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Mistakes That Fueled Ebola Spread Are Preventing Its Containment One Year Later

REUTERS by Emma Farge                                             March 23, 2015

DAKAR, March 23 -- Lapses that fueled the Ebola outbreak after it was first discovered a year ago are dogging the final stages of the fight against the virus as fatigue and complacency set in, delaying the end of the deadly epidemic.

A man is sprayed with disinfectant after he celebrated the memory of a loved one who died due to the Ebola virus at a newly build grave yard for Ebola virus victims in Monrovia, Liberia, Wednesday, March 11, 2015. Liberians held a church service Wednesday for families who lost members to Ebola to mark the country’s 99th celebration National Decoration Day, a holiday normally set aside for people to clean up and re-decorate the graves of their lost relatives. (AP Photo/Abbas Dulleh) | ASSOCIATED PRESS

Three doctors were discovered to be infected with Ebola at a hospital in Guinea's capital Conakry last week in what health reports and government officials blamed on a failure to implement basic measures for infection control.

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Nearly All Fuel in Fukushima Reactor Has Melted, Says TEPCO

tepco.co.jp - AFP - yahoo.com
March 19, 2015

CLICK HERE - Reactor imaging technology for fuel debris detection by cosmic ray muon
(13 page .PDF report)
Measurement status report in Unit-1
March 19, 2015
Tokyo Electric Power Company

CLICK HERE - TEPCO - Handouts at press conference

New tests show almost all of the fuel inside one of the Fukushima plant's reactors has melted, its operator said Thursday, the latest step in the clean up after Japan's worst ever nuclear crisis.

Tokyo Electric Power Co. said the technology, which uses elementary particles called "muon" to create x-ray style images, gave the most concrete evidence yet the fuel had dropped to the bottom of the first reactor.

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UN Warns World Could Have 40 Percent Water Shortfall by 2030

CLICK HERE - The United Nations World Water Development Report 2015

CLICK HERE FOR ADDITIONAL INFORMATION

CLICK HERE - REPORT - The United Nations World Water Development Report 2015 (139 page .PDF report)

phys.org - by Hillel Italie - March 20, 2015

The world could suffer a 40 percent shortfall in water in just 15 years unless countries dramatically change their use of the resource, a U.N. report warned Friday.

The report predicts global water demand will increase 55 percent by 2050, while reserves dwindle. If current usage trends don't change, the world will have only 60 percent of the water it needs in 2030, it said.

(READ COMPLETE ARTICLE)

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Congressional Forum - “Building Resilient Communities: Ebola and Global Health Crises – Where We Need to Go”

Dr. David Nabarro - Congressional Forum

upmchealthsecurity.org

CLICK HERE -Agenda

CLICK HERE -Photos

CLICK HERE - Videos

On February 25, 2015 a Congressional Forum was convened.

Objectives:

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Liberia Reports First Ebola Case in Weeks

         

A man walks by a mural with health instructions on treating the Ebola virus, in Monrovia, November 18, 2014.
Credit: Reuters/James Giahyue

reuters.com - (Reporting by James Harding Giahyue; Writing by Emma Farge; Editing by Daniel Flynn)
March 20, 2015

(Reuters) - Liberia has reported its first Ebola case in weeks on Friday, health officials said, in a setback for its efforts to stamp out the worst recorded epidemic of the deadly virus.

A government official, who asked not to be named, said the patient came from Caldwell, a suburb of the capital not far from the last cluster of cases in the St Paul's Bridge neighborhood. . .

. . . "Today, a patient tested positive of Ebola at the transit center run by Medicins Sans Frontieres (MSF) in Liberia's Ministry of Health's Redemption Hospital," said Adolphus Mawolo, spokesman for MSF in Monrovia.

(READ COMPLETE ARTICLE)

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Emails: UN health agency resisted declaring Ebola emergency

ASSOCIATED PRESS   by   Maria Cheng and Raphael Satter                                        March 20, 2015

GENEVA  — In a delay that some say may have cost lives, the World Health Organization resisted calling the Ebola outbreak in West Africa a public health emergency until last summer, two months after staff raised the possibility and long after a senior manager called for a drastic change in strategy, The Associated Press has learned.

Among the reasons the United Nations agency cited in internal deliberations: worries that declaring such an emergency — akin to an international SOS — could anger the African countries involved, hurt their economies or interfere with the Muslim pilgrimage to Mecca.

Those arguments struck critics, experts and several former WHO staff as wrong-headed.

"That's like saying you don't want to call the fire department because you're afraid the fire trucks will create a disturbance in the neighborhood," said Michael Osterholm, a prominent infectious diseases expert at the University of Minnesota.

In public comments, WHO Director-General Dr. Margaret Chan has repeatedly said the epidemic caught the world by surprise.

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Violence against women rises in Ebola-hit nations: ministers

REUTERS  By Maria Caspani                                       March 18, 2015

 UNITED NATIONS - The Ebola epidemic in West Africa exacerbated violence against women and rolled back access to reproductive healthcare in the region, ministers from Guinea and Liberia said on Wednesday.

In Guinea, data indicates a 4.5 percent increase in cases of gender-based violence since before the epidemic including twice as many rapes, Sanaba Kaba, the country's minister of social action, women and children, said on a panel at the United Nations 59th Commission on the Status of Women.

Liberia also saw more cases of gender-based violence as a result of the outbreak, said Julia Duncan Cassell, minister of gender and development in that country.

She said some men were not respecting the recovery protocol that Ebola survivors should observe and were infecting their spouses and female partners through unprotected sex.

Sierra Leone also has seen an increase in violence against women, said panel moderator Awa Ndiaye Seck, Liberian country representative for UN Women, the agency responsible for gender equality and women's empowerment.

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Ebola Epidemic: Why a Few Cases Could Threaten Progress

LIVE SCIENCE by Rachel Rattner                                                                                 March 18, 2015

Health officials have made tremendous progress in fighting the Ebola epidemic in West Africa in recent months, but continued efforts are still needed, experts say. That's because the cases that are happening now could be enough to restart the whole epidemic....

Although health officials are trying to trace all of the people who had contact with each Ebola patient, this "contact tracing" is far from perfect in Guinea and Sierra Leone. As a result, cases pop up among people who officials didn't know were at risk. For example, so far this month, just 14 percent of cases in Guinea occurred among people who were known to have had contact with someone who was sick with Ebola, WHO says.

This "shadow epidemic," which is occurring under the radar, is very worrisome, said Dr. Amesh Adalja, a senior associate and infectious disease physician at the Center for Health Security at the University of Pittsburgh.

If this shadow transmission continues, "it will threaten to cause this whole outbreak to reignite again," Adalja said. "You have to make sure you're finding every case, and stopping transmission in every case."

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How to Fight the Next Epidemic

The Ebola Crisis Was Terrible. But Next Time Could Be Much Worse.

 

NEW YORK TIMES OPINION PAGE by Bill Gates                                                           March 18, 2015

(Scroll down for fuller Bill Gates article in the New England Journal of Medicine)

SEATTLE — The Ebola epidemic in West Africa has killed more than 10,000 people. If anything good can come from this continuing tragedy, it is that Ebola can awaken the world to a sobering fact: We are simply not prepared to deal with a global epidemic.

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Guinea Ebola cases rise, three doctors infected

REUTERS   by Saliou Samb and Emma Farge                                            March 17, 2015

CONAKRY/DAKAR - Guinea has suffered a setback in its fight against Ebola with a rash of new cases, including three doctors infected by the virus, with officials blaming weak surveillance and a failure to follow safety procedures.

  ... Guinea has seen cases rise for three consecutive weeks, according to World Health Organization data.

A government health report from the weekend showed there were 21 new cases in a single day, a spike from the recent daily average of eight.

One big source of concern is a chain of new infections that can be linked back to a woman who died of Ebola and was not buried safely, according to Fatoumata Lejeune-Kaba, spokeswoman for the U.N.'s Ebola emergency response mission UNMEER.

"It's a major setback .... It's due to individual behaviours. That is having a devastating effect on the community. People are simply not practising the safety rules that we have been talking about for a year," she told Reuters.

Read complete story.

http://news.yahoo.com/guinea-ebola-cases-rise-three-doctors-infected-144134152.html;_ylt=AwrBEiI_RghV8UgA.EnQtDMD

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