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Congress releases FY15 Omnibus

COMPILED BY THE GLOBAL RESILIENCE SYSTEM                                                          Dec. 14, 2014

Congressional Actions and The Obama Administration requests for emergency funding for Ebola.

Contained in the Omnibus Appropriations Bill for Fiscal year 2015 passed by the Senate Sunday and earlier by the House.

(Five links, scroll down.)

Tables showing actual approved appropriations, Compiled by Kaiser Foundation
http://kff.org/policy-tracker/congress-releases-fy15-omnibus/

FY15 CROmnibus - PT Entry (12-9-14) Table 2 - 80p

      Note: Congressional ddid not approve the Administration's  requested $1.5 million contigency fund.

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Contest Seeks Novel Tools for the Fight Against Ebola

NEW YORK TIMES  by Donald G. McNeil, Jr.                                                                              Dec. 13, 2014

NEW YORK --The well-prepared Ebola fighter in West Africa may soon have some new options: protective gear that zips off like a wet suit, ice-cold underwear to make life inside the sweltering suits more bearable, or lotions that go on like bug spray and kill or repel the lethal virus.

A prototype for one of the protective suits in contention for the U.S.A.I.D. "Grand Challenges" award. Credit John Hopkins University/Jhpiego

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Ebola's Lasting Impact On The U.S. Health Care System

Analysis:

HUFFINGTON POST         Dec. 12, 2014
One of the biggest humanitarian tragedies in 2014 has been the Ebola epidemic, which to date has infected 17,942 people and killed 6,388. The epidemic continues in West Africa, and there is no doubt it will impact the governments, economies and people of Sierra Leone, Liberia and Guinea for years to come. But while Ebola has affected the U.S. in a much smaller way, the handful of cases that arrived here may also have an enduring impact on the U.S. health care system.

In this Oct. 24, 2014, file photo, members of the Department of Defense's Ebola Military Medical Support Team use checklists during training at San Antonio Military Medical Center in San Antonio. (AP Photo/Eric Gay, File)

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UNICEF Expanding Fight Against Ebola

VOICE OF AMERICA  Lisa Schlein                                                                                            Dec. 12, 2014

GENEVA—The U.N. Children’s Fund is appealing for an additional $300 million to expand its fight against Ebola in the three heavily affected West African countries over the next six months. UNICEF said gaining the confidence of community members, increasing their awareness and knowledge of modes of transmission and prevention are key to winning the battle against this deadly disease.

Women in the village of Boukoloma, in Guinea’s southeastern forest region, listen to messages about Ebola prevention. (Photo courtesy of Christophe Boulierac / UNICEF)

UNICEF officials said money from the appeal would be used to tackle two major drivers of Ebola transmission: lack of early isolation of patients and unsafe burials.  Both of these issues are wound up with traditional cultural practices, which often have stymied aid agencies’ efforts to prevent people from getting infected with the disease and spreading it to others. 

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The Path to Zero Ebola Cases

Op-ed

NEW YORK TIMES by Jim Yong Kim, President of the World Bank Group      Dec. 11, 2014                                              

MONROVIA, Liberia — In my career as a medical doctor and global health policy maker, I have been in the middle of monumental struggles, including fights to make treatment accessible in the developing world for those living with H.I.V./AIDS as well as multi-drug resistant tuberculosis. But the Ebola epidemic is the worst I’ve ever seen...

Members of District 13 ambulance service disinfect a room in a village north of Monrovia, Liberia. Credit Jerome Delay/Associated Press

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UN Says Several Months Needed to Control Ebola

ASSOCIATED PRESS by EDITH M. LEDERER                       Dec. 11, 2014

UNITED NATIONS-- The U.N. Ebola chief said Thursday it will take several more months before the outbreak in West Africa is under control, an assessment that makes clear the World Health Organization's goal of isolating 100 percent of Ebola cases by Jan. 1 won't be met.

Dr. David Nabarro said there has been "a massive shift" over the last four months in the way affected governments have taken the lead in responding to the epidemic, communities are taking action and the international community has pitched in.

But he said greater efforts are needed to combat Ebola in western Sierra Leone and northern Mali, to reduce the number of new cases in Liberia and to limit transmission to Mali.

WHO conceded that it didn't meet an interim Dec. 1 target of isolating 70 percent of Ebola patients and safely burying 70 percent of victims in hardest-hit Sierra Leone. But it hasn't made clear what that means for its Jan. 1 goal, which it set in September. It has acknowledged that its patchy data could compromise the goal, since the agency does not know how many Ebola patients there actually are and is unable to track all of their contacts.

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UN Says Several Months Needed to Control Ebola

ASSOCIATED PRESS by EDITH M. LEDERER                       Dec. 11, 2014

UNITED NATIONS-- The U.N. Ebola chief said Thursday it will take several more months before the outbreak in West Africa is under control, an assessment that makes clear the World Health Organization's goal of isolating 100 percent of Ebola cases by Jan. 1 won't be met.

Dr. David Nabarro said there has been "a massive shift" over the last four months in the way affected governments have taken the lead in responding to the epidemic, communities are taking action and the international community has pitched in.

But he said greater efforts are needed to combat Ebola in western Sierra Leone and northern Mali, to reduce the number of new cases in Liberia and to limit transmission to Mali.

WHO conceded that it didn't meet an interim Dec. 1 target of isolating 70 percent of Ebola patients and safely burying 70 percent of victims in hardest-hit Sierra Leone. But it hasn't made clear what that means for its Jan. 1 goal, which it set in September. It has acknowledged that its patchy data could compromise the goal, since the agency does not know how many Ebola patients there actually are and is unable to track all of their contacts.

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Ebola response roadmap - Situation report

WHO                                                                                                                       Dec. 10, 2014

A total of 17 942 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in five affected countries (Guinea, Liberia, Mali, Sierra Leone, and the United States of America) and three previously affected countries (Nigeria, Senegal and Spain) up to the end of 7 December. There have been 6388 reported deaths.

Reported case incidence is slightly increasing in Guinea (103 confirmed and probable cases reported in the week to 7 December), declining in Liberia (29 new confirmed cases in the 3 days to 3 December), and may still be increasing in Sierra Leone (397 new confirmed cases in the week to 7 December). The case fatality rate across the three most-affected countries in all reported cases with a recorded definitive outcome is 76%; in hospitalized patients the case fatality rate is 61%.

Read complete report.
http://www.who.int/csr/disease/ebola/situation-reports/en/

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Ebola experts seek to expand testing

A major problem is that relatively few laboratories in West Africa have the necessary equipment and personnel to test blood samples from people thought to have Ebola (see ‘Delayed diagnoses’). But that could soon change. Experts are gathering in Geneva, Switzerland, on 12 December to work out which diagnostic tools could be used wherever Ebola strikes.

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COMMENTARY: When the next shoe drops — Ebola crisis communication lessons from October

CENTER FOR INFECTIOUS DISEASE AND POLICY                                                                   Dec. 9, 2014          
By  Peter M. Sandman, PhD, and Jody Lanard, MD  

In contrast to the Ebola crisis in West Africa, which started in late 2013 and will last well into 2015 or longer, the US "Ebola crisis" was encapsulated in a single month, October 2014. But there may well be US Ebola cases to come, brought here by travelers or returning volunteers. And other emerging infectious diseases will surely reach the United States in the months and years ahead.

So now is a propitious time to harvest some crisis communication lessons from the brief US Ebola "crisis."

We're putting "crisis" in quotation marks because there was never an Ebola public health crisis in the United States, nor was there a significant threat of one. But there was a crisis of confidence, a period of several weeks during which many Americans came to see the official response to domestic Ebola as insufficiently cautious, competent, and candid—and therefore felt compelled to implement or demand additional responses of their own devising....

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