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An undated United Methodist News Service photograph shows Martin Salia, left, performing surgery at the Kissy Hospital outside Freetown, Sierra Leone,
in April. Salia died Nov. 17 while being treated at a biocontainment unit at Nebraska Medical Center in Omaha. (Photo: Mike DuBose,
United Methodist News Service, via European Pressphoto Agency) |
December 5, 2014 - THE EBOLA OUTBREAK - The following constitutes several of the latest news reports on the Ebola outbreak across the planet.
UN Peacekeeper in Liberia Tests Positive for Ebola
A U.N. peacekeeper who contracted Ebola in Liberia will be flown to the
Netherlands for treatment, a Dutch Health Ministry spokeswoman said Friday.
The
Nigerian soldier will go into isolation at a "calamity unit" at the
University Medical Center Utrecht, according to Inge Freriksen. He is
expected to arrive in Amsterdam over the weekend and be transferred by
ambulance to nearby Utrecht.
Late Thursday, the U.N. mission announced that the soldier had tested positive for the dreaded disease a day earlier.
The Ebola outbreak has sickened nearly 17,300 people, mostly in Guinea, Liberia and
Sierra Leone. Of those, about 6,100 have died.
Liberia
has recorded the highest number of cases and deaths, but with infection
rates stabilizing there, the government decided to go ahead with a
Senate election this month and police agreed to allow campaign rallies
and gatherings. This week, President Ellen Johnson Sirleaf said
demonstrations are impeding efforts to contain Ebola and banned all
gatherings. The order, published Thursday, is in effect until 30 days
after results of the Dec. 16 election are announced.
The infection
of the U.N. peacekeeper is the third case among mission personnel,
according to Karin Landgren, the top U.N. envoy in the country. The
previous two died.
The mission has so far identified 16 people who
came into contact with the soldier, and they have been quarantined, she
said. Areas the peacekeeper visited while symptomatic have been
decontaminated.
The man will be the first Ebola patient
hospitalized in the Netherlands. He is being treated in a Dutch hospital
at the request of the
World Health Organization, Freriksen said.
The U.N. force, with about 7,700 troops and police, has been in Liberia since 2003 to bring stability after two civil wars. -
ABC News.
American being evaluated for Ebola at Emory
An American health-care worker in West Africa who may have been infected with Ebola has arrived at Emory University Hospital.
The
patient arrived at the hospital's Serious Communicable Diseases Unit
Thursday at around 5:45 a.m. The patient's name is not being released,
per his wishes.
A hospital spokeswoman on Wednesday confirmed the
patient was being flown there. Emory houses a specialized isolation unit
that handled four of the 10 Ebola patients previously treated in the
U.S.
The spokeswoman did not say why the person was being
evacuated even before an Ebola diagnosis. A U.S. State Department
official declined to comment, citing privacy considerations.
West
Africa is suffering the worst Ebola outbreak in history, with more than
17,100 illnesses and at least 6,000 deaths this year. Six of those
treated in the U.S. were Americans infected while providing medical aid
there.
10 people being monitored for Ebola in Boston
A
patient first suspected of having Ebola has, instead, tested positive
for malaria, as officials continue to monitor several other people for
the deadly virus.
The patient at Massachusetts General Hospital
was being monitored under federal guidelines after flying into the U.S.
from Liberia.
The Boston Public Health commission checked in with
him daily, and after he reported a fever Tuesday he was taken by
ambulance to the hospital.
The patient has malaria but dozens of people in Massachusetts are being monitored for Ebola, and he was among 10 in Boston.
Since
October, the city's public health department has actively monitored 35
people. The monitoring includes daily reporting of temperature and
possible Ebola symptoms.
Massachusetts General Hospital is one of eight area hospitals working to become designated Ebola treatment centers. -
WCVB.
Massachusetts patient tests negative for Ebola, hospital says
A
patient at Massachusetts General Hospital has shown negative for Ebola
in a preliminary test, a day after he was admitted with some symptoms
consistent with the disease, the hospital said on Wednesday.
"The
patient has, however, tested positive for malaria," the hospital said in
a statement issued on its website. It added that more definitive
testing would be conducted to completely rule out the possibility of
Ebola.
The patient was admitted to the hospital on Tuesday
afternoon and was being treated in a "specially prepared area within the
hospital," Mass General said.
Ebola has killed more than 6,000
people in West Africa since March in the worst outbreak on record,
striking hardest in Guinea, Liberia and Sierra Leone. The United States
has seen just a handful of cases, mostly involving people who contracted
the virus overseas.
U.S. health officials on Tuesday designated
35 hospitals around the nation as Ebola treatment centers; none were
located in Massachusetts.
-
Reuters.
Italian Ebola victim's condition worsens
 |
An ambulance carrying an Italian doctor, who contracted Ebola while working in Sierra Leone, arrives at the Lazzaro Spallanzani infectious diseases
institute in Rome November 25, 2014. Credit: Reuters/Tony Gentile |
An
Italian doctor suffering from Ebola is in intensive care after his
condition worsened, a spokeswoman for the hospital treating him said on
Friday.
The 50-year-old Sicilian contracted Ebola while working
for the humanitarian group Emergency in Sierra Leone, one of the
countries worst hit by the virus.
The Lazzaro Spallanzani
infectious diseases unit in Rome said the patient had to be given
respiratory assistance on Thursday evening. His condition had improved
slightly on Wednesday.
The doctor is the only Italian to have been
diagnosed with the haemorrhagic fever, which has killed more than 6,000
of around 17,000 people infected so far, mostly in West Africa, during
the worst outbreak of Ebola on record.
He was transferred to Rome, where he began being treated with an experimental drug never used before in
Italy, and plasma taken from survivors of the disease. -
Reuters.
As Ebola Surges In Sierra Leone, Communities Take Control
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| A worker puts the finishing touches on the dividers that will separate patients at the community care center in the Port Loko District of Sierra Leone. |
If you think the fight against Ebola is going well, here's a grim new number: 537.
That's how many new infections were
reported in Sierra Leone in the past week. It's the highest weekly tally in any country since the West African outbreak began.
International
governments and aid groups have scrambled to open Ebola treatment
centers in the country. But, because of safety concerns, many of these
centers are accepting only a fraction of the number of patients they
were built to serve.
In the meantime, most sick people are being
directed to makeshift, government-run centers. Some of these are simply
schools or other government buildings repurposed into a "community care
center" — a place for people with
Ebola symptomsto be isolated.
Baimaur
Laminangbatu, who heads up a chiefdom of several hundred villages in
Sierra Leone's rural north, is helping transform a school into one of
these care centers.
The facility is a lot more basic than the
full-fledged treatment clinic down the street, which was built with
funding from foreign governments, including the U.S. That facility has
sophisticated in-ground plumbing and sanitation system.
Here at
the school, workers are digging a big hole in the ground. "Those are the
toilets for the suspected cases to use," Laminangbatu says.
The
treatment offered at the care center will be limited — medication to
bring down a fever and rehydration salts that patients can drink with
little help or supervision. In contrast, at some
treatment centers, patients are getting intravenous drips for fluid replacements and sponge baths.
Still
though, Laminangbatu and his team have stood up this community care
center in a matter of days. The facility is remarkably simple. In one
room, there are eleven metal cots.
"This place was a classroom,"
Laminangbatu says. A chalkboard on the wall still has a lesson written
on it. "My name is Hawa. I'm a girl. I'm 4 years old," Laminangbatu
reads off the board.
These community care centers — and larger
holding centers — were originally conceived of as temporary triage
posts. Health officials intended them to be places where people who
might have Ebola could be isolated while they waited for an Ebola test
result. If the test came back positive, then a person would be sent onto
a proper treatment facility.
But right now, there's no better place to go. So sick people are getting stuck at these triage centers.
It's
better than nothing, Laminangbatu says. "If we allow those sick to be
in the community, Ebola will spread," he says. "And all of us will die."
But a few miles down the road, at a holding center, I met Dr. Corrado Conceda, with the aid group
Partners In Health.
He thinks it's unacceptable that so many Sierra Leoneans will have to
die while waiting for the international response to scale up.
Why
should people here get a lower standard of care than Americans or
Europeans, Conceda asks? "Everybody deserves the same level of care," he
says. "That should always be our goal and our guiding principle."
Conceda
has begun turning this existing holding center into a full-fledged
treatment facility, with IVs. He's also bringing in medical workers from
overseas and trainers in a matter of days, not weeks.
And Conceda
totally rejects idea that Ebola has to be such a deadly disease. "Ebola
kills so many people here [in Sierra Leone] because there's not the
resources to take care of patients properly," Conceda says.
As
soon as possible, he wants to start using start using lab tests to
monitor organ function and tweak electrolyte levels — the tools that
American and European hospitals have been using to support their Ebola
patients.
"Let's bring the tools, and then the mortality rate will
go down," Conceda says. "There's no reason why it couldn't be 20
percent, or 10 percent, if you diagnose patients early enough before
they're sick."
The key to getting there, Conceda says, is to
maintain that moral outrage — that sense that as long as people are
dying, what you're doing is never enough. -
NPR.
Is Ebola Taking a Heavier Toll on Women?
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| Fatmata Sowa, 28, is among the few women who've joined the Red Cross safe and dignified burial teams in Sierra Leone. ( Lisa Pattison / IFRC) |
The Ebola virus, indiscriminate and opportunistic, has infected more than 17,000 people in West Africa, the
World Health Organization reports. But some observers fear the epidemic may be exacting an especially heavy toll on women and girls.
Its
impact goes well beyond the disease itself, amplifying females’
vulnerabilities, exploiting their limits within traditional societies,
and motivating responses of strength and resilience.
"Ebola is not
only a public health catastrophe, it is also unleashing devastating
secondary effects on economic and social development, all of which have
harmful implications for women and girls," Janet Fleischman, a senior
associate at the Center for Strategic and International Studies,
recently wrote for the Washington think tank’s
Smart Global Health blog.
From
birth to death, Ebola is wreaking havoc – primarily in the three
hardest-hit countries of Guinea, Liberia and Sierra Leone. Fear of
infection deters women from seeking medical care during pregnancy and
childbirth, likely driving up already-abysmal maternal mortality rates,
health experts say
[see chart below]. But the threat of
contamination is greatest at death, when an Ebola patient’s viral load
is highest. Cultural norms require that corpses are prepared for burial
by people of the same sex – a serious problem when few women serve on
official burial teams outfitted with personal protective equipment.
Between those milestones lurk a host of other risks to females.
"Reports
from the region raise fears about sexual violence and exploitation of
women and girls by male Ebola survivors – the virus has been found in
semen for up to three months so abstinence is recommended during that
period – or by men exploiting girls who are orphaned or women widowed by
Ebola," Fleischman wrote.
"… In addition, property and
inheritance laws may discriminate against women and girls affected by
Ebola, with some reports of Ebola widows being shunned by their families
and denied the ability to inherit their husband’s property."
Out of school and at risk
School closings in all three countries exacerbate low literacy rates
[see chart above] and fuel other problems.
In
Sierra Leone, where the Ebola caseload recently surged to more than
7,000, "we’ve heard of young ladies [falling] prey to so many different
child-protection issues," said Yeniva Sisay-Sogbeh, a longtime educator
now working in Freetown with the Israeli humanitarian aid group
IsraAID. She helps its clients deal with trauma and loss.
Unstructured,
unsupervised time heightens chances for unplanned pregnancy,
Sisay-Sogbeh said, adding that she’s even "heard of young ladies in
quarantine raped by a police officer meant to guard them."
And
"once a girl child becomes pregnant, the possibility for that girl to go
back to school is slim," added N’yella Maya Rogers, a human rights
lawyer from Sierra Leone and fellow with the
National Endowment for Democracy
in Washington, D.C. As it is, too many in her native country "believe
it’s better to send the boy to school" and have the girl stay home and
do housework, she said. "… That kind of discrimination has been going on
very long in a tribal society like this."
Sisay-Sogbeh also
expressed concern about household incomes falling as a consequence of
quarantines and other Ebola-related economic disruptions. "If money
becomes a problem," she said, "you’re going to see more interest in
families having [daughters] married off early."
Adjusting burial teams
Perhaps
the most widespread immediate risk involves Ebola contagion through
traditional burial practices. Anthony Banbury, who heads the United
Nations Mission for Ebola Emergency Response, told the Associated Press
it appears that women are washing female victims’ corpses before calling
authorities to collect them.
In Sierra Leone, the 1,583
fatalities recorded as of November 30 were almost equally divided
between males (51 percent) and females (49 percent), a spokeswoman for
the World Health Organization’s Sierra Leone office reported, citing
figures from the national health ministry.
But women’s
representation on burial teams is not. The Sierra Leone Red Cross
Society, one of several entities authorized to provide safe burials, has
50 teams nationwide – and 20 women among them, spokesman Edward
Aloushious Renner said. But, he added, "more women seem to be coming
forward."
Fatmata Sowa, one of four women volunteering in the
country’s Western Area district, joined the effort "to help break the
transmission of Ebola through dead bodies," she said in a
short profile posted on the national society’s Facebook page.
When
the Ebola victim is female, "I will be the first to enter the room ...
to ensure that she is covered in a dignified position before my male
colleagues would be allowed to enter," said Sowa, described in
another Red Cross article as a 28-year-old mother of two.
She then will wash and dress the body, preparing it for burial.
More data sought
Fleischman,
a specialist on women’s global health issues and related U.S. policy,
recommends collecting and publicly sharing sex-disaggregated data about
Ebola infections and deaths.
"We’ve learned in past crises that
you can’t wait … to start looking at whether there is a disproportionate
impact on girls and women," Fleischman, who has studied HIV/AIDS and
other public health threats, told VOA. "You have to start looking at
that as you’re developing policies and programs."
She said
existing U.S.-supported international programs – including some on
curbing gender-based violence or planning families – could serve as
models for applying the gender lens.
Fleischman also urged investigating reported abuses against women and girls as part of the Ebola response.
Empowering women
She
and others called for more authority and respect for women, involving
them in everything from the immediate Ebola response to rebuilding
communities.
That’s easier said than done. Though Liberia has a
woman president, Ellen Sirleaf Johnson, in neighboring Sierra Leone,
"certain sections of our country do not allow women to be leaders," said
Doris Lenga-Caulker Gbabiyor.
Caulker
is paramount chief, or administrator, of Kagboro chiefdom, about 100
kilometers or 62 miles southeast of Freetown. She said she was pleased
to learn women had been added to burial teams, because "women should be
represented." Her chiefdom has held down the number of Ebola infections
to 10, she said, adding, "We’ve put responsible people around."
Sisay-Sogbeh
isn’t waiting for a call to action; she's issuing it. In August, she
started Power Women 232, a network of Sierra Leone women professionals
that takes its name from the country’s telephone exchange code.
"Community service is part of the mandate," she said of the Freetown-based organization.
This fall, its members
organized food drives, delivering at least 450 baskets to health care workers in Ebola isolation units, to patients and survivors and to orphans.
Early
in the new year, Sisay-Sogbeh said the network would look at other ways
to help. "The welfare of women and children is our business. It is our
concern," she said. "We want to look into advocacy for building
empowerment."
Rogers, the human rights attorney, called for more
efforts to involve women in Ebola education: "When women are sensitized,
when they are fully aware, they are the ones who will be able to fully
pass [the information] on to other family members."
And when
decisions are made and policies set, "women should be involved from the
community level" on up, Rogers said. "If they are leaving women behind,
it will be hard to end Ebola." -
VOA News.
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| The Nigerians are part of an African Union promise to send 1,000 medical workers to Ebola-hit areas |
About
100 Nigerian medical workers are expected to arrive in Sierra Leone to
help with the response to the outbreak of the deadly Ebola virus.
The workers, who include doctors, scientists and hygienists, have been trained by the medical aid agency, MSF.
It
came a day after residents in the Guinean capital, Conakry, protested
about the construction of an Ebola treatment clinic in their district.
The Ebola outbreak has killed more than 6,000 people in West Africa this year.
The
Nigerian medical workers are the first part of a contingent of about
250 specialists the West African country is deploying to the three
countries worst hit by Ebola - Sierra Leone, Liberia and Guinea.
The workers are expected to stay for between three and six months, Nigerian officials say.
The
BBC international development correspondent, Mark Doyle, says it is a
reminder that although richer countries and the big aid agencies have
been giving crucial help, Africans are very much part of the fight
against Ebola too.
The Nigerian commitment is part of an African
Union promise to send 1,000 medical workers to Ebola-hit areas by the
end of this year.
Malaria warning
The
deployments come amid a UN warning that people infected with malaria in
Sierra Leone are sometimes not seeking care for fear of being shunned
as suspected Ebola cases.
Medical experts say the symptoms of both
diseases can be similar in their early stages and there are also fears
that some people are being referred unnecessarily to Ebola treatment
centres.
The UN agency, Unicef, has said it will supply anti-malarial drugs to about 2.4 million people in Sierra Leone.
Under
the programme, thousands of community health workers will go
door-to-door in districts where the risk of Ebola is highest to
administer anti-malarial tablets to everyone aged six months and above.
"This
campaign will benefit the fight against both malaria and Ebola," said
Unicef local representative Roeland Monasch, by reducing cases of
malaria, easing the strain on the health system and allowing true cases
of Ebola to be treated.
On Thursday, people in the Yimbaya
district of the Guinean capital, Conakry, staged protests about the
construction of an Ebola treatment centre, fearing it may spread disease
in their neighbourhood.
The project is being funded by the French
government, which has said it will help fight Ebola in Conakry and
benefit local residents.
Similar protests took place two months
ago in another district, Kaporo Rail, where the centre had been
initially planned to be built.
Meanwhile, a clinic in the German
city of Frankfurt said a Ugandan doctor it had treated for Ebola was
free of the disease and had been released last month.
The doctor, who had been working in Sierra Leone, had undergone seven weeks of intensive treatment in an isolation ward. -
BBC.