Africa Resilience Initiative

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Sat, 2009-03-21 11:57 — mdmcdonald

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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Doctors Without Borders will begin Ebola drug studies by December in Africa

Wed, 2014-11-12 16:30 — mike kraft

USA TODAY Nov. 12, 2014
by Liz Sazbo

Doctors Without Borders will begin clinical trials of three experimental Ebola therapies in West Africa in December, the aid group announced Wednesday.

The studies, to be conducted at the group's treatment centers in Guinea and Liberia, will test therapies already used in some Ebola patients in the USA and Europe: the antiviral drugs brincidofovir and favipiravir, as well as blood donations from Ebola survivors.

Brincidofovir, made by Chimerix of North Carolina, was given to cameraman Ashoka Mukpo, Liberian national Thomas Eric Duncan and physician Craig Spencer. Mukpo and Spencer survived. Duncan received the drug just a couple days before he died.

Favipiravir, an anti-flu drug made by Japan's Fujifilm Holding Corp., was given to a French nurse who worked with Doctors Without Borders.

And blood donations from Ebola survivors, which contain antibodies against the virus, have been used since the first Ebola outbreak in 1976.

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http://www.usatoday.com/story/news/nation/2014/11/12/ebola-clinical-trial/18919401/

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Ebola death toll tops 5,000; steep rise in Sierra Leone cases

Wed, 2014-11-12 15:13 — mike kraft

REUTERS Nov. 12, 2014

By Stephanie Nebehay

GENEVA --The death toll from the Ebola outbreak in West Africa's three hardest-hit countries, Guinea, Liberia and Sierra Leone, has risen to 5,147 out of 14,068 cases at the end of Nov. 9, the World Health Organization (WHO) said on Wednesday.

A further 13 deaths and 30 cases have been recorded in five other countries - Nigeria, Senegal, Mali, Spain and the United States, the U.N. agency said.

"There is some evidence that case incidence is no longer increasing nationally in Guinea and Liberia, but steep increases persist in Sierra Leone," the WHO said in a statement. "Cases and deaths continue to be under-reported in this outbreak."

Some 421 new infections were reported in Sierra Leone in the week to Nov. 9, especially in the west and north, it said.

Ebola is still spreading intensely in Sierra Leone's capital of Freetown, with Koinadugu and Kambia northern regions now "emerging areas of concern", it added.

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For Ebola, don't forget lessons from the AIDS epidemic

Wed, 2014-11-12 12:35 — mike kraft

THE HILL Nov. 12, 2014
Commentary by Claire Pomeroy, M.D., M.B.A, President of the Albert and Mary Lasker Foundation.

...Without a commitment by Congress to fund basic medical research, the lives of millions are put at risk, along with the nation’s economic and national security. Outbreaks of deadly viruses – including AIDS or Ebola – have shown us the costs of not remaining vigilant.

So how much funding is enough? It’s time for us to have that national conversation once again. We do not know what the superbugs of tomorrow will look like. But we do know that novel pathogens will emerge or existing ones will mutate, and that as global travel and migration inexorably increase, disease knows no border. It is time for us to stop chasing at AIDS and Ebola from behind, and take stock of our capacity to commit.

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Epidemics of Confusion

Wed, 2014-11-12 11:11 — mike kraft

Like AIDS before it, Ebola Isn't explained clearly by officials

NEW YORK TIMES Nov. 11, 2014

Commentary by LAWRENCE K. ALTMAN, M.D.

WASHINGTON — A mysterious virus emerges in Africa and makes its way to our shores. An anxious and skeptical public rejects scientific evidence that the lethal virus is transmitted only through body fluids. There are no drugs to effectively treat infected patients, nor a vaccine to prevent new cases.

People shun the infected and their contacts; some demand quarantines. Conspiracy theorists contend the virus escaped from government laboratories.

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Use of Ebola virus as bioterror weapon highly unlikely: Experts

Wed, 2014-11-12 10:49 — mike kraft

HOMELAND SECURITY NEWS WIRE Nov. 11, 2014

Francisco Martinez, Spain’s state secretary for security, claimed that ISIS fighters are planning to carry out “lone wolf” attacks using biological weapons. He cites conversations uncovered from secret chat rooms used by would-be militants.

Bioterrorism experts say the use of Ebola for bioterrorism is highly unlikely. “Assuming a terrorist organization manages to capture a suitable Ebola host, extract the virus, weaponize the virus, transport the virus to a populated city and deliver the virus, it is entirely likely that the sub-optimal climatic conditions of a Western city will kill it off relatively quickly,” says one expert.
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http://www.homelandsecuritynewswire.com/dr20141111-use-of-ebola-virus-as-bioterror-weapon-highly-unlikely-experts

CNN Nov. 11, 2014

Meanwhile, in Wellington New Zealand, three suspicious packages with a reference to Ebola were sent to the Parliament building, the US embassy, and a newspaper in what appeared to be a hoax.

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Ebola crisis: Sierra Leone health workers go on strike

Wed, 2014-11-12 10:31 — mike kraft

BBC Nov. 12, 2014

More than 400 health workers involved in treating Ebola patients have gone on strike at a clinic in Sierra Leone.

The staff, who include nurses, porters and cleaners, are protesting about the government's failure to pay an agreed weekly $100 (£63) "hazard payment".

There have been almost 300 new Ebola cases in Sierra Leone in the past three days

The clinic, in Bandajuma near Bo, is the only Ebola treatment centre in southern Sierra Leone.

The Bandajuma clinic is run by medical charity MSF, which said it would be forced to close the facility if the strike continued. MSF's emergency co-ordinator in Sierra Leone, Ewald Stars, told the BBC that about 60 patients had been left unattended because of the strike at the clinic in Bandajuma.
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Mali scrambles to contain Ebola after new confirmed death

Wed, 2014-11-12 07:53 — mike kraft

UPDATE: Mali quarantines dozens after Ebola kills second victim

REUTERS Nov. 12, 2014

By Joe Penney

BAMAKO --Authorities in Mali quarantined dozens of people on Wednesday at the home of a 25-year-old nurse who died from Ebola in the capital, Bamako, and at the clinic where he treated an imam from Guinea who died with Ebola-like symptoms.

Secretary-general of Mali's Health Ministry Ousmane Doumbia (2nd L) speaks to journalists at a news conference in Bamako November 12, 2014. Credit: Reuters/Joe Penney

The imam from the border town of Kouremale was never tested for the disease and his body was washed in Mali and returned to Guinea for burial without precautions against the virus.

Two aid workers said that another person who lived in the house where the imam stayed in Bamako had died this week and was buried without being tested.

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Why mobile data to prevent Ebola has not yet been released

Tue, 2014-11-11 18:52 — mike kraft

THE ECONOMIST Nov.9, 2014

The number of new cases of Ebola in west Africa is decreasing, suggesting that quickly-enacted emergency precautions have so far been successful. Yet there is a valuable tool that epidemiologists would like to use to track the disease and help stamp it out: data from mobile phones.

These "call data records" identify where the device is and has been, along with its proximity to other devices, among other things. It lets experts infer, with empirical data and in real-time, where people are, and how many, and where they are probably headed. Yet despite talks among researchers, phone companies, governments—and even UN agencies and the GSMA, the mobile-industry’s trade association—the records have not yet been released. Why not?

It is not for a lack of utility. A bevvy of cases already underscore the data’s usefulness.....

If the data are so helpful, why are they not used? Several factors are to blame....

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Nurses strike to protest Ebola preparedness

Tue, 2014-11-11 18:34 — mike kraft

CBS NEWS Nov. 11, 2014

By Jonathan Berr

About 20,000 nurses walked off the job today in California as part of a two-day series of events across the country organized by National Nurses United. The country's largest such union is aiming to draw attention to what it sees as inadequate preparation at most hospitals to treat Ebola cases.

"Nurses, who have been willing to stand by the patients whether it's the flu, whether it's Ebola, whether it's cancer, are now being asked to put themselves in harm's way unprotected, unguarded," said NNU Executive Director Rose Ann DeMoro, in a statement.

The NNU has targeted Kaiser Permanente, the biggest nonprofit health insurer in the U.S., over what it claims is an "erosion in patient care." The strike affected 86 Kaiser Permanente hospitals and clinics along with two other California hospitals. Another 400 registered nurses in Providence Hospital in Washington, D.C., are set to walk off the job tomorrow.

The organization is demanding that nurses and other care givers who interact with Ebola patients be given full-body hazmat suits that leaves no skin exposed or unprotected, along with air-purifying respirators that meet stringent standards of the National Institute for Occupational Safety & Health.

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U.S. Ebola experience changes thinking about disease

Tue, 2014-11-11 18:06 — mike kraft

USA TODAY Nov. 11, 2014
By Liz Sazbo
The successful treatment of Westerners with Ebola in the USA and Europe is changing the way doctors think about the disease.

The conventional wisdom about Ebola has been that it's usually fatal, with a mortality rate of up to 90%. That was based largely on experience with Ebola in developing countries in Africa, where many hospitals have no running water and soap, let alone personal protective equipment for the medical staff.

All eight American patients with Ebola treated in the USA have survived. So have most Europeans evacuated to their home countries for care....

With early and aggressive care, "Ebola can be an eminently treatable disease," says Amesh Adalja, senior associate at the Center for Health Security at the University of Pittsburgh Medical Center.

In some ways, Ebola is a different disease in the USA and Europe than it is in Africa, just as cancer is a different disease here than in developing countries, says Jeffrey Duchin, a professor at the University of Washington-Seattle and spokesman for the Infectious Diseases Society of America. Both conditions are fearsome and dangerous, but experience shows that cancer and Ebola can often be survived if caught early and treated aggressively.

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