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Empowering local media can make the difference: 5 lessons from the Ebola crisis

DEVEX byAlison  Campbell                                                                          April 23, 2015

The Ebola crisis in West Africa was quickly recognized as being driven as much by misinformation and rumors as by weaknesses in the health care system. Mohamed Komah interviews an Ebola survivor at the Donka Ebola treatment center in Conakry, Guinea. Photo by: Internews

International response agencies invested significant resources in rolling out the Social Mobilization and Community Engagement drive, a wide-scale intensive social behavior change communication campaign. The result was a massive and rather poorly coordinated blast of messaging shared on billboards, in print, on radio and TV, through health outreach workers and community organizations, via SMS and call-in hotlines.

A preliminary assessment done by Internews in November found more than 300 types of social mobilization and messaging systems in the three worst-affected countries: Liberia, Guinea and Sierra Leone. This chaotic information landscape consisted mainly of information “out,” with little opportunity for community dialogue....

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Looking Into the Mirror of EBOLA: A Reminder of the Importance of Nutrition As We Age

HUFFINGTON POST by Dr. Simin Nikbin Meydan                                                               April 21, 2015
When the world was devastated by the deadly outbreak of Ebola in West Africa last year, we were given a warning call on many levels. While I was mulling over the whys and hows of the epidemic, my mind automatically went to the role that nutrition can play in helping to stem the spread, and mortality rates, of diseases and perhaps deter future outbreaks.

 The next step my mind took, (admittedly, I research nutrition, immunology and infection in older adults), was to the role nutrition plays in maintaining a robust immune response and fighting against infections particularly in older adults. Remember the SARS outbreak in 2003? SARS (Severe Acute Respiratory Syndrome) is a viral respiratory disease caused by the SARS coronavirus. The outbreak began in southern China and caused an eventual 8,096 cases with 774 deaths reported in multiple countries. The overall mortality rate in aged populations exceeded 50%. Age matters in fighting infections. As we age, our immune systems gray and we need to factor this into our response to outbreaks.

It is telling that infectious epidemics usually originate in areas of the world that suffer from poor nutrition.

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The End of Ebola? Lessons at the Epidemic's One Year Anniversary

Columbia University                                            March 30, 2015

One year ago, the current Ebola epidemic was announced to the world. Since then, we have learned and accomplished an enormous amount....

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Laboratory support during and after the Ebola virus endgame: towards a sustained laboratory infrastructure

EUROSURVEILLANCE by I. Goodfellow, C. Reusken, and M. Koopmans  

  March 26, 2015                                                              

The Ebola virus epidemic in West Africa is on the brink of entering a second phase in which the (inter)national efforts to slow down virus transmission will be engaged to end the epidemic. The response community must consider the longevity of their current laboratory support, as it is essential that diagnostic capacity in the affected countries be supported beyond the end of the epidemic.

The emergency laboratory response should be used to support building structural diagnostic and outbreak surveillance capacity.

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Strengthening the Detection of and Early Response to Public Health Emergencies: Lessons learned from, the Ebola outbreake

PLOS MEDICINE by Mark J. Siedner, Lawrence O. Gostin, Hilarie H. Cranmer,and John D. Kraemer                        March 24, 2015

In-depth paper on lessons learned from the West Africa Ebola outbreak

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How to Fight the Next Epidemic

The Ebola Crisis Was Terrible. But Next Time Could Be Much Worse.

 

NEW YORK TIMES OPINION PAGE by Bill Gates                                                           March 18, 2015

(Scroll down for fuller Bill Gates article in the New England Journal of Medicine)

SEATTLE — The Ebola epidemic in West Africa has killed more than 10,000 people. If anything good can come from this continuing tragedy, it is that Ebola can awaken the world to a sobering fact: We are simply not prepared to deal with a global epidemic.

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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.

Read complete story.
http://allafrica.com/stories/201503161292.html

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U.S. military ends Ebola mission in Liberia

REUTERS    by  James Harding Giahyue                                                          Feb. 26, 2015

MONROVIA -- The United States military officially ended a mission to build treatment facilities to combat an Ebola outbreak in Liberia on Thursday, months earlier than expected, in the latest indication that a year-long epidemic in West Africa is waning.

Washington launched the mission five months ago and the force peaked at over 2,800 troops at a time when Liberia was at the epicenter of the worst Ebola epidemic on record....

"While our large scale military mission is ending...the fight to get to zero cases will continue and the (Joint Force Command) has ensured capabilities were brought that will be sustained in the future," U.S. Army Major General Gary Volesky....

Speaking to lawmakers during a visit to Washington on Thursday, Liberia's President Ellen Johnson Sirleaf thanked the United States for its support during the crisis.

Read complete story.

http://uk.reuters.com/article/2015/02/26/us-health-ebola-usa-idUKKBN0LU2HR20150226

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Ebola spending: will lack of a positive legacy turn dollars to dolour?

Millions were invested in west Africa to tackle the Ebola crisis, but some experts doubt there will be any lasting benefits for public health systems

THE GUARDIAN by 

LONDON -- While it is still too early to call time on the Ebola outbreak, a sense that the worst may have passed is tentatively taking root in west Africa, alongside an acute realisation of the need to ensure a positive long-term legacy for battered healthcare systems.

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Lessons From Africa's Hard-Won Victory Over Ebola

BLOOMBERG  Commentary      by Charles Kenney                                              Feb. 3, 2015
...Without good surveillance, disease threats can fester undetected until they are considerably harder to contain. At the moment, countries simply declare they have the capacity to meet global standards and the WHO takes their word for it. There should be a system of independent review, backed up with international assistance and support to ensure that all countries really do have the capacity to track infectious disease outbreaks and control their spread across borders.

....the global health research system is primarily driven by market pressures. The cost of bringing a drug through the regulatory processes to market averages around $1 billion. That's a big reason why pharmaceutical companies would rather spend money on treatments for the diseases of the rich than for conditions that largely affect people in countries like Liberia...

There are two approaches to deal with that problem: lower the cost of drug development and increase the market for the products that emerge. ...

To increase demand, governments can club together to create an "advanced market commitment": If a drug developer produces a vaccine or therapy that meets certain standards, donors precommit to buy it in bulk....

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