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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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Botswana: Ministry of Health Develops Ebola Preparedness Response

ALL AFRICA DAILY NEWS by Bopa                                                               March 16, 2015

GABORONE,  Botswana — The Minister of Labour of Home Affairs, Mr Edwin Batshu, says following the Ebola outbreak in West Africa, the Ministry of Health reactivated its national multi-sectoral epidemic preparedness response committee and developed a comprehensive Ebola epidemic preparedness and response plan.

Answering a question in Parliament, on behalf of the Minister of Health, he said four technical working groups were established to facilitate implementation of the plan at the national and district level....

Furthermore, he said taking into consideration the rapid spread of the disease and the absence of personnel trained in Ebola, priority was given to training frontline staff that would be directly involved with potential cases.

He said these include nurses, doctors, counsellors, general duty assistants, immigration and police officer and district health management team drivers.

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http://allafrica.com/stories/201503161292.html

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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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ACLU sues Christie administration over withheld Ebola documents

NEW JERSEY ADVANCE MEDIA By Kathleen O'Brien           March 4, 2015

 How did Gov. Chris Christie's administration come up with its policies and protocols for handling Ebola?

Nurse Kaci Hickox was a Maine nurse returning to the United States after volunteering to help with the Ebola crisis when she ran afoul of New Jersey's newly instituted quarantine policy. Here she is in isolation at University Hospital in Newark in the fall of 2014.

To get the answer, the American Civil Liberties Union of New Jersey asked to see emails and other policy communications from top officials in the N.J. Department of Health.

Those requests were denied or otherwise rebuffed, the group said in a lawsuit filed yesterday that claims the state is in violation of the Open Public Records Act. Its lawsuit asks the court to fine the state and order it to provide the documents.

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http://www.nj.com/healthfit/index.ssf/2015/03/aclu_sues_nj_over_ebola_documents.html

 

 

 

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Isolation can take emotional toll on volunteers at risk of Ebola

LOS ANGELES TIMES by  Erwin Brown                                               March 2, 2015
Dr. Matthew Waxman recently returned to Los Angeles after spending nearly two months in the town of Lunsar, Sierra Leone, where he treated Ebola patients at an isolated medical facility.

He and colleagues toiled in harsh and stressful conditions, caring for people "the best we could." In the quiet stretches between intense bursts of drama and terror, they talked about the reception that would await them at home — at times with a degree of dread, since some returning medical workers have had less than enthusiastic welcomes....

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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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Sierra Leone vice president places himself in Ebola quarantine

REUTERS    Feb. 28, 2015

FREETOWN --Sierra Leone's Vice President Samuel Sam-Sumana said on Saturday that he had placed himself in a 21-day quarantine after one of his bodyguards died of Ebola amid a worrying recent surge in new infections in the West African nation....

Sam-Sumana's bodyguard John Koroma died early this week.

"I have decided to be put under quarantine because I do not want to take chances and I want to lead by example," the vice president told Reuters. "I am very well and showing no signs of illness."

Sam-Sumana said his entire staff will also be placed under observation and anyone showing symptoms of the disease would be tested.

The vice president is the country's first senior government figure to subject himself to a voluntary quarantine. However, officials in neighboring Liberia, including the chief medical officer and transport minister, were placed under observation late last year.

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http://www.reuters.com/article/2015/02/28/us-health-ebola-leone-idUSKBN0LW0WQ20150228

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Ebola Doctor: Media, politicians fueled the public's fears

ASSOCIATED PRESS   by Tom McElroy                                                             Feb. 25, 2015

NEW YORK — A doctor who contracted the deadly Ebola virus and rode the subway system and dined out before he developed symptoms said the media and politicians could have done a better job by educating people on the science of it instead of focusing on their fears.

 "When we look back on this epidemic, I hope we'll recognize that fear caused our initial hesitance to respond — and caused us to respond poorly when we finally did," Dr. Craig Spencer wrote in an article published Wednesday in The New England Journal of Medicine. (See link below.)

Spencer, an emergency room physician, was diagnosed with Ebola on Oct. 23, days after returning from treating patients in Guinea with Doctors Without Borders. His was the first Ebola case in the nation's largest city, spurring an effort to contain anxieties along with the virus. He was treated at a hospital, recovered and was released on Nov. 11.

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Report Slams U.S. Ebola Response and Readiness

NBC NEWS  by Maggie Fox                                                                               Feb. 26, 2015

The United States fumbled its response to the Ebola epidemic before it even began, neglecting experiments to make vaccines and drugs against the virus, and cutting funding to key public health agencies, a presidential commission said Thursday.

Americans focused on their own almost nonexistent risk of catching Ebola from travelers instead of pressing to help the truly affected nations, the scathing report from the Presidential Commission for the Study of Bioethical Issues says.

They've been acting against their own best interest, the commission said in its report.

"Both justice and prudence demand that we do our part in combating such devastating outbreaks. Once we recognize our humanitarian obligations and the ability of infectious diseases to travel in our interconnected world, we cannot choose between the ethical and the prudential," it reads.

"Ethics and enlightened interest converge in calling for our country to address epidemics at their source."

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Guinea's Conde replaces key minister to boost Ebola fight

REUTERS                                                                                               Feb. 25, 2015

CONAKRY - Guinean President Alpha Conde on Tuesday replaced the minister of territorial administration with an army general in a move the government said was necessary to strengthen the fight against an Ebola outbreak in the West African nation.

 A statement read on state-owned television announced the appointment of General Bourema Conde, considered to be among the president's closest allies in Guinea's army....

More than 14 months after the first Ebola case was reported in Guinea's forest region, the government still faces pockets of often violent resistance to the campaign against the epidemic, undermining its plans to rebuild the health sector and economy.

Bourema Conde replaces Alassane Conde, a civilian who had held the position since President Conde named his first government following his election in late 2010. He will continue to serve as a government minister with an advisory role to the president. None of the three men are related.
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