The objectives of the meeting were to agree on coordinated and aligned support to the 3 countries’ national health recovery plans (Guinea, Liberia, Sierra Leone); to identify cross-cutting areas and opportunities for integration; to identify ways to improve implementation modalities; and to identi...fy actions including technical assistance needed to support the countries in the process of building resilient health systems.
The outcomes of the meeting consisted in proposed country action plans to move forward with the implementation of the recovery plans. The action plans includes:priorities and areas of work; activities needed to improve implementation modalities; technical assistance needs.
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La Guinée a été le point zéro de la flambée récente de la maladie à virus Ebola. Le taux de mortalité attribuée à Ebola en Guinée était de 66 %, nettement plus élevé que les taux des deux autres pays ouest-africains les plus affectés : la Sierra Leone (32 %) et le Liberia (45 %). Face... à la fermeture des cliniques, aux patients qui évitent les établissements sanitaires de peur de contracter Ebola et aux patients présentant des symptômes semblables à ceux d’Ebola qu’on renvoie chez eux, les experts en matière de santé s’inquiètent que d’autres maladies, telles que le paludisme, la pneumonie et la fièvre typhoïde, ne seront pas soignées, et que des soins de routine comme ceux qui favorisent la santé maternelle et infantile ne seront pas fournis.
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Situation analysis
Description of the disaster
An Ebola epidemic that started in March 2014 in Guinea has relentlessly continued to claim lives and to spread to other countries in West Africa. The current Ebola outbreak is the largest in history and the first to affect multiple countries simu...ltaneously. There have been over 24 000 reported confirmed, probable, and suspected cases of EVD in Guinea, Liberia and Sierra Leone (table 1), with almost 10 000 reported deaths (outcomes for many cases are unknown). A total of 58 new confirmed cases were reported in Guinea, 0 in Liberia, and 58 in Sierra Leone in the 7 days to 8 March (4 days to 5 March for Liberia). Many experts believe that the official numbers substantially understate the size of the outbreak because of families' widespread reluctance to report cases. Because of the fluidity of movement of people between West Africa and several countries in the East African countries, especially Kenya and Ethiopia (who in turn have extensive interaction with other countries in the region in terms of human movement), the risk of an outbreak of Ebola in East Africa is as eminent as in any of the countries bordering the affected countries. The IFRC regional office intends to support National Societies to raise their Ebola preparedness and response capacity through training, technical support in planning and implementation of Ebola related activities, and coordination both within and outside the movement.
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Almost 30 countries vulnerable to a new Ebola-style Epidemic, jeopardising the future of millions of Children. The report ranks the world’s poorest countries on the state of their public health systems, finding that 28 have weaker defences in place than Liberia where, alongside Sierra Leone and Gu...inea, the current Ebola crisis has already claimed 9,000 lives, and provoked an extraordinary international response to help contain it.
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A global campaign that places Ebola survivor stories at the center of efforts to inform, protect, and inspire.
#ISurvivedEbola is a multi-dimensional communications campaign that uses entertainment media to inform, engage, and empower audiences to tackle Ebola. Launched in December 2014, the I Surv...ived Ebola campaign is using personal stories and experiences told by Ebola survivors in Liberia, Sierra Leone, and Guinea "to inform, protect, and spread hope" while also countering stigma and discrimination. The stories are being documented and shared in video, audio, and print formats, and disseminated though media, online platforms, a mobile phone app, and other distribution channels, including being dramatised in a 5-part radio drama. Go to the website http://isurvivedebola.org/
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The 2014–2015 Ebola epidemic in western Africa was the longest and most deadly Ebola epidemic in history, resulting in 28,616 cases and 11,310 deaths in Guinea, Liberia, and Sierra Leone. The Ebola virus has been known since 1976, when two separate outbreaks were identified in the Democratic Repub...lic of Congo (then Zaire) and South Sudan (then Sudan). However, because all Ebola outbreaks prior to that in West Africa in 2014–2015 were relatively isolated and of short duration, little was known about how to best manage patients to improve survival, and there were no approved therapeutics or vaccines. When the World Heath Organization declared the 2014-2015 epidemic a public health emergency of international concern in August 2014, several teams began conducting formal clinical trials in the Ebola affected countries during the outbreak.
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The Emergency Ministerial meeting on Ebola Virus Disease (EVD) with Health Ministers agreeing on a range of priority actions to end the Ebola outbreak in West Africa. The scale of the ongoing outbreak is unprecedented with reports of over 750 cases and 445 deaths in Guinea, Sierra Leone and Liberia... since March 2014.
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Elsevier Provides Free Online Access to Medical Information for West African Countries Stricken with Ebola Outbreak
To support healthcare professionals in West Africa battling the Ebola outbreak, Elsevier [http://www.elsevier.com/] will provide free access to its primary online clinical infomation ...and reference tool, ClinicalKey. The African countries that are part of this free r-
ClinicalKey access program include the four in West Africa currently affected –Liberia, Nigeria, Sierra Leone and Guinea –plus other African countries where the outbreak has the potential to spread, including Cameroon, Central African Republic, Ghana, Angola, Togo, United Republic of Tanzania, Ethiopia, Mozambique, Burundi, Equatorial Guinea, Madagascar and Malawi. All IPs originating from these countries will be granted free access for the next two months
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The New England Journal of Medicine has a perspective on Ebola Virus Disease in West Africa — Clinical Manifestations and Management, written by authors who have cared for more than 700 patients with EVD between August 23 and October 4, 2014, in the largest Ebola treatment unit in Monrovia, Liberi...a (Free Access) NEJm, November 5, 2014DOI: 10.1056/NEJMp1413084
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This video animation was created for use in West Africa to help dispel myths about how Ebola is spread, and to prevent infection and further spreading of the disease. The story is based around a teenage boy on a hospital cot in Liberia, who speaks to his parents, brother and sister warning them abou...t the disease and telling them how it can be prevented. The story highlights the need for isolation and shows the heartache of the family as they are unable to comfort, touch, or care for the boy who is very ill. His words are words of comfort to those who are separated from their loved ones as they are encouraged to take care of themselves and keep away from those who are ill.
The video was created by Chocolate Moose Media, an organisation specialising in the use of film and animation for behaviour change, and mobile-health-education innovator iHeed, in collaboration with United Methodist Communications, who provided partial funding.
The video, which uses only young voices, is being made available in eight versions: Nigerian English and Pidgin, South African English, French (for Ivory Coast and Guinea), Sierra Leone English, and Liberian English and Krio. It can be downloaded in high definition, low definition, and for use on mobile platforms.
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The course has an emphasis on health care in the US: "health care professionals need to understand this virus as more patients in the United States are confirmed to have EVD and patients are being transported to the US for treatment". Does anyone know of similar online courses (in English and/or Fre...nch) for health professionals in Sierra Leone, Liberia and Guinea? Courses that can be readily downloaded for offline use would be particularly valuableThe course is offered free for those wishing to obtain the information or for a nominal fee for nurses and physicians who desire CME credits (2.75 AMA PRA Category 1 CreditsTM for $25). to register go to: http://www.uab.edu/nursing/home/office-of-professional-development
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WiderNet@UNC and the WiderNet Project have established the Ebola Emergency Response Library initiative to create a pocket library for people, especially local health care workers in Liberia, Guinea, and Sierra Leone, responding to the Ebola crisis in Africa.
They are collecting high-quality digit...al resources for everyone from physicians and researchers to families, teachers, media outlets, social workers, and school children.
While this collection is available on the World Wide Web for those who have Internet access, the resources can be distributed on micro chips for use in smartphones, tablets, and laptops in places that lack internet access. The chips can be freely copied so that the information spreads faster than the disease.
The Internet version of the Ebola Pocket Library can be viewed at:
http://www.widernet.org/portals/ebola
The downloadable version can be found here:
Download the Ebola Pocket Library
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C’est en agissant prestement sur le front économique que l’on a pu surmonter cette crise sanitaire
L’Afrique de l’Ouest et la communauté internationale ont dû faire face à une crise sanitaire sans précédent lorsqu’a éclaté, en mars 2014, la plus grande épidémie de la maladie... à virus Ébola jamais enregistrée. Celle-ci a fait plus de 11.000 morts et infecté plus de 28.000 personnes entre la fin 2013 et le début 2016.
L’importance des dépenses sanitaires et sociales que cette épidémie a exigées a aussi provoqué une crise économique, qui a été aggravée par l’effondrement presque concomitant des cours des produits de base. Déjà sous pression avant la survenue de l’épidémie, les systèmes sanitaires et sociaux de la Guinée, du Libéria et de la Sierra Leone — pays les plus touchés — ont été submergés.
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Full Report.
In response to a call by the United Nations Secretary-General and the Governments of Guinea, Liberia and Sierra Leone, an international team conducted an Ebola Recovery Assessment. The aim was to contribute towards laying the foundation for short-, medium- and long-term recovery while ...the medical emergency response continues to tackle the epidemic. This report is a contribution to ongoing efforts by the Governments of Guinea, Liberia and Sierra Leone to design their national Ebola virus disease recovery strategies
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In February 2014, there was an outbreak of the Ebola Virus Disease (EVD) in Guinea, which has spread to Liberia, Mali, Nigeria, Senegal and Sierra Leone causing untold hardship and hundreds of deaths in these countries. As of 6 March 2015, a total of 24,282 cases, and 9,976 deaths, which were attrib...uted to the EVD, had been recorded across the most affected countries of Guinea, Liberia and Sierra Leone. In the Democratic Republic of Congo (DRC), an outbreak of the EVD was also reported, but is considered of a different origin than that which has affected West Africa.
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In light of the decline in new Ebola cases, strategies are now needed to scale down the activities and bed capacities in Ebola care facilities. These facilities include Ebola treatment units, community care centres, Ebola treatment centres and isolation centres. The Governments of Guinea, Liberia an...d Sierra Leone; WHO; CDC; ICAN and UNICEF have jointly developed this rapid guidance and checklist to assist national governments and partners as they begin this process. This rapid guidance pertains to protecting the safety and repurposing of infrastructures and resources previously used for the Ebola outbreak to care for Ebola patients.
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L’enseignement des soins infirmiers se fait sous la tutelle du ministère de la Santé et de la Prévention médicale.Il est en pleine effervescence,mais seulement avec deux niveaux de formation.
- En premier lieu,il y a la formation initiale qu’une seule institution nationale a assurée de 195...2 à 1992.Avec la pénurie de la main-d’œuvre et la libéralisation de l’éducation,le Sénégal fait face depuis une quinzaine d’années à l’ouverture effrénée d’écoles privées dont la majorité dispose d’un agrément du ministère de la Santé.Le diplôme requis à l’entrée dans ces institutions de formation est le baccalauréat de l’enseignement général (13 ans de scolarité).La durée des études est de trois années sanctionnées par un diplôme d’État d’infirmier délivré par le ministère de la Santé et de la Prévention médicale,pour les diplômés des secteurs public et privé. - En deuxième lieu,il y a la formation continue spécialisée,dans les huit filières suivantes:enseignement et administration,anesthésie et réanimation,kinésithérapie,biologie,imagerie médicale,odontologie,ophtalmologie et néphrologie.Elle est offerte sur une période de deux ans,par l’École nationale de développement sanitaire et social (ENDSS).Le profil de sortie permet aux soignants d’exercer leur profession spécialisée avec le diplôme de technicien supérieur de santé.
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The report examines how people with mental health conditions are often shackled by families in their own homes or in overcrowded and unsanitary institutions, against their will, due to widespread stigma and a lack of mental health services.
Many are forced to eat, sleep, urinate, and defecate in t...he same tiny area. In state-run or private institutions, as well as traditional or religious healing centers, they are often forced to fast, take medications or herbal concoctions, and face physical and sexual violence. The report includes field research and testimonies from Afghanistan, Burkina Faso, Cambodia, China, Ghana, Indonesia, Kenya, Liberia, Mexico, Mozambique, Nigeria, Sierra Leone, Palestine, the self-declared independent state of Somaliland, South Sudan, and Yemen.
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La publicación ofrece una visión general y un análisis de los instrumentos internacionales que establecen normas relacionadas con el uso de antimicrobianos en los sectores humano, animal y vegetal, y su liberación en el medio ambiente. El propósito del documento es identificar los instrumentos ...y normas existentes a fin de orientar tanto su aplicación como informar los debates y la dirección de futuros instrumentos internacionales relacionados con el uso de antimicrobianos.
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Visión de conjunto:
El ciclo de transmisión
Teniasis. Las tenias viven en los intestinos de las personas infectadas. Los huevos de la tenia se liberan con las heces. Si se defeca al aire libre, se puede contaminar el ambiente (incluyendo los vegetales y el agua). Cisticercosis humana. La inges...tión de huevos de la tenia (debido a una mala higiene después de ir al baño o al consumir alimentos o agua contaminados), resulta en quistes del parásito principalmente en el cerebro (causando convulsiones y epilepsia). Cisticercosis porcina. Los cerdos que ingieren huevos de tenia (presentes en las heces o en el medio ambiente) desarrollan quistes del parásito, principalmente en los músculos (carne). La carne infectada contiene quistes del parásito, que no siempre son fáciles de ver. Comer carne de cerdo infectada cruda o poco cocinada hará que las personas desarrollen tenias.
Las medidas de prevención y control
Tratar la infección por teniasis con medicamentos indicados por el personal de salud. Lavarse las manos con agua y jabón después de ir al baño. Lavar bien las verduras o cocinarlas antes de comerlas. Utilizar los baños o letrinas para evitar infectar el ambiente, los cerdos y otras personas. Mantener a los cerdos en corrales para evitar que se infecten. Vacunar y tratar a los cerdos para prevenir la infección. La inspección de la carne puede identificar a los cerdos altamente infectados. Cocinar bien la carne de cerdo (no debe verse el color rosa) para matar el parásito.
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