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Ebola diaries: Regaining the people’s trust

WHO                                                                                                          March 31, 2015
Cristiana Salvi, a risk communications specialist from WHO’s European regional office was deployed to Guinea at the end of April – early May 2014 to provide social mobilization support to the Ebola response. Social mobilization involves working with communities to gain their acceptance of the need for early identification of people with illness, early treatment and identification and follow up of all people who have been in contact with people confirmed to have Ebola virus disease.

 Cristiana was among the first from WHO offices other than Headquarters and the African office to provide support to the field response, many others followed from the “wider WHO”. She travelled to Gueckedou where communities had begun to hide people who were sick, fearing treatment centres, believing rumours Ebola response teams were there for sinister purposes. This is what she found.

Excerpt:

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Faulty modeling studies led to overstated predictions of Ebola outbreak

MEDICAL EXPRESS                                                                       MARCH 31, 2015

(scroll down for complete paper.)

Frequently used approaches to understanding and forecasting emerging epidemics—including the West African Ebola outbreak—can lead to big errors that mask their own presence, according to a University of Michigan ecologist and his colleagues.

Last September, the U.S. Centers for Disease Control and Prevention estimated—based on computer modeling—that Liberia and Sierra Leone could see up to 1.4 million Ebola cases by January 2015 if the viral disease kept spreading without effective methods to contain it. Belatedly, the international community stepped up efforts to control the outbreak, and the explosive growth slowed.

"Those predictions proved to be wrong, and it was not only because of the successful intervention in West Africa," King said. "It's also because the methods people were using to make the forecasts were inappropriate."

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Guinea finds three Ebola cases in the alumina hub of Fria

REUTERS   by Saliou Samb                              March 31, 2105

CONAKRY --Guinea has detected at least three new cases of Ebola in the alumina hub of Fria, according to the national coordination of the fight against the disease, as authorities blamed popular resistance for hampering the battle against the virus.

Fria is home to the only alumina smelter in the West African country, Friguia, which produced some 630,000 tonnes of alumina a year until it was shuttered by Russian aluminium giant RUSAL in 2012.

The report noted the refusal by the local population in Conakry to hand over two other suspected cases, despite the intervention of local authorities. It said families in the town of Coyah, 50 km ( miles) from Conakry had refused to follow contacts of an Ebola case.

The resistance of local communities, which refuse to admit the existence of the disease, has dogged efforts to eradicate Ebola in Guinea since it was detected in March 2014

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http://www.reuters.com/article/2015/03/31/us-health-ebola-guinea-idUSKBN0MR1TL20150331

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Guinea shuts border with Sierra Leone in effort to end Ebola

ASSOCIATED PRESS by BOUBACAR DIALLO               March 30, 2015

CONKAKRY --Guinea closed its border with Sierra Leone on Monday as part of new efforts to stamp out Ebola, an official said.

... the disease remains stubbornly entrenched in Guinea more than a year after the outbreak started and authorities are now ramping up efforts to eliminate the disease.

Guinean President Alpha Conde announced this weekend that emergency measures would be "reinforced" for a 45-day period in five districts, including some along the border with Sierra Leone. The decision to close the border was made in the context of those new measures, according to Cmdr. Mamadou Alpha Barry, spokesman for the national gendarmerie.

Previously, Guinean authorities had monitored people crossing into the country for symptoms of the disease.

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http://www.charlotteobserver.com/living/health-family/article16925942.html

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The End of Ebola? Lessons at the Epidemic's One Year Anniversary

Columbia University                                            March 30, 2015

One year ago, the current Ebola epidemic was announced to the world. Since then, we have learned and accomplished an enormous amount....

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Ebola rapid diagnostic kit developed by UK scientists in Sierra Leone

Doctors says the kit, if approved by health authorities, could transform the admissions process with its capacity to deliver results within 20 minutes

THE GUARDIAN    by Lisa O'Carroll                              March 29, 2015

A rapid Ebola diagnostic kit similar to a pregnancy kit has been developed by British military scientists and NHS medics in Sierra Leone.

Health care workers prepare to entering a high risk zone at an Ebola virus clinic in Sierra Leone, where the diagnostic kit has been undergoing tests. Photograph: Michael Duff/AP

It can be administered at the bedside and return its first results within 20 minutes, slashing dramatically the normal 24-hour turnaround for lab results.

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Home> Health Guinea Deploys Police as Sierra Leoneans Flee Ebola Lockdown

ASSOCIATED PRESS  By CLARENCE ROY-MACAULAY AND BOUBACAR DIALLO                  March 28, 2015

FREETOWN, Sierre Leone --Guinea has deployed security forces to the country's southwest in response to reports that Sierra Leoneans are crossing the border to flee an Ebola lockdown intended to stamp out the deadly disease, an official said Saturday.

A team of Sierra Leone health workers walk as they look for people suffering from Ebola virus symptoms or people they can educate about the virus as their country enters a three day country wide lockdown on movement of people due to the Ebola virus in the city of Freetown, Sierra Leone, Friday, March. 27, 2015. Sierra Leone's 6 million people were told to stay home for three days, except for religious services, beginning Friday as the West African nation attempted a final push to rid itself of Ebola. (AP Photo/ Michael Duff) Close The Associated Press

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Liberia Recommends Ebola Survivors Practice Safe Sex Indefinitely

THE NEW YORK TIMES  by Sheri Fink                                                                          March 29, 2015

The Liberian government recommended on Saturday that survivors of Ebola practice safe sex indefinitely, until more information can be collected on the length of time the virus might remain present in body fluids including semen. Previously, male survivors were advised to abstain from sexual intercourse or to use condoms for three months, reflecting that the active virus had been detected for up to 82 days in semen.

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Guinea president announces new emergency measures in Ebola fight

REUTERS                                                 March 28, 2015

CONAKRY - Guinea's President Alpha Conde announced on Saturday new emergency measures enabling authorities to restrict movements in western Guinea where Ebola transmission continues a year after the epidemic was declared.

More than 10,300 people have died from Ebola in West Africa and while cases are thought to have peaked, Guinea is struggling to stamp out the virus partly due to often violent resistance to officials working to end it.

Following a dip in new cases in January, they have spiked again since early March in and around the capital, prompting officials to announce a new phase of the epidemic in Guinea.

"I declare in the districts of Forecariah, Coyah, Dubreka, Boffa and Kindia a reinforcement of emergency measures for a period of 45 days," Conde said on state television late on Saturday.

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http://news.yahoo.com/guinea-president-announces-emergency-measures-ebola-fight-230310066.html

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Combatting Rumors About Ebola: SMS Done Right

When misinformation is a case of life or death, aid workers and communities need an ear to the ground

INTERNEWS   by  Anahi Ayala Iacucci                                                March 26, 2015

 What is now clear to healthcare organizations working on the ground in West Africa is that the Ebola epidemic has been driven as much by misinformation and rumors as by weaknesses in the health system. It is common sense that information is a critical element in combatting disease, particularly when contagion from common social practices, such as bathing the corpses of the deceased, were central to so much of the early spread of the disease. But in the context of a massive disease outbreak, when hundreds of international organizations and billions of dollars flood into a region whose fragile infrastructure has been damaged by years of civil war, information dissemination becomes a powerful challenge.

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