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Leading from behind the curve on Ebola

- September 15 2014 - washingtonpost.com

The nation of Liberia — founded by liberated American slaves with support from Henry Clay, Daniel Webster and James Monroe — is not unacquainted with suffering. Two civil wars in the period from 1989 to 2003 and decades of economic mismanagement caused an 80 percent decline in per capita GDP — perhaps worse than any country since World War II. Warlords reduced Liberia’s infrastructure to rubble. In the 15 years following 1991, there was no electricity in the country except for private generators.

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Rains complicate delivery of Ebola supplies in West Africa

 

Mon Sep 29, 2014 

WASHINGTON - The rainy season in West Africa is compounding difficulties in getting supplies delivered and new treatment centers built as donors rush to isolate people infected with the deadly Ebola virus and stop its rapid spread, U.S. officials said.

Nancy Powell, newly appointed as the U.S. State Department's envoy to coordinate its Ebola response, said the top priority is to isolate as many people as quickly as possible. But that faces significant logistical hurdles.

"Infrastructure challenges in the rainy season is one of the biggest difficulties. And you add the rain and getting materials out of the capital and it is very difficult," Powell said in a news briefing last week.

The July to September rainy season is coming toward its end, but October is known for heavy thunderstorms that can drench the region and turn roads to mud.

Eric Talbert, executive director of Emergency USA which has opened a 22-bed Ebola treatment center in Goderich, outside the capital of Freetown in Sierra Leone, said the downpours complicate getting supplies along unpaved single track roads that are washed out by the heavy rains..

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World Health Organization (WHO) - Ebola Portal - Map

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Situation Report Overview by the Associated Press

 

Bulk of promised global aid has yet to materialize on the ground

 The Associated Press Posted: Sep 28,  Updated: Sep 28, 2014 1:10 PM ET

  Doctors are in short supply. So are beds for patients. Six months after the Ebola outbreak emerged for the first time in an unprepared West Africa and eventually became the worst-ever outbreak, the gap between what has been sent by other countries and private groups and what is needed is huge.

Even as countries try to marshal more resources, those needs threaten to become much greater, and possibly even insurmountable....

Beds are filling up as fast as clinics can be built. Ambulance sirens blare through standstill traffic. Often, there is nowhere to take the sick except to "holding centres" where they await a bed at an Ebola treatment facility.

The virus has killed almost 3,000 people and infected more than 6,200 in Liberia, Sierra Leone, Guinea, Nigeria and Senegal.

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Woman Saves Three Relatives from Ebola

      

Her trash bag protection method is being taught to others in West Africa who can't get personal protective equipment.
John Bonifield / CNN

cnn.com - by Elizabeth Cohen - September 26, 2014

. . . imagine how 22-year-old Fatu Kekula felt nursing her entire family through Ebola. . .

. . . Three out of her four patients survived. . .

. . . Fatu, who's in her final year of nursing school, invented her own equipment. International aid workers heard about Fatu's "trash bag method" and are now teaching it to other West Africans who can't get into hospitals and don't have protective gear of their own.

(READ COMPLETE ARTICLE)

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Doctor in Liberia reports some success in treating Ebola with an HIV drug

The Washington Post Follow-up to the original CNN report        Oct. 2, 2014

Since the original CNN interview, Logan has been in contact with Dr. Fauci. "I can't say it's a good idea or bad idea," Fauci told The Post this week. "It's one of those things where you're in a situation where you have no therapy, so you look for things that might be available."

Fauci said National Institutes of Health researchers have tested lamivudine's reaction to Ebola in test tubes. There was no response; but Fauci said researchers will adjust some levels and try it again "to see if there's even slight activity against Ebola."

If there is, he said, NIH would consider going to the trial stage.

It makes sense to consider lamivudine as a potential Ebola treatment: It belongs to a group of drugs known as nucleoside analogs, which interfere with the replication processes of certain viruses, Fauci explained.

See Washington Post report

http://www.washingtonpost.com/news/to-your-health/wp/2014/10/02/a-liberian-doctor-is-using-hiv-drugs-to-treat-ebola-victims-the-nih-is-intrigued/

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U.S. Chamber of Commerce Foundation - Ebola Outbreak Coordination Conference Call

                    

uschamberfoundation.org

Event: Corporate Citizenship Center - Ebola Outbreak Coordination Conference Call
Friday, September 26, 2014 - 2:00pm

The U.S. Chamber of Commerce Foundation Corporate Citizenship Center (CCC) hosted a conference call on Friday, September 26 at 2:00 p.m. Eastern Time to discuss the Ebola outbreak in West Africa.

Over the past six months, an Ebola outbreak has affected five countries in West Africa (Guinea, Liberia, Nigeria, Senegal, and Sierra Leone).  The current outbreak is unprecedented in scale and geographical reach: the present West Africa outbreak has a higher caseload than all other previous Ebola crises combined.  Worse yet, the United Nations reports that the outbreak continues to accelerate, with almost 40% of the total cases occurring in the past 21 days.

CCC’s Ebola coordination conference call will provide updated information on the humanitarian response and the efforts to contain the disease.  It will also detail ways that the business community can help.

CLICK HERE - Listen to the Call Archive

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Ebola: a Failure of International Collective Action

The Lancet, Volume 384, Issue 9949, Page 1181, 27 September 2014
doi:10.1016/S0140-6736(14)61606-8
 
Published Online: 10 September 2014
 
Mit Philips, Aine Markham

The Lancet Editorial (Aug 23, p 637)1 sums up the collective failure to respond in a manner that might have avoided or at least limited the scale of the present Ebola epidemic.

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Ebola Control Measures and Inadequate Responses

The Lancet, Volume 384, Issue 9949, Pages 1181 - 1182, 27 September 2014
doi:10.1016/S0140-6736(14)61346-5
 
Published Online: 10 September 2014
 
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UPDATE: WHITE HOUSE MEETING TODAY ON GLOBAL HEALTH STRATEGY

Update of this Morning's story:

Obama tells global health officials: After Ebola, ‘we have to do better.’Obama tells global health officials: After Ebola, ‘we have to do better.’

WASHINGTON POST
By Juliet Eilperin September 26 at 1:30 PM

WASHINGTON --

President Obama addressed health officials from dozens of countries who had gathered Friday at the White House to determine ways the international community can strengthen defenses against future epidemics, such as the Ebola outbreak now raging in West Africa.

Administration officials had launched a global health security initiative in February to help other nations develop basic disease detection and monitoring systems to contain the spread of deadly illnesses.

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Video - UN - Meeting on Response to the Ebola Virus Disease Outbreak - September 25, 2014

webtv.un.org - September 25, 2014

High-level meeting on Response to the Ebola Virus Disease Outbreak.

(VIEW THE VIDEO HERE)

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Global Response to Ebola Is Too Slow, Obama Warns

nytimes.com - by MARK LANDLER and SOMINI SENGUPTA - September 25, 2014

UNITED NATIONS — Seeking to speed the response to the Ebola outbreak in West Africa, President Obama delivered a blunt warning on Thursday at a high-level United Nations meeting devoted to the health crisis: The world was doing too little and moving too slowly.

Mr. Obama cited his announcements last week that the Pentagon would build a field hospital and treatment units in Liberia, Guinea, and Sierra Leone — along with the establishment of a United Nations emergency mission to respond to the Ebola outbreak — as positive steps.

“But I want us to be clear: We are not moving fast enough. We are not doing enough,” the president said. “There is still a significant gap between where we are and where we need to be.”

(READ COMPLETE ARTICLE)

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PRESIDENT OBAMA CALLS ON MORE NATIONS TO HELP COMBAT EBOLA

REUTERS

NEW YORK/FREETOWN Thu Sep 25, 2014 8:04pm EDT

(Reuters) - President Barack Obamatoday  called on more nations to help fight the world's worst outbreak of the deadly Ebola virus, saying hundreds of thousands of lives were at stake.

The warning came shortly after the World Health Organisation gave a rare hint of optimism in the West African crisis, announcing that the spread of the disease in Guinea appeared to have stabilised.

"More nations need to contribute critical assets and capabilities -- whether it's air transport, medical evacuation, health care workers, equipment or treatment," Obama told a meeting on Ebola on the sidelines of the U.N. General Assembly.

"If unchecked, this epidemic could kill hundreds of thousands of people in the coming months."

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John Kerry appoints Nancy Powell as Ebola Coordinator

Nancy PowellBy: PTI - 25, Sep 2014 9:12 AM (IST) - newsnation.in

Washington: US Secretary of State John Kerry has appointed Nancy Powell, the former US Ambassador to India, as Ebola Coordinator at the State Department.

In this new role, announced yesterday, Powell will lead the State Department's outreach to international partners, including foreign governments, to ensure a speedy and truly global response to this crisis.

Obama had last week declared the Ebola outbreak as a "global threat" which demands "a truly global response."

http://m.newsnation.in/article/55710-john-kerry-appoints-nancy-powell-ebola-coordinator.html

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RECORDED - Congressional Seminar on the Ebola Outbreak: What’s Needed to End This Crisis? | September 24, 2014 - (12-1:30pm ET)

CLICK HERE TO VIEW THE RECORDED CONGRESSIONAL SEMINAR

Hosted by:

Senator Chris Coons, Chair, Foreign Relations Subcommittee on African Affairs

Senator Jeff Flake, Ranking Member, Foreign Relations Subcommittee on African Affairs

UPMC Center for Health Security

Wednesday, September 24, 2014

Capitol Visitors Center, Room SVC201-00 (Event is full, please join us on our livestream video)

12:00pm - 1:30pm

The United States and many other nations and international organizations are helping to respond to the unprecedented Ebola outbreak in West Africa. Panelists will discuss: What are the latest updates on the ground? What have we learned so far? Are governments, WHO, and NGOs doing all that is needed to help stop the outbreak? What types of infrastructure vulnerabilities contributed to the current Ebola outbreak? What, if anything, should we be doing differently now or in the future to assist West Africa and other regions in containing future epidemics?

CLICK HERE for Additional Information

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