Situation Report

Congressional Forum - “Building Resilient Communities: Ebola and Global Health Crises – Where We Need to Go”

Dr. David Nabarro - Congressional Forum

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On February 25, 2015 a Congressional Forum was convened.

Objectives:

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Ebola Outbreak in West Africa: Lessons Learned from Quarantine

THE ASSESSMENT CAPACITIES PROJECT (ACAPS)                     March  19, 2015

Ebola Outbreak in West Africa: Lessons Learned from Quarantine--Sierra Leone and Liberia (acaps) The use of quarantine in West Africa is debated by various stakeholders. Some INGOs have argued that quarantine can fuel panic and counterproductive behaviour. Others have defended quarantine as a vital complementary tool to prevent the spread of infection and facilitate contact tracing....

 See full study.

http://acaps.org/img/documents/t-acaps_thematic_note_ebola_west_africa_quarantine_sierra_leone_liberia_19_march_2015.pdf

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Obama to Seek 40 Percent Cut in Federal Greenhouse Gases

      

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thehill.com - by Timothy Cama - March 19, 2015

President Obama signed an executive order Thursday to cut the federal government’s greenhouse gas emissions 40 percent over the next decade.

The effort will save taxpayers as much as $18 billion due to energy savings, the White House said. . .

. . . Obama will also push federal agencies to get 30 percent of their power from renewable sources like wind and solar energy.

(READ COMPLETE ARTICLE)

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Spike in Ebola in Guinea could reflect access to hidden patients

REUTERS   by Misha Hussain                               March 20, 2015

DAKAR, Mar 20 - The latest spike in Guinea's Ebola cases could be a sign that aid teams are at last gaining access to hidden patients, rather than a surge of new cases, a senior World Health Organization (WHO) official said.

                          A woman cooks in Meliandou February 4, 2015. REUTERS/Misha Hussain

The number of suspected cases in the West African country has more than doubled from last month, according to the health ministry, prompting fears the epidemic could mushroom as it did in Liberia and Sierra Leone in September.

However, Jean-Marie Dangou, the WHO's Guinea country representative, said the uptick in cases was explained by previously hostile communities opening up to Ebola teams, mainly lead by the Red Cross.

"Unfortunately this has led to the discovery, not unexpected, of a large number of hidden cases and community deaths," Dangou told the Thomson Reuters Foundation in an email.

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Deep in the jungle, hunting for the next Ebola outbreak

THE WASHINGTON POST by Kevin Sieff                   March 20, 2015

NOUABALE-NDOKI NATIONAL PARK, Congo Republic — More than 3,000 miles from the fading Ebola crisis in West Africa, a team of U.S.-funded researchers is hunting deep in a remote rain forest for the next outbreak.

Kinshasa, capital of the Democratic Republic of the Congo, is seen just across the Congo River from Brazzaville, capital of Congo Republic. Researchers have come to Congo Republic to explore the role wild pigs may play in the transmission of Ebola from wildlife to humans. Nichole Sobecki/For The Washington Post

 They aren’t looking for infected people. They’re trying to solve one of science’s great mysteries: Where does Ebola hide between human epidemics?

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WHO urges mass vaccination against measles, other diseases in Ebola areas

REUTERS   by Kate Kelland                                       March 21, 2015

LONDON--The World Health Organization warned on Friday of a risk of outbreaks of measles, whooping cough and other diseases in West African countries hit by Ebola and urged a rapid intensification of routine immunizations....

The epidemic has disrupted delivery of routine childhood vaccines against measles, polio and tuberculosis, and of a combined shot against meningitis, pneumonia, whooping cough, tetanus, hepatitis B and diphtheria.

Jean-Marie Okwo-Bele, the WHO's vaccines director, told a briefing in Geneva that the health agency wanted an intensification of immunization services, and mass measles vaccination campaigns in all areas where feasible.

"Campaigns will only be conducted in areas that are free of Ebola virus transmission," he said, stressing that clinics and health workers administering vaccines would be required to adhere to very strict infection control measures.

The WHO sent a warning note to affected countries this week saying: "Any disruption of immunization services, even for short periods ... will increase the likelihood of vaccine-preventable disease outbreaks."

Read complete story.

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Emails: UN health agency resisted declaring Ebola emergency

ASSOCIATED PRESS   by   Maria Cheng and Raphael Satter                                        March 20, 2015

GENEVA  — In a delay that some say may have cost lives, the World Health Organization resisted calling the Ebola outbreak in West Africa a public health emergency until last summer, two months after staff raised the possibility and long after a senior manager called for a drastic change in strategy, The Associated Press has learned.

Among the reasons the United Nations agency cited in internal deliberations: worries that declaring such an emergency — akin to an international SOS — could anger the African countries involved, hurt their economies or interfere with the Muslim pilgrimage to Mecca.

Those arguments struck critics, experts and several former WHO staff as wrong-headed.

"That's like saying you don't want to call the fire department because you're afraid the fire trucks will create a disturbance in the neighborhood," said Michael Osterholm, a prominent infectious diseases expert at the University of Minnesota.

In public comments, WHO Director-General Dr. Margaret Chan has repeatedly said the epidemic caught the world by surprise.

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Energy Agency Sees More Oil Declines, Potential for Conflict

         

FILE - In this Tuesday, Oct. 14, 2014, file photo, oil pumps work at sunset in the desert oil fields of Sakhir, Bahrain. Oil prices have further to drop with no signs of slowing production in the U.S., according to the International Energy Agency, Friday, March 13, 2015. (AP Photo/Hasan Jamali, File) - Associated Press

ABC News - AP - March 13, 2015

Oil prices have further to drop with few signs of slowing production in the U.S., according to a global energy agency.

The International Energy Agency, a watchdog group based in Paris that represents the world's main oil-importing nations, said in its monthly report Friday that the recent stabilization in oil prices is "precarious."

"Behind the facade of stability, the rebalancing triggered by the price collapse has yet to run its course," it said.

That may be playing out right now. Oil prices tumbled 10 percent this week, including a 5 percent drop Friday.

The IEA cautioned that risks of oil supply disruptions are growing. Low prices could raise the risk of social disruption in some countries dependent on oil, the agency said, and the ongoing conflict in Iraq and Libya hasn't slowed down.

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3 ways mobile helped stop the spread of Ebola in Nigeria

BROOKINGS TECH TANK   by Joshua Bleiberg and Darrell M. West                                       March 19, 2015

...There were a variety of factors that contributed to Nigeria’s success at combating the (Ebola)  disease. One important factorwas the use of mobile electronic health records programs.

1. Training Healthcare Workers

Training health care providers was a priority at the beginning of the Ebola outbreak. A survey found that 85 percent of health care workers in the country believed you could avoid Ebola by abstaining from handshakes or touching. Correcting these myths about the disease was a critical part of the response effort, especially for health care workers.

2. Rapid Deployment

One of the virtues of mHealth is its speed and flexibility. Mobile allows officials to quickly disseminate the latest information to front line health care workers. Increasing the speed of communication is a general boon to any large public health response.

3. Virtual Records

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How to Prevent the Next Ebola

THE ATLANTIC  by                 Mar 18 2015 

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Brian D'Cruz, a Virginia emergency-room doctor, spent the winter volunteering in a Doctors Without Borders Ebola treatment center in Conakry, Guinea. One of the myriad obstacles he encountered was that the yellow hazmat suits Ebola doctors wear take 45 minutes to don, yet are so stifling that a doctor can only spend an hour in one before risking dehydration. Having to frequently drop everything to pull off the suits made it even more difficult to stretch their already meager staff, D'Cruz told me in an interview at the Washington Health Forum this morning.

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