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WHO May Lose Credibility After Ebola

Agency seeks a new model after flaws revealed by Ebola crisis.

COMMENTARY MEDPAGE TODAY by Michael Smith            Feb. 15, 2015 

As the Ebola epidemic drags on, the World Health Organization is in danger of losing its credibility as a bulwark against infectious disease.

The West African epidemic is a "mega-crisis (that) overwhelmed the capacity of WHO," according to Director-General Margaret Chan, MD, speaking to reporters in late January.

To prevent a similar crisis in the future, Chan has proposed a package of reforms, including a large contingency fund for emergencies, an increase in the number of trained people able to deploy quickly to a crisis site, and structural changes to streamline the famously unwieldy organization.

Whether those get anywhere is the vital question, according to Lawrence Gostin, JD, of the O'Neill Institute for National and Global Health Law at Washington's Georgetown University.

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Human trial of 4th Ebola vaccine launches in Australia

CENTER FOR INFECTIOUS DISEASE AND POLICY by  Lisa Schnirring                                                      Feb. 13, 2015

Novavax yesterday announced the launch of the first human trial of its recombinant Ebola vaccine, which will make it the fourth candidate vaccine to be tested in phase 1 trials.

Novavax's product is a glycoprotein recombinant nanoparticle vaccine adjuvanted with Matrix M (Ebola GP) to boost immune response. Conducted in Australia, the study will test the safety and immunogenicity of the vaccine, with and without the adjuvant, in 230 healthy adults ages 18 to 50. Subjects will be given two intramuscular injections 3 weeks apart....

Three other Ebola vaccines are in clinical trials. Phase 2 and 3 studies of the two vaccines that are furthest along in trials got under way in Liberia at the end of January. They include two vector virus vaccines, ChAd3, developed by the National Institutes of Health (NIH) and GlaxoSmithKline (GSK), and VSV-EBOV, developed by the Canadian government and licensed by NewLink Genetics and Merck.

A phase 1 trial of a prime-boost Ebola vaccine regimen from Johnson & Johnson launched in early January in the United Kingdom.

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Crowds attack Ebola facility, health workers in Guinea

REUTERS by Saliou Samb                                                                   Feb. 14, 2014     

CONAKRY  - Crowds destroyed an Ebola facility and attacked health workers in central Guinea on rumors that the Red Cross was planning to disinfect a school, a government spokesman said on Saturday.

Red Cross teams in Guinea have been attacked on average 10 times a month over the past year, the organization said this week, warning that the violence was hampering efforts to contain the disease.

During the incident on Friday in the town of Faranah, around 400 km (250 miles) east of the capital Conakry, angry residents attacked an Ebola transit center and set ablaze a vehicle belonging to medical charity Medecins Sans Frontieres.

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http://news.yahoo.com/crowds-attack-ebola-facility-health-workers-guinea-122555830.html;_ylt=AwrBEiRwrd9UVDYAdIHQtDMD

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Ebola: UN health agency turns to foreign medical teams in last phase of combat against virus

UNITED NATIONS NEWS CENTRE                                      Feb. 13, 2015
The United Nations World Health Organization (WHO) announced Friday that it will huddle with medical teams from outside the Ebola-affected countries next week in Geneva to see how they can help in the last phases of the fight to bring the number of cases down to zero.
UN Development Program (UNDP) Administrator Helen Clark washes her hands on arrival in Ebola-affected Monrovia, Liberia. Photo: UNDP/Dylan Lowthian

Earlier, UN Development Program (UNDP) Administrator Helen Clark... met with a number community groups in Conakry, Guinea, where she stressed the vital importance of community advocacy in stopping the outbreak. Her mission will conclude with a visit to Sierra Leone early next week.

UNDP is working with the national authorities and local, regional and international partners, including the African Development Bank, the European Union and the World Bank, on an Ebola Recovery Assessment, and in support of national strategies, as part of its mandate to the lead the UN system in the Ebola-related recovery efforts.

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As Ebola Virus Outbreak Slows, World Bank To Send $15M In Aid To Prevent Food Crises

INTERNATIONAL BUSINESS TIMES  by Kathleen Caulderwood                                        Feb. 12., 2015

The worst Ebola outbreak in history is slowing down, but the affected countries are only beginning an economic struggle that could last for years.

Just as the U.S. recalled its troops from West Africa, the World Bank pledged millions of dollars in emergency aid to avoid a food crisis that could leave millions starving.      

                                                   

“Agriculture is the lifeline of the economies of Guinea, Liberia and Sierra Leone,” Makhtar Diop, the World Bank's vice president for Africa, said in a Thursday statement.

“By speeding supplies of urgently needed seeds of major food crops to communities in West Africa, we are jump starting recovery in rural areas and preventing the looming specter of hunger in the countries hardest hit by Ebola.”

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Doctors Who Treat Ebola Feel More Socially Isolated

LIVESCIENCE.COM   by Rachael Rettner                                                                         Feb. 13, 2015

Doctors who take care of very sick Ebola patients may feel socially isolated, but surprisingly, they may not feel more stressed than usual, a new study from Germany suggests.

Researchers surveyed 46 health care workers who treated Germany's first Ebola patient in August 2014, as well as 40 health care workers who worked in the same hospital but did not treat the Ebola patient.

The researchers who did the study hypothesized that the people who treated the Ebola patient would have more symptoms of psychological distress because they were working in a challenging environment that presented a risk that they could become infected with the deadly virus.

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Ebola in west Africa: learning the lessons

THE LANCET  by  Anna  Petherick  Volume 385, No. 9968, p591–592, 14 February 2015
The (West Africa) region has presented unforeseen challenges, and the three worst affected countries have put in place different response strategies. Anna Petherick reviews some of the lessons learned so far.

The early history of the ongoing Ebola outbreak in west Africa is a salutary statement about the lack of infectious disease surveillance capacity in one of the world's poorest regions....

Opportunities to contain the virus were lost soon after, largely because of a lack of trust between local communities and the officials and medical professionals trying to nip the epidemic in the bud.

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http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2960075-7/fulltext

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Ebola spending: will lack of a positive legacy turn dollars to dolour?

Millions were invested in west Africa to tackle the Ebola crisis, but some experts doubt there will be any lasting benefits for public health systems

THE GUARDIAN by 

LONDON -- While it is still too early to call time on the Ebola outbreak, a sense that the worst may have passed is tentatively taking root in west Africa, alongside an acute realisation of the need to ensure a positive long-term legacy for battered healthcare systems.

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Why Didn't Ebola Kill Me?

An ambulance transports the author to the Nebraska Medical Center in October. (Sait Serkan Gurbuz/Reuters)

THE ATLANTIC by Ashoka Mukpo                                                                          Feb. 12, 2015

Like the majority of patients taken to Western hospitals, I recovered from the disease—but health authorities are still struggling to figure out how to bring up the much-lower survival rate in West Africa.

...the 80-percent survival rate among patients who were evacuated to Western hospitals shattered the idea that an Ebola diagnosis spelled near-certain death. I know this all too well, as I’m one of those patients myself. In October, I contracted Ebola while covering the outbreak as a freelance journalist in Liberia. I was airlifted to a hospital in Nebraska, where aggressive treatment likely saved my life....
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http://www.theatlantic.com/health/archive/2015/02/why-didnt-ebola-kill-me/385335/

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Ebola-hit Guinea asks for funds for creaking health sector: TRFN

A health worker injects a woman with an Ebola vaccine during a trial in Monrovia, February 2, 2015. REUTERS/James Giahyue

REUTERS   by Misha Hussain                                                                                   Feb. 12, 2015

CONAKRY (Thomson Reuters Foundation) - International donors wishing to help Guinea fight Ebola should use their money to strengthen the West African country's health system and help it tackle future epidemics instead of building more Ebola treatment centres, a government official said....

"We already have over 400 beds (in Ebola treatment centres), but the attendance is among the lowest of the epidemic, so let's leave it at that," government spokesman Fode Tass Sylla told the Thomson Reuters Foundation in an interview in Conakry.

"Help us strengthen the health system, because after Ebola, all these treatment centres will disappear and Guinea will still be too weak to deal with the next epidemic," Sylla said, adding that the government was in talks with all funding partners....

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