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Ebola’s mental-health wounds linger in Africa

 

Health-care workers struggle to help people who have been traumatized by the epidemic.

 SCIENCE  by Sarah  Reardon                                                                                       March 3, 2015

The Ebola epidemic in West Africa may be fading, but its impact on mental health could linger for years. Survivors are often haunted by traumatic memories and face rejection by society when they return home, and those who never contracted the disease may grieve for lost relatives or struggle to cope with extreme anxiety.

 

The trauma caused by death and fear is having long-term ramifications on the people of Sierra Leone.

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What Are the Long-Term Effects of Ebola?

LIVE SCIENCE  by Rahael Retner                             March 5, 2015

Texas nurse Nina Pham, who was infected with Ebola, says she has had ongoing health problems since being cured of the disease, and experts say this is not uncommon for Ebola survivors.

The long-term effects of Ebola have not been well studied, and doctors will likely learn a lot more about the disease's aftermath from the most recent outbreak in West Africa, the largest in history, said Dr. Jesse Goodman, an infectious-disease expert and a professor of medicine at Georgetown University Medical Center in Washington, D.C.

 But it is clear that Ebola survivors can experience health problems that remain with them temporarily as a result of their battle with the disease, Goodman said....

 These symptoms may result, in part, from the body's release of certain immune-system chemicals called cytokines. These chemicals fight the disease but make people feel sick. Dehydration, low blood pressure and nutrition problems that people experience during an Ebola infection can also injure a person's muscles or other tissues, Goodman said.

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Ebola spending: will lack of a positive legacy turn dollars to dolour?

Millions were invested in west Africa to tackle the Ebola crisis, but some experts doubt there will be any lasting benefits for public health systems

THE GUARDIAN by 

LONDON -- While it is still too early to call time on the Ebola outbreak, a sense that the worst may have passed is tentatively taking root in west Africa, alongside an acute realisation of the need to ensure a positive long-term legacy for battered healthcare systems.

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Ebola infection 'linked to visor'

THE PRESS ASSOCIATION                               Feb. 4, 2015
LONDON --A British nurse who contracted Ebola while working in Sierra Leone possibly caught the virus by wearing a visor and not goggles, an investigation has suggested.
Press Association - Save the Children said Pauline Cafferkey, pictured on her return to health, may have contracted Ebola by wearing a visor rather than goggles when treating patients in Sierra Leone

The report by Save the Children said it cannot be completely certain how Pauline Cafferkey contracted Ebola but said both pieces of equipment are "equally safe".

The nurse, from Cambuslang in South Lanarkshire, had volunteered with the charity at the Ebola Treatment Centre (ETC) in Kerry Town before returning to the UK in December....

Save the Children published the findings of an independent review into the possible causes of how the 39-year-old caught the virus. The report said both visors and goggles are safe but there are slight differences in the type of clothing worn with each and in the protocols for putting them on and removing them....

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Global Health Security: The Next Five Years

onlinedigeditions.com - Andrew C. Weber - Christine Parthemore

The next five years will see crucial changes in the global health security landscape, profoundly shaped by two key events in 2014:

The Ebola response in West Africa, and the successful first year of the Global Health Security Agenda, an initiative of dozens of countries and non-governmental organizations to make tangible commitments for preventing, rapidly detecting, and effectively responding to infectious disease threats.(1) 

Both events brought to light signs of measurable progress, and profound gaps that must be prioritized in the years ahead. Pressing needs include expanding emergency operations center capacity, better leveraging technological innovation, and closing the gap between the health and security communities.

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Lessons from Ebola: Toward a Post-2015 Strategy for Pandemic Response


Broadcast live streaming video on Ustream

This event has concluded. View the replay above.

worldbank.org - Date: January 27th 2015 - Location: Georgetown University & Online Time: 4:00 p.m. - 5:00 p.m. ET (21:00 - 22:00 GMT)

Jim Yong Kim, President of the World Bank Group, will deliver Georgetown’s inaugural Global Futures lecture.

The lecture, “Lessons from Ebola: A post-2015 strategy for pandemic response,” will kick off a semester-long conversation about the “Global Future of Development” at Georgetown as part of the university’s new Global Futures Initiative.

His talk on Jan. 27 will connect ongoing efforts to stop the spread of infection in West Africa with longer-term efforts to improve public health systems that support economic and social development in countries vulnerable to future pandemics.

http://live.worldbank.org/lessons-from-ebola-post-2015

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Meant to Keep Malaria Out, Mosquito Nets Are Used to Haul Fish In

 

Millions of mosquito nets are given out fight to malaria in Africa, yet many faced with hunger use them as fish nets, creating potential environmental problems. Video by Ben C. Solomon on Publish Date January 24, 2015. Photo by Uriel Sinai for The New York Times.

NEW YORK TIMES   by Jeffery Gettleman                           Jan. 25, 2015

BANGWEULU WETLANDS, Zambi --Across Africa, from the mud flats of Nigeria to the coral reefs off Mozambique, mosquito-net fishing is a growing problem, an unintended consequence of one of the biggest and most celebrated public health campaigns in recent years.

The nets have helped save millions of lives, but scientists worry about the collateral damage: Africa’s fish.

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Flu & Drug Resistance Are Next Pandemic Threats After Ebola

REUTERS    By Ben Hirschler                                   Jan. 23, 2015

DAVOS, Switzerland, Jan 23 (Reuters) - The worst-ever Ebola epidemic is waning, but after ravaging three West African nations and spreading fear from Dallas to Madrid, it has hammered home the message that the world needs a better detective system for emerging diseases.

Risks posed by pandemic threats such as deadly strains of flu and drug-resistant superbugs have shot up the agenda of global security issues at this year's World Economic Forum in Davos as politicians and scientists grapple with the lessons from an Ebola outbreak that has killed more than 8,600 people.

One thing is certain: more epidemics are coming and dense urban living, coupled with modern travel, will accelerate future infectious disease outbreaks.
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http://www.huffingtonpost.com/2015/01/23/flu-drug-resistance_n_6531066.html

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UN Ebola Chief Calls for Final Funding Push to Defeat Virus in West Africa

      

Ebola treatment centres have often not been completed until the virus has passed its peak.
Photograph: Francisco Leong/AFP/Getty Images

UN’s lead Ebola co-ordinator en route to Davos says last third of the $1.5bn pledged to tackle disease needs to be paid in order to end the outbreak

theguardian.com - by Sarah Boseley - January 20, 2015

Half a billion dollars of aid pledged to end the Ebola outbreak in west Africa still hasn’t been paid, according to the UN’s response co-ordinator.

Dr David Nabarro, in London and on his way to Davos to discuss progress against Ebola and future plans, said about two-thirds of the promised $1.5bn had been paid so far. “This last third is the most precious money but probably the most difficult money,” he told the Guardian. “My focus over the next few days here and in Davos is trying to ensure we have enough money to enable the task to be completed.

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Ebola Doctors Are Divided on IV Therapy in Africa

NEW YORK TIMES  by Donald G. McNeil, Jr.                                                     Jan. 1, 2015

Medical experts seeking to stem the Ebola epidemic are sharply divided over whether most patients in West Africa should, or can, be given intravenous hydration, a therapy that is standard in developed countries. Some argue that more aggressive treatment with IV fluids is medically possible and a moral obligation. But others counsel caution, saying that pushing too hard would put overworked doctors and nurses in danger and that the treatment, if given carelessly, could even kill patients.

A nurse gave an Ebola patient intravenous fluids at the Red Cross treatment center in Kenema, Sierra Leone, in November. Credit Francisco Leong/Agence France-Presse — Getty Images

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