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Displaced by disease: 5 displacement patterns emerging from the Ebola epidemic

INTERNAL DISPLACEMENT MONITORING CENTRE                                                                            Nov.19, 2014

When a whole town was displaced in the south of Guinea during the Ebola crisis, the link between disease and displacement began to emerge. With IDMC monitoring the crisis across the three countries most affected since the outbreak took place, we have identified five key displacement trends emerging.

On 14 November 2014 the UN Mission for Ebola Emergency Response (UNMEER) reported that the Guinean government had announced the withdrawal of troops from Womey, Nzérékoré prefecture, in the south of the country when a group of people raising awareness about the Ebola Virus Disease (EVD) were killed by angry residents.

Since the army’s deployment in September, there have been accusations of human rights violations at the hands of military personnel, resulting in the displacement of the whole town, with some 6,000 residents fleeing to forests in the surrounding area. This is the single largest reported incident of displacement during the Ebola crisis.

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A Tale of Two Outbreaks: Why Congo Conquered Ebola

NBC NEWS    By Maggie Fox                                                                              Nov. 24, 2014

Two outbreaks, two entirely different outcomes. The World Health Organization has declared an outbreak of Ebola over in the Democratic Republic of Congo after just 66 cases and 49 deaths. It lasted three months.

Yet the epidemic in Liberia, Sierra Leone and Guinea’s been going for nine months, with more than 15,000 cases, 5,000 deaths and no end in sight.

What’s the difference? Experts say experience matters — it was the seventh outbreak in the former Zaire. But equally important is the fact that the village where it started was extremely remote, and the country has a rudimentary system of healthcare workers who know to look out for Ebola.

Read complete story

http://www.nbcnews.com/storyline/ebola-virus-outbreak/tale-two-outbreaks-why-congo-conquered-ebola-n253911

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Notable Absence of New Ebola Quarantines at New York Area Airports

NEW YORK TIMES    By Anemona Hartocollis                                                          NOV. 24, 2014

NEW YORK   ...since Kaci Hickox, a nurse, flew into Newark’s airport on Oct. 24 and was kept at a hospital for three days, no one else has been caught up in the quarantine dragnet at the New York and New Jersey airports.

The absence of quarantines is striking, not only because both governors emphatically defended the policy as a necessary precaution, but also because most people returning from Ebola-stricken countries arrive in the United States through Kennedy and Newark Liberty International Airports.

...New York and New Jersey officials say no one coming through the two airports since Ms. Hickox has reported direct contact with Ebola patients.

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Italian Doctor With Ebola Returning for Treatment

ASSOCIATED PRESS                                                      Nov. 24, 2014

MILAN --An Italian doctor who has been working in Sierra Leone has tested positive for the Ebola virus and is being transferred to Rome for treatment, the health ministry said Monday. It is Italy's first confirmed case of Ebola.

The doctor, who was not identified and who works for the non-governmental organization Emergency, is scheduled to arrive overnight in Italy for treatment at the Lazzaro Spallanzani National Institute for Infectious Diseases in Rome.

Emergency, which is operating a center for Ebola treatment in Lakka, Sierra Leone, said in statement that the doctor was in good condition, and that its staff in the country is following protocols aimed at avoiding contagion. "Nonetheless, no health intervention of such a serious epidemic can be considered completely without risks," Emergency said.

Complete story
http://abcnews.go.com/Health/wireStory/italian-doctor-ebola-returning-treatment-27130191

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War against Ebola in West Africa remains a tough fight

USA TODAY                       By Greg Zoraya                                                                                 Nov. 23, 2014

MONROVIA, Liberia — A snapshot of the Ebola epidemic raging across West Africa shows a wildfire of infections only slightly contained.

While cases have been on the decline in Liberia, the outbreak is worsening in neighboring countries, where basic Ebola-fighting tools are impractical.

Identifying the infected and those they've touched, and isolating them to break the transmission chain are all but impossible in Sierra Leone's capital of Freetown as well as the jungles of Guinea, says Jordan Tappero, the Centers for Disease Control and Prevention's second-in-command for the regional response...

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A journey through West Africa's Ebola stricken countries

BBC                                                               Nov. 23, 2014

The BBC's Tulip Mazumdar has been on a trip across two West African nations affected by Ebola to see how the authorities are dealing with the virus.

Soldiers and workers use temperature guns at the checkpoints

Tulip's journey began in Freetown, the capital of Sierra Leone and took her 260km (161.5 miles) through some of the areas badly hit by Ebola to Conakry, the capital of Guinea.

Read more

 Complete story:

http://www.bbc.com/news/health-30166565

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Ebola Survey Teams Take A Grim Census In Sierra Leone

NATIONAL PUBLIC RADIO                                                                                                       Nov. 22, 2014

By Nurith Aizenman

Ebola is on the rise in Sierra Leone's capital of Freetown. Just this week, 234 new confirmed infections were reported, and every day hundreds of residents call the emergency line to report more possible cases in their neighborhoods.

To deal with the surge, the nation sends health surveillance teams into the community to investigate the alerts, visiting up to five homes a day to check on residents.

The following describes the daily activities of a suveillance team.

Read complete story.

http://www.npr.org/blogs/goatsandsoda/2014/11/22/365759781/ebola-survey-teams-take-a-grim-census-in-sierra-leone

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Probing Ebola's Deadly Inflammatory Effect

      

New research suggests that Ebola's deadly inflammatory effects may be caused by the result of protein shedding by infected cells. (Victor Volchkov / PLOS Pathogens)

CLICK HERE - RESEARCH - PLOS Pathogens - Shed GP of Ebola Virus Triggers Immune Activation and Increased Vascular Permeability

latimes.com - by Monte Morin - November 20, 2014

New research suggests that the massive and destructive inflammation that characterizes Ebola virus disease may be caused by the release of foreign proteins from infected cells.

Although Ebola is infamous for causing bleeding in some of its victims, doctors say the vast majority of deaths are the result of organ failure and shock brought on by the uncontrolled release of cytokines, compounds that cells use to communicate with one another and control immune response. . .

. . . In a paper published Thursday in Plos Pathogens, researchers at the Claude Bernard University of Lyon, in France, argued that glycoprotein shedding by infected cells may explain the immune system's damaging response.

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Mali records new Ebola case, linked to dead nurse

REUTERS                                                                                                                        Nov. 22, 2014

BAMAKO -- Mali has recorded a new case of Ebola in the capital Bamako after the friend of a nurse who died of the hemorrhagic fever earlier this month tested positive for the disease, health and medical officials said on Saturday.

The nurse contracted the disease after treating an imam from neighboring Guinea, who died after being incorrectly diagnosed with kidney problems. This allowed Ebola to spread to five other people in the West African nation's second outbreak.

"Of two suspected cases tested, one was negative and the other positive. The latter was placed in an isolation center for intensive treatment," a statement from the health ministry said, adding that another 310 contact cases were being monitored.

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http://www.reuters.com/article/2014/11/22/us-health-ebola-mali-idUSKCN0J60EI20141122

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