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Some Examples of Structural Adaptivity - Part III

 

Here are 4 more examples of structural adaptivity for resilience.  As with the other examples presented previously, they only are intended to illustrate the concept of structural adaptivity for resilience.  They are intended to focus on the structure or structural elements of cities and/or regions.  Moreover, they are intended to demonstrate how such structural elements can be located, organized, or otherwise developed to have capacity to adapt to the continuing needs of the citizens - as the unknown and rapidly changing future unfolds.

 

Polycentric Urban Development.  Urban development need no longer be monocentric (having only one center).  In fact, such a pattern is not adaptive to meet the future.

 

Central business districts have traditionally been the home of government, financial institutions, offices, civic plazas and the like, as well as many commercial retail and services.  They have also often contained many churches, health care facilities, educational institutions, libraries, museums, convention centers, theatres, etc.

 

Upcoming CDC estimate reportedly predicts up to 500,000 Ebola victims - Leaked

Washington Post, September 20
 

The Ebola epidemic sweeping West Africa could infect up to 500,000 people by the end of January, according to a new estimate under development by the Centers for Disease Control and Prevention.

The report is scheduled to be released next week, but work on it is still ongoing and projections could change, said a person who is familiar with its contents but was not authorized to speak because the report is not yet public.

U.S. Public Health Service Commissioned Corps to Help Treat Ebola Patients in Liberia

                               

hhs.gov - September 16, 2014

A team of specialized officers from the U.S. Public Health Service Commissioned Corps is being prepared to deploy to manage and staff a previously announced U.S. Department of Defense hospital in Liberia to care for health care workers who become ill from Ebola.

The U.S. Public Health Service Commissioned Corps is part of the U.S. Department of Health and Human Services. The Commissioned Corps is an elite uniformed service with more than 6,800 full-time, highly qualified public health professionals, serving the most underserved and vulnerable populations domestically and abroad.

Sixty-five Commissioned Corps officers, with diverse clinical and public health backgrounds, will travel to Liberia to provide direct patient care to health care workers. In addition to their professional expertise, these officers will undergo further intensive training in Ebola response and advanced infection control.

UN Announces Mission to Combat Ebola, Declares Outbreak ‘Threat to Peace and Security’

un.org

18 September 2014 – The Security Council, in its first emergency meeting on a public health crisis, today declared the Ebola outbreak in West Africa a threat to peace and security, as Secretary-General Ban Ki-moon announced that the United Nations will deploy a new emergency health mission to combat one of most horrific diseases on the planet that has shattered the lives of millions.

“This international mission, to be known as the United Nations Mission for Ebola Emergency Response, or UNMEER, will have five priorities: stopping the outbreak, treating the infected, ensuring essential services, preserving stability and preventing further outbreaks,” Mr. Ban told the Security Council.

“Under the leadership of a Special Representative of the Secretary-General, the Mission will bring together the full range of UN actors and expertise in support of national efforts,” he said, adding that details of the mission were sent in a letter to the Security Council and the UN General Assembly.

U.N. Security Council - Peace and Security in Africa (Ebola)

http://www.un.org/apps/news/story.asp?NewsID=48746#.VBuEjxZupbE

September 18, 2014

Deadly Ebola Outbreak Matters to Everyone, Secretary-General Tells Security Council, Urging Financial Support for Special Emergency Response Mission

Following are UN Secretary-General Ban Ki-moon’s remarks to the Security Council meeting on Ebola, in New York today:

http://www.un.org/News/Press/docs/2014/sgsm16154.doc.htm

http://webtv.un.org/#

Update: Attacks on WHO Healthcare Workers in Nzerekore Region of Guinea

The flutrackers forum has been an excellent source of Ebola-related information.  Here is a summary of their updates on the attacks on WHO healthcare workers in the Nzerekore region of Guinea (see actual flutrackers posts in the link below).

Last month (in August 2014) the general market area of Nzerekore was sprayed (to disinfect) by healthcare workers during the night, without the people being informed that the spraying would be taking place.

The people of Nzerekore were angered by this action, so a riot broke out the following morning.  Since then, the people of Nzerekore have had an aversion to healthcare workers.

When the WHO healthcare workers arrived (this week) to educate the people on Ebola, they were quickly surrounded and their bodyguards were overcome by large numbers of youth from the village.  The WHO healthcare workers and the bodyguards were assaulted, and had to flee for their lives.  The number of injured and deaths from this attack has not yet been determined. Some may still be in hiding, or being held hostage.

Healthcare workers should not enter this epicenter region until an understanding with the people of the village is reached.

U.N. Leader Plans Stronger Presence in Ebola Zone

submitted by Mike Kraft

      

A burial team on Wednesday collected the body of a person who was thought to have died from Ebola in Monrovia, Liberia. Credit Daniel Berehulak for The New York Times

nytimes.com - By SOMINI SENGUPTA, RICK GLADSTONE and SHERI FINK - September 17, 2014

The United Nations secretary general, Ban Ki-moon, said on Wednesday that he planned to establish a new on-the-ground mission in West Africa to coordinate the struggle against Ebola, a move that signaled his concern with the response so far and the limitations of the World Health Organization’s abilities.

In an interview with the editorial board of The New York Times, Mr. Ban said that he intended to ask the General Assembly to support his plan in order to demonstrate the unanimous global concern about Ebola, the deadly virus that is spreading at exponential rates in three Western African countries.

Ebola Training for Health Care Workers to Begin in Northeast Alabama

al.gov - by Mike Oliver - September 15, 2014

ANNISTON, Alabama -- Everything you need to know about treating Ebola -- and staying alive doing so -- will be taught in training sessions which kick off with a pilot program Sept. 22 in this northeastern Alabama town.

The Centers for Disease Control and Prevention is behind this series of 3-day training sessions for health care workers who may deploy to Africa's hotspots, said CDC spokeswoman Kristen Nordlund.

"This is something new we are doing for the outbreak," she said.

According to a sample syllabus, topics range from laboratory and diagnostic testing to simulating drawing blood from an Ebola patient (no real Ebola patients will participate.)

Participants will also learn how to transport or move patients, proper ways to dispose of waste and burial procedures.

(READ COMPLETE ARTICLE)

CLICK HERE - CDC Safety Training Course for Healthcare Workers Going to West Africa in Response to the 2014 Ebola Outbreak

Very Few Aircraft Equipped to Evacuate Ebola Patients

submitted by Mike Kraft

      

Phoenix Air, which has equipped two Gulfstream III planes to accommodate Ebola patients, has so far transported 5 such patients.  Photo - Phoenix Air Group

cidrap.umn.edu - by Robert Roos - September 16, 2014

With West Africa's burgeoning Ebola epidemic expected to last at least 6 to 9 more months, the demand for evacuations of visiting medical workers who get infected seems likely to grow. That demand might well collide with a shortage of aircraft that are equipped to safely transport Ebola patients.

The four Ebola patients who have been evacuated from West Africa to the United States have all been flown by Phoenix Air of Carterville, Ga., which has two Gulfstream III business jets that are specially equipped to carry such patients at minimal risk to others on the plane.

Other aircraft that are properly equipped to transport Ebola patients are very scarce, according to US mission organizations that have arranged evacuations for a few of their workers in West Africa.

(READ COMPLETE ARTICLE)

Hell in the Hot Zone

      

DON'T TOUCH Health workers in protective gear prepare to see patients at the Ebola-treatment center in the courtyard of Donka hospital, in Conakry, Guinea.  Photo: by Jeffery E. Stern

vanityfair.com - by Jeffery E. Stern - October 2014

As the Ebola epidemic rages, two questions have emerged: How did the deadly virus escape detection for three months? And why has a massive international effort failed to contain it? Traveling to Meliandou, a remote Guinean village and the likely home of Patient Zero, Jeffrey E. Stern tracks the virus’s path—and the psychological contagion that is still feeding the worst Ebola outbreak in history.

(READ COMPLETE ARTICLE)

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