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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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Microsoft co-founder Allen to give $100M to fight Ebola

USA TODAY                                                                                               Oct. 23, 014
Bt Brett Melino

Microsoft co-founder Paul Allen says he will pledge at least $100 million to help fight the spread of Ebola.

In a statement released through his personal website on Thursday, Allen says the funding will go to the State Department to develop medevac containment units to evacuate health professionals from West Africa.

Allen is also working with the University of Massachusetts Medical School to donate funds to offer training, medical workers and equipment in Liberia, one of the nations hardest hit by the Ebola epidemic....

Allen is not the first prominent tech name to lend their fortunes toward the Ebola crisis. Last week, Facebook CEO Mark Zuckerberg and his wife, Priscilla Chan, gave $25 million to the CDC Foundation. Last month, fellow Microsoft co-founder Bill Gates donated $50 million through his foundation to battle Ebola.

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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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Nigeria to Send Medics to West African Neighbors Stricken With Ebola

      

Health workers wearing protective clothing carry the body of an Ebola virus victim in the Waterloo district of Freetown, Sierra Leone, on Tuesday. Reuters

Volunteer Health Workers Will be Sent to Liberia, Sierra Leone and Guinea

wsj.com - by Gbenga Akingbule and Drew Hinshaw - October 23, 2014

Nigeria will send 506 medics to its West African neighbors stricken with Ebola, its Health Minister Khaliru Alhassan told reporters Thursday, an announcement that catapults the country into one of the biggest contributors of human talent against the disease.

All of those health workers are volunteers, he said, and they’ll be sent to Liberia, Sierra Leone, and Guinea.

The announcement goes a small distance toward filling a critical shortfall: nurses and doctors willing to treat Ebola patients.

(READ COMPLETE ARTICLE)

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Ebola kills, but it may be immunizing others at the same time

HOMELAND SECURITY NEWS WIRE                                         Oct. 22, 2014

Two Ebola researchers suggest that as Ebola continues to spread in West Africa, it may be silently immunizing large numbers of people who never fall ill or infect others, yet become protected from future infection. If such immunity is confirmed, it would have significant ramifications on projections of how widespread the disease will be and could help determine strategies that health workers use to contain the disease, according to a letter published last week in The Lancet medical journal.   http://download.thelancet.com/flatcontentassets/pdfs/PIIS014067361461839...

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U.S. tightens Ebola monitoring for West African visitors

NEW YORK -- U.S. health officials imposed fresh constraints on Wednesday on people entering the country from three countries at the center of West Africa's Ebola epidemic, mandating that they report their temperature daily and stay in touch with health authorities.

U.S. Coast Guard Health Technician Nathan Wallenmeyer (L) and Customs Border Protection (CBP) Supervisor Sam Ko conduct prescreening measures on a passenger arriving from Sierra Leone at O’Hare International Airport's Terminal 5 in Chicago, in this handout picture taken October 16, 2014.

The move announced by the U.S. Centers for Disease Control and Prevention (CDC) marked the latest precautions put in place by the U.S. government to stop the spread of the virus, but stopped short of a ban on travelers from Liberia, Sierra Leone and Guinea as demanded by some lawmakers.

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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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Neighboring countries shore up anti-Ebola defenses

DEUTSCHE  WELLE                                                                             Oct. 21, 1914

 By Philipp Sandner and Ibrahima Bah

West African countries that have escaped the Ebola outbreak intend to stay free of it by preparing for the worst. It is a strategy that can work as events in Senegal and Nigeria have shown. 

Mali, Senegal, Ivory Coast and Guinea-Bissau are countries that border on the epicenter of the Ebola epidemic that encompasses Guinea, Liberia and Sierra Leone. All these nations wish to protect themselves.

A health worker takes the temperature of man entering Mali from Guinea

One of the more obvious measures is to screen people entering the country. "We are using thermal imaging cameras to detect people at airports and borders who are running a temperature," said Malian physician Adamas Daou. He works at Mali's National Action Center for the fight against Ebola. Medical personnel are also on duty urging Malians to practice good personal hygiene. "This includes washing their hands in chlorinated water" Daou said.

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Ebola vaccine trials could start in Africa in January

UPDATE: Drugmakers to join forces to make millions of Ebola vaccine doses

REUTERS                                                                     Oct 22, 2014

By Ben Hirschler

LONDON -- Leading drugmakers plan to work together to speed up the development of an Ebola vaccine and hope to produce millions of doses for use next year.

U.S. firm Johnson & Johnson said on Wednesday that it aims to produce at least 1 million doses of its two-step vaccine next year and has already discussed collaboration with Britain's GlaxoSmithKline, which is working on a rival vaccine.

The economics of an Ebola vaccine are still unclear but drug companies with an eye on their reputations are under pressure to respond to the major international health crisis now ravaging one of the poorest corners of Africa.

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Fighting Ebola, and the Mud

NEW YORK TIMES                         Oct. 21, 2014

Op-ed in Today's New York Times by Karen Huster, a nurse working in Liberia for Last Mile Health says that Liberia’s dysfunctional transportation system is standing in the way of fighting the Ebola epidemic and suggests some solutions
 

"Patients have died on grueling journeys to treatment units. Blood samples have sat waiting for days, eventually becoming invalid....

 "The best solution is removing the need to travel altogether by building more easily accessible treatment centers all over the country, where patients with confirmed or suspected cases of Ebola can be housed and treated. The United States military is building these structures, but it is taking time. Nimbler nongovernmental organizations must also step in. Save the Children has already done so and is also building smaller community care centers — sort of homes away from home, where families can continue to care for their sick loved ones safely removed from the community. A makeshift center with tents instead of permanent structures could be set up within a week.

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