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Splinter Ebola Outbreaks Hinder Fight Against Virus: UN

BLOOMBERG      by  Jason Gale                                                                 Jan. 19, 2015

West Africa’s Ebola epidemic has morphed into several micro-outbreaks of varying intensity and with the potential to reignite more widespread contagion, a United Nations official said.

The pattern of spread has become more nuanced and complex, occurring over a wider area, David Nabarro, the UN Secretary-General’s special envoy on Ebola, said in a report by the Global Ebola Response Information Centre.

The 36-page publication, dated January 2015, outlines progress to date and changes in the global response needed to end the deadly scourge, which began in December 2013 in a remote area of Guinea, near the border with Liberia and Sierra Leone. ...

“Ending the outbreak will not be easy because the disease is being transmitted in three countries with a collective land area greater than the United Kingdom,” Nabarro said. “Success can only be achieved if communities themselves understand the nature of the outbreak and act in ways that reduce their likelihood of becoming infected.”

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Interview with Dr. David Nabarro, United Nations Special Envoy for Ebola

UNITED NATIONS NEWS CENTRE                                                               Jan.16, 2015

David Nabarro,Special Envoy on Ebola since August 2014, ...spoke with the UN News Centre in New York between his latest visit to Liberia, Guinea and Sierra Leone and a trip around Europe where he will visit the World Economic Forum and national capitals, seeking more resources to continue the fight against the outbreak. He described the reducing intensity of the outbreak, the shift in focus of responders and his growing confidence that the outbreak can be beaten. He also stressed the need for continued vigilance and more international support – in the form of people, materials and money – and looked forward to approval of a potential vaccine for the disease.

Excerpt:  " I’d like to start by describing the outbreak as it appears right now, and then I’d like to talk about the way in which the national Government and local communities are responding and the ways in which the international community is helping them.

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UN: At Least 50 Ebola Hotspots Remain, but New Cases Falling

ASSOCIATED PRESS   By EDITH M. LEDERER                                                         Jan. 15, 2015

UNITED NATIONS --At least 50 Ebola hotspots remain in the three hardest-hit West African countries but new cases are declining and the deadly disease will be defeated, the U.N.'s Ebola chief said Thursday.

The latest report from the World Health Organization showing reductions in Guinea, Liberia and Sierra Leone "is very good news," Dr. David Nabarro said in an interview with The Associated Press.

In the week ending Jan. 11, WHO said Guinea reported its lowest weekly total of new Ebola cases since mid-August. Liberia had its lowest total since the first week of June and no confirmed new cases for the final two days of the week. And new cases in Sierra Leone declined for a second week to the lowest level since the end of August.

But Nabarro cautioned that "there are still numbers of new cases that are alarming, and there are hotspots that are emerging in new places that make me believe there is still quite a lot of the disease that we're not seeing."

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After Ebola, WHO blames governments and seeks more clout

REUTERS   by Tom Miles                              Jan. 13, 2015

GENEVA - The World Health Organization says governments flouted their obligations during the Ebola crisis and wants more power to tackle health emergencies in future, documents published by the international agency showed on Monday.

The Geneva-based U.N. health organisation has been heavily criticised for its slow response to the Ebola epidemic, which has now killed at least 8,371 people out of more than 21,000 cases in Liberia, Sierra Leone and Guinea.

The WHO promised in October to publish a full review of its handling of the outbreak once the epidemic was under control.

But it has not yet done so.

The documents submitted to its 34-nation Executive Board said governments had put International Health Regulations that cover public health risks and disease outbreaks at risk through actions such as closing borders and discriminating against travellers from Ebola-affected countries.

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http://af.reuters.com/article/topNews/idAFKBN0KM0CU20150113?pageNumber=1&virtualBrandChannel=0

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Health 2 Leading Ebola Vaccines Appear Safe, Further Tests Starting

ASSOCIATED PRESS  by Maria Cheng                                                                          Jan. 9, 2015
LONDON --The World Health Organizationsays the two leading Ebola vaccines appear safe and will soon be tested in healthy volunteers in West Africa.

After an expert meeting this week, WHO said there is now enough information to conclude that the two most advanced Ebola vaccines ? one made by GlaxoSmithKline and the other licensed by Merck and NewLink ? have "an acceptable safety profile."

In a press briefing on Friday, Dr. Marie-Paule Kieny, who heads WHO's Ebola vaccine efforts, said "the cupboard (for Ebola vaccines) is filling up rapidly."

She said further trials in healthy people in West Africa, including health workers, are scheduled to start soon. Kieny added several other vaccines were being developed in the U.S., Russia and elsewhere.

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http://abcnews.go.com/Health/wireStory/leading-ebola-vaccines-safe-tests-starting-28107527

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Effort on Ebola Hurt W.H.O. Chief

NEW YORK TIMES  by Somini Sengupta                                                  Jan. 7, 2015

....Now, Ebola is battering three fragile countries in Africa and with it, the W.H.O.’s standing — in large part, Dr. Chan’s critics say, because she let governments around the world steer the agency to fit their own needs, instead of firmly taking the helm as the world’s doctor in chief.

Diplomacy is an inevitable, even necessary, part of running the world’s main health organization, vital to getting fractious countries to cooperate for the sake of global health, her critics acknowledge.

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Ebola deaths top 8,000; exposures trigger health worker evacuations

Ebola: Roundup of recent developments

(Two items. Scroll down for UNMEER report.)

CENTER FOR INFECTIOUSNESS DISEASE AND POLICY   by Lisa Schnirring                              Jan. 5, 2015

As deaths in West Africa's Ebola outbreak officially topped 8,000 over the weekend, leadership of the United Nations Mission for Ebola Emergency Response (UNMEER) changed hands, and Guinea launched a new effort to battle the disease amid continuing reports of community resistance....

In other developments, Guinea's government has announced the launch of a campaign called "zero Ebola in 60 days", UNMEER said today. Guinea's Ebola case counts have been oscillating over the past several months, and in its most recent update, the WHO said it's not clear what the trend is. The first part of Guinea's campaign will start Tuesday, with expert teams traveling to six regions to assess local response efforts and form an action plan for each prefecture that dovetails with Guinea's national action plan.

UNMEER said the campaign's working groups are targeting surveillance, case management, infection control, community engagement and social mobilization, and safe burials.

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Victory against Ebola 'within our reach': new UN mission chief

AFP                                                                 Jan 4, 2015

ACCRA -- Ending the deadliest Ebola outbreak in history is a difficult task, but it is "within our reach", the UN's new mission chief on the disease said, warning that the world has no choice but to beat back the infection.

"This is a global crisis. We definitely have a difficult time ahead of us, but we can achieve it," Ismail Ould Cheikh Ahmed, the new head of the UN Mission for Ebola Emergency Response (UNMEER), said on arrival in Ghana on Saturday.

"We have no plan B, we have to get rid of this virus. This is within our reach, but we should not be complacent," said Ahmed, a Mauritanian, who had arrived in Accra to officially assume duty, taking over from American Anthony Banbury...

Ahmed will be visiting Liberia and Sierra Leone this week, and Guinea shortly after, "to reinforce UNMEER's strategic priorities and see first-hand the Ebola response." the text said. He will be accompanied by UN Special Envoy on Ebola, David Nabarro, it added.
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http://news.yahoo.com/victory-against-ebola-within-reach-un-mission-chief-075544472.html;_ylt=AwrBEiEmk6lU7hgAFk3QtDMD

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After Slow Ebola Response, WHO Seeks to Avoid Repeat

Health Body to Consider Rapid-Response Teams, Other Changes

WALL STREET JOURNAL by Betsy McKay in Atlanta and Peter Wonacott in Freetown, Sierra Leone             Dec. 30, 2014

The tepid initial response to West Africa’s Ebola outbreak exposed holes in the global health system so gaping it has prompted the World Health Organization to consider steps to prevent a repeat, including emergency-response teams and a fund for public-health crises.

In a special session next month in Geneva, the WHO’s executive board is expected to consider those and other recommendations by its member countries—including a proposal that it commission an outside review of its Ebola response—according to a document reviewed by The Wall Street Journal.

The plan comes as global health officials are struggling with a knotty question: how the WHO could have moved at a slow pace initially despite lessons learned more than a decade ago from another deadly outbreak, of SARS.

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http://www.wsj.com/articles/after-slow-ebola-response-who-seeks-to-avoid-repeat-1419892712

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UK must act to guard against pandemics, says scientist who discovered Ebola virus

THE INDEPENDENT by Charlie Cooper                                                               Dec. 26, 2014

The UK must create a new health security agency to guard against future pandemics, according to the scientist who discovered the Ebola virus. Professor Peter Piot said Britain and Europe lacked “an epidemic intelligence service” with global reach, leaving them “vulnerable” and less able to intervene in overseas health crises such as the Ebola outbreak, which has killed thousands of people in West Africa. Peter Piot discovered Ebola when he was sent to investigate an outbreak in Zaire, now the DRC, in 1976 (AFP/Getty)

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