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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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Dallas Hospital says software flaw led to initial release of Ebola patent

Update with additional information and text of the hospital statement  (scroll down).

 

5 NBC News Chicago

 Oct 3, 2014 • Updated at 7:53 AM CDT

The Dallas Hospital that sent Ebola patient Thomas Eric Duncan home said a software flaw, and not human error, caused doctors to miss the diagnosis, NBC News is reporting.

The electronic health records (EHR) system that the hospital uses has a separate workflow for physicians and nurses. The travel history of the patient was located in the nursing portion of the workflow within the EHR, but not in the physician's workflow.

“As result of this discovery, Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows," the hospital said.

Link to story

Source: http://www.nbcbayarea.com/news/national-international/Texas-Hospital-Software-Blame-Ebola-Patients-Misdiagnosis-277988141.html#ixzz3F5cyR89B

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U.S. Efforts to combat Ebola in Africa hampered by local conditions

NEW YORK TIMES                Oct 3, 2014
by Helene cooper

MONROVIA, LIBERIA

Detailed description of the delays and problems the U.S. military is facing in building hospital and other facilities to counter the Ebola epidemic.

Problems include breakdowns in equipment used by local contrators in preparing the sites and need to repair the battered runways of the main Liberian airport.

Read Full Report

http://www.nytimes.com/2014/10/03/us/us-effort-in-liberia-barely-gets-on-the-ground.html?_r=0

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NBC Cameraman stricken with Ebola in Liberia, being flown home

      NBC NEWS            October 2, 2014

An American freelance cameraman working for NBC News in Liberia has tested positive for Ebola and will be flown back to the United States for treatment.

...

The freelancer came down with symptoms on Wednesday, feeling tired and achy. As part of a routine temperature check, he discovered he was running a slight fever. He immediately quarantined himself and sought medical advice. On Thursday morning, the 33 year-old American went to a Medecins Sans Frontieres (MSF) treatment center to be tested for the virus. The positive result came back just under 12 hours later.

The cameraman, who also is a writer, is the fourth American to have contracted Ebola in Liberia. He has been working in Liberia on various projects for the past three years. NBC News is withholding the cameraman’s name at the request of his family.

Full Story

http://www.nbcnews.com/storyline/ebola-virus-outbreak/nbc-news-freelancer-africa-diagnosed-ebola-n217271

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WHO Situation Report: Few Signs Ebola is Coming Under Control

WHO: Ebola Response Roadmap Situation Report
1 October 2014  OVERVIEW
The total number of probable, confirmed and suspected cases (see Annex 1) in the current outbreak of Ebola virus disease (EVD) in West Africa reported up to 28 September 2014 is 7178, with 3,338 deaths. Countries affected are Guinea, Liberia, Nigeria, Senegal and Sierra Leone.
Figure 1 shows the total number of confirmed and probable cases in the three high-transmission countries (Guinea, Liberia, and Sierra Leone) reported in each epidemiological week between 30 December 2013 (start of epidemiological week 1) and 28 September 2014 (end of epidemiological week 39). For the second week in a row the total number of reported new cases has fallen. It is clear, however, that EVD cases are under-reported from several key locations. Transmission remains persistent and widespread in Guinea, Liberia and Sierra Leone, with strong evidence of increasing case incidence in several districts. There are few signs yet that the EVD epidemic in West Africa is being brought under control.
Read Full Report (with graphs)http://apps.who.int/iris/bitstream/10665/135600/1/roadmapsitrep_1Oct2014_eng.pdf

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Sierra Leone Situation worsens: Estimated Five New Cases per Hour

SIERRA LEONE SITUATION    TWO ARTICLES  (Scroll down)

THE GUARDIAN             OCT. 2, 2014

 Nowa Paye, 9, is taken to an ambulance after showing signs of the Ebola infection in the village of Freeman Reserve Liberia. Photograph: Jerome Delay/AP

Ebola is spreading at the rate of five new cases an hour in Sierra Leone, according to figures released as world leaders and experts on disease control gathered in London to discuss the outbreak.

The figures from Save the Children showed there were 765 new cases last week in the west African country alone, but only 327 hospital beds to treat infected patients. ...The rate of spread of the deadly virus is projected to double to 10 people an hour in the country before the end of October, Save the Children said.

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Man in U.S. With Ebola Had Been Screened to Fly, but System Is Spotty

NEW YORK TIMES   Oct. 2, 2014

By Matthew J. Wald and Jad Mouawad

As he was preparing to leave Liberia for Dallas two weeks ago, Thomas E. Duncan, the man confirmed to be the first Ebola case in the United States, was checked at the airport for signs of the disease. He was determined to have no fever and allowed to board his flight, American officials say. 

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Scrutiny in Texas to Detect Whether Ebola Spread

UPDATE

Officials: ‘About 100′ people may have had contact with the Texas Ebola patient

WASHINGTON  POST   OCTOBER 2, 2014  10:03 AM

Texas health officials said Thursday that there are "about 100" people who may have had contact with Thomas Eric Duncan, the man who is being treated in a Dallas-area hospital for Ebola.

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Working in Ebola areas: First rule is you don’t touch anyone

      

Lawrence Togbah, left, Moses Bryant, center, and Abraham Saye try to protect themselves from Ebola by covering their hands, feet and torso with plastic bags. They did not have proper protective gear like gloves or masks. (Michel du Cille/The Washington Post)

The WASHINGTON POST      OCT. 1, 2014

By Lenny Bernstein

MONROVIA, Liberia — I was goofing around with a small group of young children outside their home on a muddy, cratered road in the New Kru Town slum here. I made a scary face and the kids skittered, giggling, behind a low wall at the front of their shanty. Then they peeked out, hoping for more.

Finally the boldest of the lot, a little girl perhaps 5 years old, approached and stuck out her hand. “Shake!” she offered excitedly.

“No touching,” I responded, keeping my hands at my sides, trying to hide my sadness. “No touching.”

You don’t touch anyone in Liberia. Not kids, not adults, not other Westerners, not the colleagues you arrived with. It is the rule of rules, because while everyone able is taking precautions, you just can’t be sure where the invisible, lethal Ebola virus might be. Once the virus is on your fingers, it would be frighteningly easy to rub an eye and infect yourself.

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Beyond the Immediate Tragedy: Ebola’s Long-Term Implications

THE ATLANTIC COUNCIL    October 1, 2014

 By J. Peter Pham

....beyond the immediate tragedy, there are significant short, medium, and long-term impacts that we are not even beginning to address.

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Information Relay Failure Admitted In Texas Ebola Victim Case

A patient was diagnosed with Ebola on Sept. 30 at Texas Health Presbyterian Hospital Dallas.(Photo: Mike Stone, Getty Images)

THE WASHINGTON POST

By Mark Berman October 1 at 3:15 PM

The man in Texas who tested positive for Ebola told hospital officials he had traveled from West Africa when he sought treatment on Friday, but that information was not relayed to everyone treating him at that time, authorities said Wednesday.

As a result, the man was diagnosed with a “low-grade, common viral disease” and sent home that day, said Mark C. Lester, executive vice president of the health-care system that includes Texas Health Presbyterian Hospital, the Dallas facility treating the Ebola patient.

“Regretfully, that information was not fully communicated throughout the full team,” Lester said during a news conference Wednesday. “As a result, the full import of that information wasn’t factored into the clinical decision-making.”

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