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Significant Ebola outbreak

It's certainly a headline grabbing and nasty virus but I'm still more concerned about flu.
 


Always have to win, don't you pix? ;)

Anyway, here are some further developments.

Short piece about a SL hospital trying to tackle the virus:

http://www.irinnews.org/report/100324/a-sierra-leone-hospital-battles-ebola

And another thing short enough to quote in full:

Researchers working in Sierra Leone suggest priority actions needed to tackle the ongoing Ebola crisis in West Africa. In a letter to The Lancet, the researchers call for improvements in access to diagnostic technologies and healthcare resources, as well as improved disease surveillance and health communication.

At present, there is little incentive for patients to seek professional diagnosis of suspected Ebola, say the authors, with most people with febrile illnesses in Sierra Leone treated at home, and the true extent of the outbreak therefore very difficult to determine. Moreover, disease surveillance systems in the region are inadequate, despite research (conducted by the authors and others) suggesting that mobile phones and smartphones can be effectively deployed in routine collection of surveillance data.

The authors also highlight a shortage of medical personnel and access to healthcare facilities for most people in the region, writing that, "The relatively few physicians, nurses, and healthcare providers attending to these underserved populations often have poor access to basic personal protective equipment, and might therefore be understandably unwilling to provide direct care for patients suspected to have Ebola. There is an urgent need to provide reliable and constant access to personal protective equipment in healthcare centers across the region."

Finally, the authors suggest that early disease control policies to restrict border crossings and sales of bushmeat have been ineffective. They write that, "What is certain is that these policies (and the ways that they were communicated) raised anxiety and, in some places, fueled rumors that led to counter-productive behaviors. Improved communication by health officials with the media, community leaders, health professionals, and the general public is necessary to reduce misinformation and improve compliance with prevention and control measures that have been proven effective."

Source: The Lancet

http://www.infectioncontroltoday.co...ce-and-communication-around-ebola-crisis.aspx
 
I was talking to a couple of colleagues about this earlier, and apparently there's just been the first death in Freetown.

Victim was an Egyptian who had come in from Guinea, so god knows what the chain of transmission was.

It will take at least 42 days without a new case - that's two infection cycles - before the all clear will be given. And it's anyones guess as to when that will happen.
 
Nigeria government confirms Ebola case in megacity of Lagos
Reuters Fri Jul 25, 2014
A Liberian man who died in Nigeria's commercial capital Lagos on Friday tested positive for the deadly Ebola virus, Health Minister Onyebuchi Chukwu said.

Patrick Sawyer, a consultant for the Liberian finance ministry in his 40s, collapsed on Sunday after flying into Lagos, a city of 21 million people, and was taken from the airport and put in isolation in a local hospital. Nigeria confirmed earlier on Friday that he had died in quarantine.
If confirmed, the man would be the first case on record of one of the world's deadliest diseases in Nigeria, Africa's biggest economy and with 170 million people, its most populous country. Ebola has killed 660 people across Guinea, Liberia and Sierra Leone since it was first diagnosed in February.
The victim's sister had died of the virus three weeks previously, and the degree of contact between the two was being investigated by Liberian health ministry officials, he said.
 
Lagos case was quarantined at the airport (arrived from Liberia) and died in quarantine. News didn't say much about all the other people on the plane. I thought this was a virus that's easy to transmit. If so, surely quarantine the whole plane?
 
Lagos case was quarantined at the airport (arrived from Liberia) and died in quarantine. News didn't say much about all the other people on the plane. I thought this was a virus that's easy to transmit. If so, surely quarantine the whole plane?

Transmission is mostly by contact. Every hint of airborne transmission makes the experts go "oh fuuuuuucck!".

The Nigerian authorities initially said they'd traced all those on the plane. Reuters and other hacks responded to the effect: "How? Have you ever been to West Africa? Oh. You're a West African government and you're lying."

The line changed to "were tracing" but has reverted to "Mr Chukwu confirmed that the other passengers on board the flight had been traced and were being monitored." (BBC)
 
"Derek Gatherer, a virologist at Britain's University of Lancaster, said anyone on the plane near Sawyer could be in "pretty serious danger," but that Nigeria was at least better placed to tackle the outbreak than its neighbours.
Nigerians have deep pockets and they can do as much as any Western country could do if they have the motivation and organisation to get it done,"

http://www.telegraph.co.uk/news/wor...5/Could-deadly-Ebola-virus-reach-Britain.html
 
The Nigerian authorities initially said they'd traced all those on the plane. Reuters and other hacks responded to the effect: "How? Have you ever been to West Africa? Oh. You're a West African government and you're lying."

The line changed to "were tracing" but has reverted to "Mr Chukwu confirmed that the other passengers on board the flight had been traced and were being monitored." (BBC)

Hmm...

Some 60 contacts had been traced, including 44 health workers and 15 airport officials. Not all of the flight's passengers had been contaced as the airline had yet to provide a manifest, state officials said.

http://www.theguardian.com/science/2014/jul/28/west-africa-measures-stop-ebola-spread

From the same:

Derek Gatherer, a virologist at the University of Lancaster, said... Nigeria was richer than the other countries in the region, so could more easily mobilise resources to tackle an outbreak. "Nigerians have deep pockets and they can do as much as any western country could do if they have the motivation and organisation to get it done."

The "if" worries me.
 
Latest: a Liberian has set the Ministry of Health (or a bit of it) on fire in protest against the government's handling of the crisis:

http://allafrica.com/stories/201407241063.html?aa_source=mf-hdlns

Also this from the other day, Sierra Leone's chief doctor in the fight against Ebola has no contracted the disease himself:

http://www.rte.ie/news/2014/0723/632632-ebola/
He died today :(
http://www.theguardian.com/world/2014/jul/29/sierra-leone-ebola-doctor-dies
 
Strange headline given he's already been given the all clear.

Something to do with the Sun running a "Britain on high alert after a man was tested" story.

And, er, this:

_76614639_mir30.jpg
 
A US doctor infected with the deadly Ebola virus in Liberia has arrived in the US for treatment at a specialised unit in Atlanta, Georgia.

Dr Kent Brantly arrived in a specially equipped private plane at a military base before being whisked away to Emory University Hospital.

Fellow infected US aid worker Nancy Writebol is expected to follow shortly.

http://www.bbc.co.uk/news/world-us-canada-28596416

People in Atlanta worry... but they're Americans, aren't they? Not dangerous foreign contaminants?

BTW, Brantly and Writebol were in Liberia with US "Christian" group Samaritan's Purse. Is it coincidence that they caught it and Médecins Sans Frontières didn't?
 
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