Study Finds

CLICK HERE - SOER 2015
— The European environment — state and outlook 2015

CLICK HERE - Synthesis Report
The European environment — state and outlook 2015

CLICK HERE - Assessment of Global Megatrends
The European environment — state and outlook 2015

nytimes.com - by Melissa Eddy - March 2, 2015

BERLIN — The European Union will fail to meet an ambitious goal of significantly reducing greenhouse gas emissions by 2050 unless it takes more aggressive measures to limit the use of fossil fuels and adopts new environmental policies, according to a report released on Tuesday.

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Ebola’s mental-health wounds linger in Africa

 

Health-care workers struggle to help people who have been traumatized by the epidemic.

 SCIENCE  by Sarah  Reardon                                                                                       March 3, 2015

The Ebola epidemic in West Africa may be fading, but its impact on mental health could linger for years. Survivors are often haunted by traumatic memories and face rejection by society when they return home, and those who never contracted the disease may grieve for lost relatives or struggle to cope with extreme anxiety.

 

The trauma caused by death and fear is having long-term ramifications on the people of Sierra Leone.

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What Are the Long-Term Effects of Ebola?

LIVE SCIENCE  by Rahael Retner                             March 5, 2015

Texas nurse Nina Pham, who was infected with Ebola, says she has had ongoing health problems since being cured of the disease, and experts say this is not uncommon for Ebola survivors.

The long-term effects of Ebola have not been well studied, and doctors will likely learn a lot more about the disease's aftermath from the most recent outbreak in West Africa, the largest in history, said Dr. Jesse Goodman, an infectious-disease expert and a professor of medicine at Georgetown University Medical Center in Washington, D.C.

 But it is clear that Ebola survivors can experience health problems that remain with them temporarily as a result of their battle with the disease, Goodman said....

 These symptoms may result, in part, from the body's release of certain immune-system chemicals called cytokines. These chemicals fight the disease but make people feel sick. Dehydration, low blood pressure and nutrition problems that people experience during an Ebola infection can also injure a person's muscles or other tissues, Goodman said.

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Ebola ‘leaves 12,000 orphans in Sierra Leone’

THE GUARDIAN  by  Lisa O'Carroll                                                                        March 4, 2015

The devastating impact of the Ebola crisis was laid bare this week with a report showing more than 12,000 children have been orphaned by the disease in Sierra Leone.

They have been identified in the first national survey of orphans, which was conducted by the British charity Street Child. It says the future for these children is dire. Many are living in fear without the support and security of parents, but the charity says there is light at the end of the tunnel “if the international aid community works together”.

The charity found that some children, rejected by their friends because of the stigma of Ebola, have tried to take their own lives, while girls are being forced into commercial sex work to earn money for food their parents would have previously provided.

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Ebola-hit countries seek help to repair their economies

REUTERS by Adrian Croft                                                                                     March 3, 2015
BRUSSELS - The three West African states hardest hit by the Ebola outbreak asked for help from donors on Tuesday to repair the damage to their economies now that the epidemic seems to be waning.

Leaders of Guinea, Liberia and Sierra Leone voiced confidence at a major international conference on the Ebola outbreak in Brussels that they were winning the battle but said they must remain focused on stamping out new infections....

International donors have pledged nearly $5 billion to help combat the Ebola outbreak, according to EU officials, although only about half of that has been disbursed so far.....

 The World Bank has estimated the epidemic will cost the three countries at least $1.6 billion in lost economic growth this year, or more than 12 percent of their combined output.

Read complete story.

http://news.yahoo.com/ebola-hit-countries-seek-help-repair-economies-161332797.html;_ylt=AwrBJR6.3_VUSjIA7pzQtDMD

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Ebola epidemic is 'wake-up call' for investment in universal healthcare

Investment in universal healthcare: Improving health systems in three Ebola-hit African countries would have cost a third of relief effort there, says new Save the Children report

THE GUARDIAN      by Lisa O'Connell                                                                   March 3, 015
Up to 30 countries are vulnerable to an Ebola-style epidemic, unless the world sits up and helps get urgent investment into universal healthcare, a report (pdf) has found.

Health workers who have returned from west Africa and colleagues based in the UK walk to Westminster in support of Save the Children’s campaign to strengthen health systems globally. Photograph: Jeff Moore/Save the Children

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Isolation can take emotional toll on volunteers at risk of Ebola

LOS ANGELES TIMES by  Erwin Brown                                               March 2, 2015
Dr. Matthew Waxman recently returned to Los Angeles after spending nearly two months in the town of Lunsar, Sierra Leone, where he treated Ebola patients at an isolated medical facility.

He and colleagues toiled in harsh and stressful conditions, caring for people "the best we could." In the quiet stretches between intense bursts of drama and terror, they talked about the reception that would await them at home — at times with a degree of dread, since some returning medical workers have had less than enthusiastic welcomes....

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Exclusive: Guinea says Ebola patients sent home after botched blood tests

REUTERS    by Emma Farge                                                                                      March 2, 2015

 DAKAR - Health officials botched more than 20 Ebola blood tests in January and February which led to the release of at least four positive patients, two of whom later died, Guinea's anti-Ebola coordinator and other health officials told Reuters.

Five health officials and experts familiar with the incidents said the mistakes occurred at two different treatment centers and resulted as many as 52 botched tests, exposing many others to the virus and revealing weaknesses in Guinea's response to the crisis.

Dr Sakoba Keita, Guinea's anti-Ebola coordinator, confirmed the mistake had occurred but gave lower figures. He said in an emailed response to questions that 23 patients were affected, of whom four tested positive when they were retested and two died....

 Health officials, some of whom asked not to be named because they were worried about embarrassing the Guinean government, said the mistakes took place in Coyah, where Cuban medics are supporting a government-run center, and in Conakry, where medical charity Medicins Sans Frontieres runs another center at the Donka hospital complex, when staff placed blood samples in the wrong test tubes, damaging specimens.

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Nearly halted in Sierra Leone, Ebola makes a comeback by sea

NEW YORK TIMES     by Sheri Fink                                                                     March 1, 2015

FREETOWN, Sierra Leone — It seemed as if the Ebola crisis was abating.

New cases were plummeting. The president lifted travel restrictions, and schools were to reopen. A local politician announced on the radio that two 21-day incubation cycles had passed with no new infections in his Freetown neighborhood. The country, many health officials said, was “on the road to zero.”

Then Ebola washed in from the sea.

A resident of Tamba Kula, a small fishing community in the Aberdeen district of Freetown, bathing at the shoreline as boats sit idle. Bryan Denton for The New York Times

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