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Thoughts turn to recovery as Ebola slowly ebbs in West Africa

 REUTERS By Daniel Flynn, James Harding Giahyue and Saliou Samb                              Feb. 27, 2015

 DAKAR/MONROVIA/CONAKRY - In the marble atrium of the Mammy Yoko hotel in Freetown, manager Nuno Neves has spotted something he has not seen since the Ebola virus struck Sierra Leone nine months ago: foreign businessmen.

The Radisson Blu chain opened the four-star hotel in April to cater for investors in one of Africa's fastest-growing economies. A month later, Ebola crossed the border from Guinea and those investors fled....

For months, Sierra Leone was cut off from the world amid panic at the worst recorded outbreak of the hemorrhagic fever, which has killed more than 9,500 people in Sierra Leone, Guinea and Liberia and infected over 23,500.

But with infection rates slowly declining, investors have begun to talk about post-Ebola reconstruction. Neves has noted the return of businessmen not seen since the hotel opened.

"They don't bring their teams. They just come to see what is going on and then they leave," he said, adding that 'business as usual' remains far off. "This will be a year focused on Ebola. First the fight to end Ebola and then reconstruction...."

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Leaders of Ebola Fight at U.N. Express Worry About Eradication

NEW YORK TIMES  by Rick Gladstone                                    Feb. 20, 2015

The top two health officials managing the Ebola epidemic cast doubt Friday on a pledge by West African leaders to reduce new cases to zero by mid-April, and expressed concern about a possible rebound of the disease.

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Dr. David Nabarro - Ebola - UN General Assembly - Feb. 18, 2015

18 Feb 2015 - Statement by Dr. David Nabarro, Special Envoy of the Secretary-General on Ebola at the informal meeting of the plenary of the General Assembly on the latest developments concerning the Ebola epidemic.

http://webtv.un.org/watch/david-nabarro-on-ebola-informal-meeting-of-the-general-assembly-18-february-2015/4066125793001

CLICK HERE FOR ADDITIONAL RELATED VIDEOS AND SUPPORTING DOCUMENTATION

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UN Mission for Ebola Emergency Response (UNMEER) External Situation Report

UN Mission for Ebola Emergency Response (UNMEER)                                                         Feb. 16, 2015

Conakry, Guinea --Statement issued by the heads of Guinea, Liberia and Sierra Leone upon approving an operational framework designed to reduce new Ebola infections to zero within 60 days.

The framework calls for infection prevention and control, social mobilization, community engagement, surveillance, cross border collaboration. 

The leaders also "advocated for a seamless and responsible exit by international partners dictated by the epidemiology and by the adequate transfer of capacity to national institutions."

The statement includes a list of developments and responses.

Read complete statement.

https://ebolaresponse.un.org/sites/default/files/150216-_unmeer_external_situation_report.pdf

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Ebola spending: will lack of a positive legacy turn dollars to dolour?

Millions were invested in west Africa to tackle the Ebola crisis, but some experts doubt there will be any lasting benefits for public health systems

THE GUARDIAN by 

LONDON -- While it is still too early to call time on the Ebola outbreak, a sense that the worst may have passed is tentatively taking root in west Africa, alongside an acute realisation of the need to ensure a positive long-term legacy for battered healthcare systems.

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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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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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Doing Business in Africa - A Focus on the Business and Economic Impact of Ebola

kpmg.com

How does Ebola affect business and the economy in Africa?

We are one world; we are affected by the wellbeing of our neighbours and our business partners…
The stories of human suffering coming out of West Africa are staggering. The human cost of this strange disease, immense. The fall-out of the epidemic is not just health-related. It is also economic.

KPMG Africa has collaborated across our healthcare practices in West, East and Sub-Saharan Africa to explore the impact of Ebola, both on the affected countries as well as on the businesses of some of our key clients.
Despite the recent economic growth in these countries, the inherent weaknesses that persist in these healthcare systems have been exposed by the outbreak.

The negative impact of the outbreak on the economies of these countries has less to do with direct costs of dealing with the disease, than the costs of aversion behaviour.

For three countries, Liberia, Sierra Leone and Guinea, just recently able to bask in the rays of political and economic stability, the economic damage is depressing.

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