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Malaria morbidity and mortality in Ebola-affected countries caused by decreased health-care capacity, and the potential effect of mitigation strategies: a modelling analysis

LANCET by Patrick G. T. Walker and others                               Volume 15, No. 7, p825–832, July 2015
The ongoing Ebola epidemic in parts of west Africa largely overwhelmed health-care systems in 2014, making adequate care for malaria impossible and threatening the gains in malaria control achieved over the past decade. We quantified this additional indirect burden of Ebola virus disease.

We estimated the number of cases and deaths from malaria in Guinea, Liberia, and Sierra Leone from Demographic and Health Surveys data for malaria prevalence and coverage of malaria interventions before the Ebola outbreak. We then removed the effect of treatment and hospital care to estimate additional cases and deaths from malaria caused by reduced health-care capacity and potential disruption of delivery of insecticide-treated bednets. We modelled the potential effect of emergency mass drug administration in affected areas on malaria cases and health-care demand....

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Surviving Ebola: Physical & Psychological Ailments Linger for Many

LIVE SCIENCE by Rachael Rettner                          June 19, 2015

Many people who survive an Ebola infection experience appetite loss and joint pain for months after they are declared free of the virus, although nearly half say they feel they've made close to a full recovery, according to a new study of more than 100 survivors of the disease.

But in addition to causing physical symptoms, Ebola often leaves a lasting impact on people's social lives and mental health, with nearly all survivors reporting social rejection and a loss of self-confidence, the study found.

"Our findings highlight the need for continued surveillance among survivors of Ebola virus disease," the researchers, from Donka National Hospital in Guinea, wrote in the June 9 issue of the journal Clinical Infectious Diseases. "In countries where psychiatric and psychological care may be limited, provision of such care may require additional resources and awareness."

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http://www.livescience.com/51278-ebola-survivors-physical-mental-health.html

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Pregnant Ebola patient may have been contagious for days without symptoms

REUTERS by Gene Emery                                                                         June 18, 2015

 NEW YORK (Reuters Health) - Pregnant women infected with Ebola may be contagious for days before they show symptoms, a group of doctors is warning in the June 18 New England Journal of Medicine.

The warning is based on a single case and the woman did not actually spread the deadly infection to anyone. But laboratory tests revealed high levels of the virus when no symptoms were present.

Usually people aren't considered to be contagious until they start to feel ill.

The reason pregnant women may be an exception may have to do with the way pregnancy affects the woman's body, the doctors say. Her immune system becomes more tolerate of the fetus, whose tissues would normally be considered foreign.

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http://news.yahoo.com/pregnant-ebola-patient-may-contagious-days-without-symptoms-124114264.html;_ylt=AwrC0wxAAYNVTlEAmp7QtDMD;_ylu=X3oDMTBybGY3bmpvBGNvbG8DYmYxBHBvcwMyBHZ0aWQDBHNlYwNzcg--

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Researchers link Ebola news coverage to public panic using Google, Twitter data

EUREAKALERT!                                                  June 15, 2015
(Scroll down for link to PLOS One article.)

ARISONA STATE UNIVERSITY --

Using Twitter and Google search trend data in the wake of the very limited U.S. Ebola outbreak of October 2014, a team of researchers from Arizona State University, Purdue University and Oregon State University have found that news media is extraordinarily effective in creating public panic.

Because only five people were ultimately infected yet Ebola dominated the U.S. media in the weeks after the first imported case, the researchers set out to determine mass media's impact on people's behavior on social media.

"Social media data have been suggested as a way to track the spread of a disease in a population, but there is a problem that in an emerging outbreak people also use social media to express concern about the situation," explains study team leader Sherry Towers of ASU's Simon A. Levin Mathematical, Computational and Modeling Sciences Center. "It is hard to separate the two effects in a real outbreak situation...."

Towers states that this study will be useful in future outbreak situations because it provides valuable insight into just how strongly news media can manipulate public emotions on a topic.

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Akon Launches Solar Academy That Will Supply Electricity to 600,000,000 People in Africa

Photo: Denis Van Tine/AP Photo

The musician is giving back to people in a major way.

theroot.com - by Yesha Callahan - June 2, 2015

When he’s not singing or producing music, Akon is busy providing sustainable living options to people in African countries. The Senegalese-American singer’s initiative, appropriately called Akon Lighting Africa, aims to supply electricity to 600 million people in Africa who lack it with the launch of the Solar Academy.

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(ALSO SEE RELATED ARTICLE HERE)

CLICK HERE - Akon Lighting Africa

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G7 states vow to wipe out Ebola but offer little concrete action

REUTERS                                                      June 8, 2015

KRUEN, Germany - Leaders of the Group of Seven industrial nations pledged on Monday to wipe out Ebola but offered little in terms of concrete action, disappointing non-governmental organisations.

G7 leaders said in a communique at the end of a two-day summit in the Bavarian Alps that they would offer help to at least 60 nations, including in West Africa, over the next five years to help prevent outbreaks from turning into epidemics.

More than 11,000 people have died in the Ebola outbreak in West Africa since the first reported case in March 2014. The G7 said the crisis showed it was necessary to enhance the world's ability to prevent, detect and respond to such emergencies.

The G7 nations said they would work together to combat future epidemics and boost or establish strategies to quickly deploy teams of experts with a variety of skills via a common platform, but their communique was thin on detail.

Florian Westphal, General Director of Medecins Sans Frontieres (MSF) Germany, said the leaders had done little to ensure epidemics would not spiral out of control in future....

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Ebola Virus Disease Outbreak in Nigeria: Transmission Dynamics and Rapid Control

ncbi.nlm.nih.gov - Epidemics. 2015 Jun;11:80-4. doi: 10.1016/j.epidem.2015.03.001. Epub 2015 Mar 21

Abstract

International air travel has already spread Ebola virus disease (EVD) to major cities as part of the unprecedented epidemic that started in Guinea in December 2013. An infected airline passenger arrived in Nigeria on July 20, 2014 and caused an outbreak in Lagos and then Port Harcourt. After a total of 20 reported cases, including 8 deaths, Nigeria was declared EVD free on October 20, 2014. We quantified the impact of early control measures in preventing further spread of EVD in Nigeria and calculated the risk that a single undetected case will cause a new outbreak. We fitted an EVD transmission model to data from the outbreak in Nigeria and estimated the reproduction number of the index case at 9.0 (95% confidence interval [CI]: 5.2-15.6). We also found that the net reproduction number fell below unity 15 days (95% CI: 11-21 days) after the arrival of the index case. Hence, our study illustrates the time window for successful containment of EVD outbreaks caused by infected air travelers.

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West Africa Struggles to Rebuild Its Ravaged Health-Care System

WALL STREET JOURNAL by Betsy McKay  June 4, 2015
HARPER, Liberia --The deadly disease may have receded, but it is still exacting a heavy toll. Run-down, poorly staffed and equipped health facilities allowed Ebola to explode.

 Since it was identified in early 2014, the epidemic has claimed the lives of 507 health-care workers in three West African countries, all of which already were short of medical professionals. The health-care system was so overwhelmed with Ebola victims that many other patients couldn’t receive care for malaria, heart disease or pregnancy complications. That bill is coming due.

“There are more people who are going to die from Ebola, but not have Ebola,” says Paul Farmer, a Harvard professor and co-founder of the Boston-based charity Partners in Health.

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Ebola Response Reveals the Need for New Models for Collaboration Between the Private and Public Sectors

A Report by the World Economic Forum and BCG Analyzes the Private Sector's Response to the Ebola Outbreak and Distills Lessons for Public-Private Partnerships in Future Health Crises

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BOSTON CONSULTING GROUP -MARKETWIRED June 4, 2014

CAPE TOWN, SOUTH AFRICA-- The private sector played an important role in the global response to the Ebola outbreak in West Africa not only by providing financial and in-kind donations but also by acting as a partner to support response activities.

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Global health leaders ask G7 for post-Ebola rapid response unit

(Two stories. Scroll down.)
REUTERS by Kate Kelland                                                           June 5, 2015
LONDON -- Global health leaders will ask G7 leaders this weekend to back the creation of a specialist rapid response unit to tackle outbreaks of infectious killer diseases.

The corpse of a patient who passed away is given back to the family for funerals after being decontaminated by the MSF teams. It was washed with chlorine solution and put it in a hermetic bag also disinfected to leave the high risk area.

The move reflects how the World Health Organization in particular was caught unprepared last year by Ebola, which spread through three West African countries, has killed 11,000 people, and will not be stamped out before the end of this year.

Jeremy Farrar, director of the Wellcome Trust global health charity, said the unit should come under the WHO, but be free of bureaucracy and able to act independently "in days" when a potentially fatal epidemic begins...

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