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Economic consequences of Ebola The ignorance epidemic

THE ECONOMIST                                                                                                        Nov. 14, 2014

NAIROBI -- Safari tents remain zipped, hotel pools are empty, game guides idle among lions and elephants. Tour operators across Africa are reporting the biggest drop in business in living memory. A specialist travel agency, SafariBookings.com, says a survey of 500 operators in September showed a fall in bookings of between 20% and 70%. Since then the trend has accelerated, especially in Botswana, Kenya, South Africa and Tanzania. Several American and European agents have stopped offering African tours for the time being.

The reason is the outbreak of the Ebola virus in west Africa, which has killed more than 5,000 people. The epidemic is taking place far from the big safari destinations in eastern and southern Africa—as far or farther than the homes of many European tourists (see map). There are more air links from west Africa to Europe than to the rest of the continent, whose airlines have in any case largely suspended flights.

Moreover Ebola is hardly the biggest killer disease in Africa (AIDS and malaria are bigger). Yet, in the mind of many visitors, all of Africa is a single country.

One despairing tour operator calls it an “epidemic of ignorance”.

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For a Liberian Family, Ebola Turns Loving Care Into Deadly Risk

In-depth report on the tragedy of how Ebola has destroyed families, partly as a result of members trying to care for each other.

NEW YORK TIMES                                                                                                   Nov. 14, 2014

By

"...This destruction of families is the central tragedy of the epidemic. On a continent with many weak states, the extended family is Africa’s most important institution by far.

"That is especially true in the nations ravaged by the disease — Liberia, Sierra Leone and Guinea — three of Africa’s poorest and most fragile countries. Ebola’s effects on the region, in undermining the very institution that has kept its societies together, could be long-term and far-reaching...."
 
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No Time for a Learning Curve: Nigeria’s Crucial Success against Ebola


AFRICA CENTER FOR STRATEGIC STUDIES, Washington D.C.                        Nov. 12, 2014

Summary of lessons learned from Nigeria and Uganda in containing outbreaks of Ebola

“If a country like Nigeria, hampered by serious security problems, can do this – that is, make significant progress towards interrupting polio transmission, eradicate guinea-worm disease and contain Ebola, all at the same time,” said WHO Director-General Margaret Chan, “any country in the world experiencing an imported case can hold onward transmission to just a handful of cases....”

"Numerous African states have identified and refined the best ways of containing the disease."

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http://africacenter.org/2014/11/no-time-for-a-learning-curve-nigerias-crucial-success-against-ebola/?utm_source=November+14++2014+EN&utm_campaign=11%2F14%2F2014&utm_medium=email

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WHO starts survey of Ebola treatments, says none proven so far

UPDATE:   Additonal information on the WHO discussions of potential Ebola treatments.

(Scroll down)

REUTERS                                                      Nov. 14, 2014

By Tom Miles

GENEVA --The World Health Organization (WHO) has begun assessing more than 120 potential treatments for Ebola patients, it said on Friday, but so far has found none that definitely work, and some that definitely do not....

The apparent effect of ZMapp or other drugs that have been tried may simply be a result of the good care that the patients had received, or the fact that they were well-nourished before they fell sick, or because of other medicines, Friede said.

Medecins Sans Frontieres plans to start trials next month of the drugs brincidofovir, from the U.S. firm Chimerix, and favipiravir, from Japan's Fujifilm, and to see how well blood plasma from Ebola survivors may work in curing those still infected....

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http://www.reuters.com/article/2014/11/14/us-health-ebola-who-treatments-idUSKCN0IY1CR20141114

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Mali Already Has An Ebola Cluster: Can The Virus Be Stopped?

NPR                                                          Nov. 14, 2014

By Jason Beaubien

"This is not just one case," says Tom Frieden, director of the Centers for Disease Control and Prevention. "It's a cluster." He's talking about the Ebola situation in Mali, where two people have likely died of the disease in Bamako, the capital, and two others have tested positive.

Hundreds more may have been exposed. Officials from the U.N., the World Health Organization, the government of Mali and the CDC are all calling for swift action to keep Mali from descending into the Ebola chaos that has  hit neighboring Guinea, Liberia and Sierra Leone.

"This is very deeply concerning," says Frieden. The CDC is sending additional staff to help respond to the outbreak.

This cluster of new cases centers around a private hospital in Bamako. On Oct. 27, an imam from Guinea died at the clinic from what had been diagnosed as kidney failure.

This week a nurse who treated him died of Ebola. Two other people from the clinic — one of them a doctor — have tested positive for the virus. The body of the imam was sent to a mosque for ritual cleansing, then returned to Guinea for a large public funeral before authorities in Mali realized he probably died of Ebola.

Frieden says the risk of this cluster turning into a major outbreak is high.

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Liberia to end Ebola state of emergency

Sirleaf said her country would not become complacent after the gains made in fight against Ebola [Getty Images]14 Nov 2014 07:54 aljazeera.com

President Sirleaf says while country has made progress against virus, more still needs to be done to end the epidemic.

Liberia's President Ellen Johnson Sirleaf said that she would not seek an extension to a state of emergency imposed in August over Ebola.

Her announcement on Thursday is a sign of progress in the fight against the disease, which has killed more than 2,800 people in Liberia since breaking out in West Africa in March.

http://www.aljazeera.com/news/africa/2014/11/liberia-end-ebola-state-emergency-201411145555126551.html

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Hearing: Combating Ebola in West Africa: The International Response - House Committee on Foreign Affairs

foreignaffairs.house.gov - November 13, 2014 - 10:00am to 1:00pm
2172 Rayburn House Office Building Washington, DC 20515

(CLICK HERE FOR RECORDED VIDEO OF THE HEARING AND LINKS TO FULL STATEMENTS)

Chairman Royce on the hearing: “The Ebola epidemic that has besieged Guinea, Liberia, and Sierra Leone for the past seven months is unprecedented in scale, with devastating consequences for the region. This hearing will examine ongoing international and U.S. efforts to contain this epidemic at its source in West Africa and the Administration’s emergency request for funding. We will hear from the head of the lead agency on the ground, Administrator Rajiv Shah, and from representatives of the defense community, who are playing an integral role in the response. We will also seek information about what other donors are – and are not – doing to address this dire health emergency.”

WITNESSES:

The Honorable Rajiv Shah
Administrator
U.S. Agency for International Development

The Honorable Bisa Williams
Deputy Assistant Secretary
Bureau of African Affairs
U.S. Department of State

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Battling Ebola: The African responses that 'will win this war'

People walk past a billboard with a message about Ebola in Freetown, the capital of Sierra Leone, on November 7. Public awareness campaigns are proving vital in the fight against the virus.

Description of African efforts to improve communications to counter the spread of Ebola

CCN                                                                                                                                Nov. 17, 2014

By Alex Court (CNN)-- "When the Ebola outbreak started, it was very terrifying for everybody," recalls Michael Chu'no Ike from Nsukka in Nigeria's Enugu State. "People were afraid it could be transmitted by air and started believing all sorts of rumors about how to boost their immunity."

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Ebola and the Lost Children of Sierra Leone

NEW YORK TIMES OP-ED                                                                                                          Nov. 13, 2014

By Chernor Bah,  a former refugee from the civil war in Sierra Leone, is a youth advocate for the Global Partnership for Education and a co-founder of A World at School.

Arriving at Port Loko, one of the largest towns in the north of Sierra Leone, is like reaching a country under siege. In the face of Ebola, the 500,000 inhabitants of this district have been sealed off from the world, stigmatized like a cellblock of criminals, and left largely to fend for themselves. Even to bring them food and schoolbooks, you need a government pass. And they are not alone. Counting other districts under quarantine, more than a third of the nation cannot move freely.

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Momentum to fund Ebola vacine research is growing in Congress

FOREIGN POLICY                                                                                                           Nov. 13, 2014

By David Francis

As the Ebola outbreak continues in West Africa, momentum to change FDA restrictions to allow Congress to allocate money toward research on drugs that treat tropical diseases, including Ebola, is growing.

A bill drafted by Sens. Tom Harkin (D-Iowa) and Lamar Alexander (R-Tenn.) that would allow the FDA to fund Ebola treatment research will be marked up next week by the Health, Education, Labor and Pensions Committee....

 The bill, which has 17 co-sponsors, is part of a flurry of congressional activity on Ebola and the Obama administration's $6.18 billion proposal to confront the disease domestically and abroad. The Senate Appropriations Committee debated Obama's plan on Wednesday, and House and Senate panels are expected to address the White House's spending request next week.

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