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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
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mike kraft njchapman Norea Tiaji Salaam-Blyther tnovotny

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Seeking the Source of Ebola

The latest Ebola crisis may yield clues about where it hides between outbreaks.

GLOBAL LITERACY PROJECT                                       June  15, 2015
abstract of article in
   
(Scroll down for full article.)       

   Picture of a masked bush meat hunter. Peter Muller.

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Readability of Ebola Information on Websites of Public Health Agencies, United States, United Kingdom, Canada, Australia, and Europe

CDC IED JOURNAL  by    Enrique Castro-Sánchez , Elpiniki Spanoudakis, and Alison H. Holmes    Volume 21, Number 7- July 2015                                          

 Public involvement in efforts to control the current Ebola virus disease epidemic requires understandable information. We reviewed the readability of Ebola information from public health agencies in non–Ebola-affected areas. A substantial proportion of citizens would have difficulty understanding existing information, which would potentially hinder effective health-seeking behaviors....

Several factors, including readability of information provided (8), can help reduce health literacy deficits...It is recommended that health information materials should be written at a level typically understandable by an 11-year-old person ... anxiety or panic attributed to a highly virulent infection, such as Ebola, might hinder comprehension of related information (11).

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Sending Soldiers to Fight Ebola

AMSUS  by Capt. Jordan D. Lane and Capt. Sarah S.  McNair                        
Sending the military to fight Ebola is surprising for many Americans including service members, who have come to expect deployments to combat zones, but not necessarily to hot-zones. Although sending military personnel to address Ebola is not a task we as a nation should undertake lightly—perhaps most importantly because soldiers, unlike civilian volunteers, do not have the ability to opt-out of the mission or set parameters for their participation—the choice to engage the military speaks to the severity of the crisis in West Africa and is a testament to the fact that the U.S. military has capabilities unlike any other organization in the world.

However, as a nation, it is important to discuss the role of military personnel in response to a disease outbreak and address the ethical issues surrounding their participation.
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Researchers link Ebola news coverage to public panic using Google, Twitter data

EUREAKALERT!                                                  June 15, 2015
(Scroll down for link to PLOS One article.)

ARISONA STATE UNIVERSITY --

Using Twitter and Google search trend data in the wake of the very limited U.S. Ebola outbreak of October 2014, a team of researchers from Arizona State University, Purdue University and Oregon State University have found that news media is extraordinarily effective in creating public panic.

Because only five people were ultimately infected yet Ebola dominated the U.S. media in the weeks after the first imported case, the researchers set out to determine mass media's impact on people's behavior on social media.

"Social media data have been suggested as a way to track the spread of a disease in a population, but there is a problem that in an emerging outbreak people also use social media to express concern about the situation," explains study team leader Sherry Towers of ASU's Simon A. Levin Mathematical, Computational and Modeling Sciences Center. "It is hard to separate the two effects in a real outbreak situation...."

Towers states that this study will be useful in future outbreak situations because it provides valuable insight into just how strongly news media can manipulate public emotions on a topic.

Read complete story.

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HHS selects nine regional Ebola and other special pathogen treatment centers

New network expands US ability to respond to outbreaks of severe, highly infectious diseases

DEPARTMENT OF HEALTH AND HUMAN SERVICES            June 12, 2015

WASHINGTON -- To further strengthen the nation’s infectious disease response capability, the U.S. Department of Health and Human Services has selected nine health departments and associated partner hospitals to become special regional treatment centers for patients with Ebola or other severe, highly infectious diseases.

HHS’ Office of the Assistant Secretary for Preparedness and Response (ASPR) has awarded approximately $20 million through its Hospital Preparedness Program (HPP) to enhance the regional treatment centers’ capabilities to care for patients with Ebola or other highly infectious diseases. ASPR will provide an additional $9 million to these recipients in the subsequent four years to sustain their readiness...

The nine awardees and their partner hospitals are:

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As Ebola Crisis Wanes, a Mixed Picture of Economic Recovery for Households in Sierra Leone

THE WORLD BANK                                                                       June 15, 2015

WASHINGTON—Employment in Sierra Leone has returned to pre-crisis levels, though earnings and hours worked still lag behind. This is according to respondents in the latest round of high-frequency mobile-phone surveys, led by Statistics Sierra Leone with support from the World Bank Group, assessing how Ebola is impacting people’s livelihoods.

The survey contacted a sample of 1,715 households during May, 2015, which represents 41 percent of the 4,199 households covered in the baseline, nationally-representative Labor Force Survey conducted in July and August 2014.

 “Sierra Leone is working tirelessly to get to zero cases of Ebola,” said Francis Ato Brown, World Bank Group Country Manager for Sierra Leone. “Our job has to be not only to support the country in eradicating Ebola, but also to look toward economic recovery and toward mitigating the short-, medium-, and long-term impacts of the crisis on the social and economic wellbeing of all Sierra Leoneans.

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Health Authorities Repeating Mistakes in Ebola Fight: MSF

      

A Sierra Leonean doctor practises wearing protective clothing in the Ebola Training Academy in Freetown, Sierra Leone, December 16, 2014.  Reuters/Baz Ratner

AFP - June 13, 2015

Dakar (AFP) - Health authorities are repeating the mistakes of the past in combatting Ebola, more than a year after its onset in Guinea and Sierra Leone, the international president of Doctors Without Borders (MSF) warned.

Joanne Liu's remarks on Saturday come a day after Sierra Leone imposed a three-week daytime curfew in the last Ebola-hit areas in a bid to curb a resurgence of the deadly virus, which has killed about 3,900 people in the country.

Neighbouring Liberia was declared Ebola-free in May, but hopes that Sierra Leone and Guinea would quickly follow suit have been dashed in recent weeks.

"We are still making the same mistakes as we did in the past," said Liu.

(READ COMPLETE ARTICLE)

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Favipiravir—a prophylactic treatment for Ebola contacts?

THE LANCET byMichel Van Herp, Hilde Declerck and Tom Decroo June 13, 2015

.. the efficacy of candidate Ebola vaccines for primary prevention has not been proven.2 Furthermore, in communities in which Ebola transmission might be ongoing, an important question is: how will such a vaccination be perceived if a vaccinated person develops Ebola? Such a scenario is possible in people who contract Ebola virus before vaccination. If a person is infected with Ebola virus before vaccination, the vaccine might have a post-exposure prophylactic effect. However, how effective this prophylaxis might be is unknown.2 Moreover, if someone is infected more than 48 h before vaccination, the post-exposure prophylactic effect is likely to be insufficient, leading to possible development of Ebola after vaccination. This scenario is likely to result in serious issues relating to community trust and acceptance of an Ebola vaccine.3 How to exclude Ebola among people presenting with post-vaccination fever is also an issue.2

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WHO Says South Korean MERS Outbreak Large and Complex

                                       

who.int - reuters.com - Reporting by Jack Kim; Editing by Robert Birsel - June 12, 2015

SEOUL (Reuters) - A World Health Organization (WHO) team of experts said on Saturday South Korea's outbreak of Middle East Respiratory Syndrome (MERS) is "large and complex" and more cases should be anticipated.

The WHO has conducted a joint review with South Korean officials and experts of the country's response to the MERS outbreak which has infected 138 people and killed 14 of them since the first case was diagnosed on May 20.

(READ COMPLETE ARTICLE)

WHO - Disease Outbreak News (DON) - Middle East respiratory syndrome coronavirus (MERS-CoV) – Republic of Korea
June 12, 2015
Starting from 12 June 2015, Disease Outbreak News concerning MERS-CoV in the Republic of Korea will be published on a bi-weekly basis (on Tuesdays and Fridays).
http://www.who.int/csr/don/12-june-2015-mers-korea/en/

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The Case for Improved Diagnostic Tools to Control Ebola Virus Disease in West Africa and How to Get There

PLOS by Arlene C. Chua,Jane Cunningham,Francis Moussy, Mark D. Perkins,and Pierre Formenty      June 11 2015

 ...Since the identification of Ebola in Guinea in March 2013, rapid deployment of international mobile laboratories through WHO networks—Global Outbreak Alert and Response Network (GOARN) [2] and Emerging and Dangerous Pathogens Laboratory Network (EDPLN) [3]—has been vital to outbreak control operations. Deployable laboratories from multiple international organizations have been established near Ebola treatment centers (ETC) in Guinea, Liberia, and Sierra Leone....

However, several technical and social factors conspire to delay diagnosis, starting with weak surveillance systems and slow patient access to centralized ETCs. While the mean processing time is 5 hours (time difference from when samples are received in the laboratory to when they are tested), there is a marked difference in the time from when the samples are collected from suspected patients to the time they are received by the laboratory

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