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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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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 Virus Evolved at Normal Rates During Epidemic, Scientists Say

submitted by George Hurlburt        

        

(John Moore/Getty Images)

theverge.com - by James Vincent - May 14, 2015

Chinese scientists report that the Ebola virus responsible for the outbreak in West Africa last year mutated at a normal rate, further alleviating fears that the virus had been able to evolve more rapidly than usual thanks to the prolonged and widespread nature of the epidemic. Ebola, like HIV and influenza, belongs to a class of virus with a high rate of mutation, and scientists had previously warned that it might evolve to become more contagious, and, in an extreme scenario, even airborne.

This latest report published in Nature corroborates an earlier study from March, showing that while the virus did mutate as it spread to new areas, it did so within the bounds of expected behavior.

(READ COMPLETE ARTICLE)

CLICK HERE - REPORT - Genetic diversity and evolutionary dynamics of Ebola virus in Sierra Leone

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The Pain of the New Normal: Guinea After Ebola

      

Children wash their hands before entering a classroom in Gueckedou - Photo: Jennifer Lazuta

irinnews.org - by Jennifer Lazuta

GUECKEDOU, 13 May 2015 (IRIN) - “Life is back to normal, but everything has changed,” said 30-year-old Yawa Keterine Camara as she slowly stirred a boiling cauldron of sauce outside her mud-brick home in southeastern Guinea. “I live again like before, but nothing is quite the same.”

Camara, who lost her husband to Ebola in November, said her life, like many, many other Guineans, is now divided in two: pre-Ebola and post-Ebola, the before and after.

(READ COMPLETE ARTICLE)

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Koubia-Guinea: Anthrax re-surfaced with several cases

A new outbreak of anthrax has been reported in Middle Guinea in a town in the prefecture of Koubia -- just when Guinea is still struggling to overcome the epidemic of the Ebola haemorrhagic fever.

Several members of the same family, who ate meat from an infected animal, have been contaminated. "They are 11 people, of which 2 developed the disease, with a death in the community. A woman died of the disease, and a 2nd patient is showing signs [of the disease]: a man who is about 25 is currently hospitalized in the prefecture of Koubia, where he is being supported," said Dr.

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WHO Director-General Addresses High-Level Meeting on Ebola R&D

                                                           

From crisis to sustainable development: lessons from the Ebola outbreak

who.int - May 10, 2015

. . . three changes will do the most to improve the world’s collective defence against the infectious disease threat.

First, invest in building resilient communities and well-performing health systems that integrate public health and primary health care. Ideally, health systems should aim for universal health coverage, so the poor are not left behind. This requires new thinking and a new approach to health development.

Second, develop the systems, capacities, and financing mechanisms needed to build surge capacity for responding to outbreaks and humanitarian emergencies.

Third, create incentives for R&D for new medical products for diseases that primarily affect the poor. A fair and just world should not let people die for what boils down to market failure and poverty.

These three things also fit well with the coming agenda for sustainable development that seeks to distribute the benefits of economic growth more evenly and respects our planet’s fragile resources.

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Ebola-Free, but Not Resilient

nytimes.com - by Judith Rodin and Bernice Dahn - May 10, 2015

. . . A resilient health system combines active surveillance mechanisms, robust health care delivery system and a vigorous response to disease. When the first signs of contagion appear, a system should be able to act quickly to stop it in its tracks — all without compromising its core functions. . . .

. . . Resilient systems share several characteristics. One is awareness, which in the case of health systems means, first and foremost, strong disease surveillance. A second characteristic is the ability to adapt to changing conditions. . . . 

. . . A third characteristic is diversity: the ability to address a broad range of challenges. . . .

. . . resilient systems are integrated: information is shared across different levels of government. . . .

. . . When a resilient system is in place, cities and countries alike are prepared to yield what we call a “resilience dividend” — benefits that are independent of crises. Building trust with the public, enhancing access to quality care, and investing in public health are all wise investments at any time, helping to increase productivity and growth. . . .

(READ COMPLETE ARTICLE)

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Block By Block, Health Workers Lead Liberia To Victory Over Ebola

NATIONAL PUBLIC RADIO by Jason Beaubein                                              May 9, 2015

MONROVIA -They were the ones who went door to door to stop the spread of Ebola. They were accused of passing on the virus and had water hurled at them. They were the community health workers — the unsung heroes of the Ebola epidemic in Liberia.

Caroline Williams is a community organizer in New Kru Town, a suburb of Monrovia. Here's how she got her message through to Liberians about preventing Ebola: "We talk to them, talk to them, talk to them. At last they started listening to us. All the methods that we been giving them, by God's will, they accepted."Jason Beaubien/NPR

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Liberia, Ravaged by Ebola, Faces a Future Without It

NEW YORK TIMES  by Normitsu Onishia                                                             May 9, 2015          

...“I am thrilled by the significant progress made by the people of Liberia,” said Tolbert Nyenswah, a deputy health minister. But, he warned, “we still need to keep up vigilance.”

The weak health systems in Liberia, Sierra Leone and Guinea, the three nations hit hardest by the disease, did more than just crumple in the face of Ebola’s onslaught last year. They played a central role in spreading the disease.

Clinics routinely misdiagnosed the disease and discharged Ebola patients with pills for common illnesses. Infected health care workers passed the virus to their colleagues, families and communities.

Local and international health officials are now focusing on extinguishing the waning Ebola epidemic in Guinea and Sierra Leone. But they have a bigger goal as well: shoring up beleaguered health systems that were inadequate long before Ebola struck.

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Liberia is declared Ebola free

The World Health Organization announces the end of Ebola in Liberia, but the epidemic continues in nearby Sierra Leone and Guinea.

(Scroll down for text of WHO announcement and WHO May 6 situation report.)

A girl in the West Point township in Monrovia, Liberia, where life has begun to return to normal.

NATURE.COM  by Declad Butler and Erika Check Hayden   <ay 9, 2015

iberia is the first of the three main countries affected by Ebola to be free of the disease, the World Health Organization (WHO) said today (9 May), marking the end of the 15-month-long epidemic in the country. But the epidemic continues in nearby Sierra Leone and Guinea, and the WHO is warning against complacency, highlighting the risk of further flare ups and geographical spread.

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Building and Maintaining Resilience to Address Global Health Challenges

      

msh.org - globalhealth.org                        (CLICK HERE - EVENT RSVP)

This panel discussion will focus on how key local stakeholders are working to build systems capable of addressing long-term global health issues like NCDs while maintaining resilience to outbreaks like Ebola. In light of the need to develop domestic financing mechanisms to pay for long term health solutions, stakeholders are moving beyond public-private partnerships to a model of country stakeholder engagement that includes and leverages the strengths of all actors. 

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Ebola shows how our global health priorities need to be shaken up

Now the threat from Ebola seems to be receding, rich countries must not revert to their former myopia. Listening to other countries’ needs and investing in women and children would be a start

THE GUARDIAN Commentary  by Chelsea Clinton and Devi Sridar                May 6, 2015

Amnesia has set in across the world as the fear and global attention given to Ebolarecedes. But this is not a new phenomenon. With Sars, avian flu, swine flu and Mers, there were repeated calls to fix the global health system to avoid previous mistakes. We cannot continue to be surprised when a health crisis emerges and we need to start to take a long-term, inclusive perspective to ensure health security across the world. Myopia was a key factor in the failure to respond to Ebola in a rapid and effective way.

There are three immediate steps that should be taken:

Read complete article.
http://www.theguardian.com/commentisfree/2015/may/06/ebola-global-health-priorities-chelsea-clinton

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