Liberia

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

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.

VOICE OF AMERICA — by Chris Stein and  Prince Collins  June 11, 2015

DAKAR and  MONROVIA --Burial teams undertook some of the most hazardous work in Liberia’s fight against Ebola. With the West African nation now getting relief from the virus, these men and women say societal stigma is keeping them from getting jobs....

Being unemployed is no small thing in Liberia, which was already recovering from nearly two decades of ruinous civil war before Ebola broke out in 2014.

About two-thirds of Liberians live in poverty, according to the World Bank. Sonny Fayon was unemployed when the outbreak started, he found work on a burial team, but now is out of a job again. Even though he never got sick, no one will hire him, he said.

“We’re not very vulnerable to the Ebola business. We’re well-protected, we wore protective clothing to do the job,” Fayon stated. “So they should accept us. I think we were very careful in doing the work.”
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http://www.voanews.com/content/ebola-stigma-keeps-many-from-work-in-liberia/2816932.html

submitted by Sarah Slaughter         

At The Epidemic’s Epicenter: A Liberian child sits in an Ebola isolation ward housing people who might have contracted the contagious disease.  Photo: John Moore/Getty Images

Did real-time epidemic modeling save lives in West Africa?

spectrum.ieee.org - by David Brown - May 28, 2015

. . . “agent-based” models will give a more nuanced picture of how pathogens affect and sicken a population. “This is the wave of the future,” says Stephen Eubank, deputy director of the Virginia Tech lab. “It’s going to take a concerted effort to gather the data and the expertise. But it’s going to happen.”

And so, too, will another Ebola outbreak.

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