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"Ebola virus disease Africa, West"
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Outbreak culture : the Ebola crisis and the next epidemic
An award-winning genetic researcher and a tenacious journalist examine each phase of the Ebola epidemic in West Africa, the largest and deadliest of its kind. Their postmortem identifies factors that kept key information from reaching doctors, complicated the government's response to the crisis, and left responders unprepared for the next outbreak.-- Provided by publisher
Book
The Ebola Epidemic in West Africa
The most recent Ebola epidemic that began in late 2013 alerted the entire world to the gaps in infectious disease emergency preparedness and response. The regional outbreak that progressed to a significant public health emergency of international concern (PHEIC) in a matter of months killed 11,310 and infected more than 28,616. While this outbreak bears some unique distinctions to past outbreaks, many characteristics remain the same and contributed to tragic loss of human life and unnecessary expenditure of capital: insufficient knowledge of the disease, its reservoirs, and its transmission; delayed prevention efforts and treatment; poor control of the disease in hospital settings; and inadequate community and international responses.
Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.
eBook
The economic impact of the 2014 EBOLA epidemic
Beyond the terrible toll in human lives and suffering, the Ebola epidemic currently afflicting West Africa is already having a measurable economic impact in terms of forgone output; higher fiscal deficits; rising prices; lower real household incomes and greater poverty. These economic impacts include the costs of healthcare and forgone productivity of those directly affected but, more importantly, they arise from choices by others to avoid exposure to the disease, called 'aversion behavior'. This report provides a systematic analysis of the channels of economic impact and the likely magnitude of that impact for Guinea, Liberia, and Sierra Leone, as well as West Africa as a whole. The short-term (2014) impact of Ebola on economic output is on the order of US$359 million in foregone output in 2013 prices. Two alternative scenarios are used to estimate the medium-term (2015) impact of the epidemic. A 'Low Ebola' scenario corresponds to rapid containment within the three most severely affected countries, while 'High Ebola' corresponds to slower containment in the core three countries, with some broader regional contagion. The estimates of the GDP lost as a result of the epidemic in the core three countries for 2015 alone sum to US$97 million under Low Ebola (implying some recovery from 2014), and US$809 million under High Ebola (in 2013 dollars). Over the medium term, however, both epidemiological and economic contagion in the broader sub-region of West Africa is likely. This report uses a multi-country general equilibrium model to estimate the medium-term impact on output for West Africa as a whole. Under Low Ebola, the loss in GDP for the sub-region is estimated to be US$2.2 billion in 2014 and US$1.6 billion in 2015. Under High Ebola, the estimates are US$7.4 billion in 2014, and US$25.2 billion in 2015. This analysis shows that the economic impacts are already very serious in the core three countries - particularly Liberia and Sierra Leone - and could become catastrophic under a slow-containment, High Ebola scenario. In broader regional terms, the economic impacts could be limited if immediate national and international responses succeed in containing the epidemic and mitigating aversion behavior. If, on the other hand, the epidemic spreads into neighboring countries, some of which have much larger economies, the cumulative two-year impact could reach US$32.6 billion by the end of 2015 - almost 2.5 times the combined 2013 GDP of the core three countries.
eBook
Inferno : a doctor's ebola story
\"Dr. Steven Hatch first came to Liberia in November 2013, to work at a hospital in Monrovia. Six months later, several of the physicians Dr. Hatch had mentored and served with were dead or barely clinging to life, and Ebola had become a world health emergency. Hundreds of victims perished each week; whole families were destroyed in a matter of days; so many died so quickly that the culturally taboo practice of cremation had to be instituted to dispose of the bodies. With little help from the international community and a population ravaged by disease and fear, the war-torn African nation was simply unprepared to deal with the catastrophe. A physician's memoir about the ravages of a terrible disease and the small hospital that fought to contain it, Inferno is also an explanation of the science and biology of Ebola : how it is transmitted and spreads with such ferocity. And as Dr. Hatch notes, while Ebola is temporarily under control, it will inevitably re-emerge-as will other plagues, notably the Zika virus, which the World Health Organization has declared a public health emergency. Inferno is a glimpse into the white-hot center of a crisis that will come again. \"-- Provided by publisher.
Book
Understanding West Africa's Ebola epidemic
The first book-length study of Ebola to consider the wider social, economic and political context of the epidemic. Brings together experts from a wide array of disciplines, including development studies, epidemiology, and African studies. The majority of contributing scholars are African, many of them based in countries affected by the epidemic. Offers a provocative critique of the international response, arguing that it was too late in recognising the scale of the outbreak. Warns that many of the social problems which exacerbated the epidemic remain, and offers practical recommendations for preventing similar outbreaks in the future.
eBook
Strengthening post-Ebola health systems : from response to resilience in Guinea, Liberia, and Sierra Leone
Addresses the challenge of enabling the development of viable, resilient, and fiscally sustainable health system in Guinea, Liberia, and Sierra Leone. Initiated while Ebola was still raging in all of the three most-affected countries in West Africa, the study identifies the requirements for strengthening the health systems in these countries to go beyond just getting the number of Ebola cases to zero. The overall goal of this study is thus twofold: To assess the capacity of the health systems of the three most-affected countries in terms of their ability to deliver quality health services to their populations, perform core public health functions on a routine basis, and to respond to public health emergencies; and To identify the highest impact strategies to help these countries to strengthen their health systems to be more effective and resilient, drilling down into three key aspects of the health system-- that is, fiscal space for universal health coverage (UHC), development and deployment of an effective health workforce, and continuous disease surveillance.-- Source other than the Library of Congress.
Book
The Ebola outbreak, 2013–2016: old lessons for new epidemics
Ebola virus causes a severe haemorrhagic fever in humans with high case fatality and significant epidemic potential. The 2013–2016 outbreak in West Africa was unprecedented in scale, being larger than all previous outbreaks combined, with 28 646 reported cases and 11 323 reported deaths. It was also unique in its geographical distribution and multicountry spread. It is vital that the lessons learned from the world's largest Ebola outbreak are not lost. This article aims to provide a detailed description of the evolution of the outbreak. We contextualize this outbreak in relation to previous Ebola outbreaks and outline the theories regarding its origins and emergence. The outbreak is described by country, in chronological order, including epidemiological parameters and implementation of outbreak containment strategies. We then summarize the factors that led to rapid and extensive propagation, as well as highlight the key successes, failures and lessons learned from this outbreak and the response.
This article is part of the themed issue ‘The 2013–2016 West African Ebola epidemic: data, decision-making and disease control’.
Journal Article
Inferno : a doctor's ebola story
\"Dr. Steven Hatch first came to Liberia in November 2013, to work at a hospital in Monrovia. Six months later, several of the physicians Dr. Hatch had mentored and served with were dead or barely clinging to life, and ebola had become a world health emergency ... A physician's memoir about the ravages of a terrible disease and the small hospital that fought to contain it, Inferno is also an explanation of the science and biology of ebola: how it is transmitted and spreads with such ferocity. And as Dr. Hatch notes, while ebola is temporarily under control, it will inevitably re-emerge--as will other plagues, notably the Zika virus, which the World Health Organization has declared a public health emergency\"-- Provided by publisher.
Book
Social mobilization and the Ebola virus disease in Liberia
The book offers a summary of the EVD crisis, and the ways it was defeated by the public who were energized by the gravity of the situation. It discusses the lessons learned, the effect of the disease on children, and the way forward for the international health care system.
eBook