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Why we’re still waiting on an Ebola vaccine

Researchers are scrambling to start trials before the outbreak fades, but establishing faith in vaccines will take time

AL JAZEERA AMERICA  by

FREETOWN, Sierra Leone — Since Ebola hit this coastal city last summer, nurses at Connaught Hospital have put their lives on the line by working with patients at risk of the deadly disease. Now researchers aim to recruit them as well as ambulance drivers and other hospital staff as subjects in one of the largest Ebola vaccine trials to date.

But just a few weeks before the trial begins enrollment, many health care workers are voicing discomfort about the shot. “It would be really good to have a vaccine, but we’re scared because it’s new,” said Kadiatu Nubieu, a nurse at Connaught.

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Global Ebola Response Coalition Meeting (GERC) - 06 March 2015

                                                     

ebolaresponse.un.org

Coalition Meeting Notes - Minutes from the weekly meetings held by the Global Ebola Response Coalition:

Global Ebola Response Coalition Meeting 21 | 6th March 2015:

Issues Discussed and Next Steps

The twenty first meeting of the Global Ebola Response Coalition Core Group took place on 6 March. The main points covered in the meeting follow.

2.            Participants discussed the status of the outbreak.  The cumulative number of people who have been diagnosed with Ebola in the current outbreak is now 23,983. The number of people newly diagnosed with Ebola in the 7 days to 1 March, is 132; the figure was 99 in the preceding 7 days. This week’s total reflects increases in Guinea (35 to 51) and Sierra Leone (63 to 81) but a fall in Liberia (1 to 0). The volatility in numbers of people newly diagnosed with Ebola each week continues: the figure ranges between 90 and 160 new cases per week.  The majority of new cases are reported from the geographical region around the coastal border areas between Guinea and Sierra Leone.

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A panel of independent experts to assess WHO's response in the Ebola outbreak

WHO PRESS RELEASE                                                March 10, 2015

The WHO Director-General has commissioned a panel of outside independent experts to undertake an assessment on all aspects of WHO’s response in the Ebola outbreak. This is in response to a resolution passed during the Ebola Special Session of the Executive Board in January 2015.

Dame Barbara Stocking will chair the panel. She was formerly Chief Executive of Oxfam GB (2001-13) and during this time led major humanitarian responses. Currently she is President of Murray Edwards College, University of Cambridge, UK.

The other panel members are: Professor Jean-Jacques Muyembe-Tamfun, Director-General of the National Institute for Biomedical Research, Democratic Republic of the Congo; Dr Faisal Shuaib, Head of the National Ebola Emergency Operations Center, Nigeria; Dr Carmencita Alberto-Banatin, independent consultant and advisor on health emergencies and disasters, Philippines; Professor Julio Frenk, Dean of the Faculty, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA; and Professor Ilona Kickbusch, Director of the Global Health Programme at the Graduate Institute of International and Development Studies, Geneva, Switzerland.

The panel will present a first progress report on its work to the 68th World Health Assembly in May 2015.

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Economist: Some high-tech solutions fail with fight against Ebola in West Africa

THE ECONOMIST                                                                                                   March 9, 2015

As in all Ebola episodes, preventing infection in West Africa during what has been the worst outbreak in history has placed a lot of effort on looking after those dealing with the victims. New high-tech equipment is now available for use by health care workers, but in some countries it may be inappropriate....

Health care workers inside a USAID-funded Ebola clinic in Liberia wearing protective gear. Some of the best protective gear or technology is not available to African countries because of high costs or other conditions.  Photos by Abbas Dulleh • Associated Press,

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First look at hospitalized Ebola survivors' immune cells could guide vaccine design

MEDICALXPRESS                                                                                                 March 9, 2015
Researchers from Emory and the Centers for Disease Control and Prevention have now obtained a first look at the responses in four Ebola disease survivors who received care at Emory University Hospital in 2014, by closely examining their T and B cells during the acute phase of the disease. The findings reveal surprisingly high levels of , and have implications for the current effort to develop vaccines against Ebola.

The Ebola virus, isolated in November 2014 from patient blood samples obtained in Mali. The virus was isolated on Vero cells in a BSL-4 suite at Rocky Mountain Laboratories. Credit: NIAID

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Postmortem Stability of Ebola Virus

A CDC study suggests that the Ebola virus may still be able to cause disease a week after a person infected with the virus has died.

CDC  EMERGING INFECTIOUSNESS DISEASE JOURNAL        March, 2015
Abstract

The ongoing Ebola virus outbreak in West Africa has highlighted questions regarding stability of the virus and detection of RNA from corpses. We used Ebola virus–infected macaques to model humans who died of Ebola virus disease. Viable virus was isolated 7 days posteuthanasia; viral RNA was detectable for 10 weeks.

Read complete study.

http://wwwnc.cdc.gov/eid/article/21/5/15-0041_article

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How big data is beating Ebola

Computational epidemiologists at Virginia Bioinformatics Institute (VBI) have been working to combat the world’s largest and deadliest outbreak of Ebola. - See more at: http://www.information-age.com/technology/information-management/123459120/how-big-data-beating-ebola#sthash.CTk2zlgo.dpuf
Computational epidemiologists at Virginia Bioinformatics Institute (VBI) have been working to combat the world’s largest and deadliest outbreak of Ebola. VBI’s Bryan Lewis writes - See more at: http://www.information-age.com/technology/information-management/123459120/how-big-data-beating-ebola#sthash.CTk2zlgo.dpuf
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Africa tourism acts to shake off Ebola stigma

AFP  by Marie Julie                                                                                                        March 7, 2015
Berlin - - The impact of the deadly Ebola virus fell mainly on three African countries but tourism has taken a hit across the continent of more than 50 nations as fear has kept many visitors away, tourism chiefs say.

Visitors pass by a poster of flight route information at the 49th International Tourism Fair (ITB Berlin 2015) in Berlin on March 4, 2015 (AFP Photo/Tobias Schwarz)

Some 56 million tourists visited Africa in 2014, a two-percent rise from the previous year, according to UNWTO figures, but growth in Africa lagged behind that in Europe, Asia or the Americas.

Africa had seen a robust 4.8-percent increase in tourists a year earlier.

"Africa... did well (last year) in spite of suffering from the Ebola symptoms which were associated unfairly" with Africa as a whole, Taleb Rifai, head of the UN World Tourism Organization (UNWTO), said at the Berlin tourism fair (ITB).

He said Africa needed support, especially after the Ebola crisis, adding: "It was very unfair the generalisation that happened."

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