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Ebola: Winning the War, but Battles Remain

      

A worker at a UNICEF-supported Interim Care Center plays with 19-month-old Ebola survivor Tamba in Gueckedou, Forest Region, Guinea on January 11, 2015.  Tamba's mother died of Ebola, then his father abandoned him for fear of catching the disease himself.  UNICEF is working to break down the stigma around Ebola so children like Tamba still have homes to go to.

cnn.com - by Diana Magnay - January 30, 2015

Liberia (CNN) - First, the good news: Ebola is in decline.

2014 was a year of profound fear for communities living with -- and dying of -- the disease; of health workers making the ultimate sacrifice, dying as they tried to save; of apocalyptic forecasts as to the disease's possible spread. . .

. . . Ebola is still critically dangerous. Hotspots remain.

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Ebola: Call for more sharing of scientific data

BBC NEWS      by Helen Briggs, Environment correspondent                                                                     Feb. 2, 2015

The devastation left by the Ebola virus in west Africa raises many questions for science, policy and international development.

One issue that has yet to receive widespread media attention is the handling of genetic data on the virus.

By studying its code, scientists can trace how Ebola leapt across borders, and how, like all viruses, it is constantly evolving and changing.

Yet, researchers have been privately complaining for months about the scarcity of genetic information about the virus that is entering the public domain.

In the last few days, scientists have been speaking on and off the record about their concerns.

http://www.bbc.com/news/science-environment-31091816

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Ebola - is culture the real killer?

IRIN  Humanitarian News and Analysis  by Obinna Anyadike                                                            Jan. 29, 2015

NAIROBI, Kenya --Why do people persist with risky funeral rites, eat Ebola-harbouring bushmeat, and occasionally attack the very health workers sent to help, the news reports leave us wondering. What is the value of “traditional beliefs” when they are harmful: why can’t people just act more rationally?

A pregnant women suspected of having Ebola is taken away to an ETU in Freetown, Sierra Leone

The simple answer is; ask the communities. The growing number of researchers that do, find that people are acting as responsibly as they can in desperate circumstances. The lack of a properly functioning Ebola response and weak healthcare services has forced communities into rough and ready self-reliance. Faced with hotlines going unanswered, overcrowded Ebola Treatment Units (ETU), militarized quarantine areas, communities are actually looking for more information, not less.

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Ebola likely to persist in 2015 as communities resist aid: Red Cross

REUTERS  by  Stephanie Nebehay                                                                                   Jan. 30, 2015

GENEVA --West Africa will be lucky to wipe out Ebola this year, as the local population remains suspicious of aid workers, especially in Guinea, the Red Cross said on Friday.

 

 Healthcare workers prepare to disinfect an ambulance transporting a newly admitted Ebola patient at the entrance to the Save the Children Kerry Town Ebola treatment centre outside Freetown, Sierra Leone in this file photo taken on December 22, 2014. Credit: Reuters/Baz Ratner

The virus is "flaring up" in new areas in the region and not all infections are being reported, said Birte Hald, who leads the Ebola coordination and support unit of the International Federation of Red Cross and Red Crescent Societies.

"We are also seeing that in places like Sierra Leone and especially in Guinea that it is flaring up in new districts all the time, with small new chains of transmission, which means that it's not under control and it could flare up big-time again," Hald told a news briefing in Geneva.

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How Bad Data Fed the Ebola Epidemic

      

Daniel Berehulak for The New York Times

nytimes.com - By RACHEL GLENNERSTER, HERBERT M’CLEOD and TAVNEET SURI - January 30, 2015

. . . Valid, credible and timely data is essential during a global crisis. Without reliable data, efforts to assist affected people and to rebuild damaged communities can be misdirected and inefficient. . .

The West African Ebola outbreak first hit Sierra Leone in May 2014, followed by an explosion of cases in the capital Freetown in the autumn. . .

The early days of the crisis were characterized by a sense of immense fear, anxiety and alarm, regionally and globally. .

Misleading reports, speculation and poor projections from international agencies, government ministries and the media about the Ebola outbreak exacerbated the problem.

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Global Health Security: The Next Five Years

onlinedigeditions.com - Andrew C. Weber - Christine Parthemore

The next five years will see crucial changes in the global health security landscape, profoundly shaped by two key events in 2014:

The Ebola response in West Africa, and the successful first year of the Global Health Security Agenda, an initiative of dozens of countries and non-governmental organizations to make tangible commitments for preventing, rapidly detecting, and effectively responding to infectious disease threats.(1) 

Both events brought to light signs of measurable progress, and profound gaps that must be prioritized in the years ahead. Pressing needs include expanding emergency operations center capacity, better leveraging technological innovation, and closing the gap between the health and security communities.

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Ebola is creating a new epidemic of untreated illness and injury

PUBLC RADIO INTERNATIONAL   Producer Leo Hornak                                                         Jan. 28, 2015

MONROVIA --Sharon McDonnell is seeing a new public health crisis unfold in West Africa: droves of patients without Ebola who are turned away from medical facilities.

The Maine-based epidemiologist, who is in Liberia with the International Rescue Committee, says things are much better now than they were two months ago when she first visited Liberia. The hospital where she is based, Redemption Hospital in New Kru Town, Liberia, has recently reopened after shutting down in October....

A taxi bringing a pregnant women with obstructed labor arrives at Redemption Hospital's "other" entrance for ambulance and inpatients. The Redemption hospital staff member came out in PPE (personal protective equipment) to talk with her and the family to make sure she could be seen in the hospital. Credit: Sharon McDonnell

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How Ebola Found Fertile Ground in ​Sierra Leone's Chaotic Capital

 

Kroo Bay in Freetown, Sierra Leone's capital, became an Ebola hot spot in December. In one of the city's most densely populated areas, residents had a difficult time avoiding contact with people potentially infected with Ebola.

NATIONAL GEOGRAPHIC    by Amy Maxman    Photos by Pete Muller                                                       Jan. 27, 2015
....A close examination of what made Freetown so vulnerable to the outbreak offers critical lessons for the future in fighting Ebola or another major calamity. 

Like many developing world cities, Freetown—population 941,000, the largest city in Sierra Leone—lacks the infrastructure to support its impoverished populace, making it prone to tragedy, whether through pestilence, violence, or natural disaster. Despite its congestion, Freetown continues to attract people who come in search of work, school, and the mere promise of electricity. It's no coincidence that typhoid and cholera regularly plague Freetown and that Sierra Leone's civil war climaxed in the city with horrific bloodshed.

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Lessons from Ebola: Toward a Post-2015 Strategy for Pandemic Response


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worldbank.org - Date: January 27th 2015 - Location: Georgetown University & Online Time: 4:00 p.m. - 5:00 p.m. ET (21:00 - 22:00 GMT)

Jim Yong Kim, President of the World Bank Group, will deliver Georgetown’s inaugural Global Futures lecture.

The lecture, “Lessons from Ebola: A post-2015 strategy for pandemic response,” will kick off a semester-long conversation about the “Global Future of Development” at Georgetown as part of the university’s new Global Futures Initiative.

His talk on Jan. 27 will connect ongoing efforts to stop the spread of infection in West Africa with longer-term efforts to improve public health systems that support economic and social development in countries vulnerable to future pandemics.

http://live.worldbank.org/lessons-from-ebola-post-2015

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After Ebola: Why Rural Development Matters in a Time of Crisis

COMMENTARY:  HUFFINGTON POST  by President, International Fund for Agricultural Development (IFAD)                                                                                                                                 Jan. 26, 2015

....Now we must begin to look at what happens to the affected communities after Ebola. A food crisis seems increasingly likely to follow in the wake of the epidemic, which has devastated small-scale farmers. Without investment in their long-term development, farming households - and West Africa's future food security - will remain at risk.

Even before the outbreak, the World Food Programme estimated that some 1.7 million people in the region faced food insecurity - defined as a lack of reliable access to sufficient quantities of affordable, nutritious food. As a direct result of Ebola, it is expected that an additional 750,000 to 1.4 million people will become food-insecure by March.

In fact, Ebola has already affected the food supply. Farmers have stayed away from their fields due to illness, fears of infection and quarantines ordered by the authorities - or simply because there is no one left to tend the land....

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