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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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The Other Grade 3 Emergencies Apart From Ebola

         

Men walk past damaged buildings after a 7.8-magnitude earthquake hit Nepal on April 25. The disaster is just one of six Grade 3 emergencies that require a massive response from the World Health Organization.
Photo by: Laxmi Prasad Ngakhusi / UNDP Nepal

devex.com - by Jenny Lei Ravelo - May 21, 2015

There is no doubt that Ebola was 2014’s biggest health emergency, which required — and continues to command — a massive response from the World Health Organization and the wider international community.

But it was not the only emergency that demanded WHO’s attention and resources over the course of the past year.

During the special session of the executive board on Ebola in January, member states requested the health agency submit a report containing information on all Grade 3 emergencies the organization responded to as from May 2014.

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Doctors Link Risky Burials to Ebola Rise in West Africa

          

nytimes.com - by Adam Nossiter - May 19, 2015

Only days after declaring the lowest number of new Ebola cases in Guinea and Sierra Leone this year, officials at the World Health Organization said Tuesday that there had been a nearly fourfold increase during the most recent week of reporting, to about 35 new cases.

With Liberia, the other West African nation at the center of the epidemic, being declared free of Ebola this month, the recent drop in infections in Sierra Leone and Guinea had offered hope that the worst Ebola outbreak in history might end soon. . . .

. . . Health officials said that sharp falls and rises were normal as an epidemic approached its end. But they also said that some persistent risky practices, like unsafe burials of Ebola victims in Guinea, had contributed to the rise.

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After Ebola, a Look at How Africa Can Respond to Future Health Emergencies

                 

undp.org - theglobalobservatory.org - by Michael R. Snyder - May 14, 2015

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Guinea - Resurgence of Ebola in Boffa, Forecariah and Dubréka (Matam)

africaguinee.com - by BAH Aïssatou - May 16, 2015

(English translation provided below)

(Links to most recent WHO and UNMEER Situation Reports provided below)

Ebola : Nouveau rebondissement de l’épidémie en Guinée…

CONAKRY- Alors que l’épidémie Ebola tendait vers sa fin en Guinée,  elle vient de faire  un rebondissement dans certaines préfectures situées en basse Guinée et à Conakry.  20 cas confirmés ont été enregistrés ces derniers jours, a appris africaguinee.com.

Cette information rapportée par le chargé de  communication à la Coordination de  Lutte Contre Ebola, Fodé Tass Sylla  indique aussi que 5 cas positifs ont été enregistrés à Boffa, Dubréka et Forécariah et  (Matam), dans la seule journée du jeudi 14 mai.  Avec un total de 27 cas d’hospitalisation dont  18 cas  confirmés dans les Centres de traitements d’Ebola. 

 Les raisons  de cette situation  s’expliquent  par le déplacement des malades et des personnes contacts d’une localité  à une autre ;  et le déplacement des personnes vers les cérémonies funèbres, affirme Fodé Tass Sylla

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Nurses with Tablets and Bikers with Smartphones Join Ebola Fight

reuters.com - by Joseph D'Urso

. . . For a two week trial, researchers employed locals to scoot around the province on small motorbikes known as okadas, collecting household, health and population data from villages on simple smartphones.

They travelled in pairs, one riding the motorbike and one using a GPS-enabled smartphone running an Android operating system, preloaded with a specially designed, simple programme for storing the necessary information.

When they arrived in a village they interviewed a village leader or representative to gather as much information as possible, and log GPS coordinates, essential in a region where village names are often duplicated or spelt differently.

Nic Lochlainn said it takes a long time to learn to use the sophisticated satellite devices usually used for mapping but users could master this software in hours and the data let experts assign Ebola cases to specific villages more accurately.

The scheme covered 950 villages in two weeks, and the cost was "very modest" compared with sending foreign aid workers into the field or commissioning detailed satellite imagery, she said.

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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.

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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.

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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. . . .

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