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The Ebola Outbreak of 2013–2014: An Assessment of U.S. Actions

THE HERITAGE FOUNDATION Study  by, and

Executive Summary

 This report presents the observations, findings, and recommendations of a task force formed to examine the global response and the response of the U.S. government (USG) to the 2013–2014 Ebola outbreak and global transmission. Specifically, the task force sought to derive lessons learned and insights from the USG response to the Ebola outbreak both internationally and domestically with the goal of crafting recommendations to improve the government’s ability to respond to natural disasters, acts of bioterrorism, and various public health crises related to significant outbreaks, epidemics, and pandemics....

The report’s major recommendations include:

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UN chief names new head of Ebola mission as outbreak calms

ASSOCIATED PRESS by Jonathan Paye-Layleh             April 25, 2015

MONROVIA, Liberia — The U.N. chief on Saturday appointed a new head of the emergency mission responding to West Africa’s Ebola crisis amid hopes that the world’s deadliest outbreak of the virus will soon come to an end.

A statement from Ban Ki-moon’s office said Peter Jan Graaff of the Netherlands will work closely with David Nabarro, the U.N.’s special Ebola envoy, in addressing an epidemic that has claimed more than 10,000 lives in the three hardest-hit countries: Liberia, Guinea and Sierra Leone.

Outgoing head Ismail Ould Cheikh Ahmed was appointed as special envoy to Yemen on Saturday.

Graaff had been serving since October as the U.N.’s Ebola crisis manager in Liberia, which has recorded more Ebola deaths than any other country.

Read complete story.
http://www.washingtonpost.com/world/africa/un-chief-names-new-head-of-ebola-mission-as-outbreak-calms/2015/04/25/46ba3320-eb84-11e4-8581-633c536add4b_story.html

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What Did the U.S. Learn from Ebola? How to Prepare for Bioterrorist Attacks

FOREIGN POLICY  by Siobhán O'Grady                        April 13, 2015
When the Ebola virus spread from Guinea to Sierra Leone and Liberia last spring, the initial international response was labeled a failure. By the time President Barack Obama ordered troops to the affected countries in September, more than 2,400 people were dead.

But in the United States, where major hospitals prepared for an outbreak, there were only four in-country diagnoses, one of which resulted in a death. And some see the urgency of that response as a lesson in how the government can prepare for another public health hazard: a bioterrorist attack.

Arizona Rep. Martha McSally chairs a House subcommittee that will examine over the next few months the threat of bioterrorist attacks and U.S. preparedness to respond to them. She told Foreign Policy that even if a disease outbreak and the use of a biological agent in a coordinated attack are not completely analogous, the response strains similar systems.

“We can learn lessons from other outbreaks that are naturally occurring,” she said. “We can identify weaknesses in our response and even if it wasn’t terrorism, it presses the system at the same level....”

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Turning the Page on Ebola

Joint Statement by Presidents Alpha Condé  of Guinea, Ernest Bai Koroma  of Sierra Leone. and Ellen Johnson Sirleaf of Liberia 

 PROJECT SYNDICATE   COMMENTARY                                                                                       April 16, 2015

....The uncontrolled spread of the disease exposed the shortcomings of our national health care systems, as well as regional and global institutions’ weak capacity for coordination and effective response. Simply put, we were ill prepared to cope with, much less prevent, an outbreak on this scale.

We bear a collective responsibility for the thousands of lives lost to Ebola and the tens of thousands affected by the disease. And, today, thanks to institutional improvement and adaptation, we are closer to winning the fight against Ebola. Although the disease has not been contained and eradicated throughout the region, its spread has slowed; now we have to start planning our recovery, which must include strengthening the national, regional, and international systems that protect our people’s lives and futures....

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Ebola crisis points to wider global threat on a par with al-Qaida, warns UK medic

THE GUARDIAN by Lisa O'Carroll                                                           March 27, 2015

Ebola should be seen as an early wake-up call to world leaders of the potential for an international health disaster in the same way that the 1998 US embassy bombings highlighted the possibility of further attacks by al-Qaida, a leading British medic in Sierra Leone has warned.

Dr Oliver Johnson has called for “a big political shakeup” at the World Health Organisation and says Britain’s Department for International Development must decide whether to “nationalise” aid and deploy the army the next time a humanitarian emergency hits.

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Ebola pioneer, stem cell researcher honoured with Canada Gairdner Awards

CANADIAN PRESS                                                                                March 25, 2015
One of the co-discoverers of the Ebola virus and a leading Canadian stem cell researcher are among this year's winners of the prestigious Canada Gairdner Awards.

Dr. Peter Piot is the recipient of the Canada Gairdner Global Health Award, recognizing his work on the discovery of the Ebola virus in 1976 and his leadership in the global response to the HIV-AIDS epidemic.

Dr. Janet Rossant, chief of research at Toronto's Hospital for Sick Children, is the recipient of the 2015 Canada Gairdner Wightman Award, which honours a Canadian who has demonstrated outstanding leadership in medicine and medical science.

Five international scientists are also being honoured with Canada Gairdner Awards, two each from the United States and Japan and one from Switzerland....

Dr. Peter Piot won the 2015 Canada Gairdner Global Health Award in recognition of his work on the discovery of the Ebola virus in 1976 and his leadership in the global response to the HIV-AIDS epidemic. (David Azia/Associated Press)

Red complete story.

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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.

Read complete story.

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

 

 

 

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Ebola: Liberia's Johnson Sirleaf urges 'Marshall Plan'

BBC                                                                                                                      March 3, 2015

BRUSSELS --Liberian President Ellen Johnson Sirleaf has called for a "Marshall Plan" for the Ebola-affected countries of West Africa.

                             World leaders met in Brussels on Tuesday to discuss the fight against Ebola

She was referring to the massive US aid programme for Europe launched after World War Two.

Her comments came after Sierra Leone was immediately granted more than $80m (£52m) to help end the Ebola outbreak and recover from its effects.

The IMF has pledged a $187m financial aid package for Sierra Leone.

Read complete story.
http://www.bbc.com/news/world-africa-31705594

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Liberia’s President Urges U.S. to Continue Ebola Aid

NEW YORK TIMES  by Helene Cooper                     Feb. 27, 2015

WASHINGTON — President Ellen Johnson Sirleaf of Liberia on Friday urged the United States to maintain its assistance to her country as it continues to fight to recover from the Ebola outbreak, which began about one year ago.

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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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