Sierra Leone

A British doctor's first-hand description of the challenges of working in a MSF clinic in Sierra Leone
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http://www.reuters.com/article/2014/12/09/us-health-ebola-witness-idUSKBN0JN10G20141209

Medecins Sans Frontieres/Doctors Without Borders (MSF) health worker Benjamin Black is seen at an Ebola virus treatment centre in Bo December 9, 2014. credit: Reuters/Stringer

A few months ago the U.S. Centers for Disease Control and Prevention predicted that up to 1.4 million people in Liberia and Sierra Leone could become infected with Ebola by mid-January. In a recent address to the Senate, CDC director Tom Frieden said that worst-case scenario would not pan out.

That is partly because health care workers in the Ebola hot zone are engaged in a battle to contain the epidemic. It is also because of assumptions about human and viral behavior that are built into the mathematical models used to predict the spread of infectious diseases. Assumptions are inherent in these models. “You take islands of data from different places and build bridges of assumptions that link up all these islands,” says Martin Meltzer, senior health economist at the CDC. Meltzer’s model, which predicted the 1.4 million infections in Liberia and Sierra Leone, worked on the assumption that things would not improve. “Our forecasts are based on the idea that nothing will change,” he says.

REUTERS                                                                                                                    Dec. 9, 2014

CHICAGO -- The U.S. Department of Health and Human Services on Tuesday offered liability protections to drugmakers rushing to develop Ebola vaccines and urged other countries to follow suit.

Health and Human Services (HHS) Secretary Sylvia Burwell made the announcement as part of the Public Readiness and Emergency Preparedness (PREP) Act in a move aimed at encouraging the development and availability of experimental Ebola vaccines.

The declaration provides immunity under U.S. law against legal claims related to the manufacturing, testing, development, distribution, and administration of three vaccines for the Ebola virus. However, it does not provide immunity for a claim brought in a court outside the United States...

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http://www.reuters.com/article/2014/12/09/us-health-ebola-vaccine-idUSKBN0JN1S920141209

THE GUARDIAN     by Sarah Bosley                                                                           Dec. 9, 2014                          FREETOWN --  Sierra Leone has its first-ever call centre. The number to reach it is 117. You can call to report that your mother is sick or your brother is dead. It is a call nobody wants to make, but posters and newspapers and radio broadcasts urge you to pick up the phone – for your own sake and your family’s, but beyond that, for the sake of everybody else you know and don’t know.

Burials of Ebola victims recorded week-by-week. Photograph: Sarah Boseley

It’s a tough one, because that call leads to quarantined homes and holding centres for people with suspected Ebola, where people who do have the virus are sharing rooms with those who eventually turn out to have something else. There’s a real possibility you could go in with malaria and pick up Ebola. It is in the public interest that you make that call. But it is hardly surprising if some people hesitate and others run and hide