EBOLA/EVD [to 23 May 2015]

EBOLA/EVD [to 23 May 2015]
Public Health Emergency of International Concern (PHEIC); “Threat to international peace and security” (UN Security Council)

WHO: Ebola Situation Report – 20 May 2015
[Excerpts]
SUMMARY
:: The week to 17 May saw the highest weekly total of confirmed cases of Ebola virus disease (EVD) for over a month, with 35 cases reported from Guinea and Sierra Leone. This is a substantial increase compared with 9 cases reported the previous week. The geographical area of transmission has also expanded compared with recent weeks, with a total of 6 districts reporting cases (3 in Guinea, 3 in Sierra Leone), compared with 3 the previous week (2 in Guinea, 1 in Sierra Leone). Capacity for improved community engagement, case investigation, and targeted, active surveillance continues to be strengthened in areas of continuing transmission to ensure that remaining chains of transmission are detected, contained, and brought to an end…

COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION
:: There have been a total of 26,933 reported confirmed, probable, and suspected cases of EVD in Guinea, Liberia and Sierra Leone (figure 1, table 1), with 11,120 reported deaths (this total includes reported deaths among probable and suspected cases, although outcomes for many cases are unknown). A total of 27 new confirmed cases were reported in Guinea and 8 in Sierra Leone in the 7 days to 17 May. The outbreak in Liberia was declared over on 9 May…

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Health worker Ebola infections in Guinea, Liberia, and Sierra Leone
Preliminary report
WHO
Publication date: May 2015 :: 16 pages
Languages: English
WHO reference number: WHO/EVD/SDS/REPORT/2015.1
Pdf: http://apps.who.int/iris/bitstream/10665/171823/1/WHO_EVD_SDS_REPORT_2015.1_eng.pdf?ua=1
Overview
This preliminary report summarizes the impact of the Ebola epidemic on the health workforce of Guinea, Liberia and Sierra Leone. It investigates the determinants of infection and describes safe practices put in place to protect health workers during the epidemic. The report covers the period from 1 January 2014 to 31 March 2015 and is presents findings from the 815 confirmed and probable cases for whom individual case reports were available.

The Ebola epidemic has taken a heavy toll on the already scarce health workforce. Among the health workers for whom final outcome is known, two-thirds of those infected died. Preliminary analysis shows that, depending on their occupation in the health service, health workers are between 21 and 32 times more likely to be infected with Ebola than people in the general adult population. With higher risks of exposure in caring for others, health workers were disproportionately impacted and traumatised by Ebola.

Health worker infections can be prevented. WHO and partners have worked with ministries of health, partners, managers and health workers to put in place infection prevention control (IPC) and occupational health and safety (OHS) strategies and supplies to prevent health worker infections and improve patient safety. Health worker protection and support must be at the core of emergency response, preparedness and efforts to build a resilient health system. Cementing this lesson learnt into practice can be a lasting tribute to health workers.

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WHO: Stories from countries
:: Giving back after Ebola 22 May 2015
:: Ebola in Liberia: Frightened patients infected their carers 21 May 2015
:: Ebola diaries: Lessons in listening 19 May 2015
Red Cross Red Crescent Ebola responders among Florence Nightingale medal recipients
18 May 2015
World Bank Group Statement for the 68th World Health Assembly
BRIEF
May 19, 2015
Presented in discussion of item 16.1 and adoption of resolution pursuant to documents A68/24, A68/25, A68/26 and A68/27.
Tim Evans, Senior Director, Health, Nutrition and Population, World Bank Group

Hon’ble Chair and Excellencies
The World Bank Group welcomes the draft documents and discussions related to the Ebola virus outbreak and follow-up to the Special Session of the Executive Board on Ebola.

At the outset, the World Bank Group acknowledges and supports the leadership of the Governments, especially the Ministries of Health, of Guinea, Liberia and Sierra Leone in their fight to get to, and sustain zero cases of EVD — AND in their efforts to get their essential health services and economies back on track.

The World Bank Group acknowledges the untiring and selfless efforts of the health and development communities in these three countries, members of which have worked in very adverse circumstances and against tough odds to contain this epidemic.

The World Bank Group welcomes the update on the Ebola outbreak, and appreciates the frank assessment as well as the actionable recommendations of the Ebola Interim Assessment panel as presented in its First Report. The World Bank Group very strongly supports a strengthened and well-funded WHO, which can support all countries as they prepare to meet the challenges of increased global interdependence and shared vulnerability.

More specifically, the WBG acknowledges the important focus of the First Report on financing. The Report’s focus on the chronic under-financing of WHO arising from the Zero Economic Growth policy is critically important — we urge all member states to reconsider this policy that places at risk all of WHO’s core functions in the longer run.

The World Bank Group strongly supports the establishment of a Contingency Fund to support WHO’s emergency response capacity. The WBG sees this as one critical part of rebuilding the financing architecture for pandemic risk management. On its part, the World Bank Group working closely with WHO and other development partners and the private sector is developing a global Pandemic Emergency Financing Facility. The PEFF, upon receiving an agreed “trigger” or “signal” from WHO, will disburse resources of sufficient scale – swiftly – to priority needs. In this regard, the PEFF will complement the proposed WHO Contingency Fund by providing resources to countries and implementing agencies, including WHO, WFP, UNICEF and others, as well as NGOs, to finance containment activities in affected countries.

The World Bank Group also welcomes the plan for a Global Health Emergency Workforce to respond to acute or protracted risks and emergencies with health consequences, which is fully aligned with the White Coats initiative proposed by Chancellor Merkel. The proposed Pandemic Emergency Financing Facility will support the rapid deployment of medical and health personnel during outbreaks, and considers this to be a very critical component of a surge response.

As various processes – such as the UNSG High Level panel, WHO’s Ebola Interim Assessment Panel, the Institute of Medicine Pandemic review – move toward conclusions, it will be critical to agree how their recommendations for strengthened global risk management for pandemics can be financed swiftly and sustainably drawing on existing and new mechanisms. In this regard, the World Bank Group looks forward to organizing with WHO and other partners, in early September 2015, a high level consultation on “pandemic financing”, that aims to reach consensus on both an overall framework for financing and on the specific mechanisms that will fuel the recommendations for a renewed and revitalized pandemic preparedness and response capacity.