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Did Authorities Use the Wrong Approach to Stop Ebola?

A new study suggests there was a better way to respond to the Ebola outbreak

TIME MAGAZINE by Alexandra Sifferlin                                                      May 26, 2015

It’s known that the response to the most recent Ebola outbreak, which as of Tuesday had infected more than 27,000 people and killed 11,130, was far too slow. Now, a new studysuggests that even once they got started, their approach to curbing the spread wasn’t the most efficient or effective.Read complete story.

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Ebola experience is a wake-up call for the WHO

NEW SCIENTIST  Opinion                                   May 6, 2015

...HOW the world has changed. In 1948, the first commercial jet airliner was still a few years away from take-off, and the global population was just over 2 billion. Less than one-third lived in cities. Back then, safeguarding global health seemed an eminently manageable project. The newly formed United Nations agreed, and established the World Health Organization.

 Now, over half the planet's 7 billion people are packed into urban areas. Between us, we travel tens of billions of kilometres around the globe every year, with plenty of pathogens and parasites coming along for the ride. The WHO, largely unchanged since its creation, is ill-equipped to deal with the disease threats that this new world creates.

The recent Ebola outbreak is a case in point. Even the WHO's director-general, Margaret Chan, said her organisation was "overwhelmed" and admitted that a crisis on that scale "cannot be solved by a single agency".

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The Ebola Outbreak of 2013–2014: An Assessment of U.S. Actions

THE HERITAGE FOUNDATION Study  by, and

Executive Summary

 This report presents the observations, findings, and recommendations of a task force formed to examine the global response and the response of the U.S. government (USG) to the 2013–2014 Ebola outbreak and global transmission. Specifically, the task force sought to derive lessons learned and insights from the USG response to the Ebola outbreak both internationally and domestically with the goal of crafting recommendations to improve the government’s ability to respond to natural disasters, acts of bioterrorism, and various public health crises related to significant outbreaks, epidemics, and pandemics....

The report’s major recommendations include:

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UN chief names new head of Ebola mission as outbreak calms

ASSOCIATED PRESS by Jonathan Paye-Layleh             April 25, 2015

MONROVIA, Liberia — The U.N. chief on Saturday appointed a new head of the emergency mission responding to West Africa’s Ebola crisis amid hopes that the world’s deadliest outbreak of the virus will soon come to an end.

A statement from Ban Ki-moon’s office said Peter Jan Graaff of the Netherlands will work closely with David Nabarro, the U.N.’s special Ebola envoy, in addressing an epidemic that has claimed more than 10,000 lives in the three hardest-hit countries: Liberia, Guinea and Sierra Leone.

Outgoing head Ismail Ould Cheikh Ahmed was appointed as special envoy to Yemen on Saturday.

Graaff had been serving since October as the U.N.’s Ebola crisis manager in Liberia, which has recorded more Ebola deaths than any other country.

Read complete story.
http://www.washingtonpost.com/world/africa/un-chief-names-new-head-of-ebola-mission-as-outbreak-calms/2015/04/25/46ba3320-eb84-11e4-8581-633c536add4b_story.html

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Turning the Page on Ebola

Joint Statement by Presidents Alpha Condé  of Guinea, Ernest Bai Koroma  of Sierra Leone. and Ellen Johnson Sirleaf of Liberia 

 PROJECT SYNDICATE   COMMENTARY                                                                                       April 16, 2015

....The uncontrolled spread of the disease exposed the shortcomings of our national health care systems, as well as regional and global institutions’ weak capacity for coordination and effective response. Simply put, we were ill prepared to cope with, much less prevent, an outbreak on this scale.

We bear a collective responsibility for the thousands of lives lost to Ebola and the tens of thousands affected by the disease. And, today, thanks to institutional improvement and adaptation, we are closer to winning the fight against Ebola. Although the disease has not been contained and eradicated throughout the region, its spread has slowed; now we have to start planning our recovery, which must include strengthening the national, regional, and international systems that protect our people’s lives and futures....

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Ebola crisis points to wider global threat on a par with al-Qaida, warns UK medic

THE GUARDIAN by Lisa O'Carroll                                                           March 27, 2015

Ebola should be seen as an early wake-up call to world leaders of the potential for an international health disaster in the same way that the 1998 US embassy bombings highlighted the possibility of further attacks by al-Qaida, a leading British medic in Sierra Leone has warned.

Dr Oliver Johnson has called for “a big political shakeup” at the World Health Organisation and says Britain’s Department for International Development must decide whether to “nationalise” aid and deploy the army the next time a humanitarian emergency hits.

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Ebola pioneer, stem cell researcher honoured with Canada Gairdner Awards

CANADIAN PRESS                                                                                March 25, 2015
One of the co-discoverers of the Ebola virus and a leading Canadian stem cell researcher are among this year's winners of the prestigious Canada Gairdner Awards.

Dr. Peter Piot is the recipient of the Canada Gairdner Global Health Award, recognizing his work on the discovery of the Ebola virus in 1976 and his leadership in the global response to the HIV-AIDS epidemic.

Dr. Janet Rossant, chief of research at Toronto's Hospital for Sick Children, is the recipient of the 2015 Canada Gairdner Wightman Award, which honours a Canadian who has demonstrated outstanding leadership in medicine and medical science.

Five international scientists are also being honoured with Canada Gairdner Awards, two each from the United States and Japan and one from Switzerland....

Dr. Peter Piot won the 2015 Canada Gairdner Global Health Award in recognition of his work on the discovery of the Ebola virus in 1976 and his leadership in the global response to the HIV-AIDS epidemic. (David Azia/Associated Press)

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Ebola: Liberia's Johnson Sirleaf urges 'Marshall Plan'

BBC                                                                                                                      March 3, 2015

BRUSSELS --Liberian President Ellen Johnson Sirleaf has called for a "Marshall Plan" for the Ebola-affected countries of West Africa.

                             World leaders met in Brussels on Tuesday to discuss the fight against Ebola

She was referring to the massive US aid programme for Europe launched after World War Two.

Her comments came after Sierra Leone was immediately granted more than $80m (£52m) to help end the Ebola outbreak and recover from its effects.

The IMF has pledged a $187m financial aid package for Sierra Leone.

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http://www.bbc.com/news/world-africa-31705594

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Mission Not Yet Accomplished --Editorial

EDITORIAL: NEW YORK TIMES                                       Feb. 17, 2015
President Obama has announced that almost all of the American troops sent to West Africa to help contain the Ebola epidemic will be withdrawn soon. That makes sense because they have largely completed the work they were sent to do. The next phase of the battle will rely on public health measures carried out by local and international health workers and experts.

Despite major gains, about 100 new cases are detected each week. It will take a concerted effort, backed financially by the United States and others, to drive that number down to zero....

The main task now facing public health workers is to find all people infected with Ebola and trace and isolate all their contacts to prevent passing the virus to others. The goal is to eradicate all traces of the virus from the afflicted countries. A well-trained work force will be essential to this task. As Mr. Obama warned last week, “Every case is an ember that if not contained can light a new fire.”

Read complete editorial.

http://www.nytimes.com/2015/02/16/opinion/mission-not-yet-accomplished.html

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Ebola: the race to find a cure

 In October, scientists set out to do something unprecedented – conduct a drugs trial during an epidemic to find a treatment for a lethal disease. Could they make history and change the way we deal with outbreaks?

THE GUARDIAN  by Sarah Boseley                           Feb, 17, 2015

In depth description of efforts by a group of Oxford University scientists to run field trials of drugs for use against Ebola.

" ...The little band of scientists had flown to Guinea on 16 October to do something that had never been successfully done before – set up a trial of experimental drugs against an infectious disease in the middle of an epidemic. Because the Ebola virus does not exist at low levels in any population, unless you run a properly conducted trial while the storm is raging, you will never have drugs that are proven to be effective. The Oxford team’s trial would not only aim to find a drug that worked against Ebola but also to establish a blueprint for the way drug trials would be run during outbreaks in the future. This did not just apply to fighting Ebola: if the scientists were successful, their trial would develop protocols for testing drugs for any epidemic, be it Sars or flu...."

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