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Host of Ailments Plague African Ebola Survivors

WALL STREET JOURNAL BY Betsy McKay                     May 1, 2015

MONROVIA, Liberia—Dorbor Sirleaf thought his ordeal with Ebola was over in October, when he walked out of a treatment unit, having overcome the ruinous disease.

 

Instead, the 29-year-old father of four is suffering from symptoms he says he never had before he had Ebola. His legs and other parts of his body ache. Worse, he has trouble seeing, particularly distances. His eyes itch, hurt and often water up. “Sometimes my tears can be rolling,” he said.

More than 15,000 people have survived Ebola in West Africa, and more than 10,800 died, in the largest epidemic of the disease by far in history—one that has yet to be extinguished. But many have emerged with an assortment of mysterious physical ailments, including joint pain, fatigue and a particularly worrisome and common complaint: vision loss. Some, like Mr. Sirleaf, say their eyes hurt. Others report blurred vision or say they can’t see at all.

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Vaccination teams defeat 'Ebola effect' in Guinea

IRIN  by By Jennifer Lazuta                            April 29, 2015
GUECKEDOU,Guinea  - The odds were stacked against Guinea's vaccination teams. The initial side effects of the measles vaccine can easily be mistaken for the first symptoms of hemorraghic fever and a false rumour had spread blaming the distribution of deworming pills in late 2013 for bringing Ebola into the country.

A child receives a shot of measles vaccine Photo: Jennifer Lazuta/IRIN

But thanks to an exhaustive door-to-door effort, promoting the benefits of the vaccine and dispelling myths about Ebola, nearly 100,000 children between the ages of six months and 10 years in Guinea’s southeastern Gueckedou region are now protected against the highly contagious measles virus.

Local communities were understandably suspicious of health workers and Western medicine, but many of them were open to persuasion, so health teams went around from village to village, talking to families and trying to ease their concerns.

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The Ebola Outbreak of 2013–2014: An Assessment of U.S. Actions

THE HERITAGE FOUNDATION Study  by, and

Executive Summary

 This report presents the observations, findings, and recommendations of a task force formed to examine the global response and the response of the U.S. government (USG) to the 2013–2014 Ebola outbreak and global transmission. Specifically, the task force sought to derive lessons learned and insights from the USG response to the Ebola outbreak both internationally and domestically with the goal of crafting recommendations to improve the government’s ability to respond to natural disasters, acts of bioterrorism, and various public health crises related to significant outbreaks, epidemics, and pandemics....

The report’s major recommendations include:

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Experts call for vigilance, sustained measures against Ebola

STARAFRICA.COM                                                                                 April 30, 2015

ABUJA, Nigeria  --Governments in West Africa should improve health governance by scaling up investments in health infrastructure and human capital to ensure proactive responses against pandemics such as Ebola, a panel of discussants on Ebola has recommended.

A statement by the ECOWAS Commission on Thursday in Abuja said that the panelists at the debate on “Ebola; one year after,” organized by the Friedrich Ebert Stiftung (FES) in Abuja on Tuesday, explained that such investments would engender effective preventive and preparedness initiatives and also address the weak health systems of countries in the region, which suffered the heaviest burden of the latest Ebola Virus Disease (EVD) outbreak...

In particular, they recommended that public education and sensitization as well as community mobilization, participation and vigilance must be sustained until the disease is totally eliminated. There should also be effective psycho-social support and reintegration programmes for survivors and children orphaned by the disease....

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New UN special envoy on Ebola response makes first visit to Sierra Leone

UNITED NATIONS NEWS CENTRE                                                                April 29, 2015
The United Nations World Health Organization (WHO) today said that surveillance and community engagement still require improvement in some areas of Guinea and Sierra Leone where new cases continued to surface, a day after the new Special Representative for UN Ebola Response, Peter Graff, was informed of a continued transmission epicentre on the border between those two countries.

Mr. Graff joined outgoing Special Representative Ismail Ould Cheikh Ahmed, and the Secretary-General’s Special Envoy on Ebola, David Nabarro, on a visit to Freetown, Sierra Leone, during which they were briefed by the National Ebola response Centre (NERC) on efforts to achieve zero transmission.

“They were informed that Kambia District was still a transmission epicentre due in part to it neighbouring Forécariah in Guinea, which continues to record a high number of Ebola cases,” the UN Mission for Ebola Emergency Response (UNMEER) reported.

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Ebola Situation Report - 29 April 2015

WHO                                                                                                   April 29, 2015

Weekly report

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Managing health crises after Ebola

 

SCI DEVELOPMENT NET                                                                                April 29, 2015
(includes links to five feature stories and editorials on communication issues and other subjects.)
The outbreak of Ebola that has affected West Africa since December 2013 is the largest to date, with enormous human and economic costs. It has also exposed weaknesses in the global response system, including the handling of communication and complex social responses. What can we learn from this to better manage future health emergencies?

This Spotlight presents an in-depth analysis including opinions, facts and figures, and key resources. It features commentary by Sylvie Briand of the WHO, Rosamund Southgate of Médecins Sans Frontières and Annie Wilkinson of the Institute of Development Studies. 

It includes first-hand accounts by researchers with experience in the field, and interviews with social science expert Melissa Leach and communications managers at Médecins Sans Frontières-UK and BBC Media Action.
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The Next Victims of Ebola

The epidemic may be nearing “zero cases” — but it's still disrupting the delivery of vaccines for measles, polio, and other deadly childhood diseases.

FOREIGN POLICY                                                                                                    April 27, 2015

by Ellen Johnson Sirleaf, President of Liberia, and Seth Berkley,  President and CEO of the Gavi vaccine alliance

When the Ebola epidemic in West Africa comes to an end, it will be marked by two simple words: “zero cases.” But this momentous milestone will also signal the beginning of a new struggle as the long and difficult process of recovering from a crisis that has claimed more than 10,000 lives commences. Ebola has not only drawn attention to the vast gap that exists between rich and poor nations; it has widened that divide too, setting the people of Liberia, Sierra Leone, and Guinea even further back. The opportunity to narrow and ultimately close this gap cannot be neglected.

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UN Says It Will Try to Identify All Ebola Cases by June

ASSOCIATED PRESS by Maria Cheng                                                        April 28, 2015

LONDON — The World Health Organization says it aims to identify and isolate all new Ebola cases in West Africa by the end of May to stop the spread of the lethal virus before the rainy season.

In a new Ebola plan released on Tuesday, the U.N. health agency said it hopes to limit transmission of the virus to the coastal areas of Guinea, Liberia and Sierra Leone before the rainy season begins, normally in April or May.

WHO said the decline in Ebola's spread has "plateaued," partly due to "persistently high transmission" in Guinea and Sierra Leone. Officials say the rainy season will make it more difficult for responders to reach remote areas....

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Nine Ways We Are Beating the Ebola Epidemic in West Africa

THE HUFFINGTON POST by                  April 26, 2015
.. Addressing an Ebola epidemic of this scale has taken the international community on a journey never before walked. Previously tried and tested methods have been used as well as novel strategies, but the scale that has been required is unprecedented.

Rapid response medical team outside a mobile treatment facility
Nathalie MacDermott/Samaritan's Purse International Relief

It is also apparent that no 'one size fits all' approach can work - the approach must be multifactorial, addressing the problem at it's roots within the communities where the outbreaks occur, but also on a national level to provide large scale isolation of cases and interrupt transmission of the virus.

Below are nine ways in which we are beating the Ebola epidemic in West Africa:

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