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Ebola shows how our global health priorities need to be shaken up

Now the threat from Ebola seems to be receding, rich countries must not revert to their former myopia. Listening to other countries’ needs and investing in women and children would be a start

THE GUARDIAN Commentary  by Chelsea Clinton and Devi Sridar                May 6, 2015

Amnesia has set in across the world as the fear and global attention given to Ebolarecedes. But this is not a new phenomenon. With Sars, avian flu, swine flu and Mers, there were repeated calls to fix the global health system to avoid previous mistakes. We cannot continue to be surprised when a health crisis emerges and we need to start to take a long-term, inclusive perspective to ensure health security across the world. Myopia was a key factor in the failure to respond to Ebola in a rapid and effective way.

There are three immediate steps that should be taken:

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http://www.theguardian.com/commentisfree/2015/may/06/ebola-global-health-priorities-chelsea-clinton

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Ebola crisis revealed "major fault lines"

CANADIAN MEDICAL ASSOCIATION by Moneeza Walji                                    Mayl 4, 2015
The call to action for the Ebola outbreak extended far and wide, with the epidemic now having more than 26 000 cases and claiming more than 10 000 lives, but the response has raised questions about underlying problems that hinder health care in some countries and about who was best positioned to respond.

At a recent session of the Consortium of Universities for Global Health in Boston, Dr. Peter Piot, one of the discoverers of the Ebola virus, said the outbreak and crisis in West Africa "has revealed major fault lines in the local societies and in the international system; in how we conduct research and how we develop new drugs and vaccines and also in trust and the way that international aid and development and cooperation is operating."

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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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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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Obama: World must remain ‘fully engaged’ against Ebola

UPDATE with testimony to Congress.

Obama says Ebola-fighting goal is to prevent any new cases

(Scroll down for earlier story and link to Congressional testimony by administration officials)

ASSOCIATED PRESS       by                                              APRIL 15.                                    

WASHINGTON — Citing significant gains in fighting the Ebola outbreak in West Africa, President Obama declared Wednesday that the international goal now is to prevent any new cases of the deadly virus in the afflicted region....

President Barack Obama and Vice President Joe Biden, back right, meets with, from left, Sierra Leone President Ernest Bai Koroma, Liberian President Ellen Johnson Sirleaf, and Guinean President Alpha Condé, in the Cabinet Room of the White House in Washington, Wednesday, April 15, 2015, to discuss progress made in the international Ebola response. (Manuel Balce Ceneta/Associated Press)

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Empty Ebola Clinics in Liberia Are Seen as Misstep in U.S. Relief Effort

NEW YORK TIMES  by                                                         April 12, 2015

MONROVIA, Liberia — As bodies littered the streets and the sick lay dying in front of overwhelmed clinics last year, President Obama ordered the largest American intervention ever in a global health crisis, hoping to stem the deadliest Ebola epidemic in history.

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Police fire tear gas on crowd during Sierra Leone Ebola lockdown

REUTERS by Josephus Olu-Mammah and Umaru Fofana                                                              March 28, 2015
FREETOWN, Sierra Leone --Police fired tear gas at an angry crowd in Sierra Leone on Saturday after they threw stones at officials during a three-day national lockdown that the government hopes will accelerate the end of the Ebola epidemic, residents said.

Sierra Leone has reported nearly 12,000 Ebola cases and more than 3,000 deaths since the worst epidemic in history was detected in neighbouring Guinea a year ago. New cases have fallen sharply since a peak of more than 500 a week in December but the government says the lockdown, its second, is necessary to identify the last cases and to buck a worrying trend towards complacency.

Officials have ordered the six million residents to stay inside on pain of arrest as hundreds of health official go door-to-door looking for hidden patients and educating residents about the haemorrhagic fever.

Hundreds of people left their homes in the Devil Hole neighbourhood outside the capital to gather at a food collection point. Some residents complained they had not received food and fighting broke out until police arrived to scatter the crowd.

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How to stop the next epidemic

THE ECONOMIST                                                                                    May 19, 2015

..when the next epidemic breaks out, how do we prevent it from spreading around the world? It is easier said than done.
 
First: Early detection is critical, and it relies on good surveillance. But only 64 of the 194 member states of the World Health Organisation (WHO) have the surveillance procedures, laboratories and data-management capabilities required by the International Health Regulations. Improvements in things like basic public health infrastructure are needed...

Second: A swift response to an outbreak – which might involve getting skilled people, equipment and money to the right places – can potentially save more lives than drugs and vaccines. ... The World Health Organisation and the global community were slow to recognise that there was an international public health emergency.

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Liberian Leader Concedes Errors in Response to Ebola

NEW YORK TIMES  by Rick Gladstone                                                                   March 12, 2015 

The president of Liberia acknowledged on Wednesday that she had erred in ordering a tough security crackdown at the height of the Ebola crisis last year, describing the deadly virus as an “unknown enemy” that had frightened her.

Liberian President Ellen Johnson Sirleaf during a video address last Deceber to the Senate Foreign Relations Committee

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Liberia's President: Ebola Re-Energized Her Downtrodden Country

NATIONAL PUBLIC RADIO interview by David Greene                                                    March 2, 2015

There's a lot to celebrate in Liberia: The number of new Ebola cases have been declining, kids are going back to school and life is returning to some semblance of normalcy.

Last year, Ebola struck the country and since then, it has killed more than 4,000 Liberians. But among the three hardest-hit countries in West Africa, Liberia has been the fastest at containing the outbreak. Just last week, the region reported 99 new cases of Ebola. Only one of those came out of Liberia.

   Liberian President Ellen Johnson-Sirleaf, photographed in Washington, D.C., on February 26. Ariel Zambelich/NPR

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