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The Mission to Stop Ebola: Lessons for UN Crisis Response

CLICK HERE - International Peace Institute - The Mission to Stop Ebola: Lessons for UN Crisis Response (28 page .PDF report)

reliefweb.int - February 15, 2017
ADAM LUPEL AND MICHAEL SNYDER

Executive Summary

The Ebola epidemic of 2014–2016 was a fastmoving, multidimensional emergency that pre - sented unprecedented challenges for the multi - lateral system. In response to the outbreak, which was spreading exponentially in Guinea, Liberia, and Sierra Leone, Secretary-General Ban Ki-moon established the UN’s first-ever emergency health mission, the UN Mission for Ebola Emergency Response (UNMEER). UNMEER was mandated by the UN General Assembly in September 2014 to scale up and coordinate the activities of the UN presence on the ground working to stop the outbreak, which eventually claimed over 11,000 lives.

This report asks: Was UNMEER needed? Was it properly structured? Did it deliver? And what broader lessons can be learned from the experience of UNMEER for UN crisis response?

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Why Killer Viruses Are On The Rise

       

Once called the "Dutchmen" because of their large noses and large bellies, proboscis monkeys live only in Borneo. Ecosystems that have a lot of diverse animals, like this monkey, also tend to have a lot of diverse viruses.  Charles Ryan

npr.org - by Michaeleen Doucleff and Jane Greenhalgh - February 14, 2017

The next troubling outbreak could come from a rain forest . . . And a big reason why: all the crazy animals that live here.

. . . Wild animals are now refugees. They have no home. So they come live in our backyards. They pee on our crops. Share our parks and playgrounds. Giving their viruses a chance to jump into us and make us sick.

"So it's really the human impact on the environment that's causing these viruses to jump into people," Olival says.

And cause an outbreak? I ask. Or a pandemic, says Olival.

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Miami Doctors Publish Study of First Locally-Acquired Zika Transmission

This is a rash on patient's stomach.
Credit: The New England Journal of Medicine

submitted by Alicia Juarrero

sciencedaily.com - January 12, 2017

Source: University of Miami Miller School of Medicine

Summary: Following the recent Zika outbreak in Miami-Dade County, a multidisciplinary team of physicians has published a case study describing in detail the nation's first locally-transmitted case of Zika.

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CLICK HERE - NEJM - Cutaneous Eruption in a U.S. Woman with Locally Acquired Zika Virus Infection

 

 

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We Are Grossly Unprepared for Major Outbreaks

submitted by Alicia Juarrero

           

CLICK HERE - The BMJ - Post-Ebola reforms: ample analysis, inadequate action

CLICK HERE - Post-Ebola reforms: ample analysis, inadequate action (8 page .PDF report)

globalbiodefense.com - January 26, 2017

The world remains “grossly underprepared” for outbreaks of infectious disease, which are likely to become more frequent in the coming decades, warn a team of international experts in The BMJ.

They reviewed reports on the recent Ebola virus outbreak in West Africa and say better preparedness and a faster, more coordinated response could have prevented most of the 11,000 deaths directly attributed to Ebola and also the broader economic, social, and health crises that ensued.

. . . a research team, led by Suerie Moon at the Graduate Institute of International and Development Studies in Geneva, synthesized seven major post-Ebola reports and laid out the key problems and recommendations they highlighted.

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First Zika Infection in a Pregnant Texas Resident Who Did Not Travel Outside the State

dshs.texas.gov - January 25-31, 2017

Texas has identified the first instance of a laboratory-confirmed Zika infection in a pregnant Texas resident who did not travel outside the state. The woman, a resident of Bexar County, traveled to Brownsville in November, around the time six Brownsville residents acquired cases of Zika virus disease from mosquitoes there. She did not get sick and was tested for Zika during regular prenatal care. Because the infection was not transmitted in Bexar County, it does not represent an increased risk of Zika there.

The infection could have been transmitted by mosquitoes or through sexual contact with a partner who was infected. DSHS urges everyone, especially pregnant women, to continue to protect themselves from mosquito bites when visiting Brownsville and other parts of the state where mosquito activity continues throughout the winter months. Pregnant women should also protect themselves against sexual transmission from partners who travel to those areas by avoiding sexual contact or using condoms for the duration of the pregnancy.

CLICK HERE - First Zika Infection in a Pregnant Texas Resident Who Did Not Travel Outside the State

CLICK HERE - Texas DSHS - Zika in Texas

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Donors and Drug Makers Offer $500 Million to Control Global Epidemics

           

A child born with microcephaly caused by the Zika virus, during an evaluation at Fundação Altino Ventura in Recife, Brazil. A group of prominent donors announced Wednesday that they had raised almost $500 million for a new partnership to stop epidemics before they spiral out of control. Credit Adriana Zehbrauskas for The New York Times

nytimes.com - by DONALD G. McNEIL Jr. - January 18, 2017

Stung by the lack of vaccines to fight the West African Ebola epidemic, a group of prominent donors announced Wednesday that they had raised almost $500 million for a new partnership to stop epidemics before they spiral out of control.

The partnership, the Coalition for Epidemic Preparedness Innovations, will initially develop and stockpile vaccines against three known viral threats, and also push the development of technology to brew large amounts of vaccine quickly when new threats, like the Zika virus, arise.

With enough money and scientific progress, the strategy could bring a drastic change in the way the world tackles pandemics.

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El Niño and Global Warming Blamed for Zika Spread

           

A female Aedes albopictus mosquito feeding on a human host. Credit: James Gathany CDC

CLICK HERE - STUDY - PNAS - Global risk model for vector-borne transmission of Zika virus reveals the role of El Niño 2015

scientificamerican.com - by Kavya Balaraman - December 21, 2016

Mosquito-borne diseases like Zika can be extremely sensitive to climatic changes

The combination of climate change and last year’s El Niño phenomenon likely created the perfect playground for the Zika virus to spread rapidly across South America, a new study finds.

Both the Zika virus and the mosquitoes that carry it have been present in different parts of the world for a while. But several factors, including specific climatic conditions, could have catapulted the disease to public health emergency status, according to researchers from the University of Liverpool.

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How Hospitals, Nursing Homes Keep Lethal ‘Superbug’ Outbreaks Secret

        

The deadly epidemic America is ignoring - The Uncounted - A REUTERS INVESTIGATION

reuters.com - by Deborah J. Nelson, David Rohde, Benjamin Lesser and Ryan McNeill - December 22, 2016

Across the U.S., vague rules give healthcare providers lots of leeway in deciding when, or even whether, to report unusual clusters of infections. And when they do alert officials, that information is usually kept from the public . . .

 . . . An examination of cases across the country reveals a system that protects the healthcare facilities where superbugs thrive, while leaving patients, their families and the broader public ignorant of potentially deadly threats.

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Birth Defects Among Fetuses and Infants of US Women With Evidence of Possible Zika Virus Infection During Pregnancy

jamanetwork.com - December 13, 2016 - doi:10.1001/jama.2016.19006

In this report based on preliminary data for pregnant women in the USZPR with laboratory evidence of possible Zika virus infection, 6% overall had a fetus or infant with evidence of a Zika-related birth defect, and among women with timing of possible Zika infection exclusively during the first trimester, 11% had a fetus or infant with a birth defect. The birth defects primarily involved included microcephaly with brain abnormalities, such as intracranial calcifications. Preliminary estimates from the USZPR were within the range of 1% to 13% risk of microcephaly following first-trimester maternal Zika virus infection modeled on the outbreak in Bahia, Brazil, lending support to the credibility of these estimates.

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Negative Effects Of Zika During Pregnancy More Common Than Realized

           

Juan Pedro, who has microcephaly and turned one-year-old on December 4, sits in a specially designed chair to keep him upright as he is kissed by his sister Jennifer Karine on December 12, 2016 in Recife, Brazil. As many of the babies with microcephaly, believed to be linked to the Zika virus, turn one-year-old in Recife, doctors and mothers are adapting and learning treatments to assist and calm the children. Many of the children are suffering a plethora of difficulties including vision and hearing problems with doctors now labeling the overall condition as 'Congenital Zika Syndrome'. (Photo by Mario Tama/Getty Images)

CLICK HERE - STUDY - NEJM - Zika Virus Infection in Pregnant Women in Rio de Janeiro

forbes.com - by Tara Haelle - December 14, 2016

The rate of birth defects, disability and brain irregularities in babies exposed to the Zika virus is considerably higher than was previously believed — regardless of the mother’s symptoms or the trimester she had the infection — found a new study . . .

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