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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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Watch closely and explain frequently: Liberia's Ebola lessons

REUTERS   By James Harding Giahyue and Emma Farge                                                   March 13, 2015

MONROVIA/DAKAR - Seven months after Ebola paralysed Liberia's capital, Friday marked 21 days since the country registered a case of the virus - offering lessons to its neighbors on the importance of surveillance and education in beating the deadly epidemic....

 A massive influx of international aid, including crucial U.S. military assistance, helped Liberia to turn the tide of the outbreak.

But, notes Tariq Riebl, Oxfam's Ebola response manager in Liberia, "What got us to the endgame is that communities took things into their own hands...."

Read complete story.
http://news.yahoo.com/watch-closely-explain-frequently-liberias-ebola-lessons-184507811.html;_ylt=AwrBJR6EmAVV3D0AbnTQtDMD

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Vaccines Face Same Mistrust That Fed Ebola

NEW YORK TIMES  by and         March 14, 2015

MONROVIA, Liberia — West Africa’s Ebola epidemic may be waning, but another outbreak in the future is a near certainty, health officials say.

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The fear of Ebola led to slayings — and a whole village was punished

Detailed account of the aftermath of murder by local villagers in Guinea of eight persons who came to teach about Ebola

WASHINGTON POST  by Amy Brittain                                                                             March 1, 2015
WOMEY, Guinea — The lecture about the dangers of Ebola had just begun, but the village had heard enough. A group of women started chanting, to warn the others against the visitors, “They are coming to kill you.” A mob of men masked their faces, waved machetes and rushed toward the speakers. Stones began to fly.

 

Thousands of Womey residents fled after the killings when Guinea’s military invaded and looted the vllage. More than a dozen died from malnutrition after living for months in the surrounding bushland. (Jane Hahn/For The Washington Post)

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Traditional healer called back to remove curse of first Ebola-affected village in Guinea

ASSOCIATED PRESS By YOUSSOUF BAH                       Feb. 25, 2015
MELIANDOU, Guinea (AP) — Here at ground zero of West Africa's Ebola outbreak, a local traditional healer returned to complete the removal of a curse residents believe could have been placed on their village in Guinea.

In this photo taken on Feb. 23, 2015, traditional healers, right, take part in a exorcism as villagers hand them a chicken, in Meliandou, Guinea. Here at ground zero of West Africa’s Ebola outbreak, a local traditional healer returned to complete the removal of a curse residents believe could have been placed on their village in Guinea. (AP Photo/Youssouf Bah)

It is the same village where experts believe 2-year-old Emile Ouamouno was the first person to have died from Ebola, on Dec. 28, 2013, in the outbreak that has slowed in recent months but has not been completely stamped out....Hundreds abandoned the village, believing the Ouamouno family or the entire village, was cursed, the village chief Amadou Kamano remembered.

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As Ebola Ebbs in Africa, Focus Turns From Death to Life

NEW YORK TIMES  by Normitsu Onishi                                                                Feb. 1, 2015

MONROVIA, Liberia — Life is edging back to normal after the deadliest Ebola outbreak in history....

FEAR FADING Beachgoers in Monrovia, Liberia, recently ravaged by Ebola. As fear of the virus ebbs, Liberians are slipping back into their daily rhythm. John Moore/Getty Images

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In Sierra Leone, the ghosts of war haunt an Ebola graveyard

WASHINGTON POST      by Kevin Sieff                                                                                      Dec. 19, 2014

FREETOWN, Sierra Leone — To find Andrew Kondoh, walk through the gates of this city’s largest cemetery, where teams in moonsuits bury more than 50 bodies in white plastic bags each day. Look for the man with the wispy goatee and big belly, who is overseeing one of the world’s most chaotic, dangerous graveyards as if he’s done it all before.

That’s because he has.

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2014 National Health Security Preparedness Index Report released

NHSPI                                                                                                       Dec. 9, 2014

WASHINGTON-- The National Health Security Preparedness Index (NHSPI) for 2014 provides updated information about how well individual states and the nation are preparing for public health and other emergencies.  It was released today at a meeting at Capitol Hill by a group of government and non-government public health specialists. They included Dr. Daniel Sosin, Deputy Director of the CDC's  Office of PubLic Health Preparedness and Respopnse, and Dr. Thomas V. Inglesby, Director of the UPMC Center for Health Security.

More than 35 organizations were partners in preparing the index, which updated the initial 2013 report.

The NHSPI describes it's mission as "providing relevant actionable informtaion to help guide efforts to achieve a higher level of healh security preparedness."  The intended uses include "strengthening preparedness, informng decision makers, guiding quality improvement and advancing the science behind community resilience."

See Executive Summary and the national results.

http://www.nhspi.org/content/executive-summary

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Dr. David Nabarro (UN Special Envoy on Ebola) on Ebola - General Assembly, Informal Meeting, 69th Session (13 November 2014)

webtv.un.org

13 Nov 2014 - Statement by Dr. David Nabarro, UN Special Envoy on Ebola at the General Assembly Informal meeting of the plenary briefing on the Ebola virus outbreak.

(CLICK HERE - VIDEO - Statement by Dr. David Nabarro, UN Special Envoy on Ebola)

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Structural Adaptivity Thinking

Here, I would like to explain more extensively my thinking about structural adaptivity as a critical aspect of resilience.  (In researching this subject, I was surprised by the lack of information/ideas conveniently available about the characteristics of adaptivity or adaptability. The following are my own preliminary conceptions.  I hope others will improve upon them.)

 

The world is changing so fast that our government, think tanks, universities and research institutions, business leaders, builders and developers, and “planners” have no hope of being able to keep up with it.  Many thinkers describe our world as actually undergoing rapidly accelerating change.  To be able to plan for the change, or even to be able to react to such transformation while it is happening, we need to do more than just keep up with it.  We need to jump out in front of it.

 

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