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Ebola Fears in Pregnant Women Reducing Healthcare Use

   MEDSCAPE     by  Laurie Barclay, MD    Dec. 31, 2014
Ebola fears and misconceptions reduced health facility use by pregnant and lactating women in Kenema District, Sierra Leone, according to findings from focus group discussions published in the January 2, 2015, issue of the Morbidity and Mortality Weekly Report.

"Sierra Leone has the highest maternal mortality ratio and the fourth highest neonatal mortality rate in the world," write Michelle M. Dynes, PhD, from the Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, and colleagues. "By straining the fragile health care infrastructure, the [Ebola] epidemic might put pregnant women and their newborns at even greater risk for adverse outcomes."

Uptake of routine maternal and newborn healthcare is therefore essential to lowering infant and maternal mortality. Focus group discussions suggested that infection prevention and control training would reduce fear among healthcare workers and could help improve women's confidence in health facility safety.

Sierra Leone public health departments are using this information to create public health messages designed to encourage the use of maternal and newborn healthcare services....

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Ebola Ravages Economies in West Africa

NEW YORK TIMES  by                    Dec. 21, 2014     
FREETOWN, Sierra Leone--The "personal hospitality business" may be the most obvious sector of Sierra Leone’s economy that has been decimated by Ebola. After all, the main slogan in Freetown, the capital, these days is A.B.C. — avoid body contact.Residents in Freetown, Sierra Leone, break rocks in a road project that was halted because of concern about Ebola. In Sierra Leone, Guinea and Liberia, Ebola continues to lay waste not just to immune systems but also to balance sheets. Daniel Berehulak for The New York Times

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Fight against Ebola requires district-by-district approach – head of UN response mission

UNITED NATIONS NEWS CENTRE                                                                                 Dec. 30, 2014

MONROVIA, Liberia --The outgoing head of the head of the United Nations Emergency Ebola Response Mission (UNMEER) said today that communities are going to play a big role in defeating the “nasty disease” in West Africa by stamping out outbreaks while they are small and not allowing them to become bigger.

The body of a suspected Ebola case in Sierra Leone is taken by an International Federation of Red Cross (IFRC) team on 24 December to the cemetery where it was buried in a dignified way. UN Photo/Martine Perret

“Ebola is a very nasty disease, and it’s going to present us with some very unpleasant surprises I fear going forward,” Anthony Banbury told UN Radio in Monrovia, Liberia. “And that’s why we really need to strengthen our capabilities.....”

...While acknowledging the difficulty in getting Ebola response workers to some of the remote areas, he emphasized the importance of a district by district strategy and said: “We really need to be present out in the districts....”

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Universal Health Coverage - Ebola Reveals the Gaps

      

IFRC Kenema Ebola treatment centre (File photo, October 2014)  Photo: IRIN/Ricci Shryock

LONDON, 29 December 2014 (IRIN) - West Africa's Ebola epidemic has cruelly exposed the weaknesses of health systems in the countries where it struck. It was understandable that they were not prepared for Ebola, which has never been reported in the region before, but the director of the World Health Organization (WHO), Margaret Chan, says what they lacked was a robust public health infrastructure to deal with the unexpected.

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Scientists trace Ebola outbreak to a tree where children play

WASHINGTON POST  by Rachel Feltman     Dec. 14, 2014 

According to research published Tuesday by the Robert Koch-Institute, fruit bats are almost certainly to blame for the current Ebola outbreak, which has claimed 7,800 lives so far. But while most outbreaks caused by a fruit bat would have someone who hunted or handled the mammal for meat to blame for the contagion, the researchers believe that this case of bat-to-human transmission was sparked by children at play.

A child under observation for signs of Ebola. (Michel du Cille/The Washington Post)

Ebola is a zoonotic disease -- one that's spread between species. The first human cases of Ebola can indeed be traced roughly to the hunting, selling, and eating of bushmeat, or wild mammals like bats and non-human primates...

But the first case of 2014's outbreak has been traced to someone who shouldn't have had much contact with bushmeat. In October, researchers reported that patient zero of the outbreak was likely a 2-year-old boy named Emile Ouamouno who lived in the Guinea village of Meliandou.

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Automated mobile phone service hopes to stop spread of Ebola in west Africa

THE GUARDIAN  by Mark Anderson                                                                    Dec. 30, 2014

People in rural areas of Liberia, Sierra Leone and Guinea battling Ebola could be helped by an automated phone service that offers advice about how to avoid contracting the virus.

Startup company Halt!Ebola is using “robocalling” to reach people where information hotlines are not being used.

The company is trying to acquire mobile phone numbers from the networks operating in these regions to enable them to make the calls. When people answer, an audio message with information and advice about the virus is played back.

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Is Ebola Here to Stay?

SCIENTIFIC AMERICAN by Dina Fine Maron                                  Dec. 29, 2014
Kisses are at a premium in the capital of Liberia. Even a hug or a handshake between friends is often out of the question. That’s the new normal ever since Ebola began ravaging communities throughout Liberia, Sierra Leone and Guinea. For much of the past year, residents of these west African countries have wondered if daily life will ever be able to return to the way things once were.

Monrovia, Liberia - November 2014: Ebola survivor Korlia Bonarwolo leads a training of health workers at a mock Ebola Treatment Unit in Liberia. "I think with the knowledge we have now, the treatment is going to be much greater," he says.

Photo: Morgana Wingard/Sarah Grile, 2014

And at the heart of the matter is a scientific question: has Ebola now found a permanent foothold among humans?

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After Slow Ebola Response, WHO Seeks to Avoid Repeat

Health Body to Consider Rapid-Response Teams, Other Changes

WALL STREET JOURNAL by Betsy McKay in Atlanta and Peter Wonacott in Freetown, Sierra Leone             Dec. 30, 2014

The tepid initial response to West Africa’s Ebola outbreak exposed holes in the global health system so gaping it has prompted the World Health Organization to consider steps to prevent a repeat, including emergency-response teams and a fund for public-health crises.

In a special session next month in Geneva, the WHO’s executive board is expected to consider those and other recommendations by its member countries—including a proposal that it commission an outside review of its Ebola response—according to a document reviewed by The Wall Street Journal.

The plan comes as global health officials are struggling with a knotty question: how the WHO could have moved at a slow pace initially despite lessons learned more than a decade ago from another deadly outbreak, of SARS.

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http://www.wsj.com/articles/after-slow-ebola-response-who-seeks-to-avoid-repeat-1419892712

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How Ebola Roared Back

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Scottish government confirms Ebola case in Glasgow

UPDATE: Ebola Patient Is Moved to London, and 2 Others Are Tested in Britain

NEW YORK TIMES     by Alan Cowell                                                 Dec. 30, 2014

LONDON — A health worker who returned from West Africa and was found to have Ebola when she arrived home in Scotland was transferred on Tuesday to Britain’s designated treatment center for the disease in London. The authorities also reported that two more people were being tested for the virus.

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