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ICAP Conducts an Assessment of Ebola Community Care Centers in Sierra Leone

submitted by Stephen Morse

icap.columbia.edu - January 15, 2015

An ICAP team conducted a three-week, rapid assessment of Ebola community care centers (CCCs), a new model of care that aims to break the cycle of household transmission of the Ebola virus.

With funding from the UK Department for International Development (DFID), ICAP team members visited 11 sites across six districts—Bo, Bombali, Kambia, Koinadugu, Port Loko, and Western Area—to assess the safety, effectiveness, acceptability, and operational feasibility of these centers, where patients with symptoms suggestive of Ebola receive care and support as they await diagnosis and transfer to Ebola treatment units or referral for other medical services. . .

. . . Using a 168-item site assessment survey, information was gathered on patient flow, laboratory services, on-site standard operating protocols, and other key operational areas of the community care centers.

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Red Cross nurse dies of Ebola in Sierra Leone

ASSOCIATED PRESS                                             Jan. 15, 2015

BERLIN  — The international Red Cross says a local employee has died of Ebola in Sierra Leone, becoming the first Red Cross worker or volunteer to succumb to the disease there.

The International Federation of Red Cross and Red Crescent Societies said the male nurse who worked at an Ebola treatment center in Kenema, whom it didn't identify, died Tuesday and was confirmed to have been suffering from the disease.

It said Thursday it is investigating how the man became infected and whether it happened at home or at work. The agency said 29 people who had contact with him are being monitored for symptoms.Linke

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http://news.yahoo.com/red-cross-nurse-dies-ebola-sierra-leone-125759456.html

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Ebola treatment centre for pregnant women opens

BBC         by Tulip Mazumdar                                       Jan. 14, 2015

FREETOWN --Sierre Leone-- The medical charity Medecins Sans Frontieres has opened its first Ebola treatment centre specialising in care for infected pregnant women.

MSF says the death rate for expectant mothers is extremely high, and health workers treating them, particularly during childbirth or miscarriage, are especially vulnerable to catching the virus.

Building work is still continuing at the maternity section of the latest MSF Ebola clinic on the outskirts of the capital. It is been erected at the site of one of the city's most prestigious secondary schools, Methodist Boys High School, in Kissy.

The classrooms are empty - schools have been closed for months. The playing area is now home to MSF's sixth treatment centre in Sierra Leone. When it is fully operational, it will have 80 beds, and a special focus on treating pregnant women suspected or confirmed to have Ebola.

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http://www.bbc.com/news/health-30780176

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Ebola Cases Drop Off in West Africa

NBC NEWS     by Maggie Fox                                                                             Jan. 14, 2005
The number of new Ebolacases is starting to drop off in the three worst-hit West African countries, and Liberia has only reported 48 cases in the past three weeks, the World Health Organization reported Wednesday.

Guinea and Liberia both reported the fewest new cases since August, WHO says in its latest daily look at Ebola statistics. Sierra Leone is still suffering badly, with 769 new cases over the past 21 days, but that's a decline in reported cases.

"Sierra Leone has now reported a decline in case incidence for the second week running, and recorded its lowest weekly total of new confirmed cases since the week ending 31 August 2014," WHO said.

Overall, 21,261 people have been infected in this ongoing epidemic of Ebola, and 8,414 have died, WHO says.

http://www.who.int/csr/disease/ebola/situation-reports/en/

Ebola Situation report

WHO                                                                                         Jan. 14, 2015

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Probe of Ebola burial practices pinpoints risks, triggers changes

CENTER FOR DISEASE POLICY AND RESEARCH by Lisa Schnirring                                   Jan. 13, 2015

An early September assessment of burial practices in some of Sierra Leone's Ebola hot spots revealed a host of problems that were probably helping fuel ongoing virus transmission in the country, experts from the US Centers for Disease Control and Prevention (CDC) and Sierra Leone's health ministry reported today.

The team conducted its first assessment in three high-risk areas, focusing on burial practices, cemetery management, and adherence to recommended practices. Then they looked at the issues again the following month on a broader scale ahead of the Sierra Leone government's national rollout of standard procedures for safe and dignified burials. They published their findings in Morbidity and Mortality Weekly Report (MMWR).

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http://www.cidrap.umn.edu/news-perspective/2015/01/probe-ebola-burial-practices-pinpoints-risks-triggers-changes

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Most calls to Ebola center are pranks: Sierra Leone official

AFP-JIJI                                                                               Jan. 14, 2014
FREETOWN – Eighty percent of people phoning a toll-free Ebola help number are prank callers, the head of the Ebola Call Centre in Sierra Leone, Reynold Senessie, said Tuesday.

“Such prank calls are affecting the smooth operation of the center,” Senessie said while briefing Palo Conteh, head of the National Ebola Response Centre (NERC), who paid an unannounced visit to the call center.

The good news is that “genuine calls are dwindling and response to such calls have been swift,” he added.

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http://www.japantimes.co.jp/news/2015/01/14/world/science-health-world/calls-ebola-center-pranks-sierra-leone-official/#.VLa5BXu1f8w
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Use of a Nationwide Call Center for Ebola Response and Monitoring During a 3-Day House-to-House Campaign — Sierra Leone, September 2014

CDC detaied study of call center useage in Sierra Leone

See complete study.

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Canada sends more help to fight Ebola in West Africa

TORONTO SUN      by Hal Roberts                              Jan. 13, 2015

OTTAWA — A third mobile lab and two more scientists from the Public Health Agency of Canada are on their way to help fight Ebola in West Africa.

 

Sean Freeman points out on a map of Africa where he was working at the Red Cross offices in downtown Calgary, Alta. where he has returned from working at the Red Cross Ebola Treatment Centre in Kenema, Sierra Leone. on Monday January 5, 2015. Stuart Dryden/QMI Agency

The doctors will spend a week in Amsterdam and Belgium to train with Doctors without Borders before heading to Sierra Leone on Jan. 18.

"It is our hope that the work of this third mobile laboratory — providing physicians with ongoing information about the health of their patients — will allow health-care workers to provide medical treatments tailored to their patients' needs and ultimately, save more lives," Health Minister Rona Ambrose said in a statement Tuesday.

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http://www.torontosun.com/2015/01/13/canada-sends-more-help-to-fight-ebola-in-west-africa

 

 


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Ebola health workers face life or death decision on pregnant women - experts:

REUTERS    by Kieran Guilbert                                                                                       Jan. 14, 2015    

LONDON --Health workers treating women with pregnancy-related problems in Ebola-hit countries have to make life or death decisions for their patients and themselves, experts said on Wednesday.

Health workers have very little time to decide whether a pregnant women with complications is free of Ebola and should have the necessary intervention, or may have Ebola and should have minimal procedures, experts said in BJOG: An International Journal of Obstetrics and Gynaecology.

Dr Benjamin Black, a specialist in obstetrics and gynaecology, said poor infrastructure and limited access to laboratory services meant that test results for suspected Ebola patients could take more than 24 hours to arrive, in which time a woman and her foetus may die....

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Broad Institute analyzes Ebola genomes

MIT THE TECH  by Jennifer F. Switzer                         Jan. 14, 2015

CAMBRIDGE , MA-- At the Broad Institute of MIT and Harvard, in a lab run by accomplished computational geneticist Pardis Sabeti ’97, researchers have collaborated with institutions in the U.S. and abroad to sequence and analyze more than 99 Ebola virus genomes collected by fellow scientists in Sierra Leone. They are on the lookout for mutations that could aid in developing new treatment options for Ebola, or that could serve as indications that the virus is evolving to become more deadly.

Contained within the virus’s 19,000 base-pair genome, the team has found more than 300 genetic changes that separate the 2014 Ebola virus from its predecessors. Of interest is one particular cluster of mutations which, having outlasted other genetic variations, could possibly be conferring some sort of genetic advantage to the virus ebola patients for sequencing.

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http://tech.mit.edu/V134/N62/ebola.htm

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Ebola crisis update - 13th January 2015--MSF

 MEDECINS SANS FRONTIERS                                                                       Jan. 13, 2015

In September, 2014, MSF called for states with biological-disaster response capacity to urgently dispatch human and material resources to West Africa, all three of the worst-hit countries have received some assistance from the international community. But foreign governments have focused primarily on financing or building Ebola case management structures, leaving staffing them up to national authorities, local healthcare staff and NGOs.

Across the region, there are still not adequate facilities for isolating and diagnosing patients where they are needed. Other elements that are essential to an Ebola response – such as awareness-raising and community acceptance, safe burials, contact tracing, alert and surveillance, access to health care for non-Ebola patients – are still lacking in parts of West Africa.

Read complete report.

http://www.msf.org/article/ebola-crisis-update-13th-january-2015

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