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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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Ebola Fears in Pregnant Women Reducing Healthcare Use

   MEDSCAPE     by  Laurie Barclay, MD    Dec. 31, 2014
Ebola fears and misconceptions reduced health facility use by pregnant and lactating women in Kenema District, Sierra Leone, according to findings from focus group discussions published in the January 2, 2015, issue of the Morbidity and Mortality Weekly Report.

"Sierra Leone has the highest maternal mortality ratio and the fourth highest neonatal mortality rate in the world," write Michelle M. Dynes, PhD, from the Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, and colleagues. "By straining the fragile health care infrastructure, the [Ebola] epidemic might put pregnant women and their newborns at even greater risk for adverse outcomes."

Uptake of routine maternal and newborn healthcare is therefore essential to lowering infant and maternal mortality. Focus group discussions suggested that infection prevention and control training would reduce fear among healthcare workers and could help improve women's confidence in health facility safety.

Sierra Leone public health departments are using this information to create public health messages designed to encourage the use of maternal and newborn healthcare services....

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Ebola outbreak: Canada turned 176 people away after imposing travel ban

THE CANADIAN PRESS                                                                    Dec.31, 2014

Newly-released figures show an estimated 176 people were turned away from Canada after the imposition of a partial travel ban from Ebola-affected countries in West Africa.

The federal government put the controversial measures in place at the end of October, barring people from Guinea, Liberia and Sierra Leone from receiving visas to come to Canada.

At the same time, the government announced it would also stop processing visa and visitor applications in the queue.

http://www.cbc.ca/news/health/ebola-outbreak-canada-turned-176-people-away-after-imposing-travel-ban-1.2887673

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Ebola screening to be reviewed after doctor attacks ‘inadequate’ measures

THE GUARDIAN  by and              Dec. 31, 2014
LONDON--Public HealthEngland has vowed to review its Ebola screening measures after they were branded “utterly illogical” by an NHS doctor who returned from Africa with the Scottish nurse who has contracted the virus.

Public Health England said it would review its procedures, but defended its guidance as being in line with other organisations who have sent volunteers to Ebola-affected countries. Photograph: Amer Ghazzal/Rex

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Ebola Ravages Economies in West Africa

NEW YORK TIMES  by                    Dec. 21, 2014     
FREETOWN, Sierra Leone--The "personal hospitality business" may be the most obvious sector of Sierra Leone’s economy that has been decimated by Ebola. After all, the main slogan in Freetown, the capital, these days is A.B.C. — avoid body contact.Residents in Freetown, Sierra Leone, break rocks in a road project that was halted because of concern about Ebola. In Sierra Leone, Guinea and Liberia, Ebola continues to lay waste not just to immune systems but also to balance sheets. Daniel Berehulak for The New York Times

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Fight against Ebola requires district-by-district approach – head of UN response mission

UNITED NATIONS NEWS CENTRE                                                                                 Dec. 30, 2014

MONROVIA, Liberia --The outgoing head of the head of the United Nations Emergency Ebola Response Mission (UNMEER) said today that communities are going to play a big role in defeating the “nasty disease” in West Africa by stamping out outbreaks while they are small and not allowing them to become bigger.

The body of a suspected Ebola case in Sierra Leone is taken by an International Federation of Red Cross (IFRC) team on 24 December to the cemetery where it was buried in a dignified way. UN Photo/Martine Perret

“Ebola is a very nasty disease, and it’s going to present us with some very unpleasant surprises I fear going forward,” Anthony Banbury told UN Radio in Monrovia, Liberia. “And that’s why we really need to strengthen our capabilities.....”

...While acknowledging the difficulty in getting Ebola response workers to some of the remote areas, he emphasized the importance of a district by district strategy and said: “We really need to be present out in the districts....”

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The Monster in the Sea

A trip to the Liberian border village of Jene-Wonde reveals the dangers in declaring victory over Ebola.

      

Photograph by Laurie Garrett

foreignpolicy.com - by Laurie Garrett - December 29, 2014

Liberia - . . . As of Dec. 18 the Grand Cape Mount district has lost 99 people to Ebola, most in and around Jene-Wonde. . . Most of the sick and deceased, having gone untested for Ebola, were never entered into official records. . . A man standing close . . . waves his hand at the newly constructed CCC and asks, “When this place is opened and it’s overwhelmed, what happens next?”

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Universal Health Coverage - Ebola Reveals the Gaps

      

IFRC Kenema Ebola treatment centre (File photo, October 2014)  Photo: IRIN/Ricci Shryock

LONDON, 29 December 2014 (IRIN) - West Africa's Ebola epidemic has cruelly exposed the weaknesses of health systems in the countries where it struck. It was understandable that they were not prepared for Ebola, which has never been reported in the region before, but the director of the World Health Organization (WHO), Margaret Chan, says what they lacked was a robust public health infrastructure to deal with the unexpected.

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Liberia eases up on cremation order for Ebola victims

ASSOCIATED PRESS                                                           Dec. 30, 2014

MONROVIA --Liberia's government is easing up on its order that all Ebola victims' bodies be cremated after authorities purchased a plot of land to bury them.

Ebola health care workers carry the body of a man suspected of dying from the Ebola virus in a small village Gbah on the outskirts of Monrovia, Liberia, Friday, Dec. 5, 2014. (AP Photo/ Abbas Dulleh)

Ciatta Bishop, head of the national Ebola burial team, said Tuesday that the government has secured a 25-acre parcel of land where Ebola victims can now be buried.

The Liberian government ordered that victims be cremated at the height of the crisis because corpses are highly contagious.

The cremation decree is highly unpopular in Liberia, where funeral traditions are carefully followed and are considered a sacred obligation to the deceased.

Read complete story.
http://www.foxnews.com/health/2014/12/30/liberia-eases-up-on-cremation-order-for-ebola-victims/

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Scientists trace Ebola outbreak to a tree where children play

WASHINGTON POST  by Rachel Feltman     Dec. 14, 2014 

According to research published Tuesday by the Robert Koch-Institute, fruit bats are almost certainly to blame for the current Ebola outbreak, which has claimed 7,800 lives so far. But while most outbreaks caused by a fruit bat would have someone who hunted or handled the mammal for meat to blame for the contagion, the researchers believe that this case of bat-to-human transmission was sparked by children at play.

A child under observation for signs of Ebola. (Michel du Cille/The Washington Post)

Ebola is a zoonotic disease -- one that's spread between species. The first human cases of Ebola can indeed be traced roughly to the hunting, selling, and eating of bushmeat, or wild mammals like bats and non-human primates...

But the first case of 2014's outbreak has been traced to someone who shouldn't have had much contact with bushmeat. In October, researchers reported that patient zero of the outbreak was likely a 2-year-old boy named Emile Ouamouno who lived in the Guinea village of Meliandou.

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Automated mobile phone service hopes to stop spread of Ebola in west Africa

THE GUARDIAN  by Mark Anderson                                                                    Dec. 30, 2014

People in rural areas of Liberia, Sierra Leone and Guinea battling Ebola could be helped by an automated phone service that offers advice about how to avoid contracting the virus.

Startup company Halt!Ebola is using “robocalling” to reach people where information hotlines are not being used.

The company is trying to acquire mobile phone numbers from the networks operating in these regions to enable them to make the calls. When people answer, an audio message with information and advice about the virus is played back.

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