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No Ebola, S'il Vous Plait, We're French: The Ivory Coast Mindset

NPR                                                  Oct. 29, 2014
By Gregory Warner

There are all kinds of theories why Ebola hasn't arrived in Ivory Coast, despite the fact that it shares a long and very porous border with two Ebola-afflicted countries, Liberia and Guinea....

 

  Mumadou Traore, a field coordinator for CARE International, says the Ivory Coast's French bureaucracy is a "blessing"    when it comes to Ebola.

Dr. Seydou Coulibaly is the regional health director of Tompki county, which shares the longest border with Liberia and Guinea. He says that in the first weeks of the outbreak, before official prevention directives were issued from the capital, he was telling clinics and hospitals to send him daily Ebola watch reports. He gets a hundred a day. Even before the borders were sealed, he was sending health workers to take people's temperature when they crossed. He's also arranged trainings for schoolteachers and soldiers.

All these efforts will help, he says — maybe not to prevent the virus from coming to the country but at least the first eventual case will be well-managed. That's the main objective.

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Ebola: Better Maps Could Have Helped Fight Virus

How Maps Could Help Fight Ebola

SKY NEWS                                             Oct. 0, 2014

By Tom Cheshire, Technology Correspondent

LONDON -- Better maps could have helped contain the deadly Ebola virus, according to Medecins Sans Frontieres.

Ivan Gaytan, technology advisor to MSF, told Sky News the disease is "preventable" and could have been "easier to contain" if there was more knowledge of the region.

He said: "In any country where Ebola or any other infectious disease arrives, if you already have a good map which actually reflects the way people describe geography, you set up your clinical activities to take that data in the first place in the right way."

MSF, also known as Doctors Without Borders, will launch a project next month called Missing Maps, which lets anyone, anywhere in the world, annotate maps to show dwellings and infrastructure.

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Chuck Hagel Approves 21-Day Ebola Quarantine For Troops

Defense Secretary Chuck Hagel briefs reporters at the Pentagon, Wednesday, Oct. 1, 2014, on the military health care system. (AP Photo/Cliff Owen)

ASSOCIATED PRESS                                  Oct. 29, 2014
By Robert Burns

WASHINGTON (AP) — Defense Secretary Chuck Hagel on Wednesday approved a recommendation by military leaders that all U.S. troops returning from Ebola response missions in West Africa be kept in supervised isolation for 21 days.

 The move goes beyond precautions recommended by the Obama administration for civilians, although President Barack Obama has made clear he feels the military's situation is different from that of civilians, in part because troops are not in West Africa by choice.

In explaining his decision, Hagel noted that the military has more people in Africa helping with the Ebola effort than any other segment of the U.S. government.

 "This is also a policy that was discussed in great detail by the communities, by the families of our military men and women, and they very much wanted a safety valve on this," he said at a public forum in Washington.

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Mobile-phone records are an invaluable tool to combat Ebola. They should be made available to researchers

THE ECONOMIST                          Oct. 25, 2014

With at least 4,500 people dead, public-health authorities in west Africa and worldwide are struggling to contain Ebola. Borders have been closed, air passengers screened, schools suspended. But a promising tool for epidemiologists lies unused: mobile cell phone data.

When people make mobile-phone calls, the network generates a call data record (CDR) containing such information as the phone numbers of the caller and receiver, the time of the call and the tower that handled it—which gives a rough indication of the device’s location. This information provides researchers with an insight into mobility patterns...

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MSF Protocols for Staff Returning from Ebola-Affected Countries

DOCTORS WITHOUT BORDERS/MEDECINS SANS FRONTIERE                                      OCT. 23, 2014

Doctors without Borders (MSF)  describes its specific guidelines and protocols for staff members returning from Ebola assignments. The guidlines were posted following the hospitalization of Dr. Craig Smith, one of its workers, in New York City yesterday.

See full description

http://www.doctorswithoutborders.org/article/msf-protocols-staff-returning-ebola-affected-countries

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U.S. considering quarantine for returning Ebola health workers: CDC

REUTERS                                         OCT. 24, 2014

By David Morgan

WASHINGTON  - The Obama administration is considering quarantining healthcare workers returning to the United States from the Ebola hot zone of West Africa, after a New York doctor who treated Ebola patients there tested positive for the virus.

Tom Skinner, a spokesman for the U.S. Centers for Disease Control and Prevention, told Reuters on Friday that quarantine is among a number of options being discussed by officials from across the administration.

Staff of the emergency medical services in France (SAMU) wear Ebola virus protection outfits during a press presentation at the Necker Hospital in Paris, October 24, 2014. Credit: Reuters/Philippe Wojazer

"There are a number of options being discussed pertaining to the monitoring and mobility of healthcare workers who are returning to the United States from affected countries," Skinner said.

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Structural Adaptivity, Rebalancing by Watersheds - Part II

Here is the second part of my Rebalancing by Watersheds Exercise.  I presented the background work recently in my Part I post.  Part II contains a Concept Plan Map and a discussion of the more particular information and data that led me to the Plan. 

 

Both Parts I and Part II are only a condensed version of the full text I prepared.  Within the portions I left out for this version is a considerable amount of technical information that some readers may want to see.  I will provide more of it upon request. 

 

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WHO statement on the third meeting of the International Health Regulations Emergency Committee regarding the 2014 Ebola outbreak in West Africa

 

WHO    GENEVA                                                                         Oct. 23, 2014

 The WHO Ebola Emergency Committee statement issued today, following its meetings this week, said exit screening in Guinea, Liberia and Sierra Leone remains critical for reducing the exportation of Ebola cases.

The statement said "States should maintain and reinforce high-quality exit screening of all persons at international airports, seaport, and major land crossings, for unexplained febrile illness consistent with potential Ebola infection. The exit screening should consist of, at a minimum, a questionnaire, a temperature measurement and, if fever is discovered, an assessment of the risk that the fever is caused by Ebola Virus Disease (EVD). States should collect data from their exit screening processes, monitor their results, and share these with WHO on a regular basis and in a timely fashion. This will increase public confidence and provide important information to other States."

The report also encouraged States that have recently introduced entry screening measures to should share their experiences and lessons learned.

...The Committee reiterated its recommendation that there should be no general ban on international travel or trade.

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Structural Adaptivity, Rebalancing by Watersheds - Part I

 

One of the applications of structural adaptivity that I have presented is re-balancing our nation by major watersheds.  The benefits would be two-fold:  (1) growing our nation into urban regions where each would have resilient economic and adaptivity capacities; and (2) tying the regions to ample sources of fresh water by linking them to regional U.S. watersheds.

 

Because it would be such a large departure from recent trends and because I could discover no literature showing its possibility or desirability, I sought to perform an exercise to demonstrate its possibility.  In doing this, I am setting aside my own considerable shortcomings.  I am assuming that criticism of my arrogance in attempting such an exercise is less important than taking a step in a much-needed new direction.

 

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Red Cross: Ebola Could Be Contained Within 6 Months

Health workers bury the body of a woman who is suspected of having died of the Ebola virus in Bomi county, on the outskirts of Monrovia, Liberia, Oct. 20, 2014.

VOICE OF AMERICA                                                                            Oct.22, 2014

The head of the International Federation of Red Cross and Red Crescent Societies said the Ebola outbreak that has killed more than 4,500 people in West Africa could be contained within four to six months if the right steps are followed.

Elhadj As Sy told reporters Wednesday in China that the time frame was possible with good isolation and treatment for those with confirmed cases of Ebola, along with proper burials for those who died from the virus.

His comments come as the World Health Organization convenes a meeting of its Emergency Committee on Ebola to discuss the latest developments in the outbreak and whether to alter its recommendations.

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