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The mission of the Global Health Working Group is to explore and improve current and emerging states of health and human security worldwide.

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This Working Group is focused on exploring current and emerging states of health and human security worldwide.
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Aboubacar Conte admin Albert Gomez Allan Anthony Carrielaj
Chisina Kapungu ChrisAllen Corey Watts CPetry DeannaPolk Elhadj Drame
Gavin Macgregor... Hadiatou Balde hank_test jranck JSole Kathy Gilbeaux
Lisa Stelly Thomas loguest Maeryn Obley mdmcdonald MDMcDonald_me_com Mika Shimizu
mike kraft njchapman Norea Tiaji Salaam-Blyther tnovotny

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South Sudan: More Will Die from Cholera Unless We Secure Clean Water

           

South Sudanese patients wait for medical treatment in the outpatient department of a medical camp.
Photograph: AFP/Getty Images

Oxfam’s water and sanitation coordinator writes about the challenges of bringing South Sudan’s cholera outbreak under control

theguardian.com - by Katrice King - August 6, 2015

“I have no money to continue buying water. I will have to beg from those at the borehole or from the water trucks. Or else, I go back to the village,” a mother of five told me recently. . . .

. . . This is the agonising reality of families I have met in parts of Juba; they are struggling to cope with a worsening water crisis fuelled by the deteriorating economic situation in South Sudan. As a result, the city is now left exposed to the spread of deadly diseases.

Cholera has already claimed 42 lives since May – including seven children – and has infected more than 1,400 people. . . .

. . . If the water shortages continue, hygiene conditions in the most affected areas will worsen and people will have no alternative but to use unprotected sources such as rivers and open wells, exposing more people to cholera.

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Global Health Risk Framework - Meeting 1

nam.edu - July 29, 2015

The first meeting of the Commission on a Global Health Risk Framework for the Future took place on July 28-29, 2015 at the National Academy of Sciences building, located at 2101 Constitution Avenue, NW, in Washington, DC. The meeting was closed on July 28, but open to the public on July 29 from 9 am to 1 pm.

The objectives of the open session on July 29 included the following:

The International Oversight Group will present the Statement of Task to the Commission and make clarifications, if needed.

An expert panel will address issues of governance, finance, resilient health systems, and medical products research and development when responding to infectious disease outbreaks of international concern at the global, regional, national, and local levels. The Commission will consider the different perspectives presented, as they develop the approach for this study.

(CLICK HERE FOR ADDITIONAL INFORMATION)

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Arktek Passive Vaccine Storage Device - P6

      

From watching the video in the link below, the Arktek vaccine cold storage device is also known as the P6 . . .
http://www.intellectualventures.com/inventions-patents/our-inventions/vaccine-cold-chain-device/

The P6 is not just a container, but an innovative high-tech device.  It is designed to keep vaccines at the appropriate temperatures for a month or more with repeat vaccine retrievals and no need for electricity (using just one initial batch of ice).  The device also has built-in communications and monitoring capability.  The P6 units are able to send live updates, including the units’ GPS positions viewable on interactive maps, the number of days since fresh ice had been added, temperature, and more.  Here are the details . . .
http://www.intellectualventureslab.com/invent/a-story-of-invention-the-passive-vaccine-storage-device

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WHO: Trials Show New Ebola Vaccine is 'Highly Effective'

            

On March 23, 2015, Medecins Sans Frontieres (Doctors Without Borders) together with the World Health Organization started a clinical trial in Guinea to test the safety, efficacy and capacity substance to provoke an immune response of the anti-Ebola vaccine rVSV-EBOV.

cnn.com - by Laura Smith-Spark - July 31, 2015

(CNN) A newly developed vaccine against the deadly Ebola virus is "highly effective" and could help prevent its spread in the current and future outbreaks, the World Health Organization said Friday.

Trials of the single-dose VSV-EBOV vaccine began in March in Guinea -- one of three West African nations at the center of the outbreak -- and have shown such promise that this week it was decided to extend immediate vaccination to "all people at risk" after close contact with an infected person, a WHO news release said.

"This is an extremely promising development," said Dr. Margaret Chan, the body's director general.

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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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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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Addressing therapeutic options for Ebola virus infection in current or future outbreaks

AMERICAN SOCIETY FOR MICROBIOLOGY  by Azizul Haque and others                                July  27, 2015

 Ebola virus can cause severe hemorrhagic disease with high fatality rates. Currently, no specific therapeutic or vaccine has been approved for treatment and prevention of Ebola infection of humans. Although the number of Ebola cases has fallen in the last few weeks, multiple outbreaks of Ebola virus infection and the likelihood of future exposure highlight the need for development and rapid evaluation of pre- and post-exposure treatments.

In this manuscript we briefly review the existing and future options for anti-Ebola therapy, based on the data coming from rare clinical reports, studies on animals and results from in vitro models....

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http://aac.asm.org/content/early/2015/07/21/AAC.01105-15.short?rss=1

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Ebola-Affected Countries Brainstorm Infection Prevention Control

      

frontpageafricaonline.com - by Bettie K. Johnson / Monica Melton - July 20, 2015

Monrovia - Liberia, Sierra Leone and Guinea are the worst affected countries from the 2014 to 2015 Ebola outbreak, the worse ever in the history of the virus. The three countries are currently struggling to reach to zero infection of the Ebola virus. The World Health Organization and health practitioners from Sierra Leone, Guinea and Liberia gathered Monday to discuss infection prevention and control in all three countries. . . .

. . . The three day consultative meeting is expected to discuss the current status of IPC and WASH in health care facilities in each country describing the progress achieved so far during the response and transition phase. It will also share the strategic plans for the IPC and WASH improvement in the context of health systems recovery, for both the current early phase and the medium/term. The consultative meeting is sponsored by World Bank and Centers for Disease Control, among others.

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