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Africa Resilience Initiative

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The mission of this working group is to articulate and shape issues of resilience and sustainability on the continent of Africa as they may be implemented as reforms of current policies, as well as contemplate and make recommendations for more extensive critiques and proposals for national, provincial, and local systems transformation, as may be necessary or desirable beyond the scope of traditional reforms being undertaken by the current African national governments and local government proposals in Africa.

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This working group is focused on developing an Africa Resilience Initiative to ensure resilience and sustainability for all Africans.
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Aboubacar Conte admin Anthony bnorton Carrielaj Chisina Kapungu
ChrisAllen craig.sevcik Dr Ojia Adamolekun efrost Elhadj Drame Grace Kim
Hadiatou Balde jranck Kathy Gilbeaux mdmcdonald MDMcDonald_me_com mike kraft
njchapman Norea SmShako TacarraB Tjivekumba Kandjii

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WHO Ebola IHR Review Committee Outlines Next Steps

Mattia Panciroli / Flickr cc

CLICK HERE - WHO - First meeting of the Review Committee on the role of International Health Regulations in the Ebola response and WHO’s work in emergencies

cidrap.umn.edu - by Lisa Schnirring - August 25, 2015

A World Health Organization (WHO) committee tasked with reviewing how well the International Health Regulations (IHRs) worked during the Ebola outbreak wrapped up their first meeting today, with plans to dig into three main topics in the months ahead.

The group's newly elected chairman, Didier Houssin, MD, addressed reporters today during a telebriefing at the end of the 2-day meeting in Geneva. He is a surgeon who now heads the Evaluation Agency for Research and Higher Education in Paris. Houssin has served on WHO advisory groups before and has led some of its pandemic preparedness and IHR review groups in recent years.

(READ COMPLETE ARTICLE)

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The velocity of Ebola spread in parts of west Africa

THE LANCET by Kate Zinszer and others.                   Aug. 24,2015

In a speed outpacing control efforts, the Ebola virus disease (EVD) epidemic in parts of west Africa spread across Guinea, Liberia, and Sierra Leone infecting an estimated 26 800 individuals and claiming more than 11 000 lives as of May 15, 2015.1 Mobile populations coupled with porous borders1, 2 and commercial air travel patterns3 affected the frequency and breadth of Ebola virus transmission.

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With Many Ebola Survivors Ailing, Doctors Evaluate Situation

ASSOCIATED PRESS  by Carley Petesch              Aug. 23, 2015

DAKAR, Senegal --Lingering health problems afflicting many of the roughly 13,000 Ebola survivors have galvanized global and local health officials to find out how widespread the ailments are, and how to remedy them.

The World Health Organization calls it an emergency within an emergency. Many of the survivors have vision and hearing issues. Some others experience physical and emotional pains, fatigue and other problems. The medical community is negotiating uncharted waters as it tries to measure the scale of this problem that comes on the tail end of the biggest Ebola outbreak in history.

"If we can find out this kind of information, hopefully we can help other Ebola survivors in the future," Dr. Zan Yeong, an eye specialist involved in a study of health problems in survivors in Liberia, told The Associated Press.

About 7,500 people will enroll — 1,500 Ebola survivors and 6,000 of their close contacts — and will be monitored over a five-year period in the study launched by Partnership for Research on Ebola Vaccines in Liberia, or PREVAIL.

Read complete story.

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The role of civil society is very vital to strengthening good governance- State House Chief of Staff

THE PATRIOTIC VANGUARD   Aug. 20, 1015

FREETOWN, Sierra Leone --The Chief of Staff in the Office of the President Saidu Conton Sesay (pictured) has described the role of civil society as very vital in strengthening good governance in Sierra Leone.

He made this statement during a meeting with a consortium of civil society organizations Tuesday 18th August, 2015 at State House, Freetown. The purpose of the meeting was to work in collaboration with Office of the Chief of Staff in the implementation of the National Ebola Recovery Plan to enhance trust between citizens and government.

The Chief of Staff promised that his office is ready to work with civil society organizations in the implementation of the post-Ebola recovery plan not only to help establish public trust, but also keep informing each other about areas that need attention.

"The better society we have, the better the governance," Sesay said, adding that his office has posted two officers each to all districts - one facilitator and one analyst who will be engaging local councils to update them in detail. He expressed desire to meet with the consortium upon the return of officials assigned to the districts for better planning and understanding.

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Ebola: What Happened

COUNCIL ON FOREIGN RELATIONS  BY John Campbell
(Scroll down for Laurie Garett's essay "Ebola's Lessons.")

With a rapidly growing and urbanizing population, persistent poverty, and weak governance, Sub-Saharan Africa is likely to be the source of new epidemics that potentially could spread around the world. Understanding the disastrous response of African governments, international institutions, and donor governments to the Ebola epidemic is essential if history is not to be repeated yet again. That makes Laurie Garrett’s essay, “Ebola’s Lessons,” in the September/October 2015 issue of Foreign Affairs, essential reading.

The Ebola virus treatment center where four people are currently being treated is seen in Paynesville, Liberia, July 16, 2015. (Courtesy Reuters/James Giahyue)

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Ebola in Sierra Leone: after 4,000 deaths, outbreak all but over

THE GUARDIAN   by Sarah Bosley                              Aug. 20, 2015
FREETOWN--The long-running Ebola epidemic in Sierra Leoneis all but over after nearly 13,500 cases and almost 4,000 deaths, those fighting the disease believe.

             People celebrate being released from Ebola quarantine on 14 August 2015. Photograph: Sunday Alamba/AP

The last case in Sierra Leone was an eight-month-old child, who was hospitalised nearly two weeks ago and died four days later.

None of the 29 people who had contact with the child and were moved from the densely packed Freetown slum of Magazine Wharf to a voluntary quarantine facility have so far shown signs of illness.

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Study: Ebola Infections 17 Times Less Likely in Communities that Participated in Community-Led Total Sanitation

globalcommunities.org - August 13, 2015

100% of 284 Open Defecation-Free Liberian communities reported they were Ebola-free

Research evidence points to a strong correlation between Community-Led Total Sanitation and Open Defecation-Free status and reduced risk of Ebola

Global Communities today released results of a study to examine whether communities in Liberia stood a better chance of resisting Ebola during the outbreak of the past 18 months if they participated in efforts to achieve Open Defecation Free (ODF) status. The study confirmed that a representative sample drawn from 284 Liberian communities that achieved ODF status by participating in the Community-Led Total Sanitation (CLTS) process were Ebola-free despite their proximity to Ebola hotspots. Communities that began but did not complete the CLTS process also experienced significant protection and were 17 times less likely to experience Ebola Virus Disease infections.

(READ COMPLETE ARTICLE)

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Ebola Scares Off Trainee Nurses in Liberia

      

Marconi Collins, a nursing student at the Redemption Hospital in Liberia, cares for a patient as part of her internship, despite fears of Ebola.  Photo: Prince Collins/IRIN

irinnews.org - by Prince Collins

MONROVIA, 18 August 2015 (IRIN) - Like hundreds of other nursing students in Liberia, Jerry Songu should have been beginning his internship this month, the final step to graduating and earning his license. Instead, he has chosen to put his studies and future career on hold.

“Ebola has no boundaries,” the 36-year-old, who is in his third year of nursing school at the Caldwell Community Nursing School in the capital Monrovia, told IRIN. “It killed registered nurses and it can also kill practising nurses. So this is nothing to play with.”

“For me, I have resolved to wait until everything [the Ebola outbreak] is totally over,” he said. “My life is important and I must do everything to protect it. Big [senior] doctors died in this country from Ebola and who am I to take the risk? I am just a student. No rush now.”

(READ COMPLETE ARTICLE)

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The Use of Intraosseous Fluid Resuscitation in a Pediatric Patient with Ebola Virus Disease

jem-journal.com - by Michael L. Paterson and Charles W. Callahan - August 14, 2015

 
Abstract
 
Background

Vomiting, diarrhea, and severe dehydration are common manifestations of Ebola virus disease (EVD), leading to its high mortality. Mortality is especially high in patients older than 45 years, younger than 5 years, and in pregnant women and their fetuses. The majority of patients with EVD are not able to tolerate the quantities of oral hydration solutions necessary to rehydrate properly. Although some have speculated that IV and intraosseous lines are not practical in the austere, resource-constrained settings of an Ebola treatment unit during an epidemic, it is necessary to provide parenteral fluids and electrolyte replacements to significantly decrease mortality. Due to the inability to spend long periods of time working in hot environments wearing personal protective equipment, it is necessary to maximize the use of rapidly obtainable and safe parenteral access.

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