Versão Corrigida

Total Page:16

File Type:pdf, Size:1020Kb

Versão Corrigida Versão Corrigida Universidade de São Paulo Faculdade de Filosofia, Letras e Ciências Humanas Departamento de Antropologia Social O cuidado perigoso: tramas de afeto e risco na Serra Leoa (A epidemia do ebola contada pelas mulheres, vivas e mortas) Denise Pimenta (Versão Corrigida) Tese apresentada ao Programa de Pós-Graduação em Antropologia Social do Departamento de Antropologia Social da Faculdade de Filosofia, Letras e Ciências Humanas da Universidade de São Paulo, para a obtenção do título de doutora em Antropologia Social. Orientador: Prof. Dr. John Cowart Dawsey São Paulo, 2019 O cuidado perigoso: tramas de afeto e risco na Serra Leoa (A epidemia do ebola contada pelas mulheres, vivas e mortas) (Versão Corrigida) Autorizo a reprodução e divulgação total ou parcial deste trabalho, por qualquer meio convencional ou eletrônico, para fins de estudo e pesquisa, desde que citada a fonte. Catalogação na Publicação Serviço de Biblioteca e Documentação Faculdade de Filosofia, Letras e Ciências Humanas da Universidade de São Paulo Pimenta, Denise P644c O cuidado perigoso: tramas de afeto e risco na Serra Leoa (A epidemia do ebola contada por mulheres, vivas e mortas) / Denise Pimenta ; orientador John Cowart Dawsey. - São Paulo, 2019. 351 f. Tese (Doutorado)- Faculdade de Filosofia, Letras e Ciências Humanas da Universidade de São Paulo. Departamento de Antropologia. Área de concentração: Antropologia Social. 1. Serra Leoa (África do Oeste). 2. Guerra Civil. 3. Epidemia do ebola (2013-2016). 4. Mulheres. 5. "Cuidado Perigoso". I. Cowart Dawsey, John, orient. II. Título. UNIVERSIDADE DE SÃO PAULO FACULDADE DE F FACULDADE DE FILOSOFIA, LETRAS E CIÊNCIAS HUMANAS ENTREGA DO EXEMPLAR CORRIGIDO DA DISSERTAÇÃO/TESE Termo de Ciência e Concordância do (a) orientador (a) Nom e do (a) aluno (a) : Denise Moraes Pim enta Data da defesa: 15/ 03/ 2019 Nom e do Prof. (a) orientador (a) : John Cowart Daw sey Nos termos da legislação vigente, declaro ESTAR CI ENTE do conteúdo deste EXEMPLAR CORRI GIDO elaborado em atenção às sugestões dos membros da comissão Julgadora na sessão de defesa do trabalho, manifestando-me plenam ente favorável ao seu encaminhamento e publicação no Portal Digital de Teses da USP. São Paulo, 10/05/2019 ___________________________________________________ (Assinatura do (a) orientador (a) Para Aisha, Laura, Doris e Jeneba. Mulheres com quem tudo aprendi, a quem tudo devo. Para meu grande amigo Mohamed (in memoriam). Pela memória dos dias. Hoje um pensamento me assaltou. Quando imagino a vida nas comunidades da Serra Leoa, não vejo homens. Talvez porque nas poucas fotos que você me mandou, quase não aparecem homens. Nas poucas histórias que você me contou, quase não aparecem homens. (...) E, quando me imagino na Serra Leoa, me vejo entre mulheres. (Conversas na casa materna - Brasil) Resumo Durante os anos de 2013 a 2016, a África do Oeste, mais precisamente a região do Mano River Union – Libéria, Serra Leoa e Guiné-Conacri – viveu sob uma das piores epidemias do vírus do ebola ocorridas desde 1976, ano do primeiro relato do vírus no antigo Zaire (atual Congo). Entendendo a epidemia como locus privilegiado para a compressão das estruturas de uma sociedade, podendo descortinar conflitos políticos e desigualdades sociais e econômicas, dediquei-me à feitura de uma etnografia na Serra Leoa, durante 9 meses, momento em que morei em Freetown, a capital do país, e também em comunidades rurais. Na medida em que a epidemia neste país matou mais mulheres do que homens, busquei entender o porquê deste fato. Para tanto, segui as histórias de três mulheres mortas por conta do vírus: Jinnah Amana da comunidade de Komende-Luyama, Isha Tullah de Devil Hole e Fatmata de John Thorpe. A partir de um intenso trabalho de campo, concluí que a maior mortandade de mulheres serra- leonenses estava diretamente relacionada ao trabalho do cuidado dispendido a seus familiares e amigos. Deste modo, a epidemia do ebola na Serra Leoa era generificada, colocando mulheres em risco por conta da pesada responsabilização destas perante a trama de parentesco e afetos. Diante disso, cunhei o termo “cuidado perigoso” como uma categoria boa para pensar as relações de gênero por detrás da epidemia do ebola na Serra Leoa. Portanto, esta pesquisa segue as narrativas reveladoras de mulheres, vivas e mortas, a respeito do ebola na Serra Leoa. Narrativas estas que apontaram para a impossibilidade de se entender a epidemia do Ebola – ou qualquer outro fenômeno social da Serra Leoa - sem se acessar as memórias da guerra civil vivida no país durante os anos de 1991 a 2002. Palavras-chave: África do Oeste, Serra Leoa, guerra civil, epidemia do ebola, mulheres, “cuidado perigoso”. Abstract From 2013 to 2016, the West Africa, more precisely the Mano River Union region – Liberia, Sierra Leone and Guinea-Conakry – went through one of the worst Ebola virus epidemics since 1976, the year when the virus was first reported in Zaire (now, Congo). Understanding the epidemic as a privileged locus to understand the structures of a society, revealing political conflicts and social and economic inequalities, I dedicated myself to do ethnography in Sierra Leone for 9 months, when I lived in Freetown, the capital of the country, but also in rural communities. As the epidemic in this country killed more women than men, I sought to understand why this was occurred. In this way, I followed the stories of three women killed by the virus: Jinnah Amana from Komende-Luyama community, Isha Tullah from Devil Hole and Fatmata from John Thorpe. From an intensive fieldwork, I concluded that the large number of female death in Sierra Leonean was directly related to the work of the care expended on their relatives and friends. Thus, the Ebola epidemic in Sierra Leone was gendered, placing women at risk because of their heavy accountability to the network of kinship and affections. Faced with this, I coined the term "dangerous care" as a good category to think about the gender relations behind the ebola epidemic in Sierra Leone. Therefore, this research follows the revealing narratives of women, alive and dead, regarding the ebola in Sierra Leone. These narratives pointed to the impossibility of understanding the Ebola epidemic - or any other social phenomena in Sierra Leone - without accessing the memories of the civil war in the country during the years 1991 to 2002. Keywords: West Africa, Sierra Leone, Civil War, Ebola epidemic, women, “dangerous care”. Agradecimentos Não consigo dormir. Tenho uma mulher atravessada entre minhas pálpebras. Se pudesse, diria a ela que fosse embora; mas tenho uma mulher atravessada em minha garganta. A noite/1 – Eduardo Galeno, 2005 Foi um privilégio ter caminhado durante todo o processo da feitura desta etnografia ao lado de mulheres africanas e não africanas, vivas e mortas. Agradeço, primeiramente, à Jinnah Amara, Isha Tullah e Fatmata pela generosidade ao permitirem que eu contasse um pequena parte de suas histórias, garantindo que o mundo dos espíritos não se revoltasse diante de qualquer falha que eu viesse a cometer. Obrigada por permitirem que os céus não desabassem sobre minha cabeça, protegendo-me a partir do “acaso”, que me levou aos bons encontros com seus familiares, amigas, vizinhas e também desafetos. Busquei, verdadeiramente, respeitá- las e lhes conferir algum tipo de alma, presença e dignidade. Agradeço às comunidades de Komende-Luyama, Devil Hole e John Thorpe por terem me acolhido com generosidade, permitindo que eu pudesse adentrar suas tramas de afetos. Agradeço especialmente, em Komende, às mulheres e meninas que me deixaram partilhar de seus cotidianos, transformando-me em uma mulher corajosa. Nunca permitiram que eu me abalasse diante de qualquer obstáculo: “Take courage, Mariama! Take courage!”. À Doris, devo mais da metade desta tese e agradeço sua paciência e amor. Agradeço também à Benita, Jenneh, Mamie e à Mamie Queen de Komende, mulher essencial para alimentar desejos de pesquisas futuras. Às meninas - Doris Vandi, Jama, Jamie e Musu - pela bondade de entenderem meu passo lento no aprendizado das coisas, devo a luta permanente por um mundo menos hostil às mulheres. Aos chefes de Komende, agradeço a permissão para entrar na comunidade e poder desfrutar da oportunidade única de viver entre os mende, um povo tão forte. Além disso, não poderia deixar de agradecer a dádiva recebida, meu “nome africano” que me abriu portas, portões e corações: “Mariama”. Agradeço a todos sobreviventes do ebola de Komende-Luyama, guardo um carinho especial pelas mulheres, principalmente por Binta Bah e Messie Momoh. Ao amigo Mustapha Mambu, agradeço a boa amizade sem a qual esta pesquisa não teria tomado forma e cor. Mustapha, sem dúvida, deu esqueleto a esta tese. Em Devil Hole, agradeço à Jeneba Shyllon e a Popay, que me deixaram entrar em suas casa e vidas, tomando-me por filha. À Isata, agradeço o direcionamento, à ajuda para andar entre as gentes e as comunidades. À Aunty Amin, Mama Fish, Haja, Hajariatu e Saidu agradeço todo o empenho em tornar minha pesquisa possível. Em John Thorpe, agradeço às amigas e vizinhas de Fatmata e ao chefe da comunidade pela disponibilidade e paciência. Em Freetown, agradeço à família Ibrahim por me acolher e dar todas as condições para o meu bem-viver e também por me instigarem intelectualmente. Muito obrigado a Ibrahim Abdullah, Yasmine Bilkes e Jamil Ibrahim. No meio da minha trajetória de doutoramento perdemos o sobrinho da família, Mohamed, quem tudo me ensinou sobre como viver em Freetown. Não há palavras para exprimir minha gratidão e minhas saudades. Agradeço também à Aunty Adama Sande, Mariama Penyike e Sahr. Além disso, agradeço à minha grande amiga Aminata Koroma por enfrentar as margens comigo. Agradeço também aos amigos Abdulai Starwave, Sinava Lamin, Victoria Wells, Alhaji Seku Bangura e Abdul Koroma. Agradeço às meninas e mulheres serra-leonenses por todo cuidado, sempre protegendo-me dos perigos desta vida tão arriscada para nós mulheres.
Recommended publications
  • Angola Moose 100 Years
    Serving the Steuben County 101 lakes area since 1857 Buck Lake Concert to benefi t woman Showers and Weather battling cancer storms early, mostly cloudy, Page A2 high 86. Low 70. Page A9 Angola, Indiana FRIDAY, AUGUST 22, 2014 kpcnews.com 75 cents GOOD Angola Moose 100 years old BY JENNIFER DECKER MORNING [email protected] ANGOLA — An Angola family Love’s to make fraternity has performed hundreds of good deeds and charitable acts donation to over the years. Make that 100 years’ Literacy Coalition worth in the city. ANGOLA — Oklahoma The Loyal Order of Moose, City, Oklahoma-based Angola Lodge No. 1568, 108 N. Love’s Travel Stops & Martha St., will mark its 100th Country Stores opened its year with a centennial celebration 12th Indiana location at Tuesday from noon to 10 p.m. at Interstate 69 and U.S. 20 the Angola Moose Family Center. Thursday. A special Moose ceremony will be At a Thursday, Sept. 4, held at 7 p.m. The celebration will ribbon cutting at 4 p.m., a highlight awareness of all which news release said Love’s will the Moose accomplish present a $2,000 donation to The Moose is an international the Steuben County Literacy family-fraternal organization Coalition. of men and women helping the The new Love’s travel community. It was founded in the stop features a Hardee’s 1800s with the goal of offering restaurant, gourmet coffee, men the chance to gather socially. travel items and gift Year round, the Moose stay merchandise. The new 24/7 busy with steak fries, barbecues location also offers 118 and other benefi ts to help funding truck parking spaces, seven assistance with children.
    [Show full text]
  • Inside the Ebola Wars ­ the New Yorker
    4/13/2017 Inside the Ebola Wars ­ The New Yorker A REPORTER AT LARGE OCTOBER 27, 2014 I﹙UE THE EBOLA WARS How genomics research can help contain the outbreak. By Richard Preston Pardis Sabeti and Stephen Gire in the Genomics Platform of the Broad Institute of M.I.T. and Harvard, in Cambridge, Massachusetts. They have been working to sequence Ebola’s genome and track its mutations. he most dangerous outbreak of an emerging infectious disease since the appearance of H.I.V., in the early nineteen-eighties, seems to have begun on DTecember 6, 2013, in the village of Meliandou, in Guinea, in West Africa, with the death of a two-year-old boy who was suffering from diarrhea and a fever. We now know that he was infected with Ebola virus. The virus is a parasite that lives, normally, in some as yet unidentified creature in the ecosystems of equatorial Africa. This creature is the natural host of Ebola; it could be a type of fruit bat, or some small animal that lives on the body of a bat—possibly a bloodsucking insect, a tick, or a mite. Before now, Ebola had caused a number of small, vicious outbreaks in central and eastern Africa. Doctors and other health workers were able to control the outbreaks quickly, and a belief developed in the medical and scientific communities that Ebola was not much of a threat. The virus is spread only through direct contact with blood and bodily fluids, and it didn’t seem to be mutating in any significant way.
    [Show full text]
  • Africa Update
    ML Strategies Update David Leiter, [email protected] ML Strategies, LLC Georgette Spanjich, [email protected] 701 Pennsylvania Avenue, N.W. Sarah Mamula, [email protected] Washington, DC 20004 USA 202 296 3622 202 434 7400 fax FOLLOW US ON TWITTER: @MLStrategies www.mlstrategies.com SEPTEMBER 18, 2014 Africa Update Leading the News West Africa Ebola Outbreak On September 10th, the United Nations (U.N.) World Health Organization (WHO) reported that the number of Ebola cases in the Democratic Republic of Congo (DRC) had doubled over the past week to total 62 cases. Thirty-five of the patients infected with Ebola have died, including seven health care workers. The Ebola outbreak in the DRC is separate from the worsening Ebola crisis in West Africa. All of the cases in the DRC are localized in Jeera country and can all be traced to one initial case that was reported on August 26th. The new statistics for the Ebola outbreak in the DRC were posted here. On September 11th, Liberian Finance Minister Amara Konneh held a press conference on the impacts of the Ebola outbreak in Liberia, warning that the country is at war with an enemy that it cannot see. Minister Konneh’s remarks echo those delivered last week by Liberian Defense Minister Brownie Samukai, who cautioned that the Ebola crisis poses a serious threat to Liberia’s national existence. Both ministers reported that the epidemic has disrupted the country’s ability to function normally and put further strains on Liberia’s already weak health care infrastructure. Excerpts from both press conferences were highlighted here.
    [Show full text]
  • Operating Together: 12 Years of Collaboration Between RCSI and COSECSA
    Operating Together: 12 Years of Collaboration Between RCSI and COSECSA Leading the world to better health 1 Leading the world to better health Dr Enock Ludzu and patient, Mangochi District Hospital, Malawi. Photo courtesy of Antonio Osuna and SURG-Africa. Edited by Eric O’Flynn, Krikor Erzingatsian, Declan Magee and the RCSI/COSECSA Collaboration Dedication To everyone who made this happen. 1 Authors’ Note The story of the collaboration between the Royal College of Surgeons in Ireland (RCSI) and the College of Surgeons of East, Central and Southern Africa (COSECSA) can only be properly told in conjunction with an account of the story of COSECSA. This book cannot, and does not attempt to, give a comprehensive history of COSECSA, only that part of it necessary for a better understanding of the story of the RCSI/ COSECSA Collaboration Programme. Recounting the exciting and inspiring story of COSECSA itself is for another day. We look forward to reading such an account in the years to come! 2 Foreword 4 Chapter 1 The Global Surgical Care Crisis 6 Chapter 2 A Vision for a Surgical Training College 10 Chapter 3 The Genesis of the Collaboration Programme 14 Chapter 4 The COSECSA Experience 23 Chapter 5 Examinations and Training Support 28 Chapter 6 Training Support 34 Chapter 7 Rural Surgery 49 Chapter 8 Harnessing the Power of Data 52 Chapter 9 Building the Organisation 56 Chapter 10 The Voice of COSECSA 63 Chapter 11 Evolution of the Collaboration – Successes, Failures and Lessons Learned 67 Chapter 12 Looking Forward – A Lot Done, More To Do 72 Chapter 13 In Memoriam 76 Bibliography 78 Acknowledgements 82 Glossary 83 3 Foreword by Minister of State for the Diaspora and International Development, Ciarán Cannon TD The late Kofi Annan, former United Nations Secretary-General and a great friend of Ireland, said that “The biggest enemy of health in the developing world is poverty”.
    [Show full text]
  • Police Can't Find Items Sought for DNA Testing in 1980 Death
    oelweindailyregister.com OELWEIN DAILY REGISTER FRIDAY, AuG. 2, 2019 — 5 TODAY IN HISTORY Police can’t find items sought Today is Friday, Aug. 2, the 214th day of 2019. There are 151 days left in the year. for DNA testing in 1980 death LOCAL HISTORY HIGHLIGHT By RYAN J. FOLEY prepared and he signed But officials with the Di- Beeman’s lawyers say that Associated Press at the end of a two-day vision of Criminal Investiga- if DNA from the sperm can IOWA CITY — Law en- interrogation. Prosecutors tion and Muscatine County be analyzed and is consistent forcement officials say they argued at trial that Beeman Sheriff’s Office said in court with another man’s profile, have lost track of evidence and Winkel randomly met filings last week that they that could prove their client from a 1980 murder case in Muscatine on April 21, have searched and cannot has been wrongly impris- that an Iowa inmate wants 1980. They allege he took find the evidence. They say oned for 39 years. They say to examine for DNA that her for a motorcycle ride retired investigators who Beeman’s claims of inno- could prove his innocence or to the park and raped and worked the case also have cence are bolstered by a lack confirm his guilt. killed her after she rejected no idea of its whereabouts. of evidence tying him to the William Beeman is his advances. Muscatine County Attorney scene and testimony that serving a life sentence in the Winkel had been kicked in Alan Ostergren has asked a put Beeman elsewhere and stabbing death of 22-year- the head, choked and stabbed judge to deny the request for Winkel with another man at old Michiel Winkel.
    [Show full text]
  • 1 Exploring the Global History of American
    Exploring the Global History of American Evangelicalism Special Issue of Journal of American Studies Introduction Abstract: This introduction embeds the special issue "Exploring the Global History of American Evangelicalism" into current historiographical debates in the field of US evangelicalism and globalization. It lays out the methodological framework and thematic scope of the special issue. His room was a microcosm; all the toxins, estrangements, and disintegrations of the world outside were present in antic compression. It was Liberia, late July 2014, and the Ebola epidemic had the country in its teeth. A few miles south of Monrovia, the Liberian capital, resided the mission hospital of Eternal Love Winning Africa (ELWA), one of the few medical centres that had not entirely collapsed as the Ebola contagion, in the course of its advance, felled physicians and patients alike. And there at the mission, confined to his room after contracting the disease, lay Kent Brantly, an American missionary doctor. Brantly had lost control of his bodily functions. To avoid infection, those caring for him wore full protective hazmat suits; Brantly could see only their eyes. Trying “to rest and not die,” Brantly listened as his laptop played passages of scripture set to music. He found particular solace in a reading from Romans 8, in which the apostle Paul declared the availability, across “whole creation,” of the redeeming power of Jesus Christ and the promise that, despite all the dangers and evils of the world, no one who loved Christ would ever
    [Show full text]
  • Sierra Leone: Business More Than Usual
    Institute for Security Studies Situation Report Date issued: 8 November 2010 Author: Lansana Gberie1 Distribution: General Contact: [email protected] Sierra Leone: Business More Than Usual Introduction It is over three years since Ernest Bai Koroma, leading the All Peoples Congress (APC), became President of Sierra Leone, and less than two years to elections that will test both his popularity and the country’s ability to sustain its post- war democratic experiment. Koroma’s victory in 2007, which unseated the Sierra Leone Peoples Party (SLPP) after it had steered the country through a brutal civil war to a peaceful democratic transition, was remarkable. It was only the second time in Sierra Leone’s history that a sitting government was defeated at the polls; and it brought to power a party that had introduced a one-party state in the 1970s, led the country to civil war in 1991, and was overthrown in a coup by junior officers in 1992. Since coming to power, Koroma’s government has appeared full of vigour and the past three years have been eventful. The government has completed a number of road reconstruction projects it inherited from its predecessor and has embarked on significant new ones. While still far from being satisfactory, the electricity situation in the capital, Freetown, has improved considerably; and on the whole the capital is far cleaner and more robust than it was previously. In addition, Koroma’s efforts to provide free medical care for lactating mothers and children under five are commendable. No less important, the government’s Smallholder Commercialisation Programme, which aims to assist peasant or subsistence farmers in the country with the resources and technical know-how to expand and commercialise their productive capital, holds immense promise.
    [Show full text]
  • Amref Health Africa in the USA 2017 WE ARE an AFRICAN-LED ORGANIZATION TRANSFORMING AFRICAN HEALTH from WITHIN AFRICA
    ANNUALANNUAL REPORTREPORT Amref Health Africa in the USA 2017 WE ARE AN AFRICAN-LED ORGANIZATION TRANSFORMING AFRICAN HEALTH FROM WITHIN AFRICA We strengthen health systems and train African health workers to respond to the continent’s health challenges: maternal and child health, non-com- municable and infectious diseases, access to clean water and sanitation, and surgical and clinical out- reach. Our approach is community-based and makes the people we reach partners, rather than just beneficiaries. Amref Health Africa ANNUAL REPORT 2017 2 WELCOME TO OUR ANNUAL REPORT 2017 was a landmark year for Amref Health Africa as we celebrated our 60th anniversary. Six decades of equipping African communities with the knowledge and tools to build sustainable and effective health systems. Thanks en- tirely to our donors. We hope you are proud to call yourselves a part of the Amref Health Africa family. In 2017 alone, we reached 9.6 million people with health services and trained 125,000 health workers thanks to your support. This achieve- ment should not be downplayed, especially within the context of the US Government drastically reducing their budget to foreign humanitarian aid, with the greatest cut to family planning programs. The people hardest hit by these cuts are women and children, the population that we primarily serve. We met this challenge head on and boosted our work in raising awareness of what we do in Africa and reaching more supporters. Our second annual ArtBall was bigger on all fronts and allowed us to engage with a vibrant com- munity of artists, art lovers, and musicians.
    [Show full text]
  • Mental Health Among Ebola Survivors in Liberia, Sierra Leone and Guinea: Results from a Cross-­Sectional Study
    Open access Original research BMJ Open: first published as 10.1136/bmjopen-2019-035217 on 26 May 2020. Downloaded from Mental health among Ebola survivors in Liberia, Sierra Leone and Guinea: results from a cross- sectional study Andrew Secor ,1,2 Rose Macauley,1 Laurentiu Stan,3 Meba Kagone,4 Sidibe Sidikiba,4 Sadou Sow,4 Dana Aronovich,5 Kate Litvin,5 Nikki Davis,5 Soumya Alva,5 Jeff Sanderson5 To cite: Secor A, Macauley R, ABSTRACT Strengths and limitations of this study Stan L, et al. Mental health Objectives To describe the prevalence and correlates of among Ebola survivors in depression and anxiety among adult Ebola virus disease ► Depression and anxiety were evaluated using well Liberia, Sierra Leone and (EVD) survivors in Liberia, Sierra Leone and Guinea. Guinea: results from a cross- validated, widely used tools (the Patient Health Design Cross- sectional. sectional study. BMJ Open Questionnaire-9 and Generalised Anxiety Disorder-7 Setting One- on- one surveys were conducted in EVD- 2020;10:e035217. doi:10.1136/ questionnaires), standardising assessment across affected communities in Liberia, Sierra Leone and Guinea bmjopen-2019-035217 the three countries and allowing for comparison to in early 2018. other studies using the same tools. ► Prepublication history for Participants 1495 adult EVD survivors (726 male, 769 ► Where possible, Ebola virus disease (EVD) survivors this paper is available online. female). To view these files, please visit acted as enumerators, hopefully reducing response Primary and secondary outcome measures Patient the journal online (http:// dx. doi. bias associated with EVD-rela ted stigma. Health Questionnaire-9 (PHQ-9) depression scores and org/ 10.
    [Show full text]
  • CBRNE-Terrorism Newsletter December 2014
    CBRNE-Terrorism Newsletter December 2014 1 www.cbrne-terrorism-newsletter.com CBRNE-Terrorism Newsletter December 2014 2 www.cbrne-terrorism-newsletter.com CBRNE-Terrorism Newsletter December 2014 3 www.cbrne-terrorism-newsletter.com CBRNE-Terrorism Newsletter December 2014 CBRNE-Terrorism Newsletter – 2014© December 2014 Website: www.cbrne-terrorism-newsletter.com 10 YEARS: 2005-2014 Editor-in-Chief BG (ret) Ioannis Galatas MD, MA, MC PhD cand Consultant in Allergy & Clinical Immunology Medical/Hospital CBRNE Planner Senior Asymmetric Threats Analyst CBRN Scientific Coordinator @ RIEAS Athens, Greece Contact e-mail: [email protected] Assistant Editor Panagiotis Stavrakakis MEng, PhD, MBA, MSc Hellenic Navy Capt (ret) Athens, Greece Co-Editors/Text Supervisors 1. Steve Photiou, MD, MSc (Italy) 2. Dr. Sarafis Pavlos, Captain RN(ret‘d), PhD, MSc (Greece) 3. Kiourktsoglou George, BSc, Dipl, MSc, MBA, PhD (cand) (UK) 4 Advertise with us! (New price list) CBRNE-Terrorism Newsletter is published on-line monthly and distributed free of charge. Starting from 2014 issue all advertisements will be charged as following: Full page (A4) 100€ Double pages (A4X2) 200€ EDITOR Mendor Editions S.A. 3 Selinountos Street 14231 Nea Ionia Athens, Greece Tel: +30 210 2723094/-5 Fax: +30 210 2723698 Contact e-mail: Valia Kalantzi [email protected] Cover: Nicotiana benthamiana, the plant from which ZMapp is derived. DISCLAIMER: The CBRNE-Terrorism Newsletter® is a free online publication for the fellow civilian/military First Responders worldwide. The Newsletter is a collection of papers related to the stated thematology, relevant sources are provided and all info provided herein is from open Internet sources. Opinions and comments from the Editorial group or the authors publishing in the Newsletter do not necessarily represent those of the Publisher.
    [Show full text]
  • Gao-18-350, Ebola Recovery
    United States Government Accountability Office Report to Congressional Committees March 2018 EBOLA RECOVERY USAID Has Initiated or Completed Most Projects, but a Complete Project Inventory Is Still Needed for Evaluating Its Efforts GAO-18-350 March 2018 EBOLA RECOVERY USAID Has Initiated or Completed Most Projects, but a Complete Project Inventory Is Still Needed for Highlights of GAO-18-350, a report to Evaluating Its Efforts congressional committees Why GAO Did This Study What GAO Found The 2014-2015 Ebola outbreak in West As of September 30, 2017, of the $1.6 billion that the U.S. Agency for Africa caused long-term second-order International Development (USAID) had obligated for the Ebola outbreak, $411.6 impacts, including disruptions to health million was obligated for 131 Ebola recovery projects. Of the $411.6 million, systems, job loss, and food insecurity. USAID obligated the largest amount—about $247.6 million (60 percent)—from Congress appropriated about $2.5 the Economic Support Fund account for recovery projects to support health billion for USAID and the Department systems recovery, governance and economic crisis mitigation, and Ebola of State (State), in part, for survivors, among others. USAID obligated about $118.5 million from the international efforts to prevent, prepare International Disaster Assistance account for food security projects, such as food for, and respond to an Ebola outbreak assistance and agricultural market support, and $45.5 million from the Global and mandated that the agencies report Health Programs account for Ebola survivor and world health reform projects. to congressional committees on the use of the funds.
    [Show full text]
  • Building Resilient Health Systems
    BUILDING RESILIENT HEALTH SYSTEMS: EXPERIMENTAL EVIDENCE FROM SIERRA LEONE AND THE 2014 EBOLA OUTBREAK∗ Darin Christenseny Oeindrila Dubez Johannes Haushofer§ Bilal Siddiqi{ Maarten Voorsk June 3, 2020 Abstract Underuse of health systems and a lack of confidence in their quality contribute to high rates of mortality in the developing world. How individuals perceive health systems may be especially critical during epi- demics, when they choose whether to cooperate with response efforts and frontline health workers. Can improving the perceived quality of healthcare promote community health and ultimately, help to contain epidemics? We leverage a field experiment to answer this question in the context of Sierra Leone and the 2014 West Africa Ebola crisis. Two years before the outbreak, we randomly assigned two accountability interventions to government-run health clinics—one focused on community monitoring and the other conferred non-financial awards to clinic staff. These interventions delivered immediate benefits under "normal" conditions. Even prior to the Ebola crisis, both interventions increased clinic utilization and satisfaction with healthcare, and community monitoring additionally improved child health, leading to 38 percent fewer deaths of children under five. Later, during the crisis, the interventions also increased reporting of Ebola cases by 62 percent, and significantly reduced Ebola-related deaths. Evidence on mechanisms suggests that the interventions improved confidence in the health system, encouraging pa- tients to report Ebola symptoms and receive medical care. These results indicate that promoting account- ability not only has the power to improve health systems during normal times, but can also make them more resilient to crises that emerge over the longer run.
    [Show full text]