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Ebola experience is a wake-up call for the WHO

NEW SCIENTIST  Opinion                                   May 6, 2015

...HOW the world has changed. In 1948, the first commercial jet airliner was still a few years away from take-off, and the global population was just over 2 billion. Less than one-third lived in cities. Back then, safeguarding global health seemed an eminently manageable project. The newly formed United Nations agreed, and established the World Health Organization.

 Now, over half the planet's 7 billion people are packed into urban areas. Between us, we travel tens of billions of kilometres around the globe every year, with plenty of pathogens and parasites coming along for the ride. The WHO, largely unchanged since its creation, is ill-equipped to deal with the disease threats that this new world creates.

The recent Ebola outbreak is a case in point. Even the WHO's director-general, Margaret Chan, said her organisation was "overwhelmed" and admitted that a crisis on that scale "cannot be solved by a single agency".

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Security Council hears Liberia briefing as country anticipates being declared ‘Ebola-free’

UNITED NATIONS NEWS CENTRE                          May 5, 2015
Liberia is expected to be declared Ebola-free by the World Health Organization (WHO) within the week if no more new cases of the disease are discovered before then, the top United Nations official in Liberia said Tuesday  as she briefed the Security Councl.

Karin Landgren, Special Representative of the Secretary-General for Liberia and Head of the United Nations Mission in Liberia (UNMIL), briefs the Security Council. UN Photo/Mark Garten

“After almost 14 months spent under the cloud of Ebola, this will be joyful news for the country,” said Karin Landgren, Special Representative of the Secretary-General in Liberia. “Liberians and their Government, with support from the UN and ineternational partners, have gotten firmly ahead of the epidemic. Now, all Liberians must remain vigilant.”

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Head of U.N. Ebola response stresses importance of stopping virus before rainy season

BIOPREPWATCH                                               May 4, 2015

Peter Jan Graaff, during his first week as the secretary-general’s acting special representative and head of the U.N. Mission for Ebola Emergency Response, declared his commitment to stopping the Ebola outbreak.

“We have made great progress in fighting the virus, but we are not done yet,” Graaff said. “The rainy season is fast approaching, which will complicate efforts to contain the disease. We have a very small window of opportunity, and that window is closing fast. We can’t risk falling behind the virus again. We need to stay ahead of it and eliminate it before it is too late....”

If no cases present themselves by May 9, Liberia will be declared free of Ebola.

“Until we reach zero cases in every country, Ebola still poses a threat to the region, and to the world,” Graaff said. “We must keep up our efforts over the next few weeks to trace and treat every last case.”

Read complete story.
http://bioprepwatch.com/news/head-of-u-n-ebola-response-stresses-importance-of-stopping-virus-before-rainy-season/341712/

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New UN special envoy on Ebola response makes first visit to Sierra Leone

UNITED NATIONS NEWS CENTRE                                                                April 29, 2015
The United Nations World Health Organization (WHO) today said that surveillance and community engagement still require improvement in some areas of Guinea and Sierra Leone where new cases continued to surface, a day after the new Special Representative for UN Ebola Response, Peter Graff, was informed of a continued transmission epicentre on the border between those two countries.

Mr. Graff joined outgoing Special Representative Ismail Ould Cheikh Ahmed, and the Secretary-General’s Special Envoy on Ebola, David Nabarro, on a visit to Freetown, Sierra Leone, during which they were briefed by the National Ebola response Centre (NERC) on efforts to achieve zero transmission.

“They were informed that Kambia District was still a transmission epicentre due in part to it neighbouring Forécariah in Guinea, which continues to record a high number of Ebola cases,” the UN Mission for Ebola Emergency Response (UNMEER) reported.

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Managing health crises after Ebola

 

SCI DEVELOPMENT NET                                                                                April 29, 2015
(includes links to five feature stories and editorials on communication issues and other subjects.)
The outbreak of Ebola that has affected West Africa since December 2013 is the largest to date, with enormous human and economic costs. It has also exposed weaknesses in the global response system, including the handling of communication and complex social responses. What can we learn from this to better manage future health emergencies?

This Spotlight presents an in-depth analysis including opinions, facts and figures, and key resources. It features commentary by Sylvie Briand of the WHO, Rosamund Southgate of Médecins Sans Frontières and Annie Wilkinson of the Institute of Development Studies. 

It includes first-hand accounts by researchers with experience in the field, and interviews with social science expert Melissa Leach and communications managers at Médecins Sans Frontières-UK and BBC Media Action.
Read complete articles.

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UN Says It Will Try to Identify All Ebola Cases by June

ASSOCIATED PRESS by Maria Cheng                                                        April 28, 2015

LONDON — The World Health Organization says it aims to identify and isolate all new Ebola cases in West Africa by the end of May to stop the spread of the lethal virus before the rainy season.

In a new Ebola plan released on Tuesday, the U.N. health agency said it hopes to limit transmission of the virus to the coastal areas of Guinea, Liberia and Sierra Leone before the rainy season begins, normally in April or May.

WHO said the decline in Ebola's spread has "plateaued," partly due to "persistently high transmission" in Guinea and Sierra Leone. Officials say the rainy season will make it more difficult for responders to reach remote areas....

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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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More than 26,000 have been infected with Ebola: WHO

AFP 

(Scroll down for complete WHO report                                                                                         April 22, 2015

Geneva - More than 26,000 people have been infected with Ebola since the outbreak began and more than 10,800 have died, the World Health Organization said Wednesday.

The UN health body also warned that the decline in confirmed cases appeared to have stagnated, urging increased efforts to stop transmission of the deadly virus.

In all, 26,079 people have contracted the disease over the past 16 months, and 10,823 of them have died, almost all of them in Guinea, Liberia and Sierra Leone....

In the week leading to April 19, 33 new confirmed cases were reported, with 21 in Guinea, 12 in Sierra Leone and none in Liberia.

That compares to 37 new confirmed cases the week before, and 30 the week before that....

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WHO leadership admits failings over Ebola, promises reform

REUTERS   by Tom MIles                                                                     April 19, 2015

GENEVA--The World Health Organization has admitted serious failings in its handling of the Ebola crisis and pledged reforms to enable it to do better next time, its leadership said in a statement seen by Reuters on Sunday.

"We have learned lessons of humility. We have seen that old diseases in new contexts consistently spring new surprises," said the statement, attributed to the WHO Director-General Margaret Chan and the deputy director-general and regional directors.

"We have taken serious note of the criticisms of the Organization that, inter alia, the initial WHO response was slow and insufficient, we were not aggressive in alerting the world ... we did not work effectively in coordination with other partners, there were shortcomings in risk communications and there was confusion of roles and responsibilities...," it said.

The statement listed eight lessons learned, including areas where the WHO's response to Ebola could have been better, such as information sharing and communication....

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Rebuilding after Ebola will require the world’s help

WASHINGTON POST EDITORIAL                             Aug. 18, 2015

THE RAVAGING of populations in Liberia, Sierra Leone and Guinea by the Ebola virus over the past year has been devastating. The virus killed 10,702 people and left behind vast economic and emotional tolls. The rest of the world responded slowly to the outbreak but eventually rallied. Now it is time to do the same with the aftermath and extend a hand for rebuilding...

The outbreak has receded, but weak local health-care systems proved inadequate when the virus began to spread last year, and improvements are vital in all three countries, especially a much-strengthened system of surveillance to spot any resurgence. Trained health-care workers are in short supply. A small but important step was taken recently in the announcement that the Centers for Disease Control and Prevention will help set up an African CDC that could keep the continent one step ahead of another scourge. But the rest of the world also has a stake in making sure that the region builds a better firewall against infectious disease....

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