Is It a Cold or an Allergy? Should You Call Your Primary Care Provider?

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Ebola has spread for nearly a year in Congo. Officials are scrambling to ‘reset’ the response. - The Washington Post

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June 20 at 4:06 PM BUTEMBO, Congo —  A dozen young men revved their motor­cycle engines in front of the wooden gate of a makeshift checkpoint — too impatient to have their temperatures checked or to wash their hands with chlorinated water. Health workers manning the post had little choice but to let them pass. Every day, thousands of people travel this road through the epicenter of Congo’s ongoing Ebola outbreak, where they are supposed to comply with field nurses toting gun-shaped thermometers testing for fevers. But that operation is far from perfect, and extinguishing the nearly year-old outbreak is months away at best. Days with a dozen new cases are normal.  “Ebola is like water. If you don’t build a perfect dam, even a small hole can lead to a flood of new cases,” said Marie Roseline Belizaire, the World Health Organization’s deputy manager for the response.  Health officials are confident the outbreak is not spiraling out of control but are worri...
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Emergency vaccinations - Doctors Without Borders

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The key to ending this outbreak was informing and engaging with the community, reducing the stigma associated with Ebola, providing care closer to where people lived, and adapting aid to what people identified as their most urgent health needs. Once they felt more involved in the Ebola response, they were more likely to trust the vaccine During DRC's eleventh outbreak, centered in Équateur province, MSF supported community-based outreach and care that complemented vaccination efforts led by other partners. This time, the outbreak was brought under control within five months. Having a licensed Ebola vaccine was critical, but only as part of a more comprehensive approach. Reaching more people Since first responding to cholera epidemics in sub-Saharan Africa in the 1980s, MSF has been one of the lead organizations working to prevent and treat the disease. Cholera outbreaks happen in many of the settings where we operate, including remote villages, overcrowded cities, refugee c...
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Ebola outbreak threatens fragile local health system in eastern Democratic Republic of Congo - Doctors Without Borders

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While MSF’s support mostly focuses on improving infrastructure and working alongside the remaining staff in health centers and the regional hospital, the team is currently evaluating a different model that includes a regular payment scheme to supplement staff salaries and offer bed-side training. “We are discussing [how] to play a stronger role in the hospital and the three health centers we support by taking supervisory responsibility, offering trainings on the job, and ensuring patients have access to free care while staff is getting paid,” explained MSF project coordinator Amandine Colin. Back in Metale, MSF community outreach specialist Wivine Bokotogi hands a set of flashcards on malaria prevention and treatment to two local health promoters. Malaria is another major disease at risk of being neglected as both national and international attention and resources focus on Ebola. In DRC, malaria accounted for 13 percent of deaths in children under five years old in 2016, and up to...
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