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Situation Report

The Individualised versus the Public Health Approach to Treating Ebola

PLOS/Medicine   by  Tom H. Boyles                            July 28, 2015

The mortality rate for patients with Ebola virus disease (EVD) in West Africa is approximately 65% [1]. There are no published figures for high-resource settings, but media sources and individual case reports suggest it is much lower and approaches 0% for those who receive this level of care from the beginning of their illness.

In their article “Ebola Viral Disease: Experience and Decision Making for the First Cases outside of Africa,” David Stephens and colleagues give insight into the care that can be provided when available resources are not the limiting factor [2]. They describe the decision to open the Serious Communicable Diseases Unit (SCDU) of Emory University Hospital (EUH) when two United States patients contracted EVD while working in West Africa. Using a large specialist team, they provided high-quality care in a safe working environment and disseminated their knowledge and experience widely.....

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How West Africa is ramping up food security after Ebola outbreak

Countries in West Africa and the international community are teaming up to fight Ebola's  lingering effects on food security and agriculture.

Volunteers distribute food at a World Food Programme storage center in Monrovia October 16, 2014. Almost a year after the Ebola outbreak garnered strength in West Africa, countries in that region and the international community are teaming up to fight the disease's lingering effects on food security and agriculture. James Giahyue/Reuters/File

CHRISTIAN SCIENCE MONITOR by Clare Algozin                                    July 29, 2015

As the death toll of EVD rose, West African countries began to experience labor shortages, and many fields of crops went unharvested, according to U.N. Food and Agriculture Organization (FAO). As part of the measures to prevent the spread of EVD, many West African governments established quarantine zones and restricted the movements of people.

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Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Stephen O’Brien Remarks to the Press, Juba, South Sudan, 25 July 2015

                                                                      

reliefweb.int - UN OCHA - REMARKS TO THE PRESS - [as delivered]

Juba, South Sudan, 25 July 2015

Today I conclude my four-day visit to South Sudan where I had the opportunity to see for myself the impact of the devastating crisis. This is my first visit to South Sudan since I began my role as the Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator that was almost two months ago. But I have been here few times before. My last visit to South Sudan was in April 2012 to assess the humanitarian situation then, in my capacity as an Under-Secretary of State for International Development in the United Kingdom.

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CDC - Estimating Ebola Treatment Needs, United States

cdc.gov - Volume 21, Number 7—July 2015

Rainisch G, Asher J, George D, Clay M, Smith TL, Cosmos K, et al. Estimating Ebola treatment needs, United States [letter]. Emerg Infect Dis. 2015 Jul - DOI: 10.3201/eid2107.150286

http://dx.doi.org/10.3201/eid2107.150286

To the Editor: By December 31, 2014, the Ebola epidemic in West Africa had resulted in treatment of 10 Ebola case-patients in the United States; a maximum of 4 patients received treatment at any one time (1). Four of these 10 persons became clinically ill in the United States (2 infected outside the United States and 2 infected in the United States), and 6 were clinically ill persons medically evacuated from West Africa (Technical Appendix 1[PDF - 228 KB - 8 pages] Table 6).

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WHO - Ebola Situation Report - 29 July 2015

                                          

who.int - July 29, 2015 - SUMMARY - (See Links to Situation Reports Below)

There were 7 confirmed cases of Ebola virus disease (EVD) reported in the week to 26 July: 4 in Guinea and 3 in Sierra Leone. This is the lowest weekly total for over a year, and comes after 8 consecutive weeks during which case incidence had plateaued at between 20 and 30 cases per week. Although this decline in case incidence is welcome, it is too early to tell whether it will be sustained. There have been several high-risk events in both Guinea and Sierra Leone in the past 14 days, and past experience has shown that it can take a single high-risk case or missed contact to spark a new cluster of cases. In addition, there are over 2000 contacts still within their 21-day follow-up period in Guinea, Liberia, and Sierra Leone, representing a substantial residual risk of further cases. Refinements to the response continue to yield improvements, with recent weeks seeing a higher proportion of cases arising from contacts and a lower proportion of cases identified post-mortem than at any time previously, but the continued occurrence of high-risk transmission events means that an increase in case incidence in the near term is a strong possibility.

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100% renewables by 2045 is now the law in Hawaii

Link to Article:  http://www.argusmedia.com/News/Article?id=1051970

Hawaii law sets target of 100pc renewables by 2045

 

9 Jun 2015, 2.15 pm GMT

Washington, 9 June (Argus) — Hawaii's governor David Ige (D) signed legislation making the island state the first in the US to set a mandate for all electricity to come from renewable resources.

The governor signed HB 623, which requires electric utilities to supply 100pc of their sales with renewables by 2045. The new renewable portfolio standard includes interim targets of 30pc by 2020, 40pc by 2030 and 70pc by 2040. HB 623 replaces a previous standard that called for 15pc by 2015, 25pc by 2020 and 40pc by 3030. The bill takes effect on 1 July.

Ige said the move to local sources of energy will help the state's economy, which relies on about $5bn/yr in oil imports. Fuel oil provides about 70pc of the state's electricity, according to the Energy Information Administration (EIA).

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Petrochemical Industry Announcements

USRS

4

Petrochemical political economy. Employment

TXRS

4 cover

Petrochemical political economy
Employment

Dr. Michael D. McDonald

Coordinator
Global Health Response and Resilience Alliance

Chairman
Global Resilience Systems, Inc.

President
Health Initiatives Foundation, Inc.

Michael.D.McDonald@mac.com
202-468-7899

Begin forwarded message:

> From: Kathy Gilbeaux <gilbojer@aol.com>
> Date: July 28, 2015 at 11:54:34 PM EDT
> To: michael.d.mcdonald@mac.com
>
>
> Chevron to cut 950 jobs in Houston
> http://www.12newsnow.com/story/29654834/chevron-to-cut-950-jobs-in-houston
>
> Total seeks buyer for half of Texas refinery
> http://www.reuters.com/article/2015/07/24/us-refinery-sale-total-idUSKCN0PY22T20150724
>
> Kathy

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One Health - Animal Health

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An expanding list of resources and information on One Health and animal health . . .

FAO - Manual on Livestock Disease Surveillance and Information Systems
http://resiliencesystem.org/fao-manual-livestock-disease-surveillance-and-information-systems

Liberia - PPR - Animal Health Information
http://resiliencesystem.org/animal-health-information

FAO - Manual on Livestock Disease Surveillance and Information Systems

fao.org

Introduction

The FAO has always been concerned with agricultural development and food security. Recent disease epidemics, in both developing and industrialised countries, have once again focussed attention on livestock disease and their potential to harm development. In the context of developing countries, disease epidemics do four things:

They reduce herds and flocks dramatically, which, in the case of pastoral peoples, is a major blow to food security and the ability to survive;

They cause trading partners to - quite understandably - put trade barriers in place in order to protect their own countries from infection. Where livestock or meat exporting countries are affected by epidemics, their "pariah" status can cost millions of dollars in terms of foreign exchange losses, and drive farmers and the local meat industry to the wall.

They are a deterrent to sustained livestock production.

They add significantly to the cost of livestock production through the necessity for the application of costly disease control measures.

(CLICK ON THE LINKS BELOW - FAO - Manual on Livestock Disease Surveillance and Information Systems)

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Ebola study notes afebrile patients, calls into question WHO criteria

CENTER FOR DISEASE RESEARCH AND POLICY        July 24, 2015

(Also scroll down for: Ebola case definition quandary; Public health worker Ebola unease)

Researchers found that the World Health Organization (WHO) Ebola case definition has a specificity of only 31.5%, and they noted that 9% of Ebola patients reported neither a fever nor any Ebola risk exposure, calling into question WHO norms, according to a large study yesterday in The Lancet Infectious Diseases.

Researchers from Britain and Sierra Leone analyzed data on 850 suspected and 724 lab-confirmed Ebola patients who presented to the holding unit of Connaught Hospital in Freetown from May 29 to Dec 8, 2014. Fever or history of fever (n=599, 83%), intense fatigue or weakness (495, 68%), vomiting or nausea (365, 50%), and diarrhea (294, 41%) were the most common presenting symptoms in suspected cases.

Based on data from these patients, the investigators found the sensitivity of the WHO case definition to be 79.7%, which means about 20% of true Ebola cases would be missed (false-negatives). They found the specificity of the case definition to be 31.5%, which means 68.5% of patients who would be selected for admission would not actually have Ebola virus disease (false-positives).

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