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It is critical to remember that the Ebola Fast FactsThe current outbreak outbreak in northwest Congo River is not the only challenge this country is facing, there is massive population displacement, food insecurity and malnutrition, particularly in the east of the country, and multiple simultaneous outbreaks of cholera, of measles and recently of vaccine-derived poliovirus.
Certainly from what we know about the J&J vaccine, it could have a very complementary use, it looks like it takes a little longer to develop the immune response, but at the same time it may last a lot longer ... it could be an ideal vaccine for healthcare workers, for example, who you could proactively vaccinate and know that they are protected for 10 years or so.
It is extremely difficult to do that as you can imagine in a country with very poor infrastructures, the other issue is, we are now tracing more than 4,000 contacts of patients and they have spread out all over the region of northwest Congo, so they have to be followed up and the only way to reach them is motorcycles.
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