We open with a rather chilling video, shot on the streets of Liberia’s capital, in which Christian fundamentalists conduct a very risky [note the touching] faith-healing prayer session around a prone Ebola patient.
LIBERIA:(RELIGION AND THE FIGHT AGAINST EBOLA)
Group of Liberians Evangelist prays over a suspected Ebola patient. All facing the possibility of contracting the deadly virus.
On to the hard news, first with the Associated Press:
UN Security Council to meet on Ebola
The United States called an emergency meeting of the U.N. Security Council Thursday on the Ebola crisis in West Africa, saying the situation on the ground is “dire” and getting worse every day.
U.S. U.N. Ambassador Samantha Power said the United States has asked the 193 U.N. member states to come to the meeting with “concrete commitments” to tackle the outbreak, especially in hardest-hit Liberia, Sierra Leone and Guinea.
“The trendlines in this crisis are grave, and without immediate international action we are facing the potential for a public health crisis that could claim lives on a scale far greater than current estimates, and set the countries of West Africa back a generation,” Power told reporters on Monday. “This is a perilous crisis but one we can contain if the international community comes together to meet it head on.”
Word from Washington leaked, via Reuters:
Obama to detail plans on Ebola offensive on Tuesday: WSJ
U.S. President Barack Obama is expected to detail on Tuesday a plan to boost his country’s involvement in mitigating the Ebola outbreak in West Africa, the Wall Street Journal reported on Sunday.
The plan would involve a greater involvement of the U.S. military in tackling the worst recorded outbreak of the deadly Ebola virus, the Journal reported, citing people familiar with the proposal.
The U.S. government has already committed around $100 million to tackle the outbreak by providing protective equipment for healthcare workers, food, water, medical and hygiene equipment.
Obama could ask Congress for an additional $88 million to fund his proposal, the WSJ reported. Plan details are expected during Obama’s visit Tuesday to the Centers for Disease Control and Prevention in Atlanta.
More from Science:
U.S. government set to announce surge of help for Ebola epidemic
A week after sharp criticism met the U.S. military’s announcement that it planned to help Liberia combat its Ebola epidemic with a “deployable hospital” that has a mere 25 beds, U.S. President Barack tomorrow plans to unveil dramatic new efforts to assist the West African countries besieged by the disease.
Obama, who will be visiting the U.S. Centers for Disease Control and Prevention in Atlanta to discuss the U.S. response, likely will announce plans to send more deployable hospitals, critical medical supplies like personal protective gear, and doctors and other healthcare workers who can care for infected people and help contain spread. (A U.S. Senate hearing on Ebola will also take place tomorrow with testimony from key public officials and Ebola survivor Ken Brantly.)
Nicole Lurie, assistant secretary for preparedness and response at the U.S. Department of Health and Human Services (HHS), spoke with ScienceInsider on Friday and said she expected there would be “a substantial surge” in the U.S. government’s assistance. She particularly wants to see more attention paid to providing infected people with good care. “There’s a very, very wide variability in what’s being delivered as clinical care,” says Lurie, noting that case fatality rates differ dramatically in different locations. “We know that simple interventions are likely to save the most lives.”
From the Associated Press, a question:
US works to step up Ebola aid, but is it enough?
The American strategy on Ebola is two-pronged: Step up desperately needed aid to West Africa and, in an unusual step, train U.S. doctors and nurses for volunteer duty in the outbreak zone. At home, the goal is to speed up medical research and put hospitals on alert should an infected traveler arrive.
Amid criticism that the world still is not acting fast enough against the surging Ebola epidemic, President Barack Obama travels Tuesday to the Centers for Disease Control and Prevention to discuss the outbreak with health officials who’ve been there.
Also Tuesday, a Senate hearing will examine the U.S. response. An American missionary doctor who survived the disease is scheduled to testify.
The administration hasn’t said how big a role the military ultimately will play — and it’s not clear how quickly additional promised help will arrive in West Africa.
Trooping in, via the Monrovia [Liberia] Inquirer:
U.S. Military To Build 25-Bedroom Ebola Hospital
It has been disclosed in Monrovia that the United States (US) Military will build a 25-bedoom hospital in the country to buttress efforts aimed at fighting the Ebola virus. United State Ambassador accredited near Monrovia, Madam Debra Malac, said discussions are ongoing as where the hospital should be built but was certain that it would be constructed in Montserrado County.
Ambassador Malac addressing the weekly Press Briefing at the Ministry of Information said the unprecedented outbreak of the Ebola Virus Disease (EVD) in West Africa is an International Security priority for the U.S. Government and as such they will continue to be engaged in the region to eradicate the disease.
The U.S. Envoy said, “This is the worst outbreak of this virus in 40 years since it was first discovered. We defeated it and this time we will defeat it again. We will stop Ebola and it will take more work.”
Here’s a video report on her press conference from FrontPageAfrica:
FPA WEB TV: Uncle Sam’s Ebola AID
U.S. Ambassador to Liberia Debora Malac outlines how much financial assistance in kind and in dollars the U.S. has contributed to the West Africa Ebola Outbreak.
From the Monrovia Inquirer, another hospital inaugurated:
Save The Children Constructs Central Region 1st Ebola Treatment Unit
Save the Children has turned over a 50-bed Ebola Treatment facility in Suakoko, Bong County worth about US$170,000 intended to serve the central region as part of its contribution to the national fight against the spread of the virus in other parts of the country.
The construction of the ETU which is a project solely undertaken by Save the Children according to its acting Country Director, Mercy Gichuhi who turned over the unit, was as a result of a request made to them from the local health team of Bong County.
Madam Gichihi said Save the Children believes that the construction of the health facility will go a long way in responding to the health need in that region and that Phebe Hospital focuses more on primary health care and at the same time give confidence to the health workers who will know that they have a place to refer confirmed Ebola patients.
Al Jazeera English covers critical context:
Nigeria’s weak health sector confronts Ebola
Spread of Ebola contained, but health system is having trouble dealing with treatable diseases which kill thousands.
Africa’s biggest oil producer and largest economy has one of the world’s highest child and maternal mortality rates. In 2012, an estimated 827,000 children under five died, while the reported maternal mortality rate was 550 per 100,000 live births, according to UNICEF.
Most of Nigeria’s childhood deaths are due to preventable or curable diseases: mainly malaria, pneumonia, and diarrhoea. Primary healthcare, run by local governments – Nigeria’s smallest unit of government – is tasked with handling these common illnesses.
The level of care in each centre varies, but generally, primary facilities do not have enough health workers, supplies, equipment, training, or transport – including ambulances to take patients to state or federal hospitals, says Michael Asuzu, a public health and epidemiology professor at the University of Ibadan.
From BBC News, a Brit on the scene:
Ebola virus: ‘Biological war’ in Liberia
With warnings from officials that the Ebola virus is “spreading like wildfire” in Liberia, Sarah Crowe, who works for the UN children’s agency (Unicef), describes her week on the Ebola front line:
Flights into disaster zones are usually full of aid workers and journalists. Not this time.
The plane was one of the first in after some 10 airlines stopped flying to Liberia because of Ebola, and still it was empty.
When I was last in Liberia in 2006, it was to work on reintegration of child soldiers in a time of peace. Now the country is fighting a “biological war” from an unseen enemy without foot soldiers.
As we enter the airport, an unnerving sight – a team of health workers kitted out with masks and gloves asks us to wash our hands with a chlorine solution and takes our temperatures.
A parallel set of American eyes from the Washington Post:
A virus hunter faces the big one: Ebola
Joseph Fair hunts viruses. That’s his thing. The 37-year-old American loves chasing dangerous pathogens, studying them in secure labs or searching for them in jungles where the microbes lurk.
And one virus has always loomed as the big one — Ebola. The scientists who first chased this dreaded microbe back in the ‘80s and ‘90s became legends, inspiring a generation of virologists like Fair. He read their books and papers. He studied how they contained the pathogen’s spread. And the scientists always won. The outbreaks ended, Ebola driven away.
So when the call came in March to travel to Sierra Leone, Fair was excited. He loved Mama Salone, as locals know the nation. He’d worked here for years. His new job: to advise Sierra Leone’s government on a tiny Ebola outbreak in neighboring Guinea, at the behest of the U.S. Defense Department. He set up an Ebola emergency operations center. He trained medical staff. He drew up just-in-case plans. By mid-May, the outbreak seemed on its way out. Fair packed his bags and left.
Then Ebola exploded.
From FrontPageAfrica, high-level visitors take a pre-opening hospital tour:
FPA WEB TV: ‘Liberia Will Beat Ebola’
World Health Organization (WHO) team tours the soon-to-be completed 120-Bed Ebola Clinic at the Island Clinic in Monrovia. WHO and its partners have supported construction of this new centre, which will be able to provide treatment for 120 patients at a time. Additional centers for about 400 more patients will be completed in the coming weeks.
BBC News covers a donation:
Ebola outbreak: Malaysia sends W Africa medical gloves
Malaysia plans to donate more than 20 million protective rubber gloves to five African countries affected by the Ebola outbreak, the government says.
They will be distributed among medical workers in Liberia, Sierra Leone, Guinea, Nigeria and the Democratic Republic of Congo.
A shortage of protective equipment has been one factor in the virus spreading.
Joseph Harker asks a question we’ve also entertained, via the Guardian:
Why are western health workers with Ebola flown out, but locals left to die?
- The death of Dr Olivet Buck after the WHO refused to fly her out of Sierra Leone is not just wrong: it’s making the Ebola epidemic worse
My brother-in-law, Albert, is a GP based in the West Midlands. His sister Olivet Buck was a doctor too: though her work was quite different. She practised in the land of their birth, Sierra Leone. For the past few months she was fighting in the desperate battle against Ebola ravaging parts of her country. Last Tuesday came the awful news that she’d caught the virus.
To save her life, local campaigners called for her to be evacuated to Germany to receive treatment – all three previous doctors who had caught the disease in the country had died. Sierra Leone’s president backed her, saying that a hospital in Hamburg was “in readiness to receive her”. Last Friday, though, the World Health Organisation said it would not allow her to leave Sierra Leone, and refused to fund the move. Desperate attempts were made to try to overturn this decision but on Sunday came the news everyone was dreading: Olivet had died.
Albert, distraught, told me: “I shall never stop weeping at all our loss. Olivet was a truly remarkable person. She died because she would not forsake her service to others.”
But the death of Olivet, a 59-year-old mother of three, raises wider questions about how the world responds to the Ebola crisis, and how it protects those working closest to stop its spread.
Despite the fate of the previous doctors, the WHO had said merely that it would work to give Buck “the best care possible” in Sierra Leone.
However, foreign health and aid workers have been sent abroad from Sierra Leone and Liberia for treatment – including the British nurse William Pooley, who survived and now wishes to go back to Sierra Leone to continue helping to fight the disease. Only last Friday, two Dutch doctors were flown home after coming into contact with infected patients.
But so far no local health workers have been evacuated: even though, according to the WHO, in west Africa 301 have so far caught Ebola and 144 have died. Dr Sheik Humarr Khan, Sierra Leone’s top Ebola doctor, was being considered for evacuation to a European country when he died of the disease in late July.
More from the Associated Press:
Sierra Leone: WHO too slow to help doc with Ebola
Sierra Leone accused the World Health Organization on Monday of being “sluggish” in facilitating an evacuation of a doctor who died from Ebola before she could be sent out of the country for medical care.
Dr. Olivet Buck died Saturday, hours after the U.N. health agency said it could not help evacuate her to Germany.
Buck is the fourth Sierra Leonean doctor to die in an outbreak that has also touched Guinea, Liberia, Nigeria and Senegal. The West African outbreak has been blamed for more than 2,400 deaths, and experts say it is out of control. The U.S. has called an emergency meeting of the U.N. Security Council for this week to discuss the crisis.
At a heated news conference Monday, a Sierra Leonean government official read a statement saying that the Buck is the second doctor from that country to die because negotiations on evacuation had dragged on. Dr. Sheik Humarr Khan, the country’s top Ebola expert, was being considered for evacuation when he died of the disease in July.
From the Kampala, Uganda, Daily Monitor, a warning:
Tanzania at high risk of Ebola outbreak
Last week, the Tanzanian government assured the public of its unwavering commitment to keeping Ebola out after standard thermal scanners to detect Ebola suspects were installed at four major airports-Julius Nyerere International Airport in Dar-es-Salaam, Kilimanjaro International Airport, Zanzibar and Mwanza.
At the weekend, Health ministry authorities were hard at work allaying fears of an outbreak in Tanzania. But a new study titled “Mapping the zoonotic niche of Ebola virus disease in Africa” has raised the alarm in Tanzania and other countries across Africa where Ebola has never been reported.
It suggests that governments in those countries should start thinking of new ways to deal with the Ebola threat beyond targeting major airports and seaports. The researchers, who published the findings in eLife Journal this week, believe the Ebola virus is thriving in wild animals, which are its major reservoir. Tanzania, Burundi and 13 other African countries where no case of Ebola has been reported so far are home to wild animals.
Public Radio International makes that critical point:
This American doctor says racism is to blame for the slow response to the Ebola outbreak
Why has the global response to the Ebola outbreak been so slow? “I think it’s racism,” says Dr. Joia Mukherjee.
“I think it’s easy for the world — the powerful world, who are largely non-African, non-people of color — to ignore the suffering of poor, black people,” says Mukherjee, a professor at Harvard Medical School and chief medical officer at the Boston-based non-profit Partners in Health.
Race isn’t the only reason she believes it’s easy to dismiss the issues. “I think it’s also classism,” she says. “These are not countries that contribute massively to the global economy, so it’s easy to just otherize this problem.”
In that context, consider this from a country where a disproportionately large percentage of those in need of assistance are African American, via Salon:
Arizona GOPer quits after disgusting comment — but there’s a catch
- Russell Pearce called for sterilizing Medicaid recipients. It’s gross, but here’s why the problem’s bigger than him
Pearce’s proposal was abhorrent, but it also laid bare the dehumanizing logic of Republican programs that punish the poor. If the GOP wants to distance itself from punitive and invasive policies that hurt low-income families, they should look in the mirror and start slowly backing away from their reflections.
A few things here. Pearce’s idea isn’t new. The United States has an ugly history of forced or otherwise coerced sterilization against people of color, the poor and others considered “unfit to procreate,” including rape victims and people with disabilities. Between 1907 and 1980, nearly 65,000 Americans were sterilized under state-sponsored programs. In total, 31 states had sterilization programs that directly targeted welfare recipients. North Carolina recently acted to compensate victims of its forced sterilization program, which specifically targeted black women and children. (And last year, the Center for Investigative Reporting revealed that nearly 150 women in California’s prison system were sterilized between 2006 and 2010, often without their knowledge or consent. The state legislature acted this year to end the program.)
That said, Pearce isn’t the only Republican to float the idea of coercively sterilizing welfare recipients in recent years. And his proposal is hardly the only assault on low-income families in the state. Arizona, you’ll remember, is where Shanesha Taylor was arrested after leaving her children in the car so she could attend a job interview.
From Punch Nigeria, help wanted:
ECOWAS seeks support for research
The Economic Community of West African States has appealed to its partners to support the regional initiatives aimed at strengthening epidemiological and therapeutic research as well as surveillance and improvements in health facilities in order to prevent and control the Ebola Virus Disease.
The sub-continental body called for support for the Regional Solidarity Fund to fight Ebola and welcomed the pledges made by some multilateral and bilateral partners to support some of the affected countries.
Speaking at the opening of the 10th edition of the ECOWAS/Development Partners Annual Coordination meeting at the ECOWAS Secretariat on Monday, in Abuja, President of the Commission, Mr. Kadre Ouedraogo, said the group welcomed the coordinated approach adopted to combat the viral disease through the World Health Organisation.
StarAfrica covers another donation:
China donates 80mn francs worth of Ebola prevention materials to Mali
The Malian president, Ibrahim Boubacar Keita has returned from his trip to China with a CFA 80 million francs worth medical material aimed at backing his government’s efforts to prevent the Ebola virus from entering the country, the Malian presidency disclosed Sunday.
The Chinese donation includes 1,000 sprays, 1,000 protective gears, 30 medically-equipped isolation tents, 600 protective masks, 600 shoes and 1,000 thermometers.
The Malian press reported recently the complaints of the medical staff deployed in Bamako road station where passengers from Ebola-hit neighboring Guinea are hosted.
The medical staff had lamented a lack of protective means which increases the risk of contagion.
From Punch Nigeria, a reminder about a key player:
Private sector in the first line of battle
The management of the Ebola Virus Disease has cost the Federal Government N2.1bn so far. Last month, a sum of N1.9bn was released to the Federal Ministry of Health for disbursement to the 36 states and the Federal Capital Territory. Lagos State, as the first epicentre of the outbreak, also got a separate N200m support from the Federal Government.
The funds, no doubt, are a drop in the ocean in providing Personal Protective Equipment discarded daily after use by health workers in isolation centres across the country; intravenous fluid and other drugs for infected people, diagnostic machines, daily payment for volunteers and other sundry expenses attached to the management of the virus.
Ahead of the September 22 resumption date for all primary and post primary schools in the country, a coalition of players in the private sector are seeking for an active participation in preventing a future outbreak of the EVD, especially in congested communities across the country.
The Guardian questions:
As Ebola closes schools in Africa, how do we help children learn?
- As Ebola robs children of schooling, the seeds are being sown for continued problems. Vigilance and flexibility may be our best response to the virus
In response to the growing threat of Ebola across west Africa, the governments of Nigeria, Liberia, Sierra Leone and Guinea have closed their schools. The closures are only temporary, but that could change if the spread of the virus continues and accelerates.
As of 12 September, the World Health Organization (WHO) reports that Liberia, Sierra Leone and Guinea are facing widespread and intense transmission of Ebola (about 100 to 200 new cases per country per week). In other affected countries, the outbreak has been more localised. But in each affected areas the threat could expand rapidly, and there are credible predictions that Ebola could migrate to 15 additional countries and infect more than 20,000 people.
With that prognosis, closing schools is an understandable and prudent step to protect children and their families from exposure. The most immediate priority is to put out a raging and growing fire that threatens to affect more lives and territory.
And the Kampala, Uganda, Daily Monitor throws another handful of sand into gearbox:
Residents uproot cassava in fear of floods
Farmers in Omoro Sub-county, Alebtong District have begun uprooting their cassava, fearing it might rot in gardens. The move follows persistent rains that have caused flooding in the area.
Farmers who spoke to Daily Monitor said uprooting the cassava might save them from totally losing out as other crops have been washed away by floods.
As a measure, residents are drying their crops on roof tops and others have constructed high raise houses where they can temporarily sleep as they wait for floods to reduce.
And from StarAfrica, our final item and another critical bit of context:
Namibia ropes in Ethiopian pharmacists to address shortage
Currently, Namibia has 55 pharmacists working in the public health sector, of which ten are Namibians while the rest are expatriates.
With the population of just over two million, the country needs at least 1000 pharmacists, as in accordance with the World Health Organization (WHO) recommended ration.
In 2012, the University of Namibia established a School of Pharmacy, an edition to the Medical School, which the Health Minister said are part of the country’s long-term effort to address the shortage of qualified health personnel.