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U.S. lacks a single standard for Ebola response

USA TODAY                                   Oct. 12, 2014

by Larry Copeland

ATLANTA — As Thomas Eric Duncan's family mourns the USA's first Ebola death in Dallas, one question reverberates over a series of apparent missteps in the case: Who is in charge of the response to Ebola?

The answer seems to be — there really isn't one person or agency. There is not a single national response.

The Atlanta-based Centers for Disease Control and Prevention has emerged as the standard-bearer — and sometimes the scapegoat — on Ebola.

Public health is the purview of the states, and as the nation anticipates more Ebola cases, some experts say the way the United States handles public health is not up to the challenge.

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http://www.usatoday.com/story/news/nation/2014/10/12/examining-the-nations-ebola-response/17059283/

CDC workers analyze Ebola details in the CDC's Emergency Operations Center in Atlanta.(Photo: David Tulis for USA TODAY)


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THE FEAR THAT KILLED 8 EBOLA WORKERS

 

 

The Daily Beast September 20, 2014
By Abby Haglage     

They were sent in to help educate villagers about how to ward off the lethal virus. Then fear took over and the machetes came out.

At the time of Wednesday’s announc

ement out of Guinea that seven of nine missing Ebola workers had been found dead, we knew little. Men with knives had abducted members of a group sent there to spread awareness about the disease. Two relief workers were missing; the rest, dead. Six suspects were in custody.

By Friday morning, we knew more. These details, the stuff of horror films. A local government group of relief workers—a mix of doctors, religious leaders, and journalists—had arrived Monday to educate the remote southeastern village of Womey about Ebola. Just 24 hours after their arrival, violence broke out, allegedly sparked by the false belief that a disinfectant being sprayed was actually the disease itself. An angry mob brandishing machetes, stones, and knives lashed out.

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With Ebola crippling the health system, Liberians die of routine medical problems

By Lenny Bernstein - Sep 20 2014 - washingtonpost.com

MONROVIA, Liberia — While the terrifying spread of Ebola has captured the world’s attention, it also has produced a lesser-known crisis: the near-collapse of the already fragile health-care system here, a development that may be as dangerous — for now — as the virus for the average Liberian.

Western experts said that people here are dying of preventable or treatable conditions such as malaria, diarrhea, pneumonia and the effects of high blood pressure and diabetes, such as strokes. Where services do exist, Ebola has complicated the effort to provide them by stoking fear among health-care workers, who sometimes turn away sick people or women in labor if they can’t determine whether the patient is infected. And some people, health-care workers said, will not seek care, fearful that they will become infected with Ebola at a clinic or hospital.

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Ebola outbreak 'could top 20,000'

Published on Aug. 28, 2014

An outbreak of the Ebola virus in West Africa could amount to 20,000 cases, the World Health organisation says (Centres for Disease Control and Prevention/PA) 

 

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Safe burial to reduce Ebola spread

Another challenge in trying to contain Ebola is the very strong cultural beliefs in that area of Africa.

The No. 1 contamination risk is touching the body around the time someone has died from Ebola.

"They do rituals before they bury the body that involves washing the bodies and even, sometimes, sleeping with them, the dead person."

So after someone dies at a treatment centre, the Doctors Without Borders staff bring the family to the centre and do what they call a safe burial.

"We wash the body and we put them in a body bag, but with the zipper open so they can see the face, and we bring the body to the village," in conjunction with the Guinea Red Cross, Forget says.

"People can still do a burial process but in a safe way so they don't touch the body … they can still pray and perform ceremonies but without touching the body.

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Médicaments contrefaits : un problème de santé en Afrique

Certains individus mal intentionnés n’ont aucun mal à transformer un morceau de craie, un peu de farine ou d’amidon en un comprimé ou une pilule. Difficile de dire à l’œil nu s’il s’agit d’un « faux ». L’étiquetage et l’emballage sont souvent imités à la perfection. Le commerce mondial de médicaments de contrefaçon, qui pèse un milliard de dollars, se porte bien en Afrique. Les médicaments contrefaits et de mauvaise qualité inondent les marchés. Se rendre à la pharmacie, c’est un peu jouer à la roulette russe. Choisir la mauvaise boîte peut vous coûter la vie.

En Afrique, selon l’Organisation mondiale de la santé (OMS), près de 100 000 décès par...

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Guinea: Poverty Reduction Strategy (2013-2015)

 

On July 2013, the International Monetary Fund leased the poverty reduction strategy (2013-2015) for Guinea. The document is divided into three chapter. The first chapter presents the most recent socio-economic situation, the second, the strategic framework for the alleviation of poverty and the third, the framework for implementation of the strategy. The document elaborated extensivelly among other topics, on health and human security, eduction, as well as climate change. Please click here to read more.

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