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Ebola outbreak: Why Liberia's quarantine in West Point slum will fail

A relic of the Middle Ages, quarantines do more harm than good

By Amber Hildebrandt, CBC News Aug 25, 2014 5:00 AM ET

Medical experts say that mass quarantine is rarely if ever effective in stemming the spread of a contagion like Ebola, and the move by Liberia to cordon off a sprawling slum is likely to do more harm than good.

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Fears Held Over Ebola's Spread in Worst-Ever Outbreak

      

There are fears Ebola has spread to a fifth country, the Democratic Republic of Congo, as sub-Saharan African authorities take drastic steps to keep population centres safe from the worst-ever Ebola outbreak.

Australian Broadcasting Corporation - Broadcast: 25/08/2014 - Reporter: Martin Cuddihy

. . . GAVIN MACGREGOR-SKINNER, ELIZABETH R. GRIFFIN RESEARCH FOUNDATION: It's heartbreaking. For being involved in infectious diseases prevention and control for years, what I'm hearing on the news, what I'm reading and the conversations that I'm having with colleagues in West Africa, it's absolutely heartbreaking.

MARTIN CUDDIHY: Gavin MacGregor-Skinner is an Australian expert in public health and emergency responses. He's now based in Washington, DC, but is preparing to leave for Nigeria. He says technology is making a big difference in how quickly authorities can react.

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Some Examples of Structural Adaptivity - Part II

Here are some more examples of how I propose that structural adaptivity could be applied as a leading principle for resilient development in the US over the next 20-50-100 years.  These are intended to support my conviction that structural adaptivity is the only logical approach to advancing our built environment for a rapidly changing, uncertain, unpredictable future.  I am hoping that others will review these concepts and propose their own personal and team-researched applications of the principle.

 

In re-balancing our nation, do so by major watersheds.  I propose that the re-balancing of our nation’s urban development (as I discussed before) should be based on the locations and characteristics of our major watersheds.  All major urban development regions should have a long-term dependable natural source of fresh water. 

 

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Ebola - Aligned Organizations

The following is a list of aligned organizations for Ebola response . . .

Mission Aviation Fellowship (MAF) - John Boyd, CEO
http://www.maf.org/

King's Sierra Leone Partnership (KSLP) Ebola Response Volunteers
http://kslp.org.uk/get-involved/lend-your-skills/ebola-volunteers/

Minnesotans offer helping hands, aid at epicenter of Ebola outbreak
http://www.startribune.com/lifestyle/health/271472521.html

Global Health Ministries - Ebola Outbreak Response Shipments (photos at the bottom)
http://www.ghm.org/index.php/liberia/57-projects/277-ebola-outbreak-response-shipments

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Clashes Erupt as Liberia Sets an Ebola Quarantine

AUG. 20, 2014

The New York Times

MONROVIA, Liberia — Soldiers and police officers in riot gear blocked the roads. Even the waterfront was cordoned off, with the coast guard stopping residents from setting out in canoes. The entire neighborhood, a sprawling slum with tens of thousands of people, awoke Wednesday morning to find that it was under strict quarantine in the government’s halting fight against Ebola.

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Boots on the Ground

Bloomberg School students assess Ebola interventions at outbreak epicenter.

When the Red Cross asked for help conducting Ebola-related research in Guinea, Bloomberg School doctoral students Tim Roberton and Clementine Fu immediately stepped forward. From July 19 to August 1, the two worked in the outbreak’s initial epicenter in Guéckédou, and in the capital city of Conakry.

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Liberia President Declares Ebola Curfew

      

In this undated handout photo provided by Medecins Sans Frontieres, local staff and healthcare workers for Doctors Without Borders, exit an isolation ward in Guekedou, Guinea. For doctors and nurses fighting Ebola in West Africa, working in head-to-toe protective gear in muddy health clinics is often the least of their problems, as many also struggle to convince people they are there to stop Ebola, not spread it. (AP Photo/MSF)

ap.org - by JONATHAN PAYE-LAYLEH - August 19, 2014

MONROVIA, Liberia (AP) -- Liberia's president declared a curfew and ordered security forces to quarantine a slum home to at least 50,000 people late Tuesday as the West African country battled to stop the spread of Ebola in the capital. . .

. . . Liberian President Ellen Johnson Sirleaf announced late Tuesday that a curfew is going into place from 9 p.m. to 6 a.m. Security forces also will be ensuring no one goes in or out of West Point, a slum in the capital where angry residents attacked an Ebola observation center over the weekend.

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Ebola Crisis: 3 Receiving Untested Ebola Drug in Liberia Improving

      

A girl suspected of being infected with the Ebola virus has her temperature checked at the government hospital in Kenema, Sierra Leone. Although the outbreak began in Guinea, Liberia has now recorded the highest number of deaths and Sierra Leone the most cases. (Carl de Souza/AFP/Getty)

Ebola situation is 'less alarming' in Guinea than it is in Liberia and Sierra Leone, WHO says

cbc.ca - Associated Press - August 19, 2014

Three Liberian health workers receiving an experimental drug for Ebola are showing signs of recovery, officials said Tuesday, though medical experts caution it is not certain if the drug is effective. . .

. . . The three Liberians are being treated with the last known doses of ZMapp, a drug that had earlier been given to two infected Americans and a Spaniard. The Americans are also improving, but the Spaniard died.

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MSF Begins Admitting Patients to Ebola Center in Monrovia, Liberia

      

A Doctors Without Borders staffer supervises as construction workers complete the new Ebola treatment center on August 17, 2014 near Monrovia, Liberia.  John Moore—Getty Images

doctorswithoutborders.org - August 18, 2014

Doctors Without Borders/Médecins Sans Frontières (MSF) admitted nine patients today into its newly constructed ELWA 3 Ebola Management Center in Monrovia, Liberia, beginning a process of scaling up operations at the 120-bed facility.

An Ebola outbreak continues to rage virtually unchecked in this city of approximately one million people, far exceeding the capacity of the few medical facilities accepting Ebola patients. Much of the city’s health system has shut down over fears of Ebola among staff members and patients, leaving many people without treatment for other conditions.

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Nigeria trains 800 volunteers to fight Ebola

Ebola was first reported to reach Nigeria after an infected Liberian man arrived in the country's airport [AP]aljazeera.com - 16 Aug 2014 18:20

Move follows appeal to make up for shortage of medical personnel due to doctors' strike over pay.

Nigeria has said it has trained 800 volunteers to battle Ebola as fears rose that the worst-ever outbreak of the deadly disease could spread across Africa's most populous nation.  Authorities in the capital Lagos last week appealed for volunteers to make up for a shortage of medical personnel because of a six-week nationwide doctors' strike over pay.

http://www.aljazeera.com/news/africa/2014/08/nigeria-trains-800-volunteers-fight-ebola-2014816164320740296.html

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