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Western Pacific surveillance and response journal: WPSAR Vol.14 No. 6, Special Edition, pp.1-17
Emergency Medical Teams 2030 strategy
recommended
The Emergency Medical Teams (EMT) initiative plays a vital role in building this stronger and
more resilient global health emergency architecture, both by driving its formation and by
contributing to a rapidly deployable global health emergency corps. The Initiative and EMTs
bring something uniqu
...
e to health emergency preparedness and response – they bring
standards, professionalism, reliability, scalability, coordination, and the ability and willingness to
rapidly deploy wherever and whenever they are most needed. Most importantly, EMTs save lives.
more
Les équipes médicales d'urgence nationales constituent la meilleure option pour apporter une réponse immédiate et adaptée aux situations d'urgence touchant directement les populations, tandis que les équipes internationales peuvent contribuer à soulager les systèmes de santé débordés. L'e
...
fficacité et l'efficience des pays et des autorités locales dans la mobilisation des ressources existantes dépendent entièrement de la qualité des soins qu'ils sont en mesure de fournir. Cette publication sert de guide pratique aux équipes et vise à compléter les systèmes d'intervention d'urgence, en favorisant une collaboration harmonieuse avec l'ensemble des acteurs et des réseaux d'intervention d'urgence
more
En esta publicación, también conocida como Libro rojo, se ofrece un marco de orientación y se introducen requisitos de verificación adicionales para los equipos médicos que estén en fase de preparación o que ya estén participando en la respuesta a emergencias de salud, en conflictos armados
...
y otros entornos inseguros. El Libro rojo se sustenta en el imperativo humanitario de actuar y no retrasar la atención médica. En este sentido, ofrece un marco importante para guiar y mejorar la seguridad y el acceso de los equipos mientras las Naciones Unidas, los países y las partes beligerantes realizan esfuerzos diplomáticos para encontrar una solución pacífica y duradera al conflicto o situación de inseguridad.
more
Medical evacuation in emergencies
recommended
A guidance for medical teams and specialized care teams.
This guidance aims to provide a comprehensive framework for the safe and context-adapted coordination, clinical care, operations support and logistics relevant to governments, national authorities, including ministries of health, civil protec
...
tion and civil defence, national and international Emergency Medical Teams (EMTs), nongovernmental organizations (NGOs), Emergency Medical Services (EMS) and other key stakeholders operating in the medevac space, or wishing to build this kind of capacity. It defines minimum standards and recommendations for the development and classification of respective specialized care teams (SCTs). This is particularly relevant for contexts without pre-existing or functional prehospital or medevac systems, and can support country-level capacity building, regional and sub-regional planning, and the development of SCTs.
more
This document suggests mechanisms that countries can use to respond to emergencies and disasters taking a whole of society and whole of government approach ensuring multisectoral engagement for health actions. It helps to run a participatory process of developing the national health response operati
...
ons plan that brings together all relevant sectors, public health experts, civil society and the international community under government leadership and facilitate ownership, adoption, testing through simulation and finally successful implementation in responding to emergencies and disasters from multiple hazards.
more
Key resources include the Manual for Disaster Response Teams, which helps experts plan public communication, exchange information, and manage media, ensuring crucial data reaches humanitarian actors
Lessons learned around RCCE in outbreak responses in East and Southern Africa recognise the need to learn from and strengthen national and cross-border collaboration in the face of frequent public health emergencies. In October 2023, One Health partners conducted a Simulation Exercise in the Mandera
...
region between Ethiopia, Kenya, and Somalia to test cross-border readiness. One of the key recommendations from this workshop was that current and future agreements, plans, and SOPs on One Health Emergency Preparedness and Response (EPR) in all three countries should include RCCE for cross-border situations.
more
A toolkit designed to support with developing effective community engagement strategies for different emergencies with specific tools for natural hazards, conflicts, disease outbreaks, epidemics, and complex emergencies.
The purpose of this interim guidance is to provide recommendations for planning and implementing RCCE activities that protect and empower communities during MVD outbreaks. The guidance is designed for national and subnational health responders involved in RCCE for MVD readiness and response. It is a
...
lso relevant to other stakeholders, such as partner organizations, ministries (such as those involved in social protection), and academics, who contribute to RCCE activities. The document is meant to be adapted alongside national multi-risk/ multisectoral plans, leveraging existing expertise, coordination mechanisms and partnerships.
more
L’épidémie de maladie à virus Ebola représente l’une des menaces sanitaires les plus graves pour la santé publique mondiale, en raison de sa létalité élevée, de sa propagation rapide et de ses conséquences sociales, économiques et sécuritaires. L’expérience des 16 précédentes fl
...
ambées en République Démocratique du Congo et dans d’autres pays d’Afrique de l’Ouest a montré que la préparation et la réponse rapide sont essentielles pour contenir efficacement la maladie et sauver des vies.
more
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
Apenas 3% da investigação global em saúde provém de África, apesar da sua quota de 18% da
população mundial e de 25% da carga de doença. Um desafio para esta investigação limitada
em saúde no continente decorre do deficiente quadro de ética de investigação e da falha dos
princípios
...
internacionais de ética na investigação em proteger de forma óptima os participantes
africanos da investigação. As populações africanas possuem culturas, valores, sistemas de
crenças e virtudes peculiares que necessitam de ser explorados e compreendidos no processo
de conduta ética na investigação. Por exemplo, um estudo realizado num contexto africano
reportou que a informação sobre os diagnósticos de cancro como desfavorável durante o
processo de consentimento informado poderia alterar o tratamento e o resultado dos cuidados
aos doentes. Nos contextos africanos, ao contrário dos países desenvolvidos, a ênfase é
colocada na autonomia comunitária em detrimento da autonomia individual. Nas populações
africanas onde os níveis de literacia em saúde são comparativamente baixos, a compreensão da
investigação e da doença durante o consentimento informado pode comprometer a capacidade
de tomar decisões informadas. Além disso, o menor estatuto socioeconómico das populações
africanas pode tornar os participantes do estudo vulneráveis, dado que os incentivos oferecidos
podem afectar as suas decisões de participar no estudo.
more
La récurrence des épidémies de la maladie à virus Ebola constitue un problème important de santé publique pour la République Démocratique du Congo. Cette situation épidémique qui sévit dans les communautés concerne toutes les couches de la population y compris dans la communauté scolair
...
e. Outre la maladie à virus Ebola et la Covid-19 pouvant se transmettre facilement en milieu scolaire, certaines maladies zoonotiques parasitaires et fungiques y sont fréquemment observées chez les élèves. Il est à noter que 60% des maladies infectieuses humaines sont zoonotiques. La protection des enfants et des établissements d’enseignement s’avère particulièrement importante. Il est nécessaire de prendre des précautions pour éviter la propagation éventuelle de la COVID-19 en milieu scolaire. Cependant, il faut également veiller à ne pas stigmatiser les élèves et le personnel susceptibles d’avoir été exposés au virus
more
Cet ensemble d’outils constitue une panoplie complète d’outils et d’instruments pratiques conçus pour aider les professionnels, les responsables politiques et les partenaires impliqués dans la communication sur les risques et la mobilisation communautaire (CRMC) au niveau national à planif
...
ier et à mettre en œuvre des activités concernant la
préparation opérationnelle et la riposte en cas de flambée épidémique de maladie à virus Ebola
more
Filoviral hemorrhagic fever (FHF) is caused by ebolaviruses and marburgviruses, which both belongto the family Filoviridae. Egyptian fruit bats (Rousettus aegyptiacus) are the most likely natural reservoir for marburg viruses and entry into caves and mines that they stay in has often been associated
...
with outbreaks of MVD. On the other hand, the natural reservoir for ebola viruses remains elusive;however, handling of wild animal carcasses has been associated with some outbreaks of EVD. In thelast two decades, there has been an increase in the incidence of FHF outbreaks in Africa, some beingcaused by a newly found virus and some occurring in previously unaffected areas such as Guinea, Liberia and Sierra Leone, in which the most recent EVD outbreak occurred in 2014. Indeed, the predicted geographic distribution of filoviruses and their potential reservoirs in Africa includes manycountries in which FHF has not been reported. To minimize the risk of virus dissemination inpreviously unaffected areas, there is a need for increased investment in health infrastructure in African countries, policies to facilitate collaboration between health authorities from different countries, implementation of outbreak control measures by relevant multi-disciplinary teams and education of the populations at risk.
more
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
...
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.
more
This review article examines 42 years of Ebola virus disease (EVD) outbreaks in Sub-Saharan Africa, from 1976 to 2019. The authors analyze the epidemiology, geographical distribution, mortality rates, and response strategies associated with 34 Ebola outbreaks across 11 African countries. The review
...
identifies key challenges in controlling Ebola, including weak health systems, limited surveillance and laboratory capacity, sociocultural practices, environmental changes, and community mistrust. It also discusses advances in diagnostics, treatments, and vaccines, and emphasizes the importance of a One Health approach, community engagement, effective communication, and stronger healthcare systems to improve preparedness, prevention, and response to future Ebola outbreaks.
more
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
...
so: baja capacidad para crecer; alta desigualdad, baja movilidad social y débil cohesión social, y bajas capacidades institucionales y gobernanza poco efectiva.
more
