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The lack of an African research ethics framework during epidemic emergencies (EE) has been a glaring concern
amongst African scholars for decades. In the context of major public health emergencies of continental and global health concern over the last five years, such as Ebola in 2019, COVID in 202
...
0 and Mpox in 2024, and ongoing epidemics, including those of pandemic potential, the need for such a framework is evident. Ethics frameworks for research during emergencies have been published (World Health Organisation, 2016; Nuffield Council on Bioethics, 2020). However, there is currently no African and continent-wide, coherent guidance that promotes African values, elaborated by Africans for hosting research during EE on the continent. To address this gap, the African Centre for Disease Control convened an Ethics Working Group (Ethics WG) to develop an African
framework that embraces dominant African principles/values that might guide the ethical conduct of research in
more
Seulement 3 % de la recherche mondiale en santé provient d’Afrique, malgré sa part de 18 % de la population
mondiale et de 25 % de la charge de morbidité. L’un des défis auxquels est confrontée cette recherche limitée en
matière de santé sur le continent provient du cadre défaillant d
...
e l’éthique de la recherche et de l’incapacité des
principes internationaux d’éthique de la recherche à protéger de manière optimale les participants africains à la
recherche. Les populations africaines possèdent des cultures, des valeurs, des systèmes de croyances et des
vertus spécifiques qu'il convient d'explorer et de comprendre pour mener la recherche de manière éthiques. Par
exemple, une étude menée en Afrique a révélé que l'information sur les diagnostics, notamment ceux de cancer,
lors du consentement éclairé a été jugée défavorable, ce qui peut altérer le traitement et les résultats des soins
prodigués aux patients. En Afrique, contrairement aux pays développés, l'accent est davantage mis sur
l'autonomie communautaire que sur l'autonomie individuelle. Le niveau d’alphabétisation en santé des populations
africaines est faible par rapport à celui des pays développés, ce qui affecte leur compréhension du consentement
éclairé et compromet leur capacité à prendre des décisions éclairées. Le statut socio-économique inférieur des
populations africaines pourrait également rendre les participants à l'étude vulnérables, car les incitations offertes
pourraient influencer leur décision de participer à l'étude.
more
This review article provides a comprehensive overview of Ebola Virus Disease (EVD), covering its epidemiology, clinical presentation, diagnosis, treatment, and prevention. It explains that Ebola is a severe zoonotic infection caused by the Ebola virus, most likely originating from fruit bats and tra
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nsmitted to humans through contact with infected animals or body fluids. The article summarizes the history of Ebola outbreaks in Africa, including the major West African epidemic of 2013–2016 and subsequent outbreaks in the Democratic Republic of Congo. It describes the disease’s clinical course, ranging from nonspecific flu-like symptoms to severe dehydration, multiorgan failure, shock, and death. The authors discuss diagnostic methods, supportive and intensive care management, emerging antiviral therapies and monoclonal antibodies, as well as the development and use of Ebola vaccines. The review also highlights the importance of infection control, contact tracing, community engagement, safe burial practices, and healthcare worker protection in controlling outbreaks. Finally, it addresses long-term complications in survivors and the persistence of Ebola virus in certain body compartments, particularly semen, which may contribute to delayed transmission.
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Between April 2018 and November 2020, the Democratic Republic of Congo (DRC) experienced its 11th Ebola virus disease (EVD) outbreak. Tanzania’s cross-border interactions with DRC through regular visitors, traders, and refugees are of concern, given the potential for further spread to neighboring
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countries. This study aimed to estimate the risk of introducing EVD to Tanzania from DRC. National data for flights, boats, and car transport schedules from DRC to Tanzania covering the period of May 2018 to June 2019 were analyzed to describe population movement via land, port, and air travel and coupled with available surveillance data to model the risk of EVD entry. The land border crossing was considered the most frequently used means of travel and the most likely pathway of introducing EVD from DRC to Tanzania. High probabilities of introducing EVD from DRC to Tanzania through the assessed pathways were associated with the viability of the pathogen and low detection capacity at the ports of entry. This study provides important information regarding the elements contributing to the risk associated with the introduction of EBV in Tanzania. It also indicates that infected humans arriving via land are the most likely pathway of EBV entry, and therefore, mitigation strategies including land border surveillance should be strengthened.
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La dimensión ambiental y los esfuerzos para combatir el cambio climático forman parte de la estrategia que propone la Comisión Económica para América Latina y el Caribe (CEPAL) para lograr el desarrollo sostenible en América Latina y el Caribe y enfrentar las trampas que obstaculizan el progre
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so: baja capacidad para crecer; alta desigualdad, baja movilidad social y débil cohesión social, y bajas capacidades institucionales y gobernanza poco efectiva.
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The State of Food Security and Nutrition in the World 2025 examines global progress towards ending hunger, food insecurity and malnutrition, with special attention to the impact of food price inflation. The report provides updated estimates on hunger, food insecurity, affordability of healthy diets
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and nutrition outcomes worldwide.
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Le Code déontologique du CII pour la profession infirmière expose les valeurs éthiques, les responsabilités et le devoir professionnel des infirmières et des étudiants en soins infirmiers, définissant et guidant la pratique éthique des soins infirmiers dans les différents rôles qu’ils as
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sument. Il ne s’agit pas d’un code de conduite, mais il peut servir de cadre à une pratique éthique des soins infirmiers et à la prise de décision afin de satisfaire aux normes professionnelles fixées par les organismes de réglementation.
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