LIBERIA: ANALYSIS OF EBOLA'S IMPACT ON THE ECONOMY

WASHINGTON POST                           OCT. 15, 2014

By Ylan Q. Mui
MONROVIA                                      

"  the (Ebola) tragedy encompasses not only those who lost their lives and their families, but also the dreams of a country that was on the cusp on an economic resurgence. With critical public works projects in limbo and businesses struggling, the virus is threatening Liberia’s chance to escape generations of poverty and join Africa’s rising prosperity.

“Liberia was moving,” said Estrada Bernard, chairman of the International Bank in Liberia and the Liberian president’s brother-in-law. “'The whole thing hinges upon how well we can get this virus under control.'”

People do business at the Waterside local market in the center of Monrovia, Liberia, over the summer. Just as their economies had begun to recover from the man-made horror of coups and civil war, the West African nations of Guinea, Liberia and Sierra Leone have been knocked back down by the Ebola virus. (AP Photo/Abbas Dulleh, File)

Cluster of Ebola Cases Among Liberian and U.S. Health Care Workers in an Ebola Treatment Unit and Adjacent Hospital — Liberia, 2014

cdc.gov - Early Release - October 14, 2014

FIERCE BOIOTECH RESEARCH                       Oct. 14, 2014
By Emily Mullin

Before the current Ebola outbreak, the virus had only appeared in Africa in fits and starts since its discovery in 1976, receding back into the jungle almost as quickly as it arrived. This relative rarity and the swiftness with which the disease kills its victims has, up until now, made Ebola an unattractive--not to mention daunting--prospect for drug developers. As a result, no approved drugs or vaccines against Ebola exist.

...the current situation in West Africa... has prompted the World Health Organization to call on international government agencies and the pharmaceutical industry to work together to speed up the development of promising therapies for experimental use for those most at risk of contracting the disease, which causes severe hemorrhagic fever.

Now, a handful of players are racing to get a treatment or vaccine to patients as quickly as possible, even though these drugs remain largely untested in humans.... 

Here is a list of organizations that are in the global spotlight right now with their investigational Ebola program

See full story and list

NEW YORK TIMES                                                                                        OCT. 14, 2014

By SABRINA TAVERNISE                        

During a tense discussion, Dr. Jim Yong Kim, the World Bank president, spoke sharply to Dr. Margaret Chan, the head of the World Health Organization, the agency in charge. You have the authority to act in this emergency, he told her, according to people familiar with the meeting, “so why aren’t you doing it?”

NBC NEWS                                                            OCT. 14, 2014

Facebook founder Mark Zuckerberg and his wife announced Tuesday they are donating $25 million to the U.S. Centers for Disease Control foundation to fight the Ebola crisis that has killed more than 4,440 people in west Africa.

"We need to get Ebola under control in the near term so that it doesn't spread further and become a long term global health crisis that we end up fighting for decades at large scale, like HIV or polio," Zuckerberg, who is worth $32 billion, said in a Facebook post. "We believe our grant is the quickest way to empower the CDC and the experts in this field to prevent this outcome."

The health agency has hundreds of staffers working on Ebola and has sent more than 100 experts to the virus zone — Liberia, Guinea, Sierra Leone and Nigeria. The CDC foundation collects funds for supplies, such as personal protective equipment, ready-to-eat meals, generators, vehicles and motorcycles, and thermal scanners to detect fever.

See full story

THE WASHINGTON POST
By Joel Achenbach                                                  October 14 at 9:15 AM

The World Health Organization issued a mixed report Tuesday on progress in the fight against the Ebola epidemic in West Africa, noting that the number of new cases is dropping in some areas that had been hit hard by the virus earlier this year. But the disease is spreading across a broader geographical region, including along the Ivory Coast border, and continues to be rampant in some capital cities.

Ebola is killing 70 percent of the people who become infected, said Bruce Aylward, WHO assistant director-general overseeing the organization’s response to the West Africa epidemic. In a conference call with journalists, he said the official statistics do not capture the true lethality of the virus.

An Ebola health worker is decontaminated at a Médecins sans Frontières unit in Monrovia in Liberia.
Photograph: Pascal Guyot/AFP/Getty Images

theguardian.com - by Bridget Mulrooney, Sue Ellen Kovack and Anine Kongelf - October 13, 2014

Bridget Mulrooney, 36
American nurse working for the International Medical Corps in Bong County, Liberia

I was working as a travel nurse at a children’s hospital in California when I got an email from International Medical Corps asking if I was interested in deploying to Liberia to help fight Ebola. I wanted to go immediately but I was locked into a contract at the time. The more I heard, the more excited I got.

(READ COMPLETE ARTICLE)

GENEVA — The Ebola outbreak in West Africa is “unquestionably the most severe acute public health emergency in modern times,” Dr. Margaret Chan, the director general of the World Health Organization, said Monday.

Chan, who dealt with the 2009 avian flu pandemic and the SARS outbreaks of 2002-03, said the Ebola outbreak had progressed from a public health crisis to “a crisis for international peace and security.”

“I have never seen a health event threaten the very survival of societies and governments in already very poor countries,” she said in a statement delivered on her behalf to a conference in Manila, Philippines, and released by her office in Geneva. “I have never seen an infectious disease contribute so strongly to potential state failure.”

Brazzaville, 10 October 2014 - The World Health Organization (WHO) and partner organizations meeting in Brazzaville have agreed on a range of core actions to support countries unaffected by Ebola in strengthening their preparedness in the event of an outbreak.

Building on national and international existing preparedness efforts, a set of tools is being developed to help any country to intensify and accelerate their readiness.

One of these tools is a comprehensive checklist of core principles, standards, capacities and practices, which all countries should have or meet. The checklist can be used by countries to assess their level of preparedness, guide their efforts to strengthen themselves and to request assistance. Items on the checklist include infection prevention control, contact tracing, case management, surveillance, laboratory capacity, safe burial, public awareness and community engagement and national legislation and regulation to support country readiness.

“While we rightly focus on stopping the outbreak in affected countries, we should not forget that all other countries are at risk, albeit at varying levels”, said WHO Regional Director for Africa, Dr Luis Sambo.

Thinking about Ebola? So is everyone else! Now you can see Ebola trends on Now Trending http://t.co/EyAqRHK4I2

— ASPR Fusion (@ASPRFusion) August 19, 2014

Scroll down for the stories and link to CDC check list

CDC TAKES NEW STEPS TO IMPROVE TRAINING FOR HOSPITAL WORKERS

NEW YORK TIMES                   Oct. 13, 2014
By Pam Belluck

The Centers for Disease Control and Prevention is taking new steps to help hospital workers protect themselves, providing more training and urging hospitals to run drills to practice dealing with potential Ebola patients.

In response to the news that a health care worker in Dallas had contracted Ebola, a spokeswoman said the agency would also issue more specific instructions and explanations for putting on and removing protective equipment and would urge nurses and doctors to enlist a co-worker or “buddy” to watch them do so....

THE GUARDIAN                                 Oct, 2014
By Lisa O'Caroll

The first direct flights to resume from the UK to Sierra Leone have been cancelled after the British government revoked Gambia Bird’s recently granted permit because of fears over Ebola.

The Department of Transport cited the deteriorating public health situation for the revocation when it notified the German-owned airline on Friday evening.

The airline said it would appeal against the decision, especially as its licence was only granted on 26 September.

Cuban health workers unload medical supplies at Freetown's airport to help fight Ebola in Sierra Leone. Charities say the UK flight decision closes a vital humanitarian corrider to the country. Photograph: Florian Plaucheur/AFP/Getty Images

The decision closed what charities and non-governmental organisations (NGOs) said was a vital humanitarian corridor to Sierra Leone, which is struggling to cope with the Ebola outbreak.

Médecins sans Frontières...criticised the decision. It said if the government was going to stop commercial airlines flying to the region it would have to put in place state alternatives.

Read full story

UPDATE  Liberia largely averts health worker strike that would have severely hampered Ebola response

ASSOCIATED PRESS            Updated: October 13, 2014 - 11:45 AM

By: JONATHAN PAYE-LAYLEH , Associated Press

MONROVIA, Liberia — Health workers reported for duty at Liberia's hospitals on Monday, largely defying calls for a strike that could have further hampered the country's ability to respond to the worst Ebola outbreak in history.

Nurses and other health workers — though not doctors — had threatened to strike if they did not receive the higher hazard pay they had been promised by the government. That would have made the already difficult care of Ebola patients even harder, since the bulk of the staff at clinics and hospitals is made of up of Liberia's nurses, physician assistants and community health workers.

"Considering the situation in which we find ourselves we don't think strike is the way forward," said Dr. Jerry Brown, head of ELWA2, a treatment center on the outskirts of Monrovia. "Because if we strike now, more and more patients will remain in the communities. And as more and more patients remain in the communities, there will be more new cases and there will be a setback."

who.int - October 2014

When Dr Peter Clements arrived in Lofa County, Liberia eight weeks ago, from the WHO country office in Monrovia, 20-30 patients were arriving at the MSF hospital with Ebola-like symptoms every day. People living in the community were afraid, civil unrest was simmering, and an ambulance and health workers were being targeted

Although UN security advised him not to, Dr Clements traveled the 12 hours over dirt roads to the area nearest the Guinea border. Once there, he walked into the hostile communities and went straight to the chiefs.

“In many years, you have not fought with these people,” he said. “Now you attack them. They are not the enemy, Ebola is the enemy. If we don’t chase Ebola, it will kill us. You have to know Ebola to fight Ebola. Mobilize your people. Let’s get to know Ebola.”

Dr Clements said the key to working with a hostile community is listening first. So he patiently listened to the community to understand their fears, then he started to explain about the virus and how people become sick, and people can prevent themselves.

WASHINGTON POST

President Obama received two briefings on the diagnosis of a second Ebola case in Dallas, according to White House officials, and Sen. John McCain (R-Ariz.) urged the president to appoint a "czar" to coordinate the administration's response to the disease.

Obama was briefed Sunday morning by Lisa Monaco, who serves as assistant to the president for homeland security and counterterrorism and is overseeing the interagency response to the disease. Later, according to White House officials, Obama also discussed the situation with Health and Human Services Secretary Sylvia Burwell.