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The economics of Ebola

HOMELAND SECURITY NEWS WIRE                                                                                             Nov. 13, 2014
By Catherine de Fontenay
Economists are being called upon to estimate the costs of the Ebola epidemic to West Africa and elsewhere. Economists, however, should also play a part in estimating the likelihood of the disease spreading. Economics is the study of incentives, and many biological models of the spread of the disease may be underestimating the impact of individual incentives.

 Based on cost-benefit analysis, the potential costs of Ebola spreading are extremely high and the risks may be much higher than they are currently portrayed. Voters and donors should support greater efforts to end Ebola in West Africa. As International Monetary Fund director Christine Lagarde says, “real action” is needed to counter the outbreak. Without such action Ebola places the global economy at risk.

...If Ebola spreads throughout West Africa, the cost could rise to US$32.6 billion by the end of 2015.
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http://www.homelandsecuritynewswire.com/dr20141113-the-economics-of-ebola

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Are we asking the wrong questions about Ebola?

BBC NEWS MAGAZINE                                            NOV. 11, 2014

By Ben Carter

The Ebola virus has killed about 5,000 people since March - but one scientist who is studying the statistics says this is not the best figure to consider if we really want to understand the current state of the outbreak and how to beat it.

 

 

A total of 4,960 people have died from Ebola this year according to statistics released by the World Health Organisation on 4 November. More than half of those cases - 2,766 - were in Liberia.

But this cumulative figure, which is widely reported, can only go one way - up. It gives no meaningful insight into how the outbreak has developed says Hans Rosling, professor of global health at the Karolinska Institute in Sweden....

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http://www.bbc.com/news/magazine-30011521

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Health Officials Reassess Strategy to Combat Ebola in Liberia

NEW YORK TIMES                                                         Nov. 13, 2014

By and

WASHINGTON — As the rate of new Ebola infections in Liberia has slowed, American and Liberian officials are debating whether to build all 17 planned Ebola treatment centers in the country or to shift money from the Obama administration that was planned for the centers into other programs to combat future outbreaks.

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Ebola: Online briefing now available to the public

 

 

DOCTORS WITHOUT BORDERS                                                                              Nov. 12, 2014

The international medical organisation Médecins Sans Frontières (MSF) or Doctors Without Borders has posted an online briefing on Ebola for aid workers involved in the battle against the haemorrhagic fever. This briefing package is now available to anyone wishing to gain a basic understanding of the virus and how it can be contained.

http://www.msf.org/article/ebola-online-briefing-now-available-public

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U.S. Ebola experience changes thinking about disease

USA TODAY                                   Nov. 11, 2014
By Liz Sazbo
The successful treatment of Westerners with Ebola in the USA and Europe is changing the way doctors think about the disease.

The conventional wisdom about Ebola has been that it's usually fatal, with a mortality rate of up to 90%. That was based largely on experience with Ebola in developing countries in Africa, where many hospitals have no running water and soap, let alone personal protective equipment for the medical staff.

All eight American patients with Ebola treated in the USA have survived. So have most Europeans evacuated to their home countries for care....

With early and aggressive care, "Ebola can be an eminently treatable disease," says Amesh Adalja, senior associate at the Center for Health Security at the University of Pittsburgh Medical Center.

In some ways, Ebola is a different disease in the USA and Europe than it is in Africa, just as cancer is a different disease here than in developing countries, says Jeffrey Duchin, a professor at the University of Washington-Seattle and spokesman for the Infectious Diseases Society of America. Both conditions are fearsome and dangerous, but experience shows that cancer and Ebola can often be survived if caught early and treated aggressively.

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What Employers Are Doing To Counter Ebola

FORBES MAGAZINE                              NOV. 11, 2014
By Tevi Troy, President, American Health Policy Institute

Ebola has killed over 5,000 people, roiled U.S. hospitals, and shaken the faith of Americans in the government’s ability to respond. At the same time, and below the radar, U.S. companies are responding to Ebola with a variety of steps to protect themselves, their employees, and their operations.

The most important element of communicating the threat of the Ebola outbreak for both the government and corporate leaders is to provide factual information while also preventing panic and fear. There have been 5,000 false alarm cases of Ebola as people flock to U.S. emergency rooms out of fear that their common cold or seasonal flu symptoms are early manifestations of the Ebola virus. This hysteria not only has potential mental and physical health implications, but also economic implications. Fear may incentivize some people to change their behavior, whether through cancelling flights and vacation plans or visiting the doctor and stocking up on medications. Furthermore, treating suspected Ebola patients, even if they don’t pan out, is expensive and labor intensive for hospitals.

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Is The Response in Liberia Succeeding? Positive indications

NEW ENGLAND COMPLEX SYSTEMS INSTITUTE                                                                        Oct. 27, 2014
ABSTRACT
By Kia Hall and Yaneer Bar-Yam
The number of cases of Ebola in West Africa has been growing exponentially, and projections assume that this dynamic will continue. However, recent case reports from Liberia indicate a change. The number of new confirmed cases reported by WHO has actually diminished for five weeks in a row.
The WHO report suggests that this may be due to underreporting under conditions of high levels of stress of the number of cases taking place.

Here we report that there appears to be a sound reason for the decreasing number of cases—a change in response strategy that is working. Understanding this dynamic is of critical importance for addressing the outbreak in Sierra Leone and Guinea. In particular the number of cases in Sierra Leone continues to grow exponentially.

Discussions with a WHO response coordinator in Liberia indicates that a change in strategy from individual reporting and contact tracing to community based screening for early detection and population wide behavior change happened in mid September.

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7 Key Insights in Using ICT to Improve Ebola Response

Image: A billboard that reads 'Stop the Ebola Virus'

Image: A billboard that reads 'Stop the Ebola Virus'

ictworks.org - October 31st 2014 - Wayan Vota

Yesterday, we had the 85th Technology Salon in Washington, DC, this one focused on How Can ICTs Improve Our Ebola Response? Be sure to sign up to get invited to our next event.

In the lively morning-long discussion with 35 key thought leaders and decision makers from across the technology and development sectors, we came to several interesting conclusions.

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Exclusive: U.S. Ebola researchers plead for access to virus samples

A transmission electron micrograph shows Ebola virus particles in this undated handout image released by the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) in Fredrick, Maryland. Credit: Reuters/USAMRIID/Handout

Image: A transmission electron micrograph shows Ebola virus particles in this undated handout image released by the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) in Fredrick, Maryland. Credit: Reuters/USAMRIID/Handout

reuters.com - November 5th 2014 - Julie Steenhuysen

Scientists across the United States say they cannot obtain samples of Ebola, complicating efforts to understand how the virus is mutating and develop new drugs, vaccines and diagnostics.

The problems reflect growing caution by regulators and transport companies about handling Ebola as well as the limited resources of West African countries which are struggling to help thousands of infected citizens.

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Morocco Insists on Delaying African Cup Over Ebola

ASSOCIATED PRESS                                   Nov. 8, 2014

REBAT-- Morocco is sticking to its demand to postpone the African Cup of Nations football tournament due to the outbreak of Ebola in West Africa, despite pressure from the Confederation of African Football.

A statement from the Ministry of Sports late Saturday said that because of the "spread of the deadly Ebola pandemic," Morocco was maintaining its call for delaying the tournament it is scheduled to host from Jan. 17-Feb. 8, to the following year.

The Confederation of African Football has repeatedly rejected calls to postpone the tournament and last Monday gave Morocco five days to agree to hold the tournament as scheduled or they would reassign it.

The body will meet again on Tuesday to make a final decision on whether the tournament will be delayed or assigned to another country.

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http://abcnews.go.com/Sports/wireStory/morocco-insists-delaying-african-cup-ebola-26781383

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Ebola outbreak: Africa sets up $28.5m crisis fund

BBC                                                   Nov. 8 2014

Top African business leaders have established an emergency fund to help countries hit by the Ebola outbreak.

A pledging meeting in Addis Ababa, Ethiopia, raised $28.5m to deploy at least 1,000 health workers to Guinea, Sierra Leone and Liberia..... 

It is not clear why exactly the number of cases in Liberia has dipped - but it has been running an awareness campaign to advertise best health practices and install hand washing stations.

Speaking at the end of the Addis Abada meeting, African Union chairman Dlamini Zuma said the resources mobilised would be part of a longer term programme to deal with such outbreaks in the future.

The chairman of telecommunications giant Econet Wireless, Strive Masiyiwa, said that several companies had pledged money to the emergency fund - to be managed by the African Development Bank.

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http://www.bbc.com/news/world-africa-29967124

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New England researchers help shape the fight on Ebola

THE BOSTON GLOBE                                  Nov. 3, 2014

By Carolyn Y. Johnson

Northeastern University researchers use computers to simulate 20 million virtual Ebola outbreaks each week. Yale scientists are building three models that project the spread of the deadly disease. And a team at Boston Children’s Hospital is combing through data to gauge whether medical interventions are working.

....  they are providing a constant stream of evidence that is beginning to reveal the weak spots of the epidemic. For example, scientists’ models are beginning to identify basic patterns of who is being infected and when and how Ebola is being spread, which could help identify the most meaningful ways to intervene.

...According to their model, isolating three-quarters of the patients within the first four days that they show symptoms would help eliminate the disease.

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http://www.bostonglobe.com/metro/2014/11/02/ebola-disease-modelers-new-england-help-predict-future-spread-best-strategies/LZHSEGlInJs6SflLWW0yaP/story.html

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Nigerian-virologist-delivers-scathing-analysis-africas-response-ebola

SCIENCE INSIDER                                         Nov. 3, 2014

By Kai Kupferschmidt

VIENNA—After Oyewale Tomori finished his talk on Ebola here at the International Meeting on Emerging Diseases and Surveillance, there was stunned silence. Tomori, the president of the Nigerian Academy of Science, used his plenary to deliver a scathing critique of how African countries have handled the threat of Ebola and how corruption is hampering efforts to improve health. Aid money often simply disappears, Tomori charged, "and we are left underdeveloped, totally and completely unprepared to tackle emerging pathogens."

"Ebola is Africa's problem," says Oyewale Tomori.

 

Trained as a veterinarian, Tomori was the World Health Organization’s (WHO's) regional virologist for the African region in 1995 during the Ebola outbreak in Kikwit in the Democratic Republic of the Congo (DRC).

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Home> Health 'Post-Ebola Syndrome' Persists After Virus Is Cured, Doctor Says

ABC NEWS                                       Nov. 3, 2014
By via Good Morning America

West Africans fortunate to survive Ebola may go on to develop what's being called "post-Ebola syndrome," characterized by vision loss and long-term poor health, a doctor told a World health Organization.

People stand in the "red zone" where they are being treated for Ebola at the Bong County Ebola Treatment Unit in Monrovia, Liberia, Oct. 28, 2014.

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The toll of a tragedy

An infographic of the toll of the Ebola outbreak.

Image: An infographic of the toll of the Ebola outbreak.

economist.com - October 31st 2014

The first reported case in the Ebola outbreak ravaging west Africa dates back to December 2013, in Guéckédou, a forested area of Guinea near the border with Liberia and Sierra Leone. Travellers took it across the border: by late March, Liberia had reported eight suspected cases and Sierra Leone six. By the end of June 759 people had been infected and 467 people had died from the disease, making this the worst ever Ebola outbreak.

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