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EPIDEMICS
WHO says Ebola epidemic on the decline
By Karim LEBHOUR
Addis Ababa (AFP) Jan 29, 2015


H5N1 bird flu spreads to 11 states in Nigeria: govt
Abuja (AFP) Jan 29, 2015 - Nigeria on Thursday confirmed that the H5N1 strain of bird flu has spread from seven to 11 states within a week, resulting in the deaths of tens of thousands of poultry but no human cases.

Agriculture Minister Akinwumi Adesina told an emergency meeting on the outbreak that "as of yesterday (Wednesday) a total of 11 states, have reported positive cases".

Cases have been recorded in Kano, Plateau, Gombe and Jigawa in the north, Lagos, Ogun and Oyo in the southwest. Imo in the southeast is also affected, with Rivers, Delta and Edo in the south.

The minister said that as of Wednesday, 232,385 birds were exposed to the virus and 51,444 had died -- up from nearly 140,000 exposures and just over 22,000 deaths on January 21.

"We are not in a state of any epidemic, we are closely monitoring the situation and taking aggressive containment measures," said Adesina.

"There is no cause for alarm but we must now move with greater speed and decisiveness."

Kano, Nigeria's largest state in the north, has been worst hit by the outbreak with 136,905 infected birds and 17,987 deaths; Lagos had 38,845 cases and 4,732 deaths.

Adesina said last week that the first cases were confirmed on a commercial farm in Kano city and at a live bird market in Lagos State on January 8.

The government has approved 145 million naira ($767,400, 676,000 euros) to compensate farmers by the outbreak.

The H5N1 strain of the bird flu virus has killed more than 400 people worldwide since it first appeared in 2003, most of them in southeast Asia.

Weekly Ebola infections in west Africa have dropped to below 100 for the first time in more than six months, figures showed Thursday, raising hopes the worst-ever outbreak of the virus is coming to an end.

The World Health Organisation said it had now shifted its efforts in Guinea, Liberia and Sierra Leone -- the countries worst-hit by the epidemic -- from slowing the spread to stamping it out completely.

The UN's Ebola coordinator, David Nabarro, nevertheless cautioned that the epidemic was still not totally contained.

"The number of cases is decreasing week by week and getting to zero in many places... but we still see occasional flare-ups and we still see some surprises with new cases out of our contact lists," Nabarro told AFP.

"That means that the epidemic is not contained yet," he told AFP at the African Union headquarters, as leaders gathered a day ahead of a summit meeting where Ebola is a key issue for discussion.

According to the WHO figures released in Geneva, 99 new cases were confirmed in the week up to January 25, the first time the figure has dropped below 100 since the end of June 2014.

"The response... has now moved to a second phase, as the focus shifts from slowing transmission to ending the epidemic," the WHO said in a statement.

"To achieve this goal as quickly as possible, efforts have moved from rapidly building infrastructure to ensuring that capacity for case finding, case management, safe burials, and community engagement is used as effectively as possible."

The worst outbreak of the virus in history has seen nearly 9,000 deaths in a year -- almost of them all in the Liberia, Guinea and Sierra Leone -- and sparked a major health scare worldwide.

The three nations have been devastated by the outbreak, which began in December 2013, but all have seen recent signs that the virus is on the wane, with the number of new cases dropping weekly.

- Lessons learnt -

Liberia, once the country worst hit by the outbreak, hopes to have no new cases by the end of next month.

"We must maintain the effort with even greater intensity, the forthcoming rainy season is a concern," Nabarro said.

But he also said there were key lessons from the response to Ebola, and that a proposal to set up an African equivalent to the United States' Centers for Disease Control and Prevention (CDC) would be a step forward.

"It took us too long to be ready, we need a better response capacity," he said. "The African CDC will allow the AU to be much quicker."

On Friday and Saturday African leaders are set to discuss the economic recovery of countries affected by Ebola, as well as the setting up a "solidarity fund" and planning the CDC centre, which in its initial phase would operate as an "early warning system".

The AU's Commissioner for Social Affairs, Mustapha Sidiki Kaloko, said Wednesday it would be operational by mid-2015 -- although precise details on the plan have yet to be finalised.

"We will start with a coordination centre within the AU and then set up up to eight regional centres," Kaloko said.

Oxfam has called for a "massive post-Ebola Marshall Plan" for affected west African nations, referring to the United States aid package to rebuild Europe after World War II.

"It's clear that Africa's existing architecture for early disease detection, response and control is wholly inadequate," Oxfam said in a statement on Wednesday.

WHO admitted earlier this month that the UN agency had been caught napping on Ebola and pledged reforms to avoid similar mistakes in future.

burs-sas/


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