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Showing posts with label Liberia. Show all posts
Showing posts with label Liberia. Show all posts

Is Sex Bringing Ebola Back?



Medic-ALL (03:29:2014) -DISEASE


Its been a year long outbreak of the deadly Ebola virus and whilst the whole world looked back at the losses and lessons from the epidemic this past year, the virus appears to be making an unheralded comeback.

On Friday, in Liberia (one of the hardest hit countries alongside Sierra Leone and Guinea) , a 44 year old victim of the deadly virus was reported dead. There are indications that the new case may have occured via sexual transmission from a survivor she was said to be dating. Additional tests are being carried out to confirm this.
Research has shown traces of Ebolacan remain  in the  semen of some survivors for at least 82 days after the onset of symptoms. There is no conclusive scientific proof these traces are infectious. But anecdotal evidence in the latest case, and several others in West Africa, along with and confirmed transmission of Marburg, another viral hemorrhagic fever, have led experts to warn of the potential risk of sexually transmitted Ebola.




The World Health Organization, as a precautionary measure, advises Ebola survivors to abstain from sex during a 90-day period following recovery. At the very least, they should practice safe sex.

The case threatens to undermine the country's efforts to end a year long outbreak which has claimed over 10,300 lives across the African continent.

The country was on it's way to completing a 42-days period without a new case of the disease, which is necessary to declare the country free of the disease when it recorded the recent case.

Ebola continues to spread in Africa, though not as bad as it was some months ago. 79 new cases were reported last week. 


Though, it was known that Ebola was largely transmitted through body fluids of close contacts, no case of transmission via sex had been previously documented. 

Ref: World Health Organization, NBCNews


    

Ebola: Sierra Leone Quarantines A Million People

The Guardian (25:09:2014)
Sierra Leone’s government has quarantined more than a million people in an attempt to bring an end to the spread of the deadlyEbola virus.
Areas in the east of the country on the border of Guinea have been under quarantine for months but travel is now restricted in three more areas where an estimated 1.5 million people live. Nearly a third of the country’s population across 14 districts is now under curfew.
The move comes as world leaders meet to discuss the crisis at the United Nations, and days after a three-day nationwide lockdown ended.

Healthworker being disinfectted after helping out with a suspected case of Ebola on Freetown, Sierra Leone

In an address to the nation, Sierra Leone’s president, Ernest Bai Koroma, said the weekend’s lockdown had “met its objectives” but had also exposed the challenges posed by the Ebola crisis.
In addition to announcing the new isolation districts, the government is establishing corridors for travel between non-quarantined districts, with a curfew on all travel outside the hours of 9am and 5pm. Koroma said the isolation would “definitely pose great difficulties for our people in these districts”.
The British charity Street Child said there had been no warning given of the latest lockdown and said it was concerned that this would lead to mass starvation. “We were not prepare for the quarantine overnight. The areas being quarantined are really poor communities, most people live on 50p a day,” its country director, Kelfa Kargbo, told the Guardian.

“We need more help from the World Food Programme, but more than that we need a distribution network to be built to make sure the food gets in and gets in regularly to the starving people. I am expecting starvation to show in three or four weeks unless this is addressed.”
The northern districts of Port Loko and Bombali have been closed off indefinitely along with the southern district of Moyamba, effectively sealing in around 1.2 million people.
The deadliest Ebola epidemic on record has infected more than 6,200 people in westAfrica and killed nearly half of them, according to the World Health Organisation’s latest figures.
The virus is spread through bodily fluids and once symptomatic can kill within four or five days. Symptoms include rampant fever, severe muscle pain, vomiting, diarrhoea and, in some cases, internal and external bleeding through the eyes and mouth.
World leaders are due to attend a meeting on Ebola convened by the UN secretary general, Ban Ki-moon, in New York later on Thursday, with Koroma and Liberia’s President Ellen Johnson Sirleaf connected by video link.
The meeting, part of the UN general assembly, will hear from Barack Obama, and world leaders are expected to pledge help for attempts to contain the spread of the virus.
Obama, who is sending 3,000 troops to west Africa to help health workers, urged other countries to get behind a broader international effort.
In a speech to the general assembly, Obama grouped Ebola with the crisis in Ukraine and the threat posed by Islamic State in Iraq and Syria as new dangers to global security.
“As we speak, America is deploying our doctors and scientists – supported by our military – to help contain the outbreak of Ebola and pursue new treatments,” Obama told the assembly. “But we need a broader effort to stop a disease that could kill hundreds of thousands, inflict horrific suffering, destabilise economies and move rapidly across borders.”
Door-to-door searches during the three-day curfew in Sierra Leone identified more than 350 suspected new cases of Ebola, according by the top US diplomat in the country. Charge d’affairs Kathleen Fitzgibbon said teams of volunteers had also discovered 265 corpses, of which 216 had since been buried.
In an email to emergency workers, she said one of the priorities was to ensure all bodies were buried correctly, as funerals have been identified as one of the ways the disease has spread, with relatives touching the bodies of the deceased.
The US Centres for Disease Control estimated that the number of cases in Liberia and Sierra Leone could rise to 1.4 million by January, in a worst-case scenario based on data obtained before the world ramped up its response.

The Economics of Ebola


Wall Street Journal:
U.S. investment and trade will spur employment—and that's essential to ending the poverty that helps spread the disease.


By AMARA KONNEH
The U.S.-Africa Leaders Summit in Washington last week may have been overshadowed by the Ebola crisis facing West Africa, but decisions that flow from that historic gathering could determine how swiftly countries such as mine, Liberia, recover from the emergency.

While the virus has killed almost a thousand people, most West Africans will never contract the disease or know anyone who does. But Ebola's economic impact will affect millions. When this crisis ends, Liberia and her neighbors will need international assistance to rebuild their battered economies—help that America is uniquely placed to provide.

A Liberian soldiers stops people at a security checkpoint as they clamp down on people traveling due to the deadly Ebola virus, on the outskirts of Monrovia, Liberia, Thursday, Aug. 7, 2014. Photo: Associated Press

The reason this economic threat is so great is because of the controls needed to fight the disease. Save for the two airports remaining open in Liberia, our borders have been closed, schools and markets shut, the movement of people restricted, affected areas quarantined, and troops stationed on the streets. All of this means a virtual economic standstill.

We are now starting to receive international support. The World Bank and World Health Organization have established a special Ebola Fund to provide the three affected West African states, Liberia, Guinea and Sierra Leone, with $200 million in support. Initially these monies will be used to pay medics and essential security personnel and to redouble public-information efforts aimed at making citizens aware of how they can help prevent the spread of the disease.

In the medium term these funds will support basic economic-recovery measures. Yet once the immediate outbreak is contained and the threat to public health has ended, we will struggle to recover from Ebola's wider impact without significant assistance. What we need—and what the U.S. can offer—is economic growth that creates stable jobs and decreases the number of itinerant, semi-employed citizens who wander from village to village seeking work and—through no fault of their own—may well have increased the spread of the disease.



When Liberia's second civil war ended in 2003, we had lost 90% of our gross domestic product, virtually every major piece of infrastructure was destroyed, and most of our trained professionals—including doctors—had fled the conflict. In the past 10 years, we have started rebuilding the country, growing on average over 8% annually and attracting more than $16 billion in foreign investment. Yet our recovery is fragile and too dependent on sectors, such as timber and mining, that create few jobs. This leaves large numbers of Liberia's adult population, particularly those living in the vicinity of the capital, Monrovia, making ends meet as tinkers or hustlers.

Ultimately, stable and long-term employment delivered through foreign investment will be the only way to effect a significant economic change. More employment—full-time and permanent in location—would significantly limit the spread of a disease such as Ebola, which is spread through direct bodily contact.
That is why we are so hopeful about the unprecedented gathering of business and political leaders of the U.S. and Africa in Washington. Liberians needs an economic kick-start, but one impediment is a ban on the country's borrowing for day-to-day spending, imposed in 2010 after most of our foreign debt with the International Monetary Fund was written off. We will likely need America's support to relax those rules over the next few months.

For our economy to fully recover, we will continue to need access to foreign markets for our goods. New tariffs being imposed on African goods by the U.S. and Europe because of stalled trade talks would be bleak news for an economy left reeling by Ebola. So would U.S. failure to renew the African Growth and Opportunity Act, which expires in September 2015, when customs and duty-free tariffs for 39 African countries, including Liberia, would lapse.

While it is crucial for Africa's development that political disagreements in Washington are overcome, the leadership summit in Washington last week raises the prospect of the U.S. more broadly cementing its role in Africa not just a generous donor in times of emergency but as a trading partner creating jobs on both sides of the Atlantic.

It is a regular criticism of other major investors, such as China and Europe, that they do not create jobs in Africa apart from those for their own workers. While this is an exaggeration, it is not a charge that can be leveled at America, as the U.S.-Africa Summit demonstrated. The Coca-Cola Co. announced that it would invest an additional $5 billion over six years in manufacturing lines and production, as well as sourcing more agricultural ingredients from Africa. General Electric pledged to invest $2 billion by 2018 and double the number of its workforce on the continent. The Ford Motor Co. announced plans to expand manufacturing into Africa, with sales forecast to grow by 40% by 2020.
The commitment by corporate America to job creation and investment will help African nations to finally address the source of many challenges facing the entire continent: In the end, from Ebola to low life expectancy, the origin remains poverty.

Mr. Konneh is the finance minister of the Republic of Liberia. 

Medic-ALL Inc. 2014

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