Lessons from Ebola: Toward a Post-2015 Strategy for Pandemic Response


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worldbank.org - Date: January 27th 2015 - Location: Georgetown University & Online Time: 4:00 p.m. - 5:00 p.m. ET (21:00 - 22:00 GMT)

Jim Yong Kim, President of the World Bank Group, will deliver Georgetown’s inaugural Global Futures lecture.

The lecture, “Lessons from Ebola: A post-2015 strategy for pandemic response,” will kick off a semester-long conversation about the “Global Future of Development” at Georgetown as part of the university’s new Global Futures Initiative.

His talk on Jan. 27 will connect ongoing efforts to stop the spread of infection in West Africa with longer-term efforts to improve public health systems that support economic and social development in countries vulnerable to future pandemics.

http://live.worldbank.org/lessons-from-ebola-post-2015

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After Ebola, World Bank Chief Proposes Global Insurance Program For Future Outbreaks

INTERNATIONAL BUSINESS TIMES  by       Jan. 27, 2015

World Bank Group President Jim Yong Kim is proposing emerging nations, developed countries and global aid organizations participate in a kind of insurance system to help pay for health crises like West Africa's Ebola outbreak. “We need to prepare for future pandemics that could become far more deadly and infectious than we we have seen so far with Ebola,” Kim told an audience at Georgetown University on Tuesday. “We must learn the lessons from the Ebola outbreak because there is no doubt we will be faced with other pandemics in the years to come.”

 ...according to Kim, the recent outbreak could be just the beginning. And world leaders need a plan.  

He said World Bank officials informally discussed the possibility of a “pandemic response facility” with the World Health Organization, United Nations and other international actors last week at the World Economic Forum in Davos, Switzerland.

“This could work like insurance policies that people understand, like fire insurance,” Kim said. “The more that you are prepared for a fire, such as having several smoke detectors in your home, the lower the premium you pay.”

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Guinea's Ebola Numbers May Be Higher Than Reported

VOICE OF AMERICA by Kim Lewis                                                                                     Jan. 27, 2015

...Emmanuel d’Harcourt, the senior health director for the International Rescue Committee, warned that the story behind declining numbers of new Ebola cases is different for Guinea, Sierra Leone and Liberia.

..In Guinea, he highlighted, there are questions about the actual numbers."

The whole epidemic in the three countries really flared up because the international community and WHO, and Doctors Without Borders declared the epidemic over because there were no infections for 21 days. And in fact what was happening was not that there weren’t cases, but that they were being hidden, and the same dynamic that caused that epidemic to burn underground without being reported is still in place,” said d’Harcourt.Read complese story.

http://www.voanews.com/content/ebola-irc-trust-cases-findings-lessons-government-radio-epidemic-who/2615225.html

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Liberia closes Ebola centre at epicentre of outbreak

AFP                                                                                                         Jan. 27, 2015

Monrovia  - Liberia's president on Monday announced the closure of an Ebola treatment facility which lay at the epicentre of the virus's worst outbreak in history, as the disease's spread has slowed in the country.

 

Red cross workers, wearing masks, carry the body of a person who died from Ebola during a burial with relatives of the victims of the virus, in Monrovia, on January 5, 2015 (AFP Photo/Zoom Dosso)

Ellen Johnson Sirleaf warned Liberians that while they could not yet afford to relax, the country had made significant progress in the fight against Ebola, and thanked states who helped Monrovia combat the virus.

"Lofa, the epicentre of the virus, has had no new cases for over 70 days," she said in the speech at the national parliament.

"The Ebola Treatment Unit in Foya is closed," she said, referring to an area in the north of the country near its border with Guinea, where the virus hit Liberia for the first time.

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Scientists ask if Ebola immunizes as well as kills

LONDON/DAKAR--A recent sharp drop in new Ebola infections in West Africa is prompting scientists to wonder whether the virus may be silently immunizing some people at the same time as brutally killing their neighbors.

A health worker disinfects a road in the Paynesville neighborhood of Monrovia, Liberia, January 21, 2015. Credit: Reuters/James Giahyue

So-called "asymptomatic" Ebola cases - in which someone is exposed to the virus, develops antibodies, but doesn't get sick or suffer symptoms - are hotly disputed among scientists, with some saying their existence is little more than a pipe dream.

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Post-Ebola plan needed to avert 'double disaster' in West Africa: Oxfam

REUTERS   by Magdalena Mis                                                                             Jan. 26, 2015

LONDON -- The three West African countries worst hit by Ebola risk a "double disaster" unless a multi-million dollar plan is put in place to help their economies recover, Oxfam said on Tuesday.

In Liberia, Guinea and Sierra Leone people were struggling to make ends meet having seen their incomes plummet, the aid agency said.

"The world was late in waking up to the Ebola crisis, there can be no excuses for not helping to put these economies and lives back together," Mark Goldring, Oxfam's chief executive, said during a visit to Liberia.

He said a post-Ebola "Marshall Plan" should address three areas of urgent need: cash for families affected by the crisis, investment in jobs and support for basic services.

Read complete story.

http://www.reuters.com/article/2015/01/27/us-health-ebola-oxfam-idUSKBN0L000520150127

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After Ebola: Why Rural Development Matters in a Time of Crisis

COMMENTARY:  HUFFINGTON POST  by President, International Fund for Agricultural Development (IFAD)                                                                                                                                 Jan. 26, 2015

....Now we must begin to look at what happens to the affected communities after Ebola. A food crisis seems increasingly likely to follow in the wake of the epidemic, which has devastated small-scale farmers. Without investment in their long-term development, farming households - and West Africa's future food security - will remain at risk.

Even before the outbreak, the World Food Programme estimated that some 1.7 million people in the region faced food insecurity - defined as a lack of reliable access to sufficient quantities of affordable, nutritious food. As a direct result of Ebola, it is expected that an additional 750,000 to 1.4 million people will become food-insecure by March.

In fact, Ebola has already affected the food supply. Farmers have stayed away from their fields due to illness, fears of infection and quarantines ordered by the authorities - or simply because there is no one left to tend the land....

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Studies detail Ebola spread, response steps

Four new studies shed new light on Ebola transmission and countermeasures.

CENTER FOR EFFECTIVE FOR RESEARCH AND POLICY  by Lisa Schnirring                                        Jan. 23, 2015

French and Guinean researchers  noted how chains of transmission helped Ebola spread in Conakry, Guinea, the first of the region's capital cities to be hit by the virus, and US officials released three detailed reports on outbreak response.

The Conakry team looked at seven transmission chains that occurred in the area from March to August 2014. They reported their findings in The Lancet Infectious Diseases.

In the first of three reports Friday in Morbidity and Mortality Weekly Report (MMWR), extra flight contact tracing measures undertaken after a Texas nurse took two flights shortly before getting sick with Ebola in October identified 268 people from nine states, none of whom got sick with the virus

In the second report, CDC estimates on the impact of Ebola treatment units (ETUs) and community care centers (CCCs) in Liberia predict that the interventions prevented thousands of new infections and that the interventions when used together were likely had a bigger impact than either alone.

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Ebola: Decline encouraging, but critical gaps remain

 

MEDECINS SANS FRONTIERES                                                                         Jan. 26, 2015

A downward trend of new cases is reported in Médecins Sans Frontières (MSF) Ebola management centres across Guinea, Liberia and Sierra Leone, with just over 50 patients currently in its eight centres. While this is a promising development, the medical-humanitarian organisation cautions that loss of vigilance now would jeopardise the progress made in stemming the epidemic.

“This decline is an opportunity to focus efforts on addressing the serious weaknesses that remain in the response,” says Brice de la Vingne, MSF Director of Operations.  “We are on the right track, but reaching zero cases will be difficult unless significant improvements are made in alerting new cases and tracing those who have been in contact with them.”

The World Health Organization reported last week that only about half of new cases in both Guinea and Liberia are from known Ebola contacts, while in Sierra Leone there is no data available.  “A single new case is enough to reignite an outbreak,” continues de la Vingne. “Until everyone who has come into contact with Ebola has been identified, we cannot rest easy.”

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USAID broadens effort to correct Ebola misinformation in Liberia

DEVEX   by Molly Anders                                                                                   Jan. 26, 2015

In the scramble to reach the most remote residents of Ebola-hit Liberia, the U.S. Agency for International Development has signed on Mercy Corps, Finnish Church Aid and many other organizations to spread information about the disease to the country’s farthest-flung areas, and to correct misinformation along the way.

 

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Report by the Director-General to the Special Session of the Executive Board on Ebola

 

Statement by Dr. Margaret, Director-General of the World Health Organization to a Special Session of the Executive Board on Ebola

WHO PRESS OFFICE, Geneva                                                                                       Jan. 25, 2015

Excerpt:

"The Ebola outbreak points to the need for urgent change in three main areas: to rebuild and strengthen national and international emergency preparedness and response, to address the way new medical products are brought to market, and to strengthen the way WHO operates during emergencies."

Read complete statement.

http://www.who.int/dg/speeches/2015/executive-board-ebola/en/

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WHO Board Agrees on Reforms to Fix Ebola Response Mistakes

GENEVA-- The World Health Organization’s board agreed to create a special fund to respond to such outbreaks as Ebola and to set up a global health emergency workforce after the organization acknowledged mis-steps in its response to the epidemic.

 The WHO’s executive board agreed “in principle” at a meeting in Geneva Sunday to a contingency fund, and asked Director General Margaret Chan to develop by May options on its size and sources. Chan should also take immediate steps to establish a public-health reserve workforce that can be promptly deployed in response to health emergencies, according to the resolution adopted by senior health officials from 34 countries.

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Meant to Keep Malaria Out, Mosquito Nets Are Used to Haul Fish In

 

Millions of mosquito nets are given out fight to malaria in Africa, yet many faced with hunger use them as fish nets, creating potential environmental problems. Video by Ben C. Solomon on Publish Date January 24, 2015. Photo by Uriel Sinai for The New York Times.

NEW YORK TIMES   by Jeffery Gettleman                           Jan. 25, 2015

BANGWEULU WETLANDS, Zambi --Across Africa, from the mud flats of Nigeria to the coral reefs off Mozambique, mosquito-net fishing is a growing problem, an unintended consequence of one of the biggest and most celebrated public health campaigns in recent years.

The nets have helped save millions of lives, but scientists worry about the collateral damage: Africa’s fish.

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WHO mulls reforms to repair reputation after bungling Ebola

ASSOCIATED PRESS  by Marian Cheng                                                                       Jan. 25, 2015

GENEVA  — The World Health Organization is debating how to reform itself after botching the response to the Ebola outbreak, a sluggish performance that experts say cost thousands of lives.

On Sunday, WHO's executive board planned to discuss proposals that could radically transform the United Nations health agency in response to sharp criticism over its handling of the West Africa epidemic.

"The Ebola outbreak points to the need for urgent change," said Dr. Margaret Chan, WHO's director-general. She acknowledged that WHO was too slow to grasp the significance of the Ebola outbreak, which is estimated to have killed more than 8,600 people, mainly in Guinea, Liberia and Sierra Leone.

"The groundswell of dissatisfaction and lack of trust in WHO over Ebola has reached such a crescendo that unless there is fundamental reform, I think we might lose confidence in WHO for a generation," said Lawrence Gostin, director of the WHO Collaborating Center on Public Health Law and Human Rights at Georgetown University.

Read complete story.

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Sierra Leone eases blocks on travel, business as Ebola wanes

ASSOCIATED PRESS  by Clarence Roy-Macaulay                                                                  Jan. 23, 2015

FREETOWN, Sierra Leone (AP) -- With the Ebola outbreak weakening in West Africa, Sierra Leone eased restrictions on movement and commercial activity Friday even as the president warned that the fight against the deadly disease is not yet over.

The outbreak has sickened more than 21,000 people, nearly half of them in Sierra Leone. But the number of new infections is now falling in Sierra Leone, Guinea and Liberia, the three most affected countries.

President Ernest Bai Koroma announced in a national broadcast that, starting Friday, the country would lift all district quarantines and extend business hours on Saturdays. Koroma said that while people must remain vigilant, easing the restrictions would jump-start the economic recovery. In addition to its human toll, Ebola has hammered the economies of the three most affected West African nations...Sierra Leone plans to reopen schools in March...

Read complete story.
http://news.yahoo.com/sierra-leone-eases-blocks-travel-160805983.html;_ylt=AwrBEiI3ssNUX2IAGH3QtDMD

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