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Working with Communities is the Key to Stopping Ebola

who.int - October 2014

When Dr Peter Clements arrived in Lofa County, Liberia eight weeks ago, from the WHO country office in Monrovia, 20-30 patients were arriving at the MSF hospital with Ebola-like symptoms every day. People living in the community were afraid, civil unrest was simmering, and an ambulance and health workers were being targeted

Although UN security advised him not to, Dr Clements traveled the 12 hours over dirt roads to the area nearest the Guinea border. Once there, he walked into the hostile communities and went straight to the chiefs.

“In many years, you have not fought with these people,” he said. “Now you attack them. They are not the enemy, Ebola is the enemy. If we don’t chase Ebola, it will kill us. You have to know Ebola to fight Ebola. Mobilize your people. Let’s get to know Ebola.”

Dr Clements said the key to working with a hostile community is listening first. So he patiently listened to the community to understand their fears, then he started to explain about the virus and how people become sick, and people can prevent themselves.

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Doctors Without Borders Evolves as It Forms the Vanguard in Ebola Fight

Detailed description of Médecins Sans Frontières struggle to counter Ebola

NEW YORK TIMES
By SHERI FINK, ADAM NOSSITER and JAMES KANTER.  OCT. 10, 2014

But it, too, has been overwhelmed by the scale of this disaster. In Sierra Leone, it has been strained by the caseload, though it was wary of a decision by other health and government officials on Friday to treat most patients at home because of a shortage of clinic beds. In Guinea the day before, it reported that its two treatment centers were stretched to the limit....

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Fighting Ebola with Data, Satellites and Drones

Healthcare workers in Sierra Leone spray disinfectant to prevent the spread of the Ebola virus in Kenema, on September 24, 2014.

Image: Healthcare workers in Sierra Leone spray disinfectant to prevent the spread of the Ebola virus in Kenema, on September 24, 2014.

defenseone.com - September 25th, 2014 - Patrick Tucker

Current Centers of Disease Control estimates suggest that the disease could infect more than 1.4 million people by January. To limit Ebola’s spread, researchers need better on-the-ground intelligence about where it’s moving. But the virus’s deadly mortality rate, 70 percent for this strain, makes up-close observation as difficult as gathering data on a deadly human adversary. 

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Here's How Nigeria Beat Ebola

 

  MOTHER JONES                       Oct. 10, 2014

—By

LAGOS -- Nigeria's success in stopping the outbreak could have implications for other countries, including the United States. That's why the Centers for Disease Control and Prevention (CDC) dispatched a team to the country this week to learn what went right.

So how did local and international health authorities curb Ebola in Nigeria while infections have continued to rise dramatically in Liberia, Sierra Leone, and Guinea?

Read full article, with charts and posters

http://www.motherjones.com/politics/2014/10/nigeria-ebola-cdc

An Ebola warning at the Murtala Muhammed International Airport in Lagos

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Structural Adaptivity Facilitation Examples - Part III

Here are my last three Facilitation Examples, proposed activities by planners and others to influence the development of the built environment toward structural adaptivity and resilience as we progress into an ever more uncertain and unpredictable future. 

 

Rethinking Homeownership.  Conventional owner-occupied land and buildings in the US many times tie the owners into long-term tenures.  It makes moves, to other locations, overly cumbersome even when such moves are in the occupants’ best interests.  Adaptivity requires the ability to make quicker changes than in the past, including the self-initiated movement of people and businesses to other locations when beneficial.  Alternative types of ownership or tenure must be facilitated, types which are more adaptable to quick change.

 

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The fight to save the last Ebola-free district in Sierra Leone

THE WASHINGTON POST                               OCT. 10, 2014

... The last region in Sierra Leone untouched by Ebola sits in the rugged, mountainous north, in a place called the Koinadugu district. It is a poor place, dependent on small farms and gold mines, the largest of the country’s 14 districts by land size and home to 265,000 residents. The district borders Guinea, where the current Ebola outbreak began and first spilled over into Sierra Leone. Koinadugu is surrounded by districts dealing with hundreds of Ebola cases.

But Koinadugu has kept the virus at bay.

Momoh Konte, shown at his office in Freetown,  returned to Sierra Leone from Washington to help his home district fight against Ebola. (Photo by Tanya Bindra for The Washington Post)

It is a remarkable feat, a source of pride for district residents, a source of hope for the entire struggling nation, and a curiosity to epidemiologists tracking the worst Ebola outbreak in history...

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Small drugmakers can't scale up quickly enough to get ahead of the virus

Two overviews of efforts by drug makers to produce Ebola medication.

WASHINGTON POST                 Oct. 10, 014

by Lenny Bernstein and Brady Dennis

WASHINGTON ..."It takes time. You end up with a situation where the companies weren't set up to ramp up productio. You don't just go from that to making 10,000 does overnight."  -- Prof. Thomas Galsbert, University of Texas Medical Branch at Galveston.

Read full story

http://www.washingtonpost.com/national/health-science/small-drugmakers-try-to-scale-up-to-meet-ebola-crisis/2014/10/09/a594dec2-4fee-11e4-babe-e91da079cb8a_story.html

SCIENCE INSIDER                                        Oct. 8, 2014

By Jon Cohen and  Kai Kupferschmidt

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CDC Develops Ebola Modeling Tool While WHO Trains Health Workers

HOMELAND SECURITY TODAY               Oct. 9, 2014

 By Kylie Bull, Managing Editor

The Centers for Disease Control and Prevention (CDC) has developed a dynamic modeling tool called Ebola Response that allows for estimations of projected cases over time in Liberia and Sierra Leone.

 The Ebola Response modeling tool can construct scenarios to illustrate how control and prevention interventions can slow and eventually stop the Ebola epidemic. Importantly, it can help public health and other planners make more informed decisions about emergency response resources to help bring the outbreak under control. The new tool allows input of data reflective of the current situation on the ground in affected countries and communities.

 The Ebola Response modeling tool is intended to help local governments and international responders generate short-term estimates of the Ebola situations in countries, districts and villages. The tool, in the form of a Microsoft Excel spreadsheet, is to be made freely available online.

Meanwhile, in Liberia, the World Health Organization (WHO) has established a new training program for health workers on Ebola care.

 Read full story

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UK to introduce Ebola screening as death of Briton reported in Macedonia

THE GUARDIAN                         Oct. 9, 2014

By Robert Booth

London --Travellers arriving at Heathrow and Gatwick airports from west Africa are to be screened for symptoms of Ebola, Downing Street announced on Thursday night after a day of confusion over the government’s response to the virus that has claimed more than 3,800 lives.

People travelling from the worst-affected countries – Liberia, Sierra Leone and Guinea – will face a questionnaire about their recent travel history, who they have been in contact with and their onward travel arrangements.

 People travelling from Liberia, Sierra Leone and Guinea will be screened for Ebola symptoms.Photograph: Oli Scarff/Getty  Images

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In wake of Dallas patient death, health providers across US are reinforcing and testing infection control procedures

Associated Press
New York                              Oc. 9, 2014

... There hasn’t been a single confirmed case of an Ebola infection happening on US soil; the case confirmed in Dallas involves a man who, like several health care workers treated in the US, contracted the virus in Liberia. But health care providers are worried enough to take a wide variety of precautions.

 

    It isn’t yet clear whether these preparations are overkill, or not nearly enough. Photograph: Richard Drew/AP

It isn’t yet clear whether these preparations are overkill, or not nearly enough.

But health care experts say that at the very least, the scare is providing a chance to reinforce and test infection control procedures....

Read full story

http://www.theguardian.com/world/2014/oct/09/us-expand-ebola-precautions-dallas-patient-death?CMP=twt_gu

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