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UN declares Ebola public health emergency over; urges 'high vigilance' against flare-ups

A teacher is preparing a bucket with water to use for hand washing. After being kept closed for three months due to the Ebola outbreak, schools across Guinea reopened on 19 January 2015. Photo: UNMEER/Martine Perret

29 March 2016 – The United Nations World Health Organization (WHO) today said West Africa's Ebola outbreak no longer constitutes an international public health threat, declaring that the 20-month global emergency response is over but stressing that a “high level of vigilance” must be maintained.

The Emergency Committee convened by WHO Director-General Margaret Chan concludedat its ninth meeting that the Ebola situation in West Africa no longer constitutes a public health emergency of international concern and that the temporary recommendations adopted in response should now be terminated.

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WHO Urges Stronger Regulations on Vaccines in China

WHO Urges Stronger Regulations on Vaccines in China

 

 
 
 
BEIJING—

China needs to more closely regulate the market for private vaccines within its borders, the World Health Organization said Tuesday after authorities broke up a massive illegal drug ring earlier this month.

Police in China arrested more than 130 people allegedly involved in the illegal drug trade after the group dumped around $48 million worth of illegal vaccines onto the private Chinese drug market. Much of the medicine had expired before it was sold.

“This incident has highlighted the need for more, stricter enforcement of vaccine management regulations across the board,” WHO China representative Bernhard Schwartlander said in an email.

According to Chinese police, a woman and her daughter, who have since been arrested, led the drug ring and sold more than $100 million worth of illegal vaccines across the country since 2001.

Private sellers

All told, 29 pharmaceutical companies are believed to have sold the illegitimate drugs to 16 institutions.

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Guinea, Liberia and Sierra Leone "effectively managing" Ebola flare-ups

Guinea, Liberia and Sierra Leone "effectively managing" Ebola flare-ups

 

Health authorities from Guinea, Liberia and Sierra Leone and representatives of partner organizations have expressed confidence in the capacity of the 3 Ebola-impacted countries to effectively manage residual risks of new Ebola infections—pointing to the rapid government-led containment of recent flare-ups of the disease.

Dr Abou Beckr Gaye, WHO Representative, Guinea (left) Dr Sakoba Keita, Ebola Response National Coordinator, Guinea (center) Dr Bruce Aylward, WHO Executive Director ai, Outbreaks and Health Emergencies (right)
WHO/M. Winkler

Meeting in Conakry

 

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Building A More Resilient West Africa - How Open Innovation Can Help

         

Improving local health workers’ access to real-time health information will enable a faster and better response to global health threats. / Neil Brandvold, USAID

medium.com/usaid-2030 - by Ann Mei Chang - February 11, 2016

. . . The next generation of health information systems have to not only quickly and accurately deliver the necessary information to healthcare workers, but they need to be able to communicate with each other. The wide range of people involved in combating epidemics such as Ebola need to be able to efficiently and seamlessly share information to ensure coordinated responses and better resource distribution. . . .

. . . To get the conversation started, USAID put out a call for innovative concepts for improving interoperability within health information systems in the developing world. We gathered over 40 organizations for a three-day co-creation workshop in Washington, D.C. in November. Almost 100 experts — including donors, engineers, software developers and implementers in the field — arrived to co-design a solution. . . .

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Ebola Returns: 2nd Case of Relapse Raises Questions

A microscopic view of the Ebola virus. Credit: CDC/Cynthia Goldsmith/Public Health Image LibraryImage: A microscopic view of the Ebola virus. Credit: CDC/Cynthia Goldsmith/Public Health Image Library

livescience.com - October 20th, 2015 - Ashley P. Taylor

Scottish nurse Pauline Cafferkey — who became sick with Ebola about a year ago and recovered, but then became very ill again last week with what may be a relapse of the deadly virus — is now improving.

"Pauline Cafferkey's condition has improved to serious but stable," representatives from London's Royal Free Hospital said in a statement Monday (Oct. 19).

Hospital representatives said on Oct. 9 that the nurse had developed an "unusual late complication" of the virus, and reported last week that she was "critically ill."

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Mystery Deaths in Sierra Leone Spread Fear of Ebola Relapses

submitted by George Hurlburt

      

Sierra Leonean doctors practice wearing protective clothing in the Ebola Training Academy in Freetown, Sierra Leone, December 16, 2014. Reuters

uk.reuters.com - by Kemo Cham and Emma Farge - October 21, 2015

. . . the case of Scottish nurse Pauline Cafferkey – the first known Ebola survivor to have an apparently life-threatening relapse – has revived concerns about the health of some 17,000 survivors in Sierra Leone, neighbouring Guinea and Liberia.

Doctors and health officials in Sierra Leone told Reuters that a handful of mystery deaths among discharged patients may also be types of Ebola relapses, stirring fear that the deadly virus may last far longer than previously thought in the body, causing other potentially lethal complications.

Diagnoses have not been made, partly because of a lack of relevant medical training and insufficient equipment for detecting a virus that can hide in inaccessible corners of the body - such as the spinal fluid or eyeball. In Cafferkey's case, the virus in her brain caused meningitis.

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The Chains of Mental Illness in West Africa

submitted by George Hurlburt

         

Yaovi Gaffa, 20, chained in a room at a prayer camp near Lomé, Togo, in April. Chaining is a last resort for families in West Africa where psychiatry is virtually unknown. Credit Joao Silva/The New York Times

nytimes.com - by Benedict Carey - October 11, 2015

KPOVÉ, Togo — The church grounds here sprawled through a strange, dreamlike forest. More than 150 men and women were chained by the ankle to a tree or concrete block, a short walk from the central place of worship. Most were experiencing the fearsome delusions of schizophrenia.

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Ebola: What Happened

COUNCIL ON FOREIGN RELATIONS  BY John Campbell
(Scroll down for Laurie Garett's essay "Ebola's Lessons.")

With a rapidly growing and urbanizing population, persistent poverty, and weak governance, Sub-Saharan Africa is likely to be the source of new epidemics that potentially could spread around the world. Understanding the disastrous response of African governments, international institutions, and donor governments to the Ebola epidemic is essential if history is not to be repeated yet again. That makes Laurie Garrett’s essay, “Ebola’s Lessons,” in the September/October 2015 issue of Foreign Affairs, essential reading.

The Ebola virus treatment center where four people are currently being treated is seen in Paynesville, Liberia, July 16, 2015. (Courtesy Reuters/James Giahyue)

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How to Beat the Next Ebola

submitted by George Hurlburt

             

Graves dug in Freetown, Sierra Leone, to cope with those dying from Ebola in late 2014.  Mads Nissen/Panos

The world is ill-prepared for the next epidemic or pandemic. But the horror of the Ebola outbreak in West Africa may drive change.

nature.com - by Declan Butler - August 5, 2015

If there was one point last year when public-health experts held their breath, it was when a Liberian man infected with Ebola virus flew to Lagos, Nigeria, in July. Ebola was already raging uncontrolled through impoverished countries in West Africa, killing half of those it infected. Now a vomiting man had carried it straight to the heart of Africa's largest megacity — with 21 million inhabitants, many of whom live in slums. Experts were horrified at the prospect that the virus might rip through the city — and then, because Lagos is an international travel hub, spread farther afield.

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Bird Flu Spreading Across West Africa, Human Spillover Feared: UN

          

A man poses with a chicken at a local market in Gombe state, Nigeria, January 30, 2015. REUTERS/ Afolabi Sotunde

trust.org - Thomson Reuters Foundation - by Chris Arsenault - 20 Jul 2015

A highly contagious strain of avian flu is spreading across West Africa, decimating poultry farms and stoking fears the virus will jump from birds to humans, the U.N.'s food agency warned on Monday.

Markets and farms in Nigeria, Burkina Faso, Niger, Ivory Coast and Ghana have been hit with the deadly H5N1 virus over the past six months, the U.N.'s Food and Agriculture Organization (FAO) said.

If the virus continues to spread, it could affect more than 330 million people across West Africa, hurting food security and human health in a region still recovering from the Ebola crisis.

"Urgent action is needed to strengthen veterinary investigation and reporting systems... to tackle the disease at the root, before there is a spillover to humans," Juan Lubroth, head of the FAO's animal health division, said in a statement.

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