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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.

(READ COMPLETE ARTICLE)

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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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Will the Ebola crisis lead to improved global health security?

MEDICAL NEWS by Sally Robertson                                                 May 8, 2015

Unprecedented in both its impact and scale, the Ebola virus outbreak in West Africa has led to a renewed interest in the issue of global health security. How is global health security defined? What qualifies as a global health concern? What are the implications for governmental policies and programmes?

To address some of these questions, The Lancet invited a number of respected global health practitioners to reflect on the wider lessons that can be learned from the crisis and make suggestions about steps that can be taken to counteract such threats in the future.

Through a series of essays, the review discusses whether the outbreak is likely to improve the governance of global health security and reflects on the relevance of several issues, from the use of counterfeit medicines through to the importance of securing people’s access to healthcare.

Read complete story.

http://www.news-medical.net/news/20150508/Will-the-Ebola-crisis-lead-to-improved-global-health-security.aspx

THE LANCET

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Home > Health Ebola Is Found in Doctor's Eye Months After Virus Left Blood

ASSOCIATED PRESS by MARILYNN MARCHIONE AP Chief Medical Writer                                      May 7. 2015

(Scroll down for full study and American Academy of Ophtalolgy statement.)

For the first time, Ebola has been discovered inside the eyes of a patient months after the virus was gone from his blood.

Ebola has infected more than 26,000 people since December 2013 in West Africa. Some survivors have reported eye problems but how often they occur isn't known. The virus also is thought to be able to persist in semen for several months.

The new report concerns Dr. Ian Crozier, a 43-year-old American physician diagnosed with Ebola in September while working with the World Health Organization in Sierra Leone.

He was treated at Emory University Hospital's special Ebola unit in Atlanta and released in October when Ebola was no longer detected in his blood. Two months later, he developed an inflammation and very high blood pressure in one eye, which causes swelling and potentially serious vision problems.

Read complete story.

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The Bill & Melinda Gates Foundation to Fund Disease Surveillance Network in Africa and Asia to Prevent Childhood Mortality and Help Prepare for the Next Epidemic

PR NEWSWIRE                                                                                                  May 7, 2015

(Scroll down for interview with Bill Gates)

At its Global Partners Forum, the Bill & Melinda Gates Foundation will announce the Child Health and Mortality Prevention Surveillance Network (CHAMPS), a network of disease surveillance sites in developing countries. These sites will help gather better data, faster, about how, where and why children are getting sick and dying. This data will help the global health community get the right interventions to the right children in the right place to save lives. The network will also be invaluable in providing capacity and training in the event of an epidemic, such as Ebola or SARS. The Gates Foundation plans an initial commitment of up to $75 million on the effort.

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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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