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Africa Resilience Initiative

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The mission of this working group is to articulate and shape issues of resilience and sustainability on the continent of Africa as they may be implemented as reforms of current policies, as well as contemplate and make recommendations for more extensive critiques and proposals for national, provincial, and local systems transformation, as may be necessary or desirable beyond the scope of traditional reforms being undertaken by the current African national governments and local government proposals in Africa.

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This working group is focused on developing an Africa Resilience Initiative to ensure resilience and sustainability for all Africans.
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Members

Aboubacar Conte admin Anthony bnorton Carrielaj Chisina Kapungu
ChrisAllen craig.sevcik Dr Ojia Adamolekun efrost Elhadj Drame Grace Kim
Hadiatou Balde jranck Kathy Gilbeaux mdmcdonald MDMcDonald_me_com mike kraft
njchapman Norea SmShako TacarraB Tjivekumba Kandjii

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Ebola death toll rises to 7,588 globally, WHO says

AFP                                                                                         Dec. 26, 2014

The global death toll from Ebola has risen to 7,588 out of 19,497 confirmed cases recorded in the year-old epidemic raging in West Africa, the World Health Organization (WHO) says.

The virus is still spreading intensely in Sierra Leone, especially in the north and west, with 315 new confirmed cases reported in the former British colony in the week to December 21, it said. These included 115 cases in the capital Freetown.

"The neighbouring district of Port Loko experienced a surge in new cases, reporting 92 confirmed cases compared with 56 the previous week," the WHO said.

Read full story
http://www.cbc.ca/news/business/ebola-death-toll-rises-to-7-588-globally-who-says-1.2884197

Read  Full WHO report
http://www.who.int/csr/disease/ebola/situation-reports/en/

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UK must act to guard against pandemics, says scientist who discovered Ebola virus

THE INDEPENDENT by Charlie Cooper                                                               Dec. 26, 2014

The UK must create a new health security agency to guard against future pandemics, according to the scientist who discovered the Ebola virus. Professor Peter Piot said Britain and Europe lacked “an epidemic intelligence service” with global reach, leaving them “vulnerable” and less able to intervene in overseas health crises such as the Ebola outbreak, which has killed thousands of people in West Africa. Peter Piot discovered Ebola when he was sent to investigate an outbreak in Zaire, now the DRC, in 1976 (AFP/Getty)

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Where Ebola Has Closed Schools, A Radio Program Provides A Faint Signal Of Hope

NATIONAL PUBLIC RADIO by Ofeibea Quist-Arcton        Dec. 25, 2014

MONROVIA -- Working with UNICEF and another nonprofit, Talking Drum, in Monrovia, the capital of Liberia, the government aims to provide lessons to children across the country, hit by the Ebola outbreak. Most schools closed this past summer and will likely remain closed for months....

                            Florence Allen Jones, right, is part of the education ministry's classes-by-radio team.

The radio classes are broadcast on local stations, and on United Nations radio. The Education Ministry acknowledged that the broadcasts are not reaching nationwide. In any case, few children in Liberia's 15 counties have access to a radio, or even the batteries to power one. Wealthy parents have hired home tutors for their kids, but many other youngsters have taken to peddling petty goods, like trinkets or donuts, on the streets of Monrovia, to try to earn a little money for their families while schools are closed.

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Lessons from the Ebola outbreak in West Africa

Editorial  Lessons learned from the Ebola outbreak

  THE WASHINGTON POST                                                                                  Dec. 26, 2014

The Outbreak of the Ebola virus in West Africa this year came as a surprise. Perhaps no one could have predicted that such a terrible scenario would unfold. But over the past decade, there have been four major outbreaks of infectious disease caused by a virus: severe acute respiratory syndrome, or SARS; swine flu; Middle East respiratory syndrome; and now Ebola. Each has taken populations by surprise. Next time, the world should not be gobsmacked. It is possible to be better prepared, be more aware of the potential threats and not start from zero every time the alarm goes off.

...It would be smart to begin thinking of a more agile and effective organization or system for responding to such dire threats, one that could bring together a capability for surveillance, early warning and rapid response; and that would be wired into the pharmaceutical industry.

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Ebola in West Africa at One Year — From Ignorance to Fear to Roadblocks

Editorial urging U.S. academic medical centers to do more to fight Ebola
in West Africa

NEW ENGLAND JOURNAL OF MEDICINE                            Dec. 24, 2014
By Jeffrey M. Drazen, M.D., Edward W. Campion, M.D., Eric J. Rubin. M.D., Ph.D., Stephen Morrissey, Ph.D., and Lindsey R. Baden, M.D.

... As the Ebola outbreak has burned its way deep into Guinea, Liberia, and Sierra Leone, in one of the worst acute public health crises in 50 years, our academic medical centers have sat largely on the sidelines.

...The leaders of academic medical centers that have put roadblocks in the path of those wishing to serve need to rethink their priorities. They should be making it easier, not harder, for altruistic physicians, nurses, and other health care providers to help care for the sick and control the Ebola epidemic in West Africa. ... Something is wrong when some of the greatest health care centers in the world are not helping in the fight against this disastrously dangerous threat to human health. We ask the leaders of every medical center in the country to figure out how to make it possible for their staff, and even qualified trainees, to help on the ground in West Africa.

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Ebola survival improving in Sierra Leone

ASSOCIATED PRESS                                    Dec. 26, 2014

One year into the world's worst Ebola outbreak, doctors are reporting an encouraging sign: About 70 percent of patients in a hard-hit area of Sierra Leone now survive.

The Ebola death rate has fallen even though there are no specific medicines or vaccines to fight the virus....

In a letter published online Wednesday by the New England Journal of Medicine, Dr. Kathryn Jacobsen of George Mason University in Fairfax, Virginia, and other doctors tell of 581 patients taken to an Ebola treatment center that opened near Sierra Leone's capital, Freetown, in late September.

They were given antibiotics, malaria medicines, ibuprofen for pain and fever, intravenous nutrients, anti-nausea medicine and other supportive care. About 31 percent died, including 38 people who were dead when they arrived. Among those admitted more recently, since Nov. 5, mortality was less than 24 percent.

That is much lower than the 74 percent death rate other doctors reported for 106 patients who were treated in the eastern Sierra Leone town of Kenema, in May and June, when some health workers were on strike and response to the outbreak was in crisis mode.

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Next in Ebola Plan: UN Teams to Study Lines of Transmission

REUTERS                                                              Dec. 24, 2014

ACCRA—Medical detective work will be the next big phase in the fight against Ebola when the United Nations deploys hundreds of health workers to identify chains of infection as the virus passes from person to person, top U.N. health workers said.
Health workers bury the body of a suspected Ebola victim at a cemetery in Freetown, Dec. 21, 2014.

The health teams will travel to each district and region of Guinea, Sierra Leone and Liberia, the three countries at the center of the epidemic, to trace who each infected person has potentially contacted.

The effort will run in parallel with measures to minimize the spread of infection, such as treating all Ebola patients in specialized centers and burying all victims safely.

But Phase Two of the plan is to contain the virus by understanding its lines of transmission, said World Health Organization Director-General Margaret Chan.

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Sierra Leone declares five-day Ebola lockdown in north

AFP                                                                       Dec. 24, 2015
The Sierra Leone government on Wednesday declared a five-day lockdown in the country's north to step up efforts to contain the Ebola epidemic, while making an exception for Christmas.

"Muslims and Christians are not allowed to hold services in mosques and churches throughout the lockdown except for Christians on Christmas Day (Thursday)," Alie Kamara, resident minister for the Northern Region, told AFP.

The lockdown is designed "to intensify the containment of the Ebola virus," he said, adding: "We are working to break the chain of transmission."

Deputy communication minister Theo Nicol said "the lockdown for five days... is meant for us to get an accurate picture of the situation," adding: "Other districts will carry on with their own individual lockdown after this if they deemed it necessary."

Read complete story.
http://news.yahoo.com/sierra-leone-declares-five-day-ebola-lockdown-north-191910556.html

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CDC reports potential Ebola exposure in Atlanta lab

THE WASHINGTON POST  by Lena H. Sun and Joel Achenbach       Dec. 24, 2014

One scientist may have been exposed to the Ebola virus and as many as a dozen others are being assessed for potential exposure at a lab of the Centers for Disease Control and Prevention in Atlanta, agency officials said Wednesday.

Experiments with deadly viruses such as Ebola have to be performed in biosafety level or BSL-4 laboratories, for the highest level on containment. (Tim Brakemeier/AFP/Getty Images)

The potential exposure took place Monday when scientists conducting research on the virus at a high-security lab mistakenly put a sample containing the potentially infectious virus in a place where it was transferred for processing to another CDC lab, also in Atlanta on the CDC campus.

The technician has no symptoms of illness and is being monitored for 21 days. Agency spokeswoman Barbara Reynolds said others who entered the lab have been contacted and will be assessed for possible exposure by CDC clinicians. She said the number of exposures could be much less than a dozen.

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Ebola crisis likely to last a year, says expert

BBC                                             Dec. 24, 2014       

West Africa's Ebola crisis is likely to last until the end of 2015, says a leading researcher who helped to discover the virus.

Peter Piot, who has just returned from Sierra Leone, told the BBC that he was encouraged by progress there and by the promise of new anti-viral therapies.

But he also warned that vaccines would take time to develop....

Prof Piot was one of the scientists who discovered Ebola in 1976and is now Director of the London School of Hygiene and Tropical Medicine.

He said that even though the outbreak has peaked in Liberia and was likely to peak in Sierra Leone in the next few weeks, the epidemic could have a "very long tail and a bumpy tail"...

"We need to be ready for a long effort, a sustained effort [for] probably the rest of 2015."

Read full story.
http://www.bbc.com/news/world-africa-30595352

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