Group items tagged

Most of the patients in the United States also received experimental drugs or plasma transfusions, but doctors say rehydration played a major role in saving them.

Ebola wards need an unusually high level of staffing, Dr. Sprecher said. Not only does each patient require a lot of care, but the protective gear causes health workers to overheat so quickly and severely, especially in wards that lack air-conditioning in bare-bones facilities, that they cannot work for more than an hour without coming out to cool down. Extra workers are needed so that they can spell each other.

The World Health Organization’s (WHO’s) network of 11 laboratories in nine countries around the world worked to combat the disease.

Transparency and a commitment to sharing the best available scientific information led to a better outcome.

Clear and effective communication among scientists, policy makers, and the public helped avoid SARS deaths in the United States.

But one piece is missing: staff. The facility opened recently with a skeleton crew. Now, in an especially hard-hit area where people are dying every day because they cannot get into an Ebola clinic, 60 of the 80 beds at the Kerry Town Ebola clinic are not being used.

It is like this with a lot here: good intentions, bad planning. Aid officials in Sierra Leone say poor coordination among aid groups, government mismanagement and some glaring inefficiencies are costing countless lives.

Even after patients recover, many treatment centers delay releasing them for more than a week until there are enough other survivors, sometimes dozens, to hold one huge goodbye ceremony for everyone — again, keeping desperately needed beds occupied. “I just wanted to get home and see my wife,” said Suliman Wafta, a recent Ebola survivor treated nearby. “But I had to wait eight extra days.

While many have emphasized the enormous assistance hauled into the region by the United States and international organizations, there is strong evidence, especially here in Monrovia, that the biggest change came from the precautions taken by residents themselves.“Fundamentally, this is about the extent to whi

Reeling from the explosion of infections in August, volunteer Ebola watchdog groups sprang up in many neighborhoods, typically overseen by local elders and led by educated youths, drawing from a long history of community organizing to survive war, poverty and government neglect.

“Heroes emerged in every community,” said Dr. Mosoka Fallah, a Harvard-trained Liberian epidemiologist who often acted as a liaison between neighborhoods and the government. “The volunteer task forces may be the biggest reason behind the drop in October.”

He said President Ernest Bai Koroma revealed this staggering and depressing news to ministers at a special cabinet meeting. "The agricultural sector is the most impacted in terms of Ebola because the majority of the people of Sierra Leone - about 66% - are farmers," he said.

Rio Tinto, the world's third largest mining company, which owns a share in Simandou, has donated $100,000 to the World Health Organization's work in the area and is also making sanitation equipment available to local people there.

A smaller British company, London Mining, has moved out some its non-essential expatriate staff from Sierra Leone, where mining has accounted for much of the country's recent growth. According to the International Monetary Fund, Sierra Leone's output grew by 20% last year; excluding iron ore mining, it grew by 5.5%.

The U.S. government is sending flimsy plastic aprons and gauze masks to the Africans with assurances that the donning and removal processes are where the majority of the risk to caregivers is realized. This is simply not true. As is evident by the precautions currently being taken in the U.S. and other developed countries, multiple layers of protection are employed by health workers, and cadavers are treated as highly infectious.

President Obama has sent nearly 5,000 members of the U.S. military to West Africa to assist in trying to stop the spread of the disease for a very good reason — the problem is quickly spinning out of control, and has the potential to become a serious national security concern.

Since 2010, the Department of Defense has partnered with Tekmira Pharmaceuticals to develop a vaccine for Ebola. Tekmira was given ‘fast track’ authority to develop a vaccine earlier this year.

Discouraged, scared and furious, Sierra Leoneans are taking matters into their own hands. Laid-off teachers (all schools in this country are closed) race around on motorbikes, monitoring the sick.

Sierra Leone has an elaborate Ebola response system — on paper. It starts with a call to 117, the toll-free number for central dispatch. A surveillance team is sent out, then an ambulance takes a patient to a holding center, then blood tests and a proper treatment center where the patient might receive intravenous fluids or other special care.

“You can have as many helicopters, ships and kit here as you’d like,” said Lt. Colonel Matt Petersen, a British adviser. “But unless you change behavior, it’s not going to stop transmission.”

Our strategy for eradicating smallpox in the first instance was mass vaccination—vaccinate everybody in the room. Well, that didn’t work.

We’re able to isolate in an almost perfect way once he enters into isolation, so we reduce the density of susceptibles down to zero. Either there’s nobody in the room with him, or people in the room are wearing space suits. If there are no suspeptibles around you, it doesn’t matter how bad the disease is once you’re in a room and there’s no one you can catch the disease from.

Why do we see it in Liberia and Guinea? Because these are the poorest countries in the world, and they are all post-conflict. Their public health systems and economies are in shambles, and in America, we don’t understand because for us, if you go to Canton, Ohio, California or New York, they’re all part of the United States.

A senior European diplomat in Geneva involved in health issues, who was not authorized to speak publicly, lamented the limited international response. “The scale of the epidemic is what the international community is still not getting,” the diplomat said. “It’s becoming obvious that what you need is to scale up by a factor of 20. There’s not enough international coordination and imagination going into this.”

uba sent 165 doctors and nurses last week, China has expanded a medical team deployed there, and British personnel are scouting sites for at least five new centers and 700 additional beds that will bring the total closer to the World Health Organization’s target of about 1,300 beds.

United States delivers on a pledge to provide up to 17 100-bed units, said Dr. Ian Norton, who is coordinating foreign medical teams for the W.H.O. In Guinea, the W.H.O. says there are four treatment centers working with 160 beds available, with 100 more beds needed.

The effort has been messy, inefficient and expensive, often lagging the epidemic’s twists in tragic ways.

Despite difficulty filling positions, the W.H.O. now reports that it has more than 700 people working at 77 field sites, the largest emergency response in its history.

Charities with no background treating Ebola patients began running hospitals specialized for Ebola care, some of which were built by militaries and others staffed by hundreds of personnel from China and Cuba who were also facing Ebola for the first time and trying to overcome language challenges.

The key goals of the pandemics team at the SGTF are detecting an outbreak faster, verifying that it's a real sign and getting a connected network of people to talk about what's going on.

The United States is planning to build as many as 17 Ebola treatment centers in Liberia, with about 1,700 treatment beds, while the United Nations is planning an expanded mission in the region, based in Accra, Ghana, according to Anthony Banbury, the United Nation’s Ebola operation crisis manager. It is intended to be more nimble than the United Nations’ notoriously bureaucratic operations, bringing in as many as 500 trucks and jeeps from other missions in Africa, possibly paying teams in one country to speed up safe burials, buying fuel for monitoring teams in another country, or offering helicopters to transport health workers where they are needed.

Whether Sierra Leone’s lockdown will constitute an effective response is open to question. Despite the mobilization, the volunteers hardly appeared to be thick on the ground. In some neighborhoods, residents said they were yet to see any of the green-vested young men and women who had volunteered.