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Blair Peterson

The Ebola Outbreak in Guinea, Liberia, and Sierra Leone - 0 views

  • The Economic Community of West Africa (ECOWAS) created a ‘solidarity fund’ to contain and manage the outbreak, [17] and the World Health Organisation convened an emergency meeting of regional health ministers in Accra to strengthen surveillance operations and facilitate cross-border consultations. [18] The World Health Organisation also opened a Sub-Regional Outbreak Coordinating Center in Conakry. [19] Doctors Without Borders has deployed 300 personnel to assist in health care facilities, and both the US Centers for Disease Control and Prevention and the European Union have provided scientific personnel and resources to assist with laboratory testing and government coordination. [20]
  • The World Health Organisation fulfilled its coordinating mission by organising a meeting of regional health officials in Accra in early July—but that was three-and-a-half months after the first report of the disease. WHO’s Sub-Regional Outbreak Coordination Center has the potential to be a useful resource, but it took nearly four months from the outbreak’s beginning until WHO began such operations. Given how quickly Ebola spreads and its virulence, such a delay helped the disease gain a foothold in the region. Arresting the spread of infectious diseases requires quicker action.
  • First, the current response needs to be ratcheted up. Opening sub-regional command centers, deploying personnel from governmental and nongovernmental sources, and providing financial resources are all important—but they need to be done in greater number and with greater urgency. The initial efforts are not necessarily failures; they are just too small and slow in response to the overwhelming nature of this unprecedented outbreak.
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  • Second, efforts to provide health care services and outreach to affected communities need to take concerted efforts to integrate local cultural contexts and health care measures into Ebola control.
  • Third, there need to be serious long-term efforts to improve the health care systems, disease surveillance capabilities, and laboratory resources in all three states.
Blair Peterson

Epidemic Ethics: Four Lessons from the Current Ebola Outbreak - Australian Institute of... - 0 views

  • The spread of Ebola virus occurs because health infrastructure in the region is fragmented, under-resourced, or non-existent. And the therapeutic response to the illness is constrained by failure of markets to drive drug and vaccine development that would help the world’s
  • But drugs and a vaccine are being sent to the region, after a ruling from an ethics panel convened by the World Health Organization decided their use was acceptable even though they haven’t been definitively shown to be safe or effective.
  • Think about it this way: if Ebola virus outbreaks had occurred in New York, London, or Sydney, effective therapies surely would have been developed long ago.
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  • The second is to accept that we must act to treat infection and reduce its spread, as the WHO has already done, by approving the fast-tracking of compassionate access to promising but still untested medications and vaccines.
Blair Peterson

Night of the Living Wonks - 1 views

  • The specter of an uprising of reanimated corpses also poses a significant challenge to interpreters of international relations and the theories they use to understand the world. If the dead begin to rise from the grave and attack the living, what thinking would -- or should -- guide the human response?
  • For our purposes, a zombie is defined as a reanimated being occupying a human corpse, with a strong desire to eat human flesh
  • Because they can spread across borders and threaten states and civilizations, these zombies should command the attention of scholars and policymakers.
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  • If the dead begin to rise from the grave and attack the living, what thinking would -- or should -- guide the human response?
  • How would all those theories hold up under the pressure of a zombie assault? When should humans decide that hiding and hoarding is the right idea?
  • Zombie stories end in one of two ways -- the elimination/subjugation of all zombies, or the eradication of humanity from the face of the Earth.
  • If it is true that "popular culture makes world politics what it currently is," as a recent article in Politics argued, then the international relations community needs to think about armies of the undead in a more urgent manner.
  • There are many varieties of realism, but all realists start with a common assumption: that anarchy is the overarching constraint of world politics. Anarchy does not necessarily mean chaos or disorder, but rather the absence of a centralized, legitimate authority.
  • In a world of anarchy, the only currency that matters is power -- the material capability to ward off pressure or coercion, while being able to influence others.
  • How would the introduction of flesh-eating ghouls affect world politics? The realist answer is simple if surprising: International relations would be largely unaffected.
  • To paraphrase Thucydides, the realpolitik of zombies is that the strong will do what they can and the weak must suffer devouring by reanimated, ravenous corpses.
  • States could also exploit the threat from the living dead to acquire new territory, squelch irredentist movements, settle old scores, or subdue enduring rivals. The People's Republic of China could use the zombie threat to justify an occupation of Taiwan. Russia could use the same excuse to justify intervention in its near abroad. The United States would not be immune from the temptation to exploit the zombie threat as a strategic opportunity. How large would the army of the Cuban undead need to be to justify the deployment of the 82nd Airborne?
  • All liberals nevertheless share a belief that cooperation is still possible in a world of anarchy. Liberals look at world politics as a non-zero-sum game. Working together, whether on international trade, nuclear nonproliferation, or disease prevention, can yield global public goods on a massive scale.
  • The 2009 film Zombieland is about the articulation of and adherence to well-defined rules for surviving in a zombie-infested landscape.
  • 'The only thing that will redeem mankind is cooperation.' I think we can all appreciate the relevance of that now."
  • Provided that the initial spread of zombies did not completely wipe out governments, the liberal expectation would be that an international counterzombie regime could make significant inroads into the problem. Given the considerable public-good benefits of wiping the undead from the face of the Earth, significant policy coordination seems a likely response.
  • Quasi-permanent humanitarian counterzombie missions, perhaps under United Nations auspices, would likely be necessary in failed states. Liberals would acknowledge that the permanent eradication of flesh-eating ghouls is unlikely.
  • Instead, neocons would recommend an aggressive and militarized response to ensure human hegemony. Rather than wait for the ghouls to come to them, they would pursue offensive policy options that take the fight to the undead. A pre-emptive strike against zombies would, surely, be a war against evil itself.
  • "An outbreak of zombies infecting humans is likely to be disastrous, unless extremely aggressive tactics are employed against the undead.… [A] zombie outbreak is likely to lead to the collapse of civilization, unless it is dealt with quickly."
  • They would inevitably lump reanimated corpses with other human threats as part of a bigger World War III against authoritarian despots and zombies -- an "Axis of Evil Dead." This would sabotage any attempt at broad-based coalition warfare, hindering military effectiveness in a Global War on Zombies (GWOZ).
  • Powerful states would be more likely to withstand an army of flesh-eating ghouls. The plague of the undead would join the roster of threats that disproportionately affect the poorest and weakest countries.
  • Realism predicts an eventual live-and-let-live arrangement between the undead and everyone else.
  • Liberals predict an imperfect but nevertheless useful counterzombie regime.
  • Neoconservatives see the defeat of the zombie threat after a long, existential struggle.
Blair Peterson

Projects : Ebola Emergency Response Project | The World Bank - 1 views

  • The first component, support to the EVD outbreak response plans and strengthening essential health services will contribute to finance critical gaps in ongoing emergency response efforts funded by governments and development partners in Guinea, Liberia, and Sierra Leone.
  • he second component, human resources scale up for outbreak response and essential health services will supplement the efforts of governments and other partners to motivate and reward health workers in the affected countries to work on the EVD emergency response and provide other essential health services.
  • The third component, provision of food and basic supplies to quarantined populations and EVD affected household's aims to improve access to food and other basic supplies for the EVD affected households in the quarantined areas and other hot zones in Guinea, Liberia, and Sierra Leone. 
Blair Peterson

One Year Later, Ebola Outbreak Offers Lessons for Next Epidemic - NYTimes.com - 0 views

  • The effort has been messy, inefficient and expensive, often lagging the epidemic’s twists in tragic ways.
  • Despite difficulty filling positions, the W.H.O. now reports that it has more than 700 people working at 77 field sites, the largest emergency response in its history.
  • Charities with no background treating Ebola patients began running hospitals specialized for Ebola care, some of which were built by militaries and others staffed by hundreds of personnel from China and Cuba who were also facing Ebola for the first time and trying to overcome language challenges.
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  • “The level of resourcefulness and dedication shown by Sierra Leoneans involved in the front lines is the most extraordinary civic mobilization action I’ve ever seen in my country,” said O. B. Sisay, director of the situation room at the National Ebola Response Center in Freetown, which formerly housed a special war crimes court. “To some extent that has helped cement a sense of nationhood here.”
  • Reforms have been proposed, but agencies have been slow to acknowledge their mistakes publicly and reckon with them, decreasing the chances that change will occur.
  • InterAction, an alliance of United States-based relief and development groups. “I sat in on a lot of discussions of InterAction in the fall over insurance and medical evacuation.”
  • million budget has been raised so far, a W.H.O. spokeswoman said.
Blair Peterson

Larry Brilliant is humanity's best hope against the next pandemic (Wired UK) - 1 views

  • The key goals of the pandemics team at the SGTF are detecting an outbreak faster, verifying that it's a real sign and getting a connected network of people to talk about what's going on.
Blair Peterson

Lockdown Begins in Sierra Leone to Battle Ebola - NYTimes.com - 0 views

  • The United States is planning to build as many as 17 Ebola treatment centers in Liberia, with about 1,700 treatment beds, while the United Nations is planning an expanded mission in the region, based in Accra, Ghana, according to Anthony Banbury, the United Nation’s Ebola operation crisis manager. It is intended to be more nimble than the United Nations’ notoriously bureaucratic operations, bringing in as many as 500 trucks and jeeps from other missions in Africa, possibly paying teams in one country to speed up safe burials, buying fuel for monitoring teams in another country, or offering helicopters to transport health workers where they are needed.
  • Whether Sierra Leone’s lockdown will constitute an effective response is open to question. Despite the mobilization, the volunteers hardly appeared to be thick on the ground. In some neighborhoods, residents said they were yet to see any of the green-vested young men and women who had volunteered.
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