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Ebola - Guinea, Liberia, Sierra Leone und Mali

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Ebola-Fieber in Westafrika

Beitragvon Birgitt » 23.08.2014 10:39

Wer Ebola stoppen will, muss Kranke von Gesunden trennen. Unmöglich im 75.000-Menschen-Slum. In Liberias Hauptstadt werden die Ärmsten jetzt eingesperrt. Mit dem Virus.

Die Aussätzigen von Monrovia
22.08.2014 - Zeit

Die Ebola-Epidemie hat sich trotz erster Vorsichtsmaßnahmen in Westafrika weiter ausgebreitet. Die Weltgesundheitsorganisation WHO erhöhte ihre Angaben über die Zahl der Toten von zuletzt 1350 auf mindestens 1427. Allein 624 Todesfälle gab es den Angaben zufolge in Liberia, dem am stärksten betroffenen Land. Auch das bisher weitgehend verschonte Nigeria meldete zwei neue Ebola-Infizierte. Behörden zeigten sich dabei alarmiert, dass die beiden Erkrankten im Unterschied zu den bisherigen Fällen keinen direkten Kontakt zu dem ersten Ebola-Toten hatten, der aus Liberia eingereist war.

Bereits mehr als 1400 Tote durch Ebola
23.08.2014 - tagesschau

Gruß
Birgitt
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Ebola - Elfenbeinküste schließt Grenzen

Beitragvon Birgitt » 23.08.2014 14:26

Aus Furcht vor einer Ausbreitung der Ebola-Seuche hat der westafrikanische Staat Elfenbeinküste seine Grenzen zu Guinea und Liberia geschlossen. Die Krankheit sei an weiteren Stellen ausgebrochen, erklärte die Regierung. In der Elfenbeinküste sind nach Angaben der Weltgesundheitsorganisation (WHO) noch keine Fälle von Ebola bekannt.

Elfenbeinküste schottet sich ab
23.08.2014 - tagesschau

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Ebola-Fieber in Westafrika

Beitragvon Birgitt » 23.08.2014 16:49

EBOLA VIRUS DISEASE - WEST AFRICA (135): WHO, NIGERIA, RECOVERY, MORE
*********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this posting:
[1] WHO update
[2] Nigeria: 2 new cases
[3] WHO underestimation
[4] Questions about recovery
[5] Change in strategy?
[6] Prevention
[7] False alarms


******
[1] WHO update
Date: Fri 22 Aug 2014
Source: WHO Global Alert and Response, Disease Outbreak News [edited]
http://www.who.int/csr/don/2014_08_22_ebola/en/


Ebola virus disease update -- west Africa
-----------------------------------------
Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 20 Aug 2014: Total cases 2615, deaths 1427.

Between 19-20 Aug 2014, a total of 142 new cases of Ebola virus disease (laboratory-confirmed, probable, and suspect cases) as well as 77 deaths were reported from Guinea, Liberia, Nigeria, and Sierra Leone.

[A] new draft budget is being reviewed by partners. The increase in needed resources is based on improved data and understanding of the situation on the ground in the affected countries. The new estimation of costs is derived using a unit-cost model, built for the most intense transmission areas and reflects the average operational costs based on the current situation in the affected countries. The major assumptions for the cost estimates will be announced towards the end of next week.

WHO continues to receive reports of rumoured or suspected cases from countries around the world and systematic verification of these cases is ongoing. Countries are encouraged to continue engaging in active surveillance and preparedness activities. As of today, no new cases have been confirmed outside of Guinea, Liberia, Nigeria, or Sierra Leone [but see Nigeria's 2 new cases in [2] below].

WHO does not recommend any travel or trade restrictions be applied except in cases where individuals have been confirmed or are suspected of being infected with EVD or where individuals have had contact with cases of EVD. (Contacts do not include properly-protected health-care workers and laboratory staff.) Temporary recommendations from the Emergency Committee with regard to actions to be taken by countries can be found at:
IHR Emergency Committee on Ebola outbreak in west Africa
http://www.who.int/mediacentre/news/sta ... 0140808/en

[Table: Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 20 Aug 2014.

This shows for Nigeria: 16 cases with 5 deaths, one fatal case confirmed. - Mod.JW]

The total number of cases is subject to change due to ongoing reclassification, retrospective investigation, and availability of laboratory results. Data reported in the Disease Outbreak News are based on official information reported by Ministries of Health.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

******
[2] Nigeria: 2 new cases
Date: 22 Aug 2014
Source: SaharaReporters [edited]
http://saharareporters.com/2014/08/22/s ... -infection


Spouses of 2 Nigerians killed by EVD admitted to hospital with full blown infection
-----------------------------------------------------------------------------------
Nigeria's Minister of Health, Professor Onyebuchi Chukwu, on Friday [22 Aug 2014] confirmed what SaharaReporters had consistently reported, that 2 more people have been infected with Ebola virus disease (EVD), bringing the number of current established cases to 4. Chukwu, who made the confirmation during an interaction with journalists, said the latest EVD victims are spouses of 2 of the 5 people earlier killed by the disease ... [more]

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******
[3] WHO underestimation
Date: Fri 22 Aug 2014
Source: WHO Situation Assessment [edited]
http://www.who.int/mediacentre/news/ebo ... t-2014/en/


Why the EVD outbreak has been underestimated
--------------------------------------------
The magnitude of the EVD outbreak, especially in Liberia and Sierra Leone, has been underestimated for a number of reasons. Many families hide infected loved ones in their homes. As EVD has no cure, some believe infected loved ones will be more comfortable dying at home. Others deny that a patient has EVD and believe that care in an isolation ward -- viewed as an incubator of the disease -- will lead to infection and certain death. Most fear the stigma and social rejection that come to patients and families when a diagnosis of EVD is confirmed.

These are fast-moving outbreaks, creating challenges for the many international partners providing support. Quantities of staff, supplies, and equipment, including personal protective equipment, cannot keep up with the need. Hospital and diagnostic capacities have been overwhelmed. Many treatment centres and general clinics have closed. Fear keeps patients out and causes medical staff to flee. In rural villages, corpses are buried without notifying health officials and with no investigation of the cause of death. In some instances, epidemiologists have travelled to villages and counted the number of fresh graves as a crude indicator of suspected cases.

In parts of Liberia, a phenomenon is occurring that has never before been seen in an EVD outbreak. As soon as a new treatment facility is opened, it is immediately filled with patients, many of whom were not previously identified. This phenomenon strongly suggests the existence of an invisible caseload of patients who are not being detected by the surveillance system. For example, in Monrovia, Liberia's capital, an EVD treatment centre with 20 beds, which opened last week [week ending 15 Aug 2014], was immediately overwhelmed with more than 70 patients.

An additional problem is the existence of numerous "shadow-zones." These are villages with rumours of cases and deaths, with a strong suspicion of EVD as the cause, that cannot be investigated because of community resistance or lack of adequate staff and vehicles. In some areas, most notably Monrovia, virtually all health services have shut down. This lack of access to any form of health care contributed to the mobbing incident on Saturday at an EVD holding facility in the West Point township, Liberia's most disease-prone slum. Rumours spread that the holding facility, hastily set up by local authorities in an abandoned schoolhouse, was actually a clinic for general health care. People from other communities brought their ailing family members there, where they were housed together with suspected EVD patients. The presence of patients from these other communities was resented by the West Point community, and this resentment contributed to the riot and subsequent looting, in which potentially contaminated materials were carried into these communities.

WHO epidemiologists in Sierra Leone and Liberia are working with other agencies, including Medecins Sans Frontieres (Doctors without Borders) and the US Centers for Disease Control and Prevention, to produce more realistic estimates and thus communicate the true magnitude of needs.

WHO media contacts:

Gregory Hartl
Telephone: +41 22 791 4458
Mobile: +41 79 203 6715
Email: <hartlg@who.int>

Fadela Chaib
Telephone: +41 22 791 3228
Mobile: +41 79 475 55 56
Email: <chaibf@who.int>

Tarik Jasarevic
Mobile: +41 793 676 214
Tel: +41 22 791 5099
E-mail: <jasarevict@who.int>

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

******
[4] Questions about recovery
Date: Thu 21 Aug 2014
Source: National Public Radio (NPR), USA [edited]
http://www.npr.org/blogs/goatsandsoda/2 ... dr-brantly


We Answer Your Questions About EVD Recovery
-------------------------------------------
Dr. Kent Brantly announced his recovery from Ebola virus disease, with his wife, Amber Brantly, during a press conference at Emory University Hospital Thursday [21 Aug 2014] in Atlanta [Georgia, USA]. Brantly got sick at the end of July [2014]. Brantly and Nancy Writebol went through "a rigorous course of treatment and thorough testing for treatment," before they were released, said Emory's Dr. Bruce Ribner, at a press conference Thursday. He is confident that their release posed no threat to the public, Ribner added.

But still, the news of Brantly's and Writebol's release generated a flurry of questions from our readers -- and our team members. To answer some of the most frequently asked ones, we reached out to Dr. Barbara Knust, an epidemiologist at the Centers of Disease Control and Prevention.

She responded through a CDC spokesperson via email. We've edited her responses for clarity and space.

Can a survivor pass the ebolavirus on to someone else through, for example, a hug or a kiss?

EVD is spread only by people exhibiting symptoms and through direct contact with bodily fluids. Once a person recovers from EVD, he or she is no longer shedding virus, and thus is not contagious. In past EVD outbreaks, follow-up studies of patients who have recovered from EVD and their contacts found no evidence that the ebolavirus was spread from a recovered patient to their close contacts.

We've read that the virus still lingers in semen and breast milk after recovery. Is that true?

The World Health Organization states that ebolavirus has been found in male semen up to 7 weeks after recovery. They also cite a specific instance when ebolavirus was found in the semen of a man 61 days after recovery. Therefore, male survivors of EVD are advised to avoid having sex for 3 months or to use condoms. (In an earlier interview, Knust also said that women are instructed to wean any children who have been breast-feeding.) Semen and breast milk are not the primary means by which EVD is transmitted. The virus is primarily transmitted via blood, sweat, feces and vomit. As you may have heard today from Emory officials and Dr. Brantly, neither Brantly nor Writebol are completely sure how or where they contracted the virus. But each knows they either treated EVD patients or were in close contact with those who treated EVD patients. In either case, we just don't know what bodily fluid may have been the vessel of transmission.

Can there be long-term damage to a person's organs after recovering from EVD?

There could be, though CDC isn't aware of any. EVD is a severe disease, and recovery can take a long time. Long-term damage would depend on the clinical course the disease took.

Does a survivor suffer any irreversible damage?

We don't have data on this. In a previous interview, Dr. Darin Portnoy, of Doctors Without Borders, said renal, kidney, liver or lung function can take some time to recover in some cases. If the patient goes into shock, it can also damage the heart muscle, which may not ever recover. A shock-like state can also decrease blood flow to the brain and cause some irreversible damage. Each case is different, Portnoy stressed.

Would it be safe for Brantly to go back to Africa?

That would be a question for the medical team that treated him. Whether Dr. Brantly returned to Africa would be a decision made by him and his employer.

[He should be immune to re-infection for a number of months, at least. We hope that long-term African survivors are now being tested for their levels of immunity to ebolaviruses. His return would be a big morale-booster for other health workers in the field. - Mod.JW]

Is there any risk of relapse?

This is a viral disease, and testing conducted by the CDC indicated the virus is no longer inside Dr. Kent Brantly or Nancy Writebol. There has been no risk of relapse reported.

Is Brantly now immune to all strains and species of ebolavirus, or just the strain that he caught?

Most likely, his immune system developed antibodies against the Zaire species of ebolavirus that infected his body. Certainly, he has some immunity against that type of ebolavirus. But it's uncertain how long that immunity will last and whether he now has immunity against the other known ebolavirus species.

[Byline: Linda Poon]

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******
[5] Change in strategy?
Date: Fri 22 Aug 2014
Source: Forbes [edited]
http://www.forbes.com/sites/scottgottli ... las-spread


Have World Leaders Abandoned Hope Of Stemming EVD's Spread?
-----------------------------------------------------------
Is the current strategy to let the virus burn itself out [in that region of western Africa], while officials focus efforts on containing EVD's geographic migration? While this assessment may overstate the shifting tactics, there's an unmistakable change in the strategy for confronting the unprecedented outbreak.

Efforts to stem continued spread in the 3 most heavily struck nations seem to be giving way to a strategy aimed at containing it within those regions. If this strategy continues to unfold, it will represent a historic failure of public health agencies to respond effectively to this evolving crisis. Having been slow to focus resources on this region, the shift may signal that they believe they're too late. This is an unmistakable impression created by the tactics being instituted in the 3 most heavily struck nations -- Guinea, Liberia and Sierra Leone. Those nations are now confining people to the affected regions, restricting who can enter and leave. In the latest such move, this week [week of 18 Aug 2014] the World Health Organization called on countries affected by EVD to check people departing at international airports, seaports and major border crossings and stop any people with signs of illness from traveling ... [more]

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******
[6] Prevention


Gabon
-----
22 Aug 2014: On Friday [22 Aug 2014], the Central African country of Gabon announced it was barring all flights and ships from EVD-stricken countries.
http://www.sfgate.com/news/medical/arti ... 705416.php

Airline cancellations
---------------------
22 Aug 2014: Airlines have cancelled more than 1/3rd of international flights to 3 west African countries over fears that an outbreak of the Ebola virus disease could spread, as more African countries introduce measures to block visitors from affected areas. Of 590 monthly flights scheduled to Guinea, Liberia and Sierra Leone, 216 have been cancelled, according to OAG, an airline data provider. Although 14 cases of Ebola have been reported in Nigeria, flights to and from that country have not been affected.
http://www.theguardian.com/society/2014 ... erra-leone

Closed borders and travel bans hurt
-----------------------------------
22 Aug 2014: Closed borders and travel bans in EVD-stricken countries are exacerbating food shortages and leading to preventable deaths, a Red Cross aid worker says.... "We're unable to bring international staff in. We've had staff not be able to get clearance to leave their country or that we've had to isolate for 3 weeks after they've worked for us somewhere else before they're able to travel back to their own countries" ... [more]
The Red Cross has launched the EVD Outbreak 2014 Appeal.
http://www.radioaustralia.net.au/intern ... hs/1360092

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******
[7] False alarms


Europe
------
Fear and false alarms as Ebola puts Europe on alert. There has been only one confirmed Ebola case in Europe since the epidemic broke out in Africa, but a string of false alarms has provoked jitters and charges of overreaction. From Austria to Ireland, Spain to Germany, there have been at least a dozen cases of west Africans with mild flu symptoms being isolated until it was established that they were not suffering from Ebola. The only recorded case involved a Spanish missionary who contracted the virus in Liberia and died after he had returned to Spain. In Spain, worries over EVD have resulted in 3 false alarms in as many days ... [more]
http://www.theguardian.com/society/2014 ... alse-alarm
[It is not over-reacting to take extreme precautions in the circumstances. - Mod.JW]

Ireland
-------
22 Aug 2014: The HSE has confirmed a Donegal man at the centre of an EVD scare did NOT die as a result of the virus. Dessie Quinn, a father of one, from Mountcharles, became ill on his return from Sierra Leone, where he worked as an engineer. He was being treated for malaria before his death yesterday morning [21 Aug 2014]. There were fears he had contracted EVD as Sierra Leone is one of the countries in West Africa where the virus is rampant. Mr. Quinn worked with K N Network Services, which is based in Clondalkin in Dublin. The company won a contract last January to provide 600 km of digital cabling and wi-fi in Sierra Leone to the borders of Guinea and Liberia. All 3 countries as well as Nigeria are at the centre of the EVD scare with more than 370 deaths in Sierra Leone. KN Network Services earlier today [22 Aug 2014] released a statement saying that they had returned all their Irish staff from Sierra Leone as a precaution. While tests carried out on Mr. Quinn's body in Letterkenny General Hospital have ruled out EVD, the cause of death has yet to be revealed.
http://oceanfm.ie/2014/08/22/breaking-n ... have-ebola

Myanmar
-------
22 Aug 2014: The Ministry of Health has announced that the man who arrived at Yangon International Airport on 19 Aug 2014 suffering from fever has malaria, not EVD, according to blood tests taken while he was under quarantine along with 4 travel companions. The 5 were quarantined as a precaution to prevent the virus that has affected 4 nations in West Africa from reaching Myanmar. The patient had returned from West Africa via Bangkok and was sent to Waibargi Infectious Disease Hospital's intensive care after he was found to be suffering from fever and fatigue at immigration control. "He was infected with malaria and is being treated for malaria. None of the 4 persons who returned with him were infected with EVD, according to tests at the National Health Laboratory," an official from ministry said, adding that they were still waiting for test results from a lab in India to completely rule out that the 5 people quarantined had been infected with ebolavirus.
http://www.nationmultimedia.com/aec/Fev ... 41539.html

UK (England)
------------
22 Aug 2014: A police station closed a block of 22 police cells and sent all new prisoners to other stations after an African woman from EVD-stricken Guinea being held there came down with a mild fever that officers feared may be the deadly ebolavirus. Devon and Cornwall Police were unable to use the custody block in Exeter city centre for at least 8 hours while cells were cleaned and staff given health checks.
http://www.telegraph.co.uk/news/worldne ... hours.html
[There is no mention of a blood test, nor whether she had contact with anyone in or from Guinea, or even been there within the last 3 weeks. But it shows an encouragingly high level of awareness in England. - Mod.JW]

UK (Wales)
----------
22 Aug 2014: A woman living in Wales who was quarantined as a [contact] of EVD has been given the all clear. The woman alerted health officials after she returned to her home in Cardiff after visiting an infected country in West Africa. The Welsh national told doctors she "may have been exposed" to the deadly virus which has killed hundreds across Liberia, Sierra Leone, Nigeria, Guinea.
http://www.itv.com/news/wales/update/20 ... -officials

USA (California)
----------------
21 Aug 2014: Health officials announced Thursday night [21 Aug 2014] that a patient in Sacramento [California] who was thought to have been exposed to ebolavirus after traveling to West Africa has tested negative and does not have the disease ... [more]
http://www.sfgate.com/bayarea/article/S ... 704866.php

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[New cases continue to overwhelm health facilities. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/54.]
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Re: Ebola - Guinea, Liberia, Sierra Leone, Nigeria

Beitragvon Alexander » 24.08.2014 07:37

Sierra Leone will Menschen, die Ebolakranke verstecken, mit zwei Jahren Gefängnis bestrafen. Angehörige sehen häufig keinen Sinn, die Todgeweihten ins Krankenhaus zu bringen und wollen sie zuhause sterben lassen. Ein fataler Fehler.


Sierra Leone will das Verstecken von Infizierten mit Gefängnis bestrafen

Weil viele Familien ihre Kranken versteckten, will Sierra Leone das Verbergen von Patienten nun unter Strafe stellen. Die Elfenbeinküste schließt wegen der rapiden Ausbreitung der Krankheit seine Grenzen zu Liberia und Guinea. mehr...

Grüsse
Alexander
The one who follows the crowd will usually go no further than the crowd. Those who walk alone are likely to find themselves in places no one has ever been before.

... follow us on facebook - das Wüstenschiff auf Facebook
>>> Firmen, die Wüstenschiff-Aktionen in Afrika unterstützen
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Ebola-Fieber in Westafrika

Beitragvon Birgitt » 24.08.2014 10:03

EBOLA VIRUS DISEASE - WEST AFRICA (136): NIGERIA, SIERRA LEONE, LIBERIA, MORE
*****************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this posting:
[1] Nigeria
[2] Sierra Leone
[3] Liberia
[4] Suspected cases & prevention
[5] Drugs and diagnostic kits


******
[1] Nigeria
Date: Sat 23 Aug 2014
Source: Vanguard Nigeria [edited]
cross-posted from Nigerian Biomedical and Life Scientists Yahoo Group
http://www.vanguardngr.com/2014/08/ebol ... insurance/


In a statement, Oyewale Tomori said: "As the foremost independent scientific body in the country, and based on available evidence from the 22 other outbreaks of EVD [Ebola virus disease] that have occurred in the East and Central Africa in the past, the Academy wishes to state that there is absolutely no need for panic, but that the public should fully cooperate with the appointed health authorities. The EVD is a deadly disease but patients stand a good chance of survival if taken in early for supportive management. The Nigerian record of the number of patients already discharged from the Ebola Treatment Centre strongly supports this. It is important to point out that these persons were discharged after having been certified virus-free by the laboratories at LUTH [Lagos University Teaching Hospital] and Redeemers University." ... [more]

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******
[2] Sierra Leone
Date: Sat 23 Aug 2014
Source: UK Department of Health [edited]
https://www.gov.uk/government/news/ebol ... -statement


We can confirm that a British national residing in Sierra Leone has tested positive for ebolavirus infection.

Medical experts are currently assessing the situation to ensure that appropriate care is delivered, and consular assistance is being provided. Professor John Watson, Deputy Chief Medical Officer, said: "The overall risk to the public in the UK continues to be very low. Medical experts are currently assessing the situation in Sierra Leone to ensure that appropriate care is provided. We have robust, well-developed and well-tested NHS [National Health Service] systems for managing unusual infectious diseases when they arise, supported by a wide range of experts."

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[There is no mention of possible medical evacuation. - Mod.JW]

******
[3] Liberia
Date: Sat 23 Aug 2014
Source: Vanguard Nigeria [edited]
http://www.vanguardngr.com/2014/08/last ... lls-virus/


Every region of Liberia has now been hit by EVD, officials said Friday [22 Aug 2014], as the World Health Organization warned the fight against the worst-ever outbreak of the killer disease would take months. After seeing people fall to the deadly virus in area after area, Liberia said 2 people had succumbed to the virus in Sinoe province, the last EVD-free bastion in a country that has seen the biggest toll with 624 deaths [as of 20 Aug 2014 -- WHO] ... [more]

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******
[4] Suspected cases & prevention


Canada
------
23 Aug 2014: A patient has been quarantined at Maisonneuve-Rosemont Hospital [Montreal, Quebec] as a precaution after exhibiting some -- but not all -- of the signs of EVD. The patient recently returned from a trip to West Africa and had a fever ... [more]
http://www.cbc.ca/news/canada/montreal/ ... -1.2744915

Liberia
-------
22 Aug 2014: Brantly possessions to be destroyed. Before going to work in Liberia, Brantly was a resident in family medicine at JPS Hospital in Fort Worth [Texas, USA]. On Friday [22 Aug 2014], the JPS Foundation announced that it was accepting donations for the Brantly family, which needs to replace "nearly everything they owned. Brantly's wife left Liberia with their 2 children several days before he became ill. They came to Texas to attend a family member's wedding, bringing only what they needed for the trip," according to a news release. Brantly was isolated when symptoms from the ebolavirus appeared and now everything in their home [in Guinea] is considered contaminated and will be destroyed. We are hoping the community will provide the resources they need," said J.R. Labbe, vice president for communications and community affairs for JPS Health Network.
http://www.star-telegram.com/2014/08/15 ... ering.html

[I don't think after symptoms appeared Dr Brantly would have gone around the house touching his wife's or children's clothing and possessions. One would have thought it would be possible to gas sterilize at least clothing and small items (with ethylene oxide, NOT formaldehyde because of the residual smell). - Mod.JW]

Philippines
-----------
23 Aug 2014: Philippines pulling out UN troops in Liberia. About 115 Filipinos serving in Liberia would be repatriated "as soon as possible", due to the health risk posed by the Ebola virus disease outbreak in Africa, the statement added.... Defense Department spokesman Peter Paul Galvez said the Philippines would not send back its troops to the Golan Heights "unless the situation improves" ... [more]
http://www.themalaymailonline.com/world ... an-liberia

23 Aug 2014: Administrator Hans Cacdac of the Philippine Overseas Employment Administration (POEA) said Filipino seafarers may soon be prohibited from leaving the ports of Nigeria due to the threat of Ebola.... Shore leave and crew change are also not allowed for seafarers in the ports of the 3 Ebola-affected countries.... Land-based Filipino workers employed in the 3 countries are required to undergo medical tests for EVD and to secure clearance prior to return to the Philippines. The POEA has also issued a memorandum circular advising recruitment agencies to prepare for the possible mandatory repatriation of OFWs [overseas Filipino workers] from EVD-affected countries in case the situation worsens ... [more]
http://www.philstar.com/headlines/2014/ ... a-togo-dfa

Spain
-----
23 Aug 2014: Authorities in Barcelona activate EVD alert over Senegalese diplomat who travelled to Guinea. Another EVD alert is launched in Spain after a 36-year-old Senegalese diplomat is admitted to hospital in Barcelona ... [more]
http://www.worldbulletin.net/news/14297 ... ored-spain

Togo
----
23 Aug 2014: Togo health officials reported 2 suspected cases of EVD involving a Filipino seaman and a Togo citizen. "To date, test results are being awaited," Philippine Department of Foreign Affairs (DFA) spokesman Charles Jose texted to reporters ... [more]
http://www.philstar.com/headlines/2014/ ... a-togo-dfa

[Based on information gathered by the DFA from its embassy in Nigeria, the Filipino tested negative for EVD. He was diagnosed to have the flu. - Mod.JW]

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******
[5] Drugs and diagnostic kits
Date: Fri 22 Aug 2014
Source: Thomson Reuters [edited]
http://thomsonreuters.com/articles/2014 ... a-patients


Potential new treatments on the horizon for EVD patients
--------------------------------------------------------
Our disease briefing provides more information on 4 early stage treatments for EVD. EVD is particularly lethal. According to the World Health Organization, outbreaks have a fatality rate of up to 90 percent. There is currently no effective treatment, and concern about a possible global outbreak continues to rise. EVD deaths in West Africa now exceed 1000 [1427 as of 20 Aug 2014 -- WHO], and healthcare practitioners in Britain are on the lookout for symptoms of the killer virus to try to stop it from taking hold in the UK....

Our Life Sciences team recently released a comprehensive disease profile on Ebola, which includes a detailed analysis of 2 new treatments in the pipeline and 2 experimental candidates approaching development ... [more]

[ProMED doesn't normally report new dug or vaccine developments until they have passed Phase III testing, but in view of the interest in this case, we are making an exception. - Mod.JW]

5 Aug 2014: FDA prohibits claims that ebolavirus diagnostic kit is safe or effective. "No advertising or promotional descriptive printed matter relating to the use of the [FDA] authorized EZ1 rRT-PCR Assay may represent or suggest that this test is safe or effective for the diagnosis of Ebola Zaire virus (detected in the West Africa outbreak in 2014)." (p 7)
http://www.fda.gov/downloads/MedicalDev ... 408330.pdf

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[ProMED thanks Rapporteur Kunihiko Iizuka for his contribution to this post. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/46.]
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Ebola in Westafrika

Beitragvon Birgitt » 25.08.2014 11:29

EBOLA VIRUS DISEASE - WEST AFRICA (137): SIERRA LEONE, DECONTAMINATION, MORE
****************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] Sierra Leone
[2] Sierra Leone, other news
[3] Decontamination
[4] Prevention & suspected cases
[5] False alarms
[6] How you can help


******
[1] Sierra Leone
Date: 23 Aug 2014 [received 24 Aug 2014]
Source: Ministry of Health and Sanitation Emergency Operations Center (EOC), Sierra Leone Press Release [edited]


EVD outbreak update: As of today [23 Aug 2014] we have a total of 236 patients who have survived Ebola virus disease and subsequently been discharged. The total number of new confirmed cases for today is 56: Kailahun 6, Kenema 13; Bombali 6; Tonkolili 2; Port Loko 14; Pujehun 1; Bo 6; Moyamba 1 and Western Area [Freetown] 10.

The total number of cumulative confirmed deaths is 333 and cumulative number of confirmed cases is 881 with: Kailahun 417, Kenema 303; Kono 1; Kambia 1; Bombali 17; Tonkolili 10; Port Loko 47; Pujehun 5; Bo 33; Moyamba 9; Bonthe 1; Western Area Urban 26; Western Area Rural 11. Koinadugu district still remains the only district that has not registered confirmed cases of EVD in Sierra Leone.

The cumulative number of probable cases is 36 and probable deaths 34, while the total cumulative number of suspected cases is 49 and suspected deaths is 8.

The United Nations high level delegation headed by the Special Representative of the UN Secretary General for Food and Nutrition, David Nabarro, is currently in Freetown to assess the current EVD response in the country. The team visited the Emergency Operations Center (EOC) where they met with the Minister of Health and Sanitation and a cross-section of members of the EOC to discuss the progress the country has made so far in the fight against the Ebola virus disease (EVD) and the challenges.

The Minister of Health and Sanitation, Miatta Kargbo, in her welcome address informed the delegation that though the country still faces challenges, much progress has been made, especially in the epicenter districts of Kenema and Kailahun, with the measures government has put in place, such as declaring the state of emergency and isolating those 2 epicenter districts and the quarantining of homes with confirmed cases across the country. She highlighted the shortage of clinical expertise and logistics, ranging from transportation to protective gear and food supplies for quarantined homes and epicenter districts, as the major challenges facing the fight against the EVD outbreak in Sierra Leone.

The delegation discussed several issues such as health worker incentives and donor support to Sierra Leone. The head of the delegation, David Nabarro, while addressing the meeting, said that the Secretary General is concerned about the growing frustration from Sierra Leone with the slow financial support coming from the donors to support the fight against the outbreak and went further that they have been sent by the UN Secretary General to find out why donors have been slow to release funds that they have committed to the countries affected. He further disclosed that the World Bank has committed USD 6 million to Sierra Leone that could be used to support contact tracing activities and health worker incentives and suggested some innovative ways these incentives could be paid to the health workers, such as using the telephone banking system or mobile phone system available in the country. The Minister of Health and Sanitation was, however, quick to inform the delegation that the country has yet to receive the USD 6 million committed by the World Bank.

The delegation is scheduled to meet with the donor community and the Non- Governmental Organizations operating in Sierra Leone later tonight [23 Aug 2014] and with His Excellency the President Dr. Ernest Bai Koroma tomorrow to discuss the EVD response in Sierra Leone. Other members of the delegation include the Regional Director for the World Food Programme, the Regional Director of the Office of Coordination of Humanitarian Affairs (OCHA); the Deputy Regional Director for UNICEF and the WHO Assistant Director General for Health Safety.

--
Communicated by:
Sidie Yahya Tunis
Director, Information Communication Technology (ICT)
Ministry of Health and Sanitation, Sierra Leone
<tunis@health.gov.sl>

******
[2] Sierra Leone, other news

23 Aug 2014: The UK government has confirmed that a British national who is living in Sierra Leone has EVD, making this the 1st British person to be infected in this outbreak. Media reports say the patient is a man who was volunteering as a nurse and caring for EVD patients... Officials are assessing the situation to ensure the person is cared for and are providing consular assistance. This case does not change the EVD risk in the UK, which remains low.
https://www.internationalsos.com/ebola/ ... age_id=ENG

[24 Aug 2014: He was evacuated to the UK on a Royal Air Force jet, Sierra Leone's health ministry has said. He will be taken to the Royal Free Hospital in London, which has been specially prepared to keep EVD cases in isolation and treat them (see photo in link) http://www.theguardian.com/society/2014 ... erra-leone. - Mod.JW]

--
23 Aug 2014: Sierra Leone: Media reports indicate that it is now a crime to harbor EVD victims, which can be punished with 2 years of jail time. Parliament approved a regulation that involves "summary trial" for anyone believed to be breaking this law.
https://www.internationalsos.com/ebola/ ... age_id=ENG

[If anyone who is jailed for this offence develops symptoms, the entire prison will have to be quarantined, including the guards. - Mod.JW]

--
24 Aug 2014: WHO medic tests EVD positive as Briton evacuated. A Senegalese epidemiologist has become the 1st World Health Organization worker to test positive for the deadly Ebola virus disease wreaking havoc in West Africa. The unnamed official was based in Kailahun district [Sierra Leone] tracing EVD cases. A statement from the WHO says the organisation will ensure he receives "the best care possible including the option of medical evacuation to another care facility if necessary." He is one of over 400 people the agency and its Global Outbreak Alert and Response Network (GOARN) partners have deployed in the region in response to the outbreak, since it [was recognized] in March [2014]. Since the current outbreak, more than 225 health workers have fallen ill, and nearly 130 have died of the disease. WHO says international health workers are an important part of the EVD response because it comes after years of [armed] conflict in which "the area of West Africa most affected by this disease suffered from a weakened and fragile health system with a shortage of health workers."
http://politicosl.com/2014/08/who-docto ... -evacuated

[Epidemiologists typically visit households to interview people for details of how a disease spreads and do not wear the full protective gear used by hospital personnel. To be infected, he must have had contact either with a symptomatic case or with something contaminated by a case. - Mod.JW]

--
Communicated by:
ProMED-mail Rapporteur Kunihiko Iizuka
and ProMED-mail
<promed@promedmail.org>

******
[3] Decontamination
Date: 24 Aug 2014
From: Brian Petuch Text <2672783711@vtext.com> [edited]


[ProMED commented that perhaps ethylene oxide (ETO) could be used to decontaminate the clothing and small personal effects left behind in Liberia by Dr Brantly and his family instead of destroying them; see: Ebola virus disease - West Africa (136): Nigeria, Sierra Leone, Liberia, more ProMED Archive No. 20140823.2717179. - Mod.JW].

The current standard for whole room and small item decontamination is vaporized hydrogen peroxide or chlorine dioxide. It is now a staple for laboratory and equipment decontamination as well as for production areas. Perhaps the US CDC or other organizations supporting West African clinical laboratories could provide a link to a supplier. This is the same technology used to decontaminate US post offices during the anthrax incidents. It is very portable and much safer to use.

ETO is far too dangerous to ship and set up, as well as requiring extensive aeration to remove ETO residues, which are considered probably carcinogenic.

This is my professional opinion as a biosafety professional, not that of my employer.

--
Brian Petuch RBP CBSP
Corporate Biosafety Officer
Global Safety & Environment
MERCK
PO Box 4, WP44-204
West Point, PA 19486-0004
<2672783711@vtext.com>

******
[4] Prevention & suspected cases

Brazil

------
20 Aug 2014: 7 Nigerians, released from prison in Sao Paulo, were asking for a temporary stay of expulsion because they were frightened to return to their country, which is suffering from the EVD epidemic.
http://www.dpu.gov.br/index.php?option= ... Itemid=458 [in Portuguese]

Cameroon
23 Aug 2014: The Ebola Effect: A Cameroon-Nigeria Border Experience. Reporting live from the frontier town of Ekok, Cameroon [after border closure]. http://www.joyceash.com/2014/08/the-ebo ... ience.html. [Complete chaos! - Mod.JW]

China
-----
23 Aug 2014: China's health authorities have stepped up control measures against EVD in the past week in the wake of the continuing epidemic in West Africa. The National Health and Family Planning Commission distributed a protocol for diagnosis, treatment, and fast response to EVD cases to 31 provincial health departments on Thu [21 Aug 2014]...
http://www.globalpost.com/dispatch/news ... inst-ebola

Cote d'Ivoire
------
Meanwhile, Ivory Coast announced on Sat [23 Aug 2014] that it is closing its borders in response to the EVD outbreak in West Africa. Prime Minister Daniel Duncan signed the order that closes the land borders that Ivory Coast shares with Guinea and Liberia. The borders will remain closed until further notice in an effort to prevent ebolavirus from spreading into its territory, according to the government statement.
http://www.kitv.com/national/1st-who-wo ... 16#!bJjq6m

India
-----
24 Aug 2014: Mumbai: A 32-year-old man suspected to have contracted the deadly ebolavirus was quarantined on his return from Nigeria on Sunday evening [24 Aug 2014]. The passenger was directly taken to the designated Bal Thackeray Trauma Care Centre in Jogeshwari, where he has been quarantined. Airport officials said that he had "bloodshot eyes, a running nose and fever" and was, therefore, sent to the civic-run hospital. The Emirates passenger, who flew in via Dubai, came from Nigeria...
http://timesofindia.indiatimes.com/City ... 861250.cms

Liberia
-------
23 Aug 2014: The World Health Organization (WHO) will strengthen the fight against Ebola virus disease with the provision of 500 additional beds in Monrovia, the capital of Liberia, the African country most affected by the epidemic. WHO stressed, however, that the number of beds "is insufficient" given the increasing number of patients, because the epidemic has destabilized the health system and created tensions within society...
http://www.cmjornal.xl.pt/detalhe/notic ... -500-camas [in Portuguese]

Hospitals
-------
24 Aug 2014: Hospital response and isolation/treatment centres
List: https://www.internationalsos.com/ebola/ ... age_id=ENG.

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******
[5] False alarms

[This is only a selection of the many recent EVD scares worldwide; it has become difficult to keep up. But at least it shows a widespread awareness of the potential threat from travelers. - Mod.JW]

Canada
------
23 Aug 2014: Quarantine case at Maisonneuve-Rosemont Hospital not EVD
http://www.cbc.ca/news/canada/montreal/ ... -1.2744915

UK
--
24 Aug 2014: Passengers on a British Airways flight from London were kept on the aircraft [in Aberdeen] for over 2 hours after a young African woman complained of feeling ill on the flight. Environmental Health and trained infectious diseases medics immediately quarantined the aircraft until the sick passenger could be safely removed. It's understood the woman travelled from infected regions in Africa.
http://www.dailyrecord.co.uk/news/scott ... la-4101296

USA
---
24 Aug 2014: Map showing states seeking CDC help with potential Ebola cases:
http://cdn.breitbart.com/mediaserver/Br ... 480jpg.jpg

--
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******
[6] How you can help

[If you cannot volunteer to join one of the groups with boots on the ground in West Africa -- see MSF call for assistance with EVD crisis, ProMED Archive No.: 20140822.2714638 -- there is a good review of organizations receiving donations for the fight against EVD at: http://abcnewsradioonline.com/health-ne ... ebola.html. - Mod.JW]

--
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[The infection of 2 more international health workers is a serious blow (because it will make people think twice about volunteering) to recruiting more overseas staff, who are desperately needed to complement national staff in isolation hospitals that are rapidly being filled faster than they can be built. The count is inescapable: For every 100 new beds provided, they are filled daily with new cases, so even if 50 patients die and another 50 are discharged every day, there is still a shortage of beds for the patients who must remain under observation for the full 21 days post treatment. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/8854.]
Birgitt
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Ebola in Westafrika

Beitragvon Birgitt » 26.08.2014 11:36

EBOLA VIRUS DISEASE - WEST AFRICA (138): NEW DRUGS, PREVENTION, ALERTS, MORE
****************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] New drugs
[2] Prevention, suspected cases
[3] Alerts
[4] Media reports


******
[1] New drugs

ZMapp USA

-----
25 Aug 2014: One of 3 African doctors infected with EVD and treated with the experimental drug ZMapp has died in Monrovia, Liberia's Information Minister Lewis Brown said on Mon [25 Aug 2014]. Asked to confirm the death of doctor Abraham Borbor, Brown said: "That is correct. He died yesterday [24 Aug 2014]." (Reuters Reporting by Emma Farge; Editing by Daniel Flynn)
http://in.mobile.reuters.com/article/id ... 5?irpc=932

T-705 Japan
-------------
25 Aug 2014: Japan to name criteria before offering unapproved EVD drug. Japan could offer an unapproved drug under certain circumstances to help treat the deadly ebolavirus, Reuters said. "Medical professionals could make a request for T-705 in an emergency even before a decision by the World Health Organization (WHO)," Chief Cabinet Secretary Yoshihide Suga said. "In that case, we would like to respond under certain criteria." Tokyo will cooperate with the WHO and is ready to make an international contribution. Japan's Fujifilm Holdings Corp and US's MediVector are in talks with the US Food and Drug Administration to submit an application to expand the use of the influenza drug T-705, or favipiravir, as a treatment for EVD.
http://investmentwatchblog.com/ebola-cu ... t70tJ0r.99

--
25 Aug 2014: It is not clear whether T-705 (or Avigan) will actually work against EVD, and no monkey or human trials of the drug have been done, the BBC's Rupert Wingfield-Hayes in Tokyo reports. T-705 was developed by Japan's Toyama Chemicals company for use against new strains of influenza. It was approved by the Japanese government earlier this year [2014, without any human trials? - Mod.JW]. A company spokesman says the firm believes the similarity between flu viruses and ebolaviruses means Avigan could be effective [They are both single-stranded negative-sense RNA (ribonucleic acid) viruses. - Mod.JW].
http://www.bbc.com/news/world-africa-28925491

WHO meeting
------------
24 Aug 2014: The World Health Organization is scheduled to hold a meeting in Geneva next week with more than 100 experts, including 20 from West Africa, to discuss potential therapies and vaccines for the ebolavirus and explore ways to expedite clinical trials and ramp up production of the most promising treatments. The meeting should be sure to consider the use of drugs that are already approved for other diseases and are readily available. There are currently no approved drugs to treat infection with ebolaviruses and only a handful of potential drug therapies in the very earliest stages of testing in humans or animals, with little likelihood that they could be produced on a large scale any time soon. The new proposal would fill the gap by using drugs that have already been approved to treat other diseases and repurposing them to treat EVD as well.

This approach is well worth pursuing, given the crisis; 2 broad categories of drugs are being mentioned. Existing drugs that seek to disable the viruses responsible for other diseases, for example, might conceivably disable ebolaviruses. And drugs that temper the body's response to other diseases by reducing severe inflammation might also dampen the often fatal inflammatory response in EVD patients.

An advantage to using existing drugs is that they have been tested for safety and are often available in large quantities and produced as cheaper generics. If they could be offered to infected people in Africa, it might encourage patients to go get treatment instead of hiding from the authorities, and it might bolster the confidence of health care workers who are fleeing from hospitals in droves. There are also disadvantages. Just because a drug is effective against one disease does not mean it would work against EVD. It is possible that some drugs might actually harm EVD patients by making their infection worse or by causing severe side effects. One expert warns that EVD infection progresses rapidly within the body and that a drug that helps on Day 2 might become harmful by Day 7. That is why even approved drugs should be administered in clinical trials to determine whether they work against EVD. Though it would not be easy to conduct such trials, several experts have said they think it could and should be done.

The idea of using approved drugs was proposed in an Op-Ed article in The Times on 16 Aug 2014; 30 respected clinical investigators and epidemiologists around the world are on record as supporting the article. Other experts have expressed reservations and have called for drug tests in nonhuman primates 1st. Even those who have backed the use of existing drugs because "desperate situations justify desperate measures" have stressed that there needs to be some evidence a drug might work.

Beyond this, the primary need right now is supportive care, like keeping patients hydrated, which allows many to recover even without a drug treatment. This requires that hospitals and clinics have isolation units for the patients and protective gear for doctors and nurses to prevent the spread of the virus. Once such facilities exist, it should be possible to compare one group of patients given standard supportive care with another group given supportive care plus a drug that might help them.

--
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******
[2] Prevention, suspected cases

Bolivia

-------
24 Aug 2014: Authorities say they are investigating a 1st potential case of EVD in Bolivia. The patient, whose name and age were not given, had made stopovers in several cities in Africa, Santa Cruz health service manager Roberto Torres told Oxigeno online. "Yesterday [23 Aug 2014], we had a report from a private hospital on an Indian [national] who is being treated for fever, diarrhoea and vomiting," he said. The health ministry in South America's poorest nation just 10 days ago set rules on early detection of potentially infected people.
http://www.sbs.com.au/news/article/2014 ... bola-check

Guinea-Bissau
--------------
25 Aug 2014: Government accompanies closure of borders
Bissau - A delegation composed of the Ministers of Health, Home Affairs and National Defence completed a tour of the interior of the country, in the eastern and southern borders of Guinea-Bissau.
http://jornaldigital.com/noticias.php?noticia=43033 [in Portuguese]

India
-----
25 Aug 2014: EVD alert as flight with over 100 passengers from Liberia headed for Mumbai. "We have been told that 116 passengers are suspected of EVD exposure," BMC's [Brihanmumbai Municipal Corporation] additional municipal commissioner Sanjay Deshmukh said. ... "Right now, we are focusing on creating beds for suspected cases. Isolation chambers are not immediately possible." ... In terms of protection to the medical staff who will handle suspected or confirmed EVD patients, the BMC already has as many as 600 body suits for staffers and doctors to wear. (AP)
http://indianexpress.com/article/india/ ... -to-ebola/

Senegal
--------
25 Aug 2014: Tom Frieden, director of the U.S. Centers for Disease Control and Prevention [CDC], was supposed to fly to West Africa on Mon [25 Aug 2014] to gauge the effects of the world's worst EVD outbreak. Then, his flight was canceled. Brussels Airlines was forced to halt flights to the affected region after Senegal's refusal this weekend to allow the Belgium-based carrier to touch down in Dakar for crew changes. ... The flight situation also has proven a burden for the WHO delegation now visiting Freetown. The team members were supposed to fly out on Brussels Air. On Monday [25 Aug 2014], there was word that the airline was negotiating with another country to access so crew changes could be made. Maybe flights would resume. But, in the meantime, the WHO officials were grounded. They hoped a small UN plane might become available.
http://www.washingtonpost.com/world/afr ... story.html

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******
[3] Alerts

Ghana

-----
Organisers of the Big Brother Africa competition have allegedly rejected the candidates selected to represent Ghana at the contest. ... Sources at Endemol, producers of the BBA show, said the 4 candidates who made it through the selection stage in Ghana were rejected because of the EVD scare in the West African sub-region. An official revealed that fresh auditions are being held to select new Ghanaian candidates for the popular TV reality show of the continent. The new audition is only opened to Ghanaian nationals living in South Africa as a precautionary measure. ... It is expected that the same thing will be done for candidates from all of West Africa, especially countries where the Ebola virus disease has been recorded.
http://www.faceofmalawi.com/2014/08/big ... LsGxe.dpuf

[There have been no reports of EVD in Ghana, so the TV producers are needlessly worried. - Mod.JW]

Malawi
------
25 Aug 2014: Malawi police arrested 52 Ethiopians. Residents worried about ebolavirus being carried by Ethiopians.
http://www.faceofmalawi.com/2014/08/mal ... DPezE.dpuf

[There have been no reports of EVD in Ethiopia, so Malawi is needlessly worried. - Mod.JW]

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******
[4] Media reports

Nigeria

-------
23 Aug 2014: First Consultant Hospital speaks on Sawyer
The management of First Consultant Hospital, Obalende, Lagos State has spoken on late Liberian-American Patrick Sawyer, who brought the Ebola virus disease to Nigeria, saying it took necessary measures in line with international standards to prevent the spread of the virus. In a press statement, it said in spite of denial by Sawyer, who described himself as a Senior Diplomat from Liberia, adequate measures were taken, which included isolating the patient, implementing barrier nursing and contacting the Lagos State Ministry of Health and the Federal Ministry of Health. It said, "A 40-year-old gentleman came into the hospital with symptoms suggestive of malaria (fever, headache, extreme weakness) on Sun 20 Jul 2014. He was fully conscious and gave us his clinical history and told us he is a Senior Diplomat from Liberia. Laboratory investigations confirmed malaria, whilst other tests for HIV, hepatitis B and C were negative. He was admitted, and treatment commenced. However, due to the fact that he was not responding to treatment but rather was developing haemorrhagic symptoms, we further questioned him. He denied having been in contact with any persons with EVD at home, in any hospital, or at any burial."

Having treated [him] for malaria with no significant improvement, the management carried out tests for possible infectious haemorrhagic disease, especially EVD, based on the fact that he was from Liberia, which had recently witnessed an EVD outbreak. It said: "We refused for him to be let out of the hospital in spite of intense pressure, as we were told that he was a senior ECOWAS official and had an important role to play at the ECOWAS convention in Calabar, Cross River State. The initial test results from LUTH [Lagos University Teaching Hospital] laboratory indicated a signal of possible ebolavirus but required confirmation. We then took the further step of reaching out to Senior Officials in the office of the Secretary of Health of the United States of America, who promptly assisted us with contacts at the Centres for Disease Control [and Prevention] and the World Health Organization Regional Laboratory Centre in Senegal."

"Working jointly with the State, Federal Agencies and International Agencies, we were able to obtain confirmation of ebolavirus (Zaire strain), (WHO Regional Center Lab-Senegal/Redeemers [University] lab/LUTH Laboratory). He afterwards died on 25 Jul 2014 at about 6.50 am. All agencies were promptly notified, and, in consultation with WHO, the Regional Ebola Virus Disease Centre in Conakry, Guinea and Best Practices, we commenced temporary shut down of the hospital with immediate evacuation of in-house patients. The appropriate professional removal of the body and its incineration under WHO guidelines, witnessed by all appropriate agencies, was carried out. In keeping with WHO guidelines, the hospital has been shut down briefly as a full decontamination exercise is currently in progress. We hope that by our action of preventing this gentleman from being extracted from our hospital and traveling to Calabar, we have been able to prevent the spread of Ebola virus disease in Nigeria."
http://www.punchng.com/news/ebola-first ... ate-sawyer

24 Aug 2014: Striking doctors will resume work
In Nigeria, striking doctors will resume work on Mon [25 Aug 2014] following an intervention by Senate President David Mark, according to Dr. Lawan Musa, leading member of the Nigerian Medical Association (NMA). Musa says Mark promised the group that the government was willing to address their concerns. Officials of the NMA say the 2-month old strike was suspended due to the EVD emergency, while negotiations with the government continue. ... "This strike started even before the EVD [outbreak], and immediately the Nigeria Medical Association ordered all doctors in the states that were affected [to go back to work]; precisely Lagos and Anambra [states] were the 1st to be given the order that they should attend to issues pertaining to EVD," said Musa. "There were a lot of doctors that were part of the control team despite the ongoing strike."
http://m.voanews.com/a/nigerian-doctors ... 26757.html

Contact tracing failing
-------------
25 Aug 2014: ... There's no solid number of how many contacts have gone missing. Petersen said the CDC arrived at the 40-60 percent number because in some communities, each sick person has only listed an average of 2 contacts, and households commonly have 5 or 6 people. Mirkovic, an officer with the CDC's epidemic intelligence service, said when she and her team felt patients weren't being honest, they would try to get information from neighbors or community leaders. Sometimes that helped, and sometimes it didn't. "Unfortunately, there's nothing we can do," she said. "We can't force them" to give contacts. The World Health Organization estimates that 10 percent of contacts will go on to develop symptoms of EVD. Occasionally, some of these EVD cases go missing as well. Mirkovic, who left Guinea at the end of July [2014], said she felt that the situation might improve as health care workers gain more trust in the community. But there's another problem with that: the availability of workers to follow up with contacts. For example, in Sierra Leone, there are 2000 contacts that need following, but the group Doctors without Borders [MSF] says they've only been able to follow up about 200 of them. The group's teams in Sierra Leone and Liberia are "stretched to the breaking point," as the epidemic is "spiraling out of control," the group wrote in a press release.
http://www.cnn.com/2014/08/25/health/eb ... ?c=&page=0

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[The stories about Ghana and Malawi reveal basic misunderstanding about which countries are currently known to be infected by EVD.

ProMED thanks Ryan McGinnis http://bigstormpicture.com and Stephanie Ballatore Holland Lins <tefalins@hotmail.com> for their contributions. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/8854.]
Birgitt
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Ebola-Fieber in Westafrika

Beitragvon Birgitt » 27.08.2014 19:31

EBOLA VIRUS DISEASE - WEST AFRICA (139): WHO, CANADIAN VACCINE, RUSSIAN LABORATORY, MORE
****************************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] WHO withdraws staff from Sierra Leone
[2] Canada: donating experimental vaccine
[3] Russia: donates EVD diagnostic lab to Guinea
[4] Quarantine
[5] Ebola information for volunteers
[6] Alerts


******
[1] WHO withdraws staff from Sierra Leone
Date: Tue 26 Aug 2014
Source: Canadian Broadcasting Corporation (CBC) News [edited]
http://www.cbc.ca/news/world/who-withdr ... -1.2746945


Protective gear such as gloves and gowns are critical to protect health-care workers from the ebolavirus but don't go far enough, doctors say as the World Health Organization announced it has shut down a laboratory in Sierra Leone after a health worker was infected. To date, more than 240 health-care workers have developed the disease and more than 120 have died, WHO says. The United Nations health agency said it's pulled staff from a laboratory testing for the ebolavirus in Kailahun, Sierra Leone, after a Senegalese epidemiologist was infected. "It's a temporary measure to take care of the welfare of our remaining workers," WHO spokesperson Christy Feig told Reuters, without specifying how long the measure would last. "After our assessment, they will return."

The Senegalese worker is under treatment at a government hospital in the eastern town of Kenema and will be evacuated from Sierra Leone, Feig said. "This was the responsible thing to do. The field team has been through a traumatic time through this incident," said Dr Daniel Kertesz, WHO Representative in Sierra Leone, in a release. "They are exhausted from many weeks of heroic work, helping patients infected with EVD. When you add a stressor like this, the risk of accidents increases."

In a commentary published in Tuesday's [26 Aug 2014] online issue of the Annals of Internal Medicine, US doctors called personal protective equipment designed to shield health-care workers from contaminated body fluids of EVD patients critical, but not enough to prevent transmission. "If transmission of EVD is effectively interrupted with the use of barrier protection, why are so many health-care workers in the current outbreak being infected, particularly this late in the epidemic? 2 contributing factors include an insufficient supply of [personal protective equipment, PPE] and a lack of emphasis on the process of donning and doffing PPE," wrote Dr. William Fischer II from the University of North Carolina at Chapel Hill School of Medicine and his co-authors.

Several other factors contribute, they said, such as:

- The difficulty health-care workers face in clinically recognizing ebolavirus infection, which often presents with symptoms including fever, fatigue and diarrhea that mirror more common ailments in sub-Saharan Africa such as typhoid fever and malaria.
- Limited supplies of PPE including gloves, gowns and face masks.
- Inadequate training in standard precautions.
- Poor public health infrastructure.

Guinea, Liberia and Sierra Leone also have few doctors -- fewer than an estimated 0.1 physicians per capita. Even when health-care workers wear PPE, the commentators said, they are at risk of contamination with infectious fluids if the clothing isn't removed properly. The impulse to wipe away sweat in the hot, humid and exhausting environment may also lead to inadvertent infection, they said. The commentators suggest that treatment sites mitigate the risks associated with removing protective gear by providing a separate exit, physically removed from the entrance, to ensure those donning the equipment don't come into contact with those who may be contaminated, and that a dedicated person stationed at the exit focuses on guiding all health-care providers through each step of removing the equipment.

Dr. Tom Frieden, director of the US Centers for Disease Control and Prevention [CDC], was in Liberia on Tuesday [26 Aug 2014]. He also plans to stop in Sierra Leone and Guinea. "Lots of hard work is happening, lots of good things are happening," Frieden told a meeting attended by President Ellen Johnson Sirleaf on Monday [25 Aug 2014]. "But the virus still has the upper hand." Frieden told Liberian TV that stopping the spread of ebolavirus "requires tremendous attention to every detail."

In Britain, a volunteer nurse who tested positive for the virus after working in Sierra Leone has been given the experimental drug ZMapp, according to the London hospital that is treating him. William Pooley, 29, was flown home on Sunday [24 Aug 2014] in a specially adapted Royal Air Force cargo plane. He was taken to an isolation unit at the Royal Free Hospital in north London.

Meanwhile, Ivory Coast's [Cote d'Ivoire's] football federation said Tuesday [26 Aug 2014] that it had been instructed by its government to cancel or move next month's [September 2014] home game against Sierra Leone, one of the most affected countries in the West African Ebola outbreak.

--
Communicated by:
Ryan McGinnis
http://bigstormpicture.com

[It would appear that the WHO epidemiologist, whose work would normally take him out into the community, was in the laboratory at some point and is thought to have become infected there by unknown means, hence the fear among the lab workers and their precautionary withdrawal. - Mod.JW]

******
[2] Canada: donating experimental vaccine (update)
Date: Mon 25 Aug 2014
Source: Face of Malawi [edited]
http://www.faceofmalawi.com/2014/08/can ... la-vaccine


Canada to donate experimental ebolavirus vaccine
------------------------------------------------
Canada is to donate 800-1000 doses of an experimental ebolavirus vaccine to the World Health Organization (WHO) for use in Africa. Canadian Health Minister Rona Ambrose announced the news on Tuesday [12 Aug 2014] after a panel of medical ethicists convened by the WHO said using experimental-stage Ebola drugs is justified. Several experimental drugs offered grounds for hope, WHO health innovation Chief Marie-Paule Kieny has said... "Our government is committed to doing everything we can to support our international partners, including providing staff to assist with the outbreak response, funding and access to our experimental vaccine," Ambrose said in a statement. 10 doses of the drug known as VSV-EBOV have been sent to a hospital in Geneva, at the request of the WHO, and to the aid group Medecins Sans Frontieres as an emergency supply.

--
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[Canada's 1st announcement of this donation on 14 Aug 2014 was posted in ProMED Ebola virus disease - West Africa (133) [6] Misc. This update has further details. Even if Canada releases most of its existing doses, experts warn it could take 4-6 months to make a quantity large enough to have any real impact at preventing the illness, the BBC's Lee Carter reports from Toronto. While vaccines normally are preventatives, the VSV-EBOV vaccine has shown effectiveness in studies on animals after they were exposed to the virus. It may be used soon after someone was exposed to infection, similar to the way rabies shots are used now, according to Gary Kobinger, chief of special pathogens for the Public Health Agency of Canada. - Mod.JW]

******
[3] Russia: donates EVD diagnostic lab to Guinea
Date: Tue 26 Aug 2014
Source: Outbreak News Today [edited]
http://outbreaknewstoday.com/russia-don ... nea-65088/


Russia donates EVD diagnostic lab to Guinea
-------------------------------------------
To help with the current and possible future battles with Ebola virus disease (EVD), the Russian government gave the government in Conakry, Guinea, a mobile diagnostic laboratory equipped to work with the lethal virus, according to a Le Jour Guinee report Monday [25 Aug 2014]. In a ceremony attended by diplomats from the Embassy of the Russian Federation in Guinea and representatives of the company Rusal Guinea, the laboratory, valued at USD 5 million, was given to battle EVD.

--
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[It will be important to know if WHO has approved the tests they will be using -- the false positive and false negative rates. Note that FDA prohibits claims that one of the US ebolavirus diagnostic kits is safe or effective http://www.fda.gov/downloads/MedicalDev ... 408330.pdf. - Mod.JW]

******
[4] Quarantine
Date: Mon 25 Aug 2014
Source: The Disease Daily [edited]
http://healthmap.org/site/diseasedaily/ ... tine-82514


Throughout the current EVD outbreak in West Africa, there have been reports of voluntary and government-ordered isolation and quarantine. The use of these terms has led to significant fear due to misconceptions about the terms "quarantine" and "isolation", and what this means in relation to infection with ebolavirus.

What is quarantine?
-------------------
Quarantine is the separation and restriction of movement of healthy people, who may have been exposed to an infected person. The duration of quarantine is generally the length of the disease's incubation period, taking into consideration the individual's suspected time of exposure [21 days in the case of EVD]. This is different from isolation, which is the separation and restriction of movement of already infected individuals.

Why are people quarantined?
---------------------------
Quarantines allow health authorities to prevent further spread of a disease in the event the quarantined individual develops clinical symptoms of the disease of concern. Quarantine is just a precautionary measure, preventing possibly sick individuals from infecting others (therefore breaking the line of transmission). Quarantined individuals often turn out to not have the disease, but the risk of spread within a community is so great that health authorities deem it appropriate to watch over the individuals until they know they are uninfected.

There has been much debate over the benefits and drawbacks of significant quarantines, border closures and travel restrictions during this and other outbreaks. The detrimental effects of widespread quarantines were discussed in an article published by the World Health Organization on 23 Aug 2014: "WHO reiterated that it does not recommend any ban on international travel or trade. It stresses that closing borders doesn't work and is detrimental, as affected countries will be pushed towards a humanitarian crisis and the international community's ability to fight and reverse the EVD outbreak will be hampered."

Quarantine efforts directed solely at individuals with exposure opportunity are considered an appropriate measure, while wholesale exclusion of populations with no likely exposure risk is considered excessive and potentially counterproductive as the inability to maintain such a large quarantine undermines authority. Isolation and quarantine when used appropriately are critical tools in curtailing outbreaks.

--
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******
[5] EVDinformation for volunteers
Date: 23 Aug 2014
Source: CDC Public Health Information Library [edited]
http://www.cdc.gov/phin/documents/library.html


(1) CDC: Advice for Humanitarian Aid Workers Traveling to Guinea, Liberia, Nigeria, or Sierra Leone during the Ebola Outbreak
http://wwwnc.cdc.gov/travel/page/humani ... kers-ebola
(2) WHO: Interim Infection Prevention and Control Guidance for Care of Patients with Suspected or Confirmed Filovirus Haemorrhagic Fever in Health-Care Settings, with Focus on Ebola -- August 2014
http://www.who.int/csr/resources/who-ip ... 4.pdf?ua=1
(3) Interim Guidance for Monitoring and Movement of Persons with Ebola Virus Disease Exposure
http://www.cdc.gov/vhf/ebola/hcp/monito ... osure.html
(4) Viral Hemorrhagic Fevers: Infection Control Posters for the African Health Care Setting
http://www.cdc.gov/vhf/abroad/ic-posters.html
[in English, French & Portuguese -- suitable for all health care settings - Mod.JW]

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******
[6] Alerts

Kenya

-----
26 Aug 2014: Medics Allay Ebola Fear in Bunyala
Public Health officials in Bunyala subcounty have denied claims that a patient who died at Port Victoria Hospital yesterday [25 Aug 2014] was suffering from EVD. Speaking to the Star on the phone, Joseph Oprong said the woman had been suffering from armenia [sic: probably "anemia" - Mod.JW] for a long time.
http://allafrica.com/stories/201408260403.html

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[CDC has a useful map of Africa, placing the current West African and Democratic Republic of Congo outbreaks in context: http://www.cdc.gov/vhf/ebola/resources/ ... n-map.html. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/8854.]
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Ebola in Westafrika

Beitragvon Birgitt » 28.08.2014 11:41

EBOLA VIRUS DISEASE - WEST AFRICA (140): WHO, ALERTS, PREVENTION, MORE
**********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] WHO workshop
[2] Alerts
[3] Prevention
[4] Media reports


******
[1] WHO workshop
Date: 27 Aug 2014
Source: WHO/AFRO [edited]
http://www.afro.who.int/en/media-centre ... ebola.html


The 1st in a series of preparedness and response workshops aimed at strengthening Africa's defences against the Ebola virus disease (EVD) outbreak occurring in parts of West Africa began on Tue [26 Aug 2014] in Brazzaville, Congo. Organized by the World Health Organization (WHO), the 3-day workshop brings together more than 40 Disease Prevention and Control Officers; Clinicians and Infection Control Officers; as well as Social Mobilization, Health Education and Communication experts from 10 countries. Participants are drawn from the Ministries of Health and WHO Country Offices in Botswana, Ethiopia, Ghana, Kenya, Namibia, Rwanda, Tanzania, Uganda, Zambia and Zimbabwe. ...

It is expected that at the end of the workshop, they would have acquired the necessary knowledge and skills to adequately conduct similar workshops in their respective countries.

Since the start of the outbreak, 1st reported in Guinea on 21 Mar 2014, WHO and partners have deployed more than 450 people to the 4 affected countries, Guinea, Liberia, Sierra Leone and Nigeria. Experts deployed include, among others, field coordinators, clinicians, epidemiologists, infection control and prevention specialists, logisticians and data managers, communication specialists, medical anthropologists and social mobilizers.

For further information please contact:

Dr Peter Gaturuku
Tel: +4724139185
<gaturukup@who.int>

C. Boakye-Agyemang
Tel: +4724139174
<boakyeagyemangc@who.int>

Samuel Ajibola
Tel: +4724139174
<ajibolas@who.int>

--
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******
[2] Alerts

Bolivia: negative 26 Aug 2014
----------------------
http://medicalxpress.com/news/2014-08-e ... -case.html

Sierra Leone: fatal false negative?
----------------------------
http://www.newsweek.com/ebola-frontline ... fer-266849 [Unless he tested positive post-mortem, he could have been a true negative and died from something else, after not being diagnosed or treated for what he really had (Lassa fever?). - Mod.JW]

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******
[3] Prevention
Video interview in an EVD hospital with US CDC Director Tom Friedan
--------------------------------------------
http://edition.cnn.com/2014/08/27/health/ebola-outbreak

Sierra Leone
----------
Canadians pulled from Sierra Leone as precaution
26 Aug 2014 (CBC News): The Public Health Agency of Canada said in a statement late Tue [26 Aug 2014] that it is finalizing plans to bring the 3-person mobile team from Winnipeg's National Microbiology Laboratory home from Sierra Leone. The team is being recalled after 3 people staying at their hotel were diagnosed with the ebolavirus. None of the team members had direct contact with those diagnosed, and they are not displaying any signs of illness, officials said. The team members will remain in voluntary isolation and will be monitored as they travel back to Canada. Those plans have not yet been firmed up, PHAC said. The United Nations health agency [WHO] had earlier announced it was pulling [3] staff from a laboratory testing for the ebolavirus in Kailahun, in Sierra Leone, after a Senegalese epidemiologist was infected. "It's a temporary measure to take care of the welfare of our remaining workers," WHO spokesperson Christy Feig told Reuters, without specifying how long the measure would last. "After our assessment, they will return." The 3 Canadians were among 6 workers at the lab. There will be an investigation to see whether it was a routine infection or something to do with the lab's processes or equipment, WHO said. Meanwhile, there are 5 Canadian staff members with Doctors Without Borders who all remain in Sierra Leone, a representative of the organization said, but it was unclear how many are in Kailahun http://www.cbc.ca/news/world/ebola-outb ... -1.2746945.

[So how will the lab be staffed? Will all samples now have to be processed at Kenema? They need to be able to exclude negative people and confirm fatalities. It also means that fewer samples will be processed, and the number of confirmed cases in Sierra Leone will not rise as fast as before. In any case, how can they be sure that the epidemiologist became infected in the hot lab? Maybe he visited the hospital, or got it in the course of doing household interviews, from fomites; he knew enough not to touch a case. - Mod.JW]

Nigeria
-------
Postponement of return to school
27 Aug 2014: The Federal Government ... announced the postponement of resumption of all primary and secondary schools till 13 Oct 2014, even as government cleared the air on the health status of a sister to the late Dr. Stella Ameyo Adadevoh, confirming that she is EVD-free. ... The Minister of Education, Mallam Ibrahim Shekarau, in Abuja yesterday [26 Aug 2014], said: "All state Ministries of Education are to immediately organise and ensure that at least 2 staff in each school, both public and private, are trained by appropriate health workers on how to handle any suspected case of EVD and also embark on immediate sensitization of all teaching and non-teaching staff in all schools on preventive measures. This training of staff must be concluded not later than 15 Sep 2014."
http://omojuwa.com/2014/08/another-acti ... down-ebola

--
Nigeria says it has "thus far contained" EVD, one case left to treat
26 Aug 2014: (Reuters) - Nigeria's health minister said on Tue [26 Aug 2014] authorities had "thus far contained" the EVD outbreak that started last month [July 2014], with only one out of 13 confirmed cases still being treated in isolation in the commercial capital, Lagos.
http://af.reuters.com/article/nigeriaNe ... YP20140826

[They will have to go 42 days without a case to be officially clear. - Mod.JW]

Ghana: NADMO ready for any EVD outbreak
----------------------
26 Aug 2014 (GBC): The National Disaster Management Organisation [NADMO] has been speaking about preparations and arrangements that have been put in place so far to tackle the Ebola virus disease should it be detected in the country. The National Coordinator, Kofi Portuphy, explains to Radio Ghana what went into the preparations. He talks about the training programmes lined up for frontline healthcare providers to handle any reported cases efficiently. [4 min 20 sec video]
http://gbcghana.com/1.1822680

India
-----
26 Aug 2014 (TNN): 6 passengers isolated at Delhi airport over EVD fears, they include 2 women and a child. They have been sent to RML hospital for further tests. 85 Indians clear screening test at Mumbai airport.
http://timesofindia.indiatimes.com/indi ... 901702.cms

Uzbekistan
---------
26 Aug 2014 (RIA): Uzbekistan has requested more information about the athletes from EVD-hit West African countries to make a decision on their admission to the world wrestling championship in Tashkent on 8-14 Sep 2014. ... In particular, 7 Nigerian wrestlers and 2 athletes from Sierra Leone, where the deadly ebolavirus is spreading, plan to participate in the competition. ...
http://en.ria.ru/world/20140826/1923605 ... on-at.html

[I don't think a wrestler with symptoms of EVD would feel fit enough to practice, let alone compete. But other international contact sport competitions should take note. - Mod.JW]

Mass quarantine doomed to fail
------------------------
25 Aug 2014 (CBC News): Dr. Richard Schabas, formerly chief medical officer for Ontario [Canada] notes that mass quarantine was tried during the 2003 outbreak of SARS in Toronto [Canada], with about 30 000 people ordered to stay home. But the measure failed. "It involved a huge disruption and huge investment of public health resources," said Dr. Schabas. "It created the perception that SARS was more dangerous and more widespread than it was. It triggered things like travel advisories, which were economically damaging." Dr. Schabas argues that for a quarantine to be useful, it has to make sure people comply with quarantine conditions, and the infectious disease must be transmissible when patients don't yet show symptoms. Neither SARS nor EVD is transmissible when a patient [has no symptoms]. ...
http://www.cbc.ca/news/world/ebola-outb ... -1.2744292

[And when they have symptoms, they are likely to go home or to hospital, only exposing others on the way there. - Mod.JW]

Why We Can't Just Make More Medicine
------------------------------------
26 Aug 2014: [Good explanation in here. - Mod.JW]
http://www.nerdwallet.com/blog/health/2 ... k-medicine

--
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*******
[4] Media reports

Sierra Leone

--------
Pharmacist fatalities

26 Aug 2014: (APhA) Community pharmacy professionals are among the EVD fatalities of health care workers in Sierra Leone, according to an article on the International Pharmaceutical Federation's (FIP) website. According to the article, "one pharmacist and 4 pharmacy technicians have died, all 5 from the community pharmacy sector [in Sierra Leone]." FIP also noted that a report from the Pharmaceutical Society of Sierra Leone reported the death of a pharmacy technician who was practicing in a community pharmacy in Kenema. https://www.pharmacist.com/pharmacists- ... bola-drugs

[Pharmacists will have been touching the hands of sick customers to take payment. I hope they have now started wearing disposable gloves. - Mod.JW]

Pledge by Scottish Government
----------------------------------------
22 Aug 2014: the Scottish Government has pledged GBL 500 000 [USD 828 000] of emergency funding to help combat the deadly EVD outbreak in West Africa. The cash will support local and international efforts to control the epidemic and prevent further spread of the disease, which has killed [more than] 1350 people this year [2014]. ... The money will be released to the World Health Organization, the International Rescue Committee, and UNICEF. It has been earmarked to support efforts to speed up specialist care, improve monitoring and tracking of the disease and deliver resources such as emergency kits, clean blankets, hygiene and sanitising equipment.
http://www.heraldscotland.com/news/heal ... a.25114140

EVD orphans newest victims
------------------------
19 Aug 2014: Orphans whose families were killed by EVD are becoming a tragic legacy of the deadly outbreak in [3] West African nations, say relief organizations struggling to care for the children who may themselves be infected. ... Besides immediate needs such as food, the growing number of children whose families have been decimated by EVD will likely face long-term stigma and discrimination in the future as aid groups try to reintegrate them into the community, according to UNICEF, the United Nations Children's Fund.
http://www.bloomberg.com/news/2014-08-1 ... ctims.html

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[A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/8854.

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/8854.]
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Ebola in Nigeria - Port Harcourt

Beitragvon Birgitt » 28.08.2014 11:50

Nigeria has confirmed its first Ebola death outside Lagos – a doctor in the oil hub of Port Harcourt. A further 70 people are under surveillance in the city, while his wife has been put under quarantine. He died last Friday but the results of the tests have only just been announced by Nigeria's health minister. The latest figures show that more than 1,550 people have died, with more than 3,000 confirmed cases - mostly in Guinea, Liberia and Sierra Leone.

Ebola spreads to Nigeria oil hub Port Harcourt
28.08.2014 - BBC

Gruß
Birgitt
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Re: Ebola - Guinea, Liberia, Sierra Leone, Nigeria

Beitragvon Alexander » 28.08.2014 23:30

Die WHO sieht eine Verbesserung der Ebolalage erst in 6 - 9 Monaten und rechnet mit ca. 20000 Ebola Fällen

WHO fürchtet 20.000 Ebola-Fälle

Die Ebola-Epidemie in Afrika breitet sich immer schneller aus. Die Weltgesundheitsorganisation WHO befürchtet, dass die Zahl der Erkrankten in Westafrika auf mehr als 20.000 steigen könnte. Das geht aus einem Notfallplan hervor, den die WHO in Genf vorstellte. mehr...

Grüsse
Alexander
The one who follows the crowd will usually go no further than the crowd. Those who walk alone are likely to find themselves in places no one has ever been before.

... follow us on facebook - das Wüstenschiff auf Facebook
>>> Firmen, die Wüstenschiff-Aktionen in Afrika unterstützen
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Ebola erreicht Senegal - Erster Fall in Dakar

Beitragvon Birgitt » 29.08.2014 17:15

Die Ebola-Epidemie breitet sich in Westafrika immer schneller und weiter aus. Am Freitag erreichte das Virus den Senegal und damit nach Guinea, Sierra Leone, Liberia und Nigeria das fünfte Land in Westafrika. Gesundheitsministerin Awa Marie Coll Seck bestätigte bei einer Pressekonferenz den ersten Fall in dem Land. Der erste Ebola-Patient im Senegal sei in einem Krankenhaus der Hauptstadt Dakar isoliert worden, sagte die Ministerin. Demnach handelt es sich um einen 21-jährigen Studenten aus dem Nachbarland Guinea. Nach Angaben der Ministerin gab es Informationen aus Guinea, dass dort ein Mann, der unter Beobachtung stand, verschwunden sei und sich möglicherweise im Senegal aufhalte.

Epidemie in Westafrika: Senegal meldet ersten Ebola-Fall
29.08.2014 - Spiegel

Senegal's health minister has confirmed a first case of Ebola, making it the fifth West African country to be affected by the outbreak. Awa Marie Coll Seck told reporters on Friday that a young man from Guinea had travelled to Senegal despite having been infected with the virus. The man was immediately placed in quarantine, she added [...] Senegal had previously closed its border with Guinea in an attempt to halt the spread of Ebola, but the frontier is porous [...] The Guinean student sought treatment at a hospital in Senegal's capital Dakar on Tuesday, but did not tell staff he had had contact with Ebola patients in his own country. On Wednesday, the Guinean health services reported "the disappearance of a person infected with Ebola who reportedly travelled to Senegal," according to Senegal's health minister. She said the missing person was quickly identified as the Guinean student and he was immediately quarantined.

Ebola outbreak: Senegal confirms first case
29.08.2014 - BBC

Gruß
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Re: Ebola - Guinea, Liberia, Sierra Leone, Nigeria, Senegal

Beitragvon Alexander » 29.08.2014 19:40

Von den drei Patienten, die mit dem Anti Ebola Serum ZMapp behandelt wurden, starb ein Patient. Die Japaner arbeiten anscheinend ebenfalls an einem Serum und bieten es Afrika an. Das Serum wurde bisher allerdings noch keinen ausreichenden Tests unterzogen.

Beitroffen sind auch viele Helfer und Ärzte. Bisher wurden 240 Helfer mit dem Ebolavirus infiziert.


Ebola: ZMapp bei Rhesusaffen wirksam – Impfstudie beginnt nächste Woche

Winnipeg – Das Antiköperpräparat ZMapp, das Patienten durch eine passive Immunisierung vor dem Tod am Ebola-Fieber bewahren soll, war in tierexperimentellen Studien in Nature (2014; doi:10.1038/nature13777) auch nach Ausbruch der Krankheits­symptome noch wirksam. Alle Rhesus-Affen wurden gerettet. Die US-Institutes of Health kündigten für die nächste Woche den Beginn einer ersten Impfstoffstudie an. Weitere sollen folgen. mehr...

Grüsse
Alexander
The one who follows the crowd will usually go no further than the crowd. Those who walk alone are likely to find themselves in places no one has ever been before.

... follow us on facebook - das Wüstenschiff auf Facebook
>>> Firmen, die Wüstenschiff-Aktionen in Afrika unterstützen
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Ebola im Senegal

Beitragvon Birgitt » 29.08.2014 20:25

EBOLA VIRUS DISEASE - WEST AFRICA (142): SENEGAL ex GUINEA, FIRST CASE CONFIRMED
********************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Fri 29 Aug 2014
Source: The Washington Post [edited]
http://www.washingtonpost.com/news/worl ... gets-worse


Senegal confirmed its 1st case of EVD on [Fri 29 Aug 2014], according to a statement from Health Minister Awa Marie Coll Seck. The patient, a Guinean national who traveled to Senegal, is in quarantine. The news brings the number of countries impacted by the outbreak up to 5: Sierra Leone, Liberia and Senegal's neighbor, Guinea, have seen the bulk of the 3069 reported EVD infections in the region, according to the WHO. More than half of those infected have died. The virus also spread to Nigeria through a traveling Liberian-American man. A separate outbreak of a different strain of ebolavirus has been reported in the DR Congo.

As the outbreak worsened in West Africa, Senegal took aggressive measures to prevent the virus from spreading across its borders. Last week [week of 18 Aug 2014], the country closed its borders with neighboring Guinea out of fear that the virus might come to Senegal. That closure prevented any flights headed to Guinea, Sierra Leone, or Liberia from touching down on Senegal's soil. The World Health Organization counts 607 confirmed and suspected cases of EVD in Guinea alone and 406 deaths from the virus there.

Senegal is a major travel hub for the region, particularly its capital city of Dakar, the Associated Press noted. The news gives added weight to fears that the current outbreak is far from its peak. On [Thu 28 Aug 2014], WHO warned that the outbreak could infect more than 20 000 people before it ends.

In Liberia, where international health organizations have said the outbreak could be spiraling out of control, [visiting] US Centers for Disease Control and Prevention [CDC] Director Tom Frieden said "It's even worse than I'd feared. Every day this outbreak goes on, it increases the risk for another export to another country."

[Byline: Abby Ohlheiser, Abby Phillip]

[This post has been updated by The Washington Post .]

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[This person either did not arrive by air or sea, or else escaped screening -- or possibly was not febrile on arrival, how long ago? It is not stated if he is in the capital, Dakar [population more than 1 million]. There must be a lot of contacts to follow up. This is a major disaster for the country. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/48, http://healthmap.org/promed/p/45.]
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Ebola-Fieber in Westafrika

Beitragvon Birgitt » 30.08.2014 10:54

EBOLA VIRUS DISEASE - WEST AFRICA (143): SENEGAL, SIERRA LEONE PEDIATRIC CRISIS
*******************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] Senegal: more details
[2] Sierra Leone: pediatric crisis


******
[1] Senegal: more details
Date: Fri 29 Aug 2014
Source: Reuters [edited]
http://www.reuters.com/article/2014/08/ ... SU20140829


Senegalese Health Minister Awa Marie Coll Seck said the man turned up for treatment at a hospital in the capital Dakar on Tuesday [26 Aug 2014], concealing the fact that he had had close contact with victims in his home country. Tests at the Pasteur Institute in Dakar showed he had the disease.

"We are tracing his whole itinerary and also identifying anyone who had contact with the patient, who now that he has been diagnosed is much more cooperative and supplied all the necessary information," the minister said. A Health Ministry official, who asked not to be named, said that the 21-year-old crossed into Senegal via its southern border with Guinea and had been living in the densely populated Dakar suburb of Parcelles Assainies for 3 weeks. He added that the man appeared to have a good chance of recovering. [He] had been under surveillance by health authorities in Guinea because of his contact with Ebola virus disease [EVD] victims but escaped to Senegal, Seck said.

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[After closing its borders with the neighboring country between March and May 2014, Senegal had reopened -- until closing them again last week. - Mod.JW]

******
[2] Sierra Leone: pediatric crisis
Date: Sun 24 Aug 2014
From: Daniel Lucey <daniel.lucey8@gmail.com> [edited]


In deepest concern we address ourselves to all of you to raise the issue of the paediatric patients' situation during the current EVD outbreak.

As you might have heard, Sierra Leone's only tertiary paediatric hospital will not be fully functional for at least 3 weeks and might have to close down completely for a short period. We, who have been working at the Ola During Children's Hospital (ODCH) for the last years, are afraid of the consequences this will have and now write to you to raise awareness for the upcoming problems and hope to find a solution if all of us link together.

- Without a functioning children's hospital, there will be only few places where sick children will be seen and treated. The other hospitals and medical facilities should expect a much higher influx of paediatric patients.

- We have seen a significant decrease of patients seeking help in our hospital (about half of them since EVD 1st came to Freetown), therefore many sick children, infected with EVD or not, will not be brought to a health facility, and the mortality rate for children will increase dramatically.

- If sick children are not brought to the health facilities, there will be no way of detecting suspected EVD cases and isolating them.

- Concerning the screening: now that EVD is in Freetown, the travel history has to be excluded from the criteria. Contact history is important, but as we all know and unfortunately have experienced now at the ODCH, people are lying to avoid isolation.

- As we know from our colleagues working with adult patients, they isolate everyone with symptoms like high grade fever, weakness, headache, vomiting and diarrhea. For paediatric patients, this would mean that around 80-90 percent of all new admissions would have to be isolated, as most of them come to the hospital with typhoid fever, malaria or gastroenteritis and will meet the criteria of a suspected case.

- So we will need a better case definition for children, or isolate 80-90 percent of all new admissions.

- As far as we know, there are no facilities in Freetown or close by which are prepared for such a large isolation ward, and there are not enough trained personnel willing to work.

- The doctors working in the other isolation units are not paediatricians, the nurses are not paediatric nurses and not trained to work with children, who have special needs and requirements concerning medication, procedures and care.

***These issues should be addressed as soon as possible, as the paediatric problem is threatening to get out of hand. Solutions have to be found for the screening process, the general treatment of paediatric patients, and for setting up enough isolation facilities with qualified and trained staff.***

Our team consists of 2 paediatricians, a social worker and one logistics expert, who are in Freetown and ready to help, for example with training or anything else that might be required.

We are looking forward to working together.
--
Dr. Sara Hommel
Dr. Noa J. Freudenthal
Cap Anamur Freetown, Sierra Leone
Contact: +232 78 018531

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[ProMED hopes the cry of the pediatricians will be heeded. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/48, http://healthmap.org/promed/p/46.]
Birgitt
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