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The Ebola detectives

The BBC   by Hans Rosling                                                                    March 23, 2015
Interview with Swedish statistician and global health professor Hans Rosling who spent three months working as an epidemiologist in the Liberian Health Ministry helping to tackle the Ebola crisis.

 

                  Hans Rosling flanked by Maj Morris Hunh (China), to his right, and Gen Gary Volesky(U.S.) to his left

Excerpt from BBC interview:

The curve turned around because enough Ebola treatment units were built. Medecins Sans Frontieres ran the biggest. When that was not enough, Liberian doctors and nurses added the next treatment unit. But the race against time in September to provide treatment and isolation for all patients, when the epidemic curve climbed to 30, 40 and 50 patients per day, was won by the WHO.

 By the end of September, Dr Atai from Uganda opened the so-called Island Clinic which meant beds could be offered to all Ebola patients.The curve was curbed for four reasons:

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Fighting Ebola with a holistic vision of big data

TECH REPUBLIC  by Mary Shaklett                                                                         March 24, 2015

Big data practitioners are learning that the laboratory know-how of computer scientists and statisticians must be matched with a holistic, 360-degree vision of the problem to be solved. TheEbola crisis is a prime example....

If big data is going to help solve health issues like Ebola, it must be incorporated into analytics that consider all of the factors shaping the epidemic. These are three of the ingredients that should be factored into Ebola analytics.

1: There are political barriers that stand in the way of obtaining data from cell phone providers that could assist researchers in determining where the disease will strike next.

2: Even if disease researchers could obtain this data, there is a need to "correct" the data for what it doesn't reveal. For example, if less than 50% of a country's population has access to mobile phones and individuals are constantly moving from village to village, how will researchers be able to verify the quality of the data they're getting unless there are people "on the ground" who can verify or provide corrective factors to the data?

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Liberians overcome fear to volunteer for Ebola vaccine trial

ASSOCIATED PRESS  by Jpnathan Paye-Layleh             March 22, 2015

MONROVIA, Liberia — Liberians are overcoming their fears of Ebola to volunteer for a vaccine trial...

One year after the World Health Organization declared the Ebola outbreak, vaccine trials are under way in Liberia and Guinea. Sierra Leone will start a trial later this month.

In Liberia, scientists have fanned out across the country to explain the studies and reduce the fear and confusion that have stymied efforts to contain Ebola.

Dr. Stephen Kennedy, the Liberian lead investigator for the study, was among the first people to volunteer for the vaccine trial, getting his injection in front of the media. Similarly, in Guinea, authorities started the study by injecting a series of prominent officials, including the head of the country's Ebola response.

The outreach worked in Liberia, where more than 700 people have volunteered, well beyond the 600 required, according to Kennedy.

Read complete story.
http://news.yahoo.com/liberians-overcome-fear-volunteer-ebola-vaccine-trial-120848405.html

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How to stop the next epidemic

THE ECONOMIST                                                                                    May 19, 2015

..when the next epidemic breaks out, how do we prevent it from spreading around the world? It is easier said than done.
 
First: Early detection is critical, and it relies on good surveillance. But only 64 of the 194 member states of the World Health Organisation (WHO) have the surveillance procedures, laboratories and data-management capabilities required by the International Health Regulations. Improvements in things like basic public health infrastructure are needed...

Second: A swift response to an outbreak – which might involve getting skilled people, equipment and money to the right places – can potentially save more lives than drugs and vaccines. ... The World Health Organisation and the global community were slow to recognise that there was an international public health emergency.

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Ebola-proof tablet designed by Google rolled out in Sierra Leone disease centre

THE TELEGRAPH by Aislinn Laing                                                                         March 20, 2015

An Ebola-proof tablet that can survive being doused in chlorine and can be used while wearing gloves has been developed by Google and technology volunteers for use by health workers in Sierra Leone.

 

MSFStaff testing one of the Clinical Management Tablets at the Magburaka treatment centre in Sierra Leone Photo: MSF

The Android device, based in a waterproof Sony Xperia with an extra protective casing, allows medics to safely record and share patient temperatures and symptoms over days and weeks....

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Congressional Forum - “Building Resilient Communities: Ebola and Global Health Crises – Where We Need to Go”

Dr. David Nabarro - Congressional Forum

upmchealthsecurity.org

CLICK HERE -Agenda

CLICK HERE -Photos

CLICK HERE - Videos

On February 25, 2015 a Congressional Forum was convened.

Objectives:

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WHO urges mass vaccination against measles, other diseases in Ebola areas

REUTERS   by Kate Kelland                                       March 21, 2015

LONDON--The World Health Organization warned on Friday of a risk of outbreaks of measles, whooping cough and other diseases in West African countries hit by Ebola and urged a rapid intensification of routine immunizations....

The epidemic has disrupted delivery of routine childhood vaccines against measles, polio and tuberculosis, and of a combined shot against meningitis, pneumonia, whooping cough, tetanus, hepatitis B and diphtheria.

Jean-Marie Okwo-Bele, the WHO's vaccines director, told a briefing in Geneva that the health agency wanted an intensification of immunization services, and mass measles vaccination campaigns in all areas where feasible.

"Campaigns will only be conducted in areas that are free of Ebola virus transmission," he said, stressing that clinics and health workers administering vaccines would be required to adhere to very strict infection control measures.

The WHO sent a warning note to affected countries this week saying: "Any disruption of immunization services, even for short periods ... will increase the likelihood of vaccine-preventable disease outbreaks."

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3 ways mobile helped stop the spread of Ebola in Nigeria

BROOKINGS TECH TANK   by Joshua Bleiberg and Darrell M. West                                       March 19, 2015

...There were a variety of factors that contributed to Nigeria’s success at combating the (Ebola)  disease. One important factorwas the use of mobile electronic health records programs.

1. Training Healthcare Workers

Training health care providers was a priority at the beginning of the Ebola outbreak. A survey found that 85 percent of health care workers in the country believed you could avoid Ebola by abstaining from handshakes or touching. Correcting these myths about the disease was a critical part of the response effort, especially for health care workers.

2. Rapid Deployment

One of the virtues of mHealth is its speed and flexibility. Mobile allows officials to quickly disseminate the latest information to front line health care workers. Increasing the speed of communication is a general boon to any large public health response.

3. Virtual Records

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How to Prevent the Next Ebola

THE ATLANTIC  by                 Mar 18 2015 

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Brian D'Cruz, a Virginia emergency-room doctor, spent the winter volunteering in a Doctors Without Borders Ebola treatment center in Conakry, Guinea. One of the myriad obstacles he encountered was that the yellow hazmat suits Ebola doctors wear take 45 minutes to don, yet are so stifling that a doctor can only spend an hour in one before risking dehydration. Having to frequently drop everything to pull off the suits made it even more difficult to stretch their already meager staff, D'Cruz told me in an interview at the Washington Health Forum this morning.

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The case for EOCs post-Ebola

DEVEX    by  By Jenny Lei Ravelo                        March 19, 2015
Emergency operation centers have been critical in stemming potential Ebola outbreaks in several West African countries like Nigeria and Mali, but there remain doubts about whether countries would keep them post-Ebola. Ismail Ould Cheikh Ahmed, special representative of the secretary-general and head of the U.N. Mission for Ebola Emergency Response, meets with UNMEER staff at the Ebola Operation Center in Bamako, Mali. Should EOCs be retained post-Ebola? Photo by: Pierre Peron / UNMEER / CC BY-ND

This is largely because of its potential to cause “institutional turf wars” within the government structure, according to Madji Sock, partner at global development advisory firm Dalberg.

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