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Reform After the Ebola Debacle

      

Margaret Chan, the director general of the World Health Organization.
Credit Salvatore Di Nolfi/Keystone, via Associated Press

nytimes.com - by The Editorial Board - February 10, 2015

The World Health Organization’s anemic performance in handling the Ebola outbreaks in West Africa may yield one positive outcome: sweeping, and long overdue, institutional reforms to improve its ability to respond more quickly to the next outbreak of a lethal infectious disease. Scrambling to answer growing criticism, the W.H.O.’s executive board recently endorsed changes to enhance the agency’s rapid response capabilities.

The reforms call for well-trained public health workers to rush to the aid of beleaguered countries and an emergency fund to support their initial operations, among other advances.

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(CLICK HERE - WHO - RESOLUTION AND SUPPORTING DOCUMENTATION)

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Mistrust and Machetes Thwart Efforts to Contain Ebola in Guinea

         

A Red Cross truck carrying the body a woman who died of the Ebola virus drives in the Aberdeen district of Freetown, Sierra Leone, in this file photo taken on October 14, 2014.  Credit: Reuters/Josephus Olu-Mammah

reuters.com - by Misha Hussain - February 10, 2015

LOLA, Guinea (Thomson Reuters Foundation) - When Red Cross pickups crawl through the streets of the Guinean town of Lola in search of Ebola victims, crowds of women gather to shoo the medical workers away, young boys throw stones and angry men reach for their machetes.

In the country where West Africa's Ebola outbreak began, hostility towards aid workers - fueled by ever more far-fetched rumors - is undermining efforts to contain the deadly virus. . .

. . . Concerns about violence directed at aid teams comes as the number of new cases of Ebola rose at the start of February in all three of West Africa's worst-hit countries - Guinea, Liberia and Sierra Leone - ending previously encouraging declines.

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Pope Francis: Christians Have a Duty to Protect Environment

      

Pope Francis (CNS)

catholicherald.co.uk - by Conor Gaffey - February 9, 2015

Protecting the environment is a Christian duty not just reserved for ‘green’ activists, Pope Francis said today.

The Pope tackled the topic of creation in his morning homily at Casa Santa Marta, warning that Christians must be the protectors of the natural world, not its masters. . .

. . . The Pope is expected to release his eagerly anticipated encyclical on the environment in June or July ahead of the UN Climate Change Conference to be held in Paris in December.

On his flight from Sri Lanka to Manila in January, Francis was reported to have said that human beings are largely to blame for climate change.

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Brazil Cities Cancel Carnival Because of Drought

      

Brazil's samba filled streets during Carnival usually attract millions of visitors. | Photo: Reuters

telesurtv.net - February 7, 2015

Brazil's worsening drought has been linked to both climate change and deforestation which have limited rainfall, say experts.

Several cities in the southeast of Brazil have called off Carnival this year due to a serious drought that has plagued the region for months and shows no signs of abating. . .

. . . at least 15 cities and towns in the southeastern states of Minas Gerais and San Paolo have already called off all or parts of their Carnival festivities because of the region's water crisis. Both states have been suffering from drought for more than a year, with the water situation worsening. This has been the regions' worst drought in at least eight years.

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http://www.wsj.com/articles/brazilian-drought-leaves-carnival-awash-in-doubt-1422402594

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Small Rise in New Cases Shows Ebola Hanging On

      

Eric Gweah, 25, grieves as he watches members of a burial team carry the body of his father, Ofori Gweah, 62 in Monrovia, Liberia.  Photo - Daniel Berehulak

nytimes - by Rick Gladstone - February 5, 2015

Officials from the United Nations and the World Health Organization expressed concern on Thursday over data showing the first weekly rise in new Ebola cases this year, countering the downward trend in the disease that has ravaged three West African nations.

The 124 new cases — 39 in Guinea, five in Liberia and 80 in Sierra Leone for the week ended Feb. 1 — amounted to a relatively small increase from the 99 new cases the week before, and paled in comparison with the hundreds of new cases per week that traumatized those countries and alarmed the world in the later months of 2014. . .

. . . However, the weekly increase in new cases, although small, was worrisome for a few reasons, said Dr. Bruce Aylward, the World Health Organization special representative on Ebola, and Dr. David Nabarro, the United Nations special envoy on Ebola.

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Ebola Case Uptick Underscores Response Challenges

Unsafe burials have spurred some of the newly reported cases, the WHO said.  UNMEER, Martine Perret / Flickr cc

CLICK HERE - WHO - Ebola Situation Report
4 February 2015

submitted by Stephen Morse

cidrap.umn.edu - by Lisa Schnirring - February 4, 2015

In a sign that West Africa's Ebola response still faces several challenges, Guinea, Liberia, and Sierra Leone all reported an uptick in cases last week, the first time this year that all three countries have seen an increase, the World Health Organization (WHO) said today.

Some of the remaining problems include stubborn pockets of community resistance in some areas, the disease's increased reach in Guinea, and widespread transmission in Sierra Leone, the agency said. The WHO warned of an urgent need to curb the outbreak in as many areas as possible, with the approach of the wet season that will make remote areas difficult for responders to reach.

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MSF says lack of public health messages on Ebola "big mistake"

THOMPSON REUTERS By Misha Hussain                   Feb. 4, 2015

CONAKRY -- Medecins Sans Frontieres (MSF) made the "big mistake" of focusing too much on treatment early on in the Ebola epidemic rather than speaking to people about tackling the disease, a senior member of the medical charity said.

 ...With 20 years of experience of treating Ebola, MSF deployed hundreds to the Ebola "hot zones" and was quick to isolate patients and trace their contacts.

However, Claudia Evers, MSF's Ebola emergency coordinator in Guinea, said: "MSF made a big mistake. We advocated for an increase in beds for too long, and everyone listened to MSF."

"Instead of asking for more beds we should have asked for more sensitisation activities," Evers told the Thomson Reuters Foundation in an interview. Evers said the next stage of the Ebola response required a new approach if the disease was to be brought under control, centred on the promotion of good hygiene practices.

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http://af.reuters.com/article/topNews/idAFKBN0L81SM20150204?sp=true

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Report: Liberia : New Ebola cases reported in Liberia

RFI      By Adolphus Mawolo                              Feb. 3, 2015

MONROVIA --Assistant Health Minister and head of Liberia’s incident management system, Tolbert Nyensuwah, told journalists in Monrovia on Monday that five confirmed cases had been reported around Monrovia over the past seven days.

According to Minister Nyensuwah, the cases were reported from three communities in the western suburbs of the capital....

He has partially blamed the situation on some infected people refusing to seek treatment despite the availability of treatment centres, noting that a full-scale investigation is underway to ascertain why.

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http://mobile.english.rfi.fr/africa/20150203-liberia-experimental-vaccines-against-ebola?utm_source=February+4+2015+EN&utm_campaign=2%2F4%2F2015&utm_medium=email

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Ebola infection 'linked to visor'

THE PRESS ASSOCIATION                               Feb. 4, 2015
LONDON --A British nurse who contracted Ebola while working in Sierra Leone possibly caught the virus by wearing a visor and not goggles, an investigation has suggested.
Press Association - Save the Children said Pauline Cafferkey, pictured on her return to health, may have contracted Ebola by wearing a visor rather than goggles when treating patients in Sierra Leone

The report by Save the Children said it cannot be completely certain how Pauline Cafferkey contracted Ebola but said both pieces of equipment are "equally safe".

The nurse, from Cambuslang in South Lanarkshire, had volunteered with the charity at the Ebola Treatment Centre (ETC) in Kerry Town before returning to the UK in December....

Save the Children published the findings of an independent review into the possible causes of how the 39-year-old caught the virus. The report said both visors and goggles are safe but there are slight differences in the type of clothing worn with each and in the protocols for putting them on and removing them....

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Only 40 percent of Ebola funds reached target countries: study

REUTERS    by Kate Kelland                                                                                 Feb. 3, 2014

LONDON  - Almost $2.9 billion was pledged by the end of 2014 in donations to fight West Africa's Ebola epidemic, yet only around 40 percent had actually reached affected countries, researchers said on Tuesday.

A study by the U.N. Office for the Coordination of Humanitarian Affairs that tracked international donations showed barely $1.09 billion had reached the worst affected countries by the end of last year, they said.

"These delays ... may have contributed to spread of the virus and could have increased the financial needs," said Karen Grepin, a global health policy expert at New York University who led the study and published it in the BMJ British medical journal.

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http://news.yahoo.com/only-40-percent-ebola-funds-reached-target-countries-233343915.html

Link to full study.

International donations to the Ebola virus outbreak: too little, too late?

BRITISH MEDICAL JOURNAL   by  Karen A Grépin                                                      Feb. 3, 2015

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