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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 in west Africa: learning the lessons

THE LANCET  by  Anna  Petherick  Volume 385, No. 9968, p591–592, 14 February 2015
The (West Africa) region has presented unforeseen challenges, and the three worst affected countries have put in place different response strategies. Anna Petherick reviews some of the lessons learned so far.

The early history of the ongoing Ebola outbreak in west Africa is a salutary statement about the lack of infectious disease surveillance capacity in one of the world's poorest regions....

Opportunities to contain the virus were lost soon after, largely because of a lack of trust between local communities and the officials and medical professionals trying to nip the epidemic in the bud.

Read complete story

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2960075-7/fulltext

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Sierra Leone locks down 700 homes after Ebola death

AFP                                                                                                                  Feb. 13, 2015

Freetown--  Sierra Leone placed hundreds of homes in the capital under Ebola quarantine on Friday, in a huge blow to its recovery less than a month after lifting travel restrictions.

Health workers put on protective equipment at an Ebola treatment centre on November 15, 2014 in Kenema, Sierra Leone (AFP Photo/Francisco Leong)

"Some 700 homes have been quarantined for 21 days in the tourism and fishing community of Aberdeen in the west of the capital Freetown, after the death of a fisherman who was later diagnosed Ebola positive," said Obi Sesay of the government's National Ebola Response Centre.

The west African nation of six million had seen almost 11,000 cases and 3,363 deaths during the epidemic which has raged in west Africa for more than a year.

This new struggle with the disease comes less than a month after President Ernest Bai Koroma pointed to a "steady downward trend" in new cases and lifted country-wide quarantines and travel bans....

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As Ebola ebbs, Sierra Leone targets another kind of recovery: normalcy

CHRISTIAN SCIENCE MONITOR by Silas Gbandia               Feb. 13, 2015
...with a sharp drop in new Ebola cases, Sierra Leone has announced that schools will reopen on March 30, and focus has now turned toward the recovery process for children whose education has been set back at least half a year. The implementation of the government's new plan – which includes paying for school fees and continuous assessments – will be a key indicator of how well the country can rebound after Ebola.

 “We are now entering the transition phase. Given the progress being made against the disease, we must take action to enable economic and social recovery,” President Ernest Bai Koroma said in a television address to the nation last month...

...a full plan to reintegrate the students nationwide is being implemented, says Mohammed Sillah Sesay, chairman of the Technical Committee on the Reopening of Schools. The plan includes 25 uninterrupted weeks of school until September, continuous assessment of students to verify promotion to the next level, and more broadcasts of teaching material on radio airwaves. The normal school year starts in September and ends in July.
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Ebola spending: will lack of a positive legacy turn dollars to dolour?

Millions were invested in west Africa to tackle the Ebola crisis, but some experts doubt there will be any lasting benefits for public health systems

THE GUARDIAN by 

LONDON -- While it is still too early to call time on the Ebola outbreak, a sense that the worst may have passed is tentatively taking root in west Africa, alongside an acute realisation of the need to ensure a positive long-term legacy for battered healthcare systems.

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Why Didn't Ebola Kill Me?

An ambulance transports the author to the Nebraska Medical Center in October. (Sait Serkan Gurbuz/Reuters)

THE ATLANTIC by Ashoka Mukpo                                                                          Feb. 12, 2015

Like the majority of patients taken to Western hospitals, I recovered from the disease—but health authorities are still struggling to figure out how to bring up the much-lower survival rate in West Africa.

...the 80-percent survival rate among patients who were evacuated to Western hospitals shattered the idea that an Ebola diagnosis spelled near-certain death. I know this all too well, as I’m one of those patients myself. In October, I contracted Ebola while covering the outbreak as a freelance journalist in Liberia. I was airlifted to a hospital in Nebraska, where aggressive treatment likely saved my life....
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http://www.theatlantic.com/health/archive/2015/02/why-didnt-ebola-kill-me/385335/

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Ebola-hit Guinea asks for funds for creaking health sector: TRFN

A health worker injects a woman with an Ebola vaccine during a trial in Monrovia, February 2, 2015. REUTERS/James Giahyue

REUTERS   by Misha Hussain                                                                                   Feb. 12, 2015

CONAKRY (Thomson Reuters Foundation) - International donors wishing to help Guinea fight Ebola should use their money to strengthen the West African country's health system and help it tackle future epidemics instead of building more Ebola treatment centres, a government official said....

"We already have over 400 beds (in Ebola treatment centres), but the attendance is among the lowest of the epidemic, so let's leave it at that," government spokesman Fode Tass Sylla told the Thomson Reuters Foundation in an interview in Conakry.

"Help us strengthen the health system, because after Ebola, all these treatment centres will disappear and Guinea will still be too weak to deal with the next epidemic," Sylla said, adding that the government was in talks with all funding partners....

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Lack of Effect of Lamivudine on Ebola Virus Replication

CDC EID JOURNAL by  Lisa E. Hensley, Julie Dyall, Gene G. Olinger, and Peter B. Jahrlin (NIH)                     Feb. 12, 2015

The unprecedented number of Ebola virus disease (EVD) cases in western Africa has compelled the world to consider experimental and off-label therapeutics to mitigate the current outbreak. For clinicians, approved drugs are an attractive solution because of known safety profiles and availability.

Oral lamivudine (GlaxoSmithKline, Brentford, UK), a US Food and Drug Administration–approved anti-HIV drug, has been suggested as a possible antiviral agent against Ebola virus (EBOV). In September 2014, a Liberian physician, Dr. Gorbee Logan, reported positive results while treating EVD with lamivudine (1). Thirteen of 15 patients treated with lamivudine survived presumed EVD and were declared virus free. Clinical confirmation of EVD in these cases remains to be verified....

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Red Cross teams in Guinea attacked 10 times in a month

REUTERS                                                        Feb. 12, 2015

CONAKRY- Red Cross teams in Ebola-hit Guinea have been attacked on average 10 times a month over the past year, the charity said on Thursday, warning that the violence was hampering efforts to contain the disease.
In the most recent incident last Sunday in the town of Forecariah about 60 kilometres (40 miles) southeast of Conakry, two Red Cross volunteers were beaten while trying to conduct a safe burial, the charity said.

Ending traditional burials is seen as crucial to stopping the spread of the latest outbreak... because rituals often involve extensive contact with highly contagious corpses.

"As long as people have misconceptions about how Ebola is spread, and continue to prevent volunteers from doing their work, we will not stop the disease," said Youssouf Traore, president of the Red Cross Society of Guinea.

Health workers stand at the entrance to a quarantine zone in a Red Cross facility in the town of Koidu

Read complete story.
http://news.yahoo.com/red-cross-ebola-teams-guinea-attacked-10-times-122126456.html

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UN: 10,000 US-supported civilians needed to fight Ebola

ASSOCIATED PRESS by Edith M. Leder                                                                          Feb. 11, 2015
UNITED NATIONS (AP) — The U.N. Ebola chief says U.S. troops being withdrawn from Liberia have done their job of building desperately needed treatment centers but that more than 10,000 civilians working in West Africa and supported by the United States are still essential to combating the deadly disease.

Dr. David Nabarro warned in an interview Wednesday with The Associated Press that the battle against Ebola is far from over, pointing to a disappointing rise in new cases last week in hardest-hit Liberia, Sierra Leone and Guinea.

He said civilians from the U.S., Britain, France and elsewhere are still needed to help with tracing Ebola victims' contacts, re-establishing health services and changing behavior in communities.

Read complete story.

http://news.yahoo.com/un-ebola-chief-10-000-us-civilians-needed-183453840.html;_ylt=AwrBJSCfs9xUf00Af7XQtDMD

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For Immediate Release February 11, 2015 FACT SHEET: Progress in Our Ebola Response at Home and Abroad

THE WHITE  HOUSE  PRESS OFFICE                                          FEB. 11, 2015

Fact sheet on the Ebola situation

"...Together with our international partners – and the people of the three nations themselves – we have bent the curve of the epidemic and placed it on a much improved trajectory. We have gone from over 1,000 new suspected, probable, and confirmed Ebola cases a week in October, to roughly 150 new confirmed weekly cases in the most recent reports.  Liberia has reported only a handful of new cases per week, a drop of well over 90 percent.  Significant declines also have been reported in Sierra Leone from the epidemic’s peak. Among the accomplishments in this response:..."

Read complete Statement
http://www.whitehouse.gov/the-press-office/2015/02/11/fact-sheet-progress-our-ebola-response-home-and-abroad

Also see:

Most U.S. Troops will be withdrawn, posted yesterday, Feb. 11, 2015

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