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PostPosted: Sat Aug 16, 2014 3:14 pm 
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Media cites confirmed Ebola in Dubreka Guinea in a mechanic who had stayed in Kenema Sierra Leone for Ramadan. Kenema is one of the areas cordoned off in Sierra Leone and imports to Guinea is likely linked to border closings with Sierra Leone and Liberia.

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PostPosted: Sat Aug 16, 2014 3:30 pm 
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Dubreka: A mechanic died of Ebola suites
in Company August 16, 2014

A Lhassane Diallo, master mechanic residing at Kenendé neighborhood in the urban district of Dubreka died Tuesday as a result of the Ebola epidemic ravaging Guinea since January. The victim stayed in Kenema in Sierra Leone in the second month of Ramadan, do we learned from hospital sources.
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Dubreka
Two days after the feast of Eid el-Fitr, Alhassane comes home and gets sick, says our source. Received initially by a private doctor's office, the patient will receive initial medical treatment for four long days. Seeing his health deteriorate more and more, the mechanic is discharged into the day Tuesday at the district hospital of Dubreka. There, the emergency doctor realizes that the patient experiences similar to that of the devastating virus, Ebola symptoms.
The latter immediately seized Dubreka health authorities who in turn contact elements Doctors Without Borders for a blood sample of the patient. Even before the arrival of doctors from the humanitarian organization Alhassane Diallo broke down.
The blood sample will still be done on the body of the victim, isolated morgue Dubreka. On Wednesday, the examination results is final. The young mechanic is dead Ebola.
From now-and-now, health officials have disinfected Dubreka places where the patient stayed during his convalescence. Also, 40 people suspected of having had contact with the deceased are being monitored for 21 days to ensure they are not carriers of Ebola virus.

http://www.visionguinee.info/2014/08/16 ... es-debola/

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PostPosted: Sat Aug 16, 2014 3:39 pm 
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Using a Tactic Unseen in a Century, Countries Cordon Off Ebola-Racked Areas
By DONALD G. McNEIL Jr.AUG. 12, 2014

The Ebola outbreak in West Africa is so out of control that governments there have revived a disease-fighting tactic not used in nearly a century: the “cordon sanitaire,” in which a line is drawn around the infected area and no one is allowed out.

Cordons, common in the medieval era of the Black Death, have not been seen since the border between Poland and Russia was closed in 1918 to stop typhus from spreading west. They have the potential to become brutal and inhumane. Centuries ago, in their most extreme form, everyone within the boundaries was left to die or survive, until the outbreak ended.

Plans for the new cordon were announced on Aug. 1 at an emergency meeting in Conakry, Guinea, of the Mano River Union, a regional association of Guinea, Sierra Leone and Liberia, the three countries hardest hit by Ebola, according to Agence France-Presse. The plan was to isolate a triangular area where the three countries meet, separated only by porous borders, and where 70 percent of the cases known at that time had been found.

Troops began closing internal roads in Liberia and Sierra Leone last week. The epidemic began in southern Guinea in December, but new cases there have slowed to a trickle. In the other two countries, the number of new cases is still rapidly rising. As of Monday, the region had seen 1,848 cases and 1,013 deaths, according to the World Health Organization, although many experts think that the real count is much higher because families in remote villages are avoiding hospitals and hiding victims.

Officials at the health organization and the Centers for Disease Control and Prevention, which have experts advising the countries, say the tactic could help contain the outbreak but want to see it used humanely.

“It might work,” said Dr. Martin S. Cetron, the disease center’s chief quarantine expert. “But it has a lot of potential to go poorly if it’s not done with an ethical approach. Just letting the disease burn out and considering that the price of controlling it — we don’t live in that era anymore. And as soon as cases are under control, one should dial back the restrictions.”

Experts said that any cordon must let food, water and medical care reach those inside, and that the trust of inhabitants must be won through communication with their leaders.

The phrase cordon sanitaire, or sanitary barrier, appears to date from 1821, when France sent 30,000 troops into the Pyrenees to stop a lethal fever raging in Spain from crossing the border.

In Sierra Leone, large sections of the Kailahun and Kenema districts, an area the size of Jamaica, have been cut off by military roadblocks. Soldiers check the credentials and take the temperatures of those trying to go in or out. In Liberia, similar restrictions have been imposed north of the capital, Monrovia.


Nigeria is not involved because its small Ebola outbreak is hundreds of miles away. All 10 confirmed cases there are in Lagos, the financial capital, and all are apparently linked to a Liberian-American who arrived there on a flight and later died.

Inside the cordoned area of Sierra Leone and Liberia, alarmed residents have told reporters that they fear starving because food prices are rising. Many farmers have died, and traders who cannot travel cannot earn money.

It is not clear whether plans to deliver food, water and care are underway.

When cordons are imposed, “human rights have to be respected,” said Gregory Hartl, a spokesman for the World Health Organization, which last week declared the outbreak an international public health emergency.

The agency will work with the World Food Program and other agencies to make sure food and supplies get in, he said.

W.H.O. officials attended the Conakry meeting but did not join the Aug. 1 announcement of the planned cordon. They have not opposed it, either.

“It seems like a reflexive movement by the governments to show that they’re doing something, and since they have armies more elaborate than their health care systems, they use the army,” said Dr. William Schaffner, the head of preventive medicine at Vanderbilt University’s medical school.

There have been nearly 20 Ebola outbreaks in Africa since the disease was discovered in 1976, and all previous ones were beaten by the same tactics: Teams of outside health experts, usually from Europe and the United States, flew in, recruited local health workers and set up field hospitals where all known victims were quarantined and treated. The teams also took over burials, disinfecting and bagging bodies. They traced all contacts of known victims and hospitalized any people who fell ill. Health workers protected themselves with gloves, coveralls, masks, bleach spray and the burning of used gear.

This time, however, the outbreak quickly spread among the three contiguous countries, all battered by political dysfunction and civil wars. None had seen the virus before, and the global response was initially slow and inadequate. Protective equipment quickly ran out; leading local doctors fell ill and even died, stirring panic.

Now, experts say, the epidemic is too big to control with the old tactics. Tracing contacts requires many health care workers, because any victim — especially a nurse or a market trader — could have had physical contact with dozens of people.

And health care workers are often fearful of helping people who may have Ebola. It may become necessary, Dr. Cetron suggested, to pay people within the cordon to report cases and victims’ contacts.

Before the modern era of vaccines, antibiotics and infection control, cordons sanitaires were far more common.

As louse-borne typhus swept through post-revolutionary Russia, the victors in World War I closed Poland’s eastern border. Travelers wanting to cross had to be interned, bathed, shaved and deloused, and their clothes had to be treated with steam and chemicals.

The most famous voluntary cordon, according to Joseph P. Byrne, a historian at Belmont University in Nashville, was of the English village of Eyam. In 1665, the plague reached it from London, probably in fleas on cloth shipped to a local tailor, the first to die. The village, which had about 350 people, voluntarily cordoned itself off from the spring until November to prevent the plague from spreading to the rest of Derbyshire. Grateful people from other villages left food outside a circle of stones around Eyam. Only a quarter of the village survived, but the plague did not spread.

The United States has its own history of cordons, some with racial overtones. In 1899, a 35-acre area of Honolulu housing its Chinese and Japanese residents was sealed off by the Hawaii National Guard and white vigilantes because of the plague. Workers with outside jobs had to pass through showers. Ultimately, a blaze started by the Fire Department to burn flea-infested buildings got out of control and destroyed much of the district, leaving 8,000 people homeless.

http://www.nytimes.com/interactive/2014 ... pe=nyt_now

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PostPosted: Sat Aug 16, 2014 3:50 pm 
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PostPosted: Sat Aug 16, 2014 3:53 pm 
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Ebola in Dubreka: quarantine for 40 people ...

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Category: News
Published Saturday, August 16, 2014 10:55
Written by Guineelive
Views: 100
Prefecture Dubreka is panic among the population after the quarantine of 40 people who are contacts of the master mechanic Alhassane Diallo who died of Ebola hemorrhagic fever virus.

The correspondent of the Guinean press agency Dubreka, a master mechanic named Alhassane Diallo
visited during the month of Ramadan in Liberia and on his return after the party, he ran a clinic near his garage for health problems. His condition did not improve, he went to report to the prefectural hospital Dubreka for the same reasons. However, the doctor who was to receive it found signs of the Ebola virus. The doctor immediately called Doctors Without Borders for its management. But before the MSF team arrives on the scene, Alhassane Diallo was already dead.
Sampling was still carried on his body and the results of the analysis carried out in Conakry were positive. So health authorities have set in motion to retrieve the contact of the deceased. Among 40 people, they are quarantined during the incubation period of 21 days.
They identified the turn of the deceased are now under the control of Doctors Without Borders has learned Guineelive from the same source.

http://www.guineelive.com/index.php/com ... -40-jeunes

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PostPosted: Sat Aug 16, 2014 5:33 pm 
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Guinea reopens Ebola clinic as sick spill over border
BY SALIOU SAMB
CONAKRY Sat Aug 16, 2014 3:36pm EDT

(Reuters) - Guinea said on Saturday it will reopen an Ebola clinic in its remote southeast as sick nationals living in Liberia and Sierra Leone spill over the borders in search of better treatment.

West Africa's Guinea, the first country in the region to be affected by the deadly virus which has killed more than 1,100 people, says it has brought the outbreak under control. But it is worried that a poor response to the epidemic from its neighbours will reverse its progress.

"We are concerned about the length of the border with Sierra Leone and Liberia, specifically in Macenta and Pamelap," said Sakoba Keita from Guinea's Health Ministry, referring to border towns.

"The Guineans who are over there and are infected are inclined to come back to Guinea for better treatment," he added, describing Liberia's health system as in a state of decay.

Four new suspected cases have been reported in Macenta in the Gueckedou region, within about 15 kilometres of the Liberian border, and Guinea is now preparing to reopen the Ebola clinic there, he added.

Highly contagious, Ebola kills more than half of those who catch it and causes fever, vomiting, haemorrhaging and organ failure. At least 380 people have died from Ebola in Guinea although the number of new cases on Aug. 12-13 is low at just 9 versus 116 in Liberia and 27 in Sierra Leone, according to the World Health Organization.

The remote rural regions of Gueckedou along with Lofa in Liberia and Kenema in Sierra Leone are the regions where Ebola has struck hardest. The three governments have agreed to create a broad quarantine zone, with manned checkpoints, to control access, although some aid workers say people can slip in and out via jungle paths.

Liberia, where the number of cases is rising fastest, has said its health system is overwhelmed. Medical charity MSF says its Foya clinic in the neighbouring county of Lofa in Liberia has a 40-bed capacity with 137 patients.

Earlier this week the head of Guinea's Ebola commission said that 3,000 people were waiting at 17 border points for the green light to enter the country. Each has to be examined by a medical team and those with fever are isolated.

The World Food Programme says it plans to launch food deliveries to the area next week as part of a plan to provide emergency supplies to the more than 1 million people living within the area.

"The idea is to avoid finding ourselves in one month's time with a food crisis as well as a health crisis," said Fabienne Pompey, a WFP spokeswoman said on Saturday.

(Reporting by Saliou Samb; Writing and additional reporting by Emma Farge; Editing by Stephen Powell)

http://www.reuters.com/article/2014/08/ ... IO20140816

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