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Seeking the Source of Ebola

The latest Ebola crisis may yield clues about where it hides between outbreaks.

GLOBAL LITERACY PROJECT                                       June  15, 2015
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   Picture of a masked bush meat hunter. Peter Muller.

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As Ebola Crisis Wanes, a Mixed Picture of Economic Recovery for Households in Sierra Leone

THE WORLD BANK                                                                       June 15, 2015

WASHINGTON—Employment in Sierra Leone has returned to pre-crisis levels, though earnings and hours worked still lag behind. This is according to respondents in the latest round of high-frequency mobile-phone surveys, led by Statistics Sierra Leone with support from the World Bank Group, assessing how Ebola is impacting people’s livelihoods.

The survey contacted a sample of 1,715 households during May, 2015, which represents 41 percent of the 4,199 households covered in the baseline, nationally-representative Labor Force Survey conducted in July and August 2014.

 “Sierra Leone is working tirelessly to get to zero cases of Ebola,” said Francis Ato Brown, World Bank Group Country Manager for Sierra Leone. “Our job has to be not only to support the country in eradicating Ebola, but also to look toward economic recovery and toward mitigating the short-, medium-, and long-term impacts of the crisis on the social and economic wellbeing of all Sierra Leoneans.

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Health Authorities Repeating Mistakes in Ebola Fight: MSF

      

A Sierra Leonean doctor practises wearing protective clothing in the Ebola Training Academy in Freetown, Sierra Leone, December 16, 2014.  Reuters/Baz Ratner

AFP - June 13, 2015

Dakar (AFP) - Health authorities are repeating the mistakes of the past in combatting Ebola, more than a year after its onset in Guinea and Sierra Leone, the international president of Doctors Without Borders (MSF) warned.

Joanne Liu's remarks on Saturday come a day after Sierra Leone imposed a three-week daytime curfew in the last Ebola-hit areas in a bid to curb a resurgence of the deadly virus, which has killed about 3,900 people in the country.

Neighbouring Liberia was declared Ebola-free in May, but hopes that Sierra Leone and Guinea would quickly follow suit have been dashed in recent weeks.

"We are still making the same mistakes as we did in the past," said Liu.

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Favipiravir—a prophylactic treatment for Ebola contacts?

THE LANCET byMichel Van Herp, Hilde Declerck and Tom Decroo June 13, 2015

.. the efficacy of candidate Ebola vaccines for primary prevention has not been proven.2 Furthermore, in communities in which Ebola transmission might be ongoing, an important question is: how will such a vaccination be perceived if a vaccinated person develops Ebola? Such a scenario is possible in people who contract Ebola virus before vaccination. If a person is infected with Ebola virus before vaccination, the vaccine might have a post-exposure prophylactic effect. However, how effective this prophylaxis might be is unknown.2 Moreover, if someone is infected more than 48 h before vaccination, the post-exposure prophylactic effect is likely to be insufficient, leading to possible development of Ebola after vaccination. This scenario is likely to result in serious issues relating to community trust and acceptance of an Ebola vaccine.3 How to exclude Ebola among people presenting with post-vaccination fever is also an issue.2

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Home > Health Sierra Leone Leader Imposes Curfew in Bid to Halt Ebola

 

FREETOWN -- Sierra Leone's president imposed new restrictions Friday preventing people from entering or leaving two chiefdoms in the northern part of the country that are experiencing a resurgence of Ebola.

While neighboring Liberia has defeated Ebola, Sierra Leone and Guinea have continued to battle new cases, particularly along the border where those two countries meet.

Sierra Leone had 15 news cases in the week ending June 7, according to the World Health Organization, the highest weekly total since late March.

On Friday, President Ernest Bai Koroma said people would be barred from entering or leaving the affected parts of Kambia and Port Loko districts in northern Sierra Leone. A 21-day curfew also will be in effect from 6 p.m. to 6 a.m., government officials said, though the public health benefit of such a limited measure was not immediately clear.

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How close is the Ebola vaccine?

PUBLIC BROADCASTING CORP by Caleb Hellerman         June 11, 2015

The quest for an Ebola vaccine has been a journey filled with excruciating delays and mad dashes. The latest outbreak in West Africa caused governments and drug companies to jumpstart research that had languished back when the threat of Ebola wasn’t big enough to sustain a commercial market. (Prior to 2013, the virus had sickened fewer than 2,300 people in known history). Human safety trials of two vaccines began last summer — each being given to a small group of healthy volunteers. When no major side effects were apparent, health officials scrambled to launch larger tests in the countries that were most affected by Ebola.

A volunteer receives an Ebola vaccine in Sierra Leone. Thousands of these voluntary immunizations have been tested so far in the West African nation. Photo by Cameron Hickey.

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A Chinese Ebola Drug Raises Hopes, and Rancor

NEW YORK TIMES   by Sheri Fink, MD                                                      June 12, 2015   

After a nurse who contracted Ebola in Sierra Leone was discharged Wednesday from a Rome hospital, a doctor there described the experimental treatments the patient had received as “absolutely miraculous.”

The lab at Beijing Mabworks, which developed the experimental drug, MIL77, used to treat Ebola. Credit Adam Dean for The New York Times

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International Ebola Recovery Conference Ending Ebola: “Get to Zero, Stay at Zero and Rebuild”

Congo Town, Freetown, Sierra Leone. Photo: Dylan Lowthian/UNDP

Image: Congo Town, Freetown, Sierra Leone. Photo: Dylan Lowthian/UNDP

africa.undp.org - May 9th, 2015

United Nations Secretary-General Ban Ki-moon will host an International Ebola Recovery Conference in July to ensure that the affected countries receive the resources and support they need to overcome the wider socio-economic consequences of the ongoing Ebola outbreak.

The conference at United Nations Headquarters in New York on 10 July 2015 will take place in cooperation with the Governments of Guinea, Liberia and Sierra Leone, together with other partners. 

With numbers of Ebola cases have dropped, the affected countries still need the support of the international community to get to zero cases, stay there, and to move forward on the road to recovery.

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How the Ebola outbreak has impacted Sierra Leone’s education

POLITICO by Joseph Lamin Kamara                                                               June 11, 2015

The outbreak of the Ebola virus disease has had enormous impacts on Sierra Leone’s education. Whether one views the country’s immediate pre-Ebola educational system as a failure or as a success, the outbreak has exacerbated that failure or posed a setback to the success. Nevertheless, education in the country has seen more challenges than successes.

Since late 1960s, Sierra Leone has seen several political instabilities which have eventually pretermitted much of the success the country made earlier in education. Coup d’états, scramble for diamonds and a long violent civil conflict are mostly responsible for the country’s descent from being the ‘Athens of West Africa’ to performing consistently abysmally in public examinations....

Problems relating to payment of teachers’ and lecturers’ salaries, shortage of teachers, infrastructural incapacities, among others, have also been at the heart of Sierra Leone’s educational problems.

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http://politicosl.com/2015/06/how-the-ebola-outbreak-has-impacted-sierra-leone%E2%80%99s-education/

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Ebola Cases Rise Again in West Africa

NBC NEWS   by Magie Fox                          June 10, 2015

The steady decline in Ebolacases has stopped and the numbers are ticking up again in Guinea and Sierra Leone, the World Health Organization reported Wednesday.

WHO is worried that there are still people who don't understand how to stop the spread of the virus, which has infected more than 27,000 people and killed more than 11,000 of them in the West African epidemic. Even more worrying, it's not entirely clear where some of the new cases have come from....

If health workers can find out where and how people were infected, they can track down and check everyone who might have been in close contact and night transmit the disease. But there are still mysterious outbreaks.

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http://www.nbcnews.com/storyline/ebola-virus-outbreak/ebola-ticks-again-west-africa-n373171

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