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Case Study: Nebraska's Ebola isolation and decontamination approach

MEDICAL NEWS TODAY                                                                                                 March 4, 2015

The Nebraska Biocontainment Unit (NBU), located at the Nebraska Medical Center, has shared its protocol for Ebola patient discharge, handling a patient's body after death and environmental disinfection in the March issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

Discharge process for a patient treated for EVD

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Interview: Liberia leader urges help in post-Ebola phase

Liberian President urges more support for recovery, to meet next week with President Obama

(Two stories. Scroll down.)

ASSOCIATED PRESS                                                                                      Feb. 22, 2015
HARJAH, United Arab Emirates — Liberia’s leader on Sunday urged the United States and other countries to keep up their support to the West African nation as it recovers from the Ebola epidemic and refocuses attention on infrastructure projects that will better position it to tackle future outbreaks of disease.

Liberian President Ellen Johnson-Sirleaf speaks to villagers about Ebola virus precautions outside Ganta, Liberia, October 7, 2014. Credit: Reuters/Daniel Flynn

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Life After Ebola: What It Takes For A Village To Be Resilient

NATIONAL PUBLIC RADIO INTERVIEW by Laura Starecheski                                     Feb. 20, 2015
BARKEDU,  LIBERIA --If you'd like to get an idea of what resilience is all about, take a lesson from Mamuedeh Kanneh.

She lost her husband to Ebola. But she's stayed strong. She's caring for 13 children, her own and orphans whose parents died of the virus.

Mamuedeh Kanneh was married to Laiye Barwor, the man who brought Ebola to Barkedu, Liberia. He died of the virus. She now cares for her children as well as children who lost their parents to the disease. John W. Poole/NPR

Kanneh lives in Barkedu, a village of about 6,000 in northern Liberia. Ebola took more than 150 lives. In her neighborhood there were many deaths, so people in other parts of Barkedu are scared of the orphans.

Kanneh has a strategy to help these children — and the village overall — get back to normal life. She sends the youngsters on errands so people can get used to seeing them and get over their fear. And the children can start to feel they're part of the community again....

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International Experts, Led By UN, Kick Off Ebola Recovery Assessment in Sierra Leone

          

Daily life in Freetown, Sierra Leone, one of three West African countries most affected by the outbreak of the Ebola virus.
Photo: World Bank/Dominic Chavez

un.org

15 January 2015 – Spearheaded by the United Nations, a team of international experts has begun an Ebola Recovery Assessment (ERA) mission in Sierra Leone as part of an effort to partner with Governments to address the impact of the virus on affected countries. 

The ERA mission is made up of experts from the European Union, World Bank and the African Development Bank. They are expected to finish their work this weekend in Accra, Ghana after a one-day stop in Guinea tomorrow. 

The mission’s aim is to work with the Governments of the countries hardest hit by the virus –Sierra Leone, Liberia and Guinea – to assess critical areas that will spearhead economic and social recovery in the post-Ebola era.

According to a statement released by the Office of the UN Resident Coordinator in Sierra Leone, David McLachlan-Karr, the ERA is anchored in national ownership.

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On the Front Lines of Ebola’s Most Pressing Mystery

WIRED     by   Erika Check Hayden                                                                              Dec. 23, 2014

KENEMA, Sierra Leone—Mohammed Sankoh Yillah, an outreach worker, spent days in the Ebola ward caring for his sister, nurse Mbalu Fonnie. After Fonnie died in July, Yillah tested positive for the virus. He was transported to another hospital for treatment, but asked to come back to Kenema to die.

But Yillah survived.

Today Yillah sits with four colleagues in an office, discussing a new research project. The study is collecting information about survivors like him. The hope is that the study might help explain why he and others beat Ebola, while their friends and colleagues—Alex, Mbalu—did not.

Epidemiologist Lina Moses runs the meeting. Her colleagues back at Tulane University, she says, hope to analyze blood samples from survivors; she collected 29 such samples here in November. “What they want to know in the laboratory,” she says, “is what kind of antibodies Mohammed Yillah has that helped him to survive Ebola.”

 

                                                                             

 

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An Ebola Doctor’s Return From the Edge of Death

Detailed description of one Doctor’s Story of Fighting Back From Ebola’s Deadly Grip

NEW YORK TIMES by Denise Grady                                Dec. 8, 2014

Dr. Ian Crozier, 44, contracted Ebola in Sierra Leone while treating patients. He was evacuated to Atlanta on Sept. 9 and had an agonizing illness, with 40 days in the hospital and dark stretches when his doctors and his family feared he might sustain brain damage or die. His identity was kept secret at his request, to protect his family’s privacy.

 

Now, for the first time, he is speaking out. His reason, he said, is to thank Emory for the extraordinary care he received, and to draw attention to the continuing epidemic.

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WHO grants ethics approval for use of experimental Ebola drug - Zmapp

The World Health Organization declared Tuesday that it's ethical to use unproven Ebola drugs and vaccines in the outbreak in West Africa provided the right conditions are met.

"In the particular circumstances of this outbreak and provided certain conditions are met, the panel reached consensus that it is ethical to offer unproven interventions with as yet unknown efficacy and adverse effects, as potential treatment or prevention," the agency said in a statement.

The panel said "more detailed analysis and discussion" are needed to decide how to achieve fair distribution in communities and among countries, since there is an extremely limited supply of the experimental drugs and vaccines.

The statement from the UN health agency came amid a worldwide debate over the medical ethics surrounding the Ebola outbreak. However the agency sidestepped the key questions of who should get the limited drugs and how that should be decided.

WHO says 1,013 people have died so far in the Ebola outbreak in West Africa and authorities have recorded 1,848 suspected or confirmed cases.

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