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What Did the U.S. Learn from Ebola? How to Prepare for Bioterrorist Attacks

FOREIGN POLICY  by Siobhán O'Grady                        April 13, 2015
When the Ebola virus spread from Guinea to Sierra Leone and Liberia last spring, the initial international response was labeled a failure. By the time President Barack Obama ordered troops to the affected countries in September, more than 2,400 people were dead.

But in the United States, where major hospitals prepared for an outbreak, there were only four in-country diagnoses, one of which resulted in a death. And some see the urgency of that response as a lesson in how the government can prepare for another public health hazard: a bioterrorist attack.

Arizona Rep. Martha McSally chairs a House subcommittee that will examine over the next few months the threat of bioterrorist attacks and U.S. preparedness to respond to them. She told Foreign Policy that even if a disease outbreak and the use of a biological agent in a coordinated attack are not completely analogous, the response strains similar systems.

“We can learn lessons from other outbreaks that are naturally occurring,” she said. “We can identify weaknesses in our response and even if it wasn’t terrorism, it presses the system at the same level....”

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The White House Wants to Explore How Climate Change Makes You Sick

whitehouse.gov 
washingtonpost.com - by Juliet Eilperin - April 7, 2015

President Obama launched an initiative Tuesday aimed at highlighting the connections between climate change and public health, bringing both medical and data experts to the White House this week.

As part of the effort, the White House will hold a Climate Change and Health Summit later this spring, featuring Surgeon General Vivek Murthy. The administration is expanding its Climate Data Initiative, which it launched a year ago, to include more than 150 health-relevant data sets.

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CDC - MMWR - Ebola Virus Disease in a Humanitarian Aid Worker — New York City, October 2014

cdc.gov - April 3, 2015

In late October 2014, Ebola virus disease (Ebola) was diagnosed in a humanitarian aid worker who recently returned from West Africa to New York City (NYC). . . .

. . . In NYC, the public health response to one Ebola case was resource intensive for a local health department, with participation of more than 500 DOHMH staff members and expenditures of more than $4,300,000 in DOHMH funds. These figures include not only the direct costs of the local public health response (e.g., contact tracing, environmental issues, and health care worker monitoring) but also the indirect costs of increasing citywide preparedness after identifying the one case (e.g., enhancing hospital preparedness, active monitoring of returning travelers, and community outreach).

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Ebola Doctor: Media, politicians fueled the public's fears

ASSOCIATED PRESS   by Tom McElroy                                                             Feb. 25, 2015

NEW YORK — A doctor who contracted the deadly Ebola virus and rode the subway system and dined out before he developed symptoms said the media and politicians could have done a better job by educating people on the science of it instead of focusing on their fears.

 "When we look back on this epidemic, I hope we'll recognize that fear caused our initial hesitance to respond — and caused us to respond poorly when we finally did," Dr. Craig Spencer wrote in an article published Wednesday in The New England Journal of Medicine. (See link below.)

Spencer, an emergency room physician, was diagnosed with Ebola on Oct. 23, days after returning from treating patients in Guinea with Doctors Without Borders. His was the first Ebola case in the nation's largest city, spurring an effort to contain anxieties along with the virus. He was treated at a hospital, recovered and was released on Nov. 11.

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Report Slams U.S. Ebola Response and Readiness

NBC NEWS  by Maggie Fox                                                                               Feb. 26, 2015

The United States fumbled its response to the Ebola epidemic before it even began, neglecting experiments to make vaccines and drugs against the virus, and cutting funding to key public health agencies, a presidential commission said Thursday.

Americans focused on their own almost nonexistent risk of catching Ebola from travelers instead of pressing to help the truly affected nations, the scathing report from the Presidential Commission for the Study of Bioethical Issues says.

They've been acting against their own best interest, the commission said in its report.

"Both justice and prudence demand that we do our part in combating such devastating outbreaks. Once we recognize our humanitarian obligations and the ability of infectious diseases to travel in our interconnected world, we cannot choose between the ethical and the prudential," it reads.

"Ethics and enlightened interest converge in calling for our country to address epidemics at their source."

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Disaster Distress Helpline Resources Throughout Blizzard Juno, January 2015

disasterdistress.samhsa.gov

The national Disaster Distress Helpline (a program of the U.S. Substance Abuse and Mental Health Services Administration) remains available with 24/7 crisis counseling and emotional support to anyone who may be experiencing distress or other mental health concerns related to the blizzard that is forecast to affect several states in the Northeast/New England regions:
  · Calls (1-800-985-5990) and texts (text “TalkWithUs” to 66746; Spanish-speakers can text “Hablanos” to 66746) are answered by trained counselors from a network of crisis centers across the country, who also provide information and referrals to local crisis centers and 2-1-1/3-1-1s as needed
  · Interpretation services are available to connect callers with counselors in 150+ languages
  · In addition to the texting service, TTY is available for deaf and hard of hearing individuals at 1-800-846-8517
  · VOADs looking to promote available mental health resources can use the following template for Twitter, Facebook, other social media accounts:
  If you're feeling anxious or overwhelmed re. #BlizzardOf2015, you're not alone! @Distressline 1-800-985-5990 offers 24/7 support.

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Climate Change Threatens Health - Extreme Heat: More Intense Hot Days and Heat Waves

      

nrdc.org

Across the nation, climate change is making hot summer days hotter and stretching their numbers into heat waves that never seem to end. And the heat is causing more than just discomfort - as temperatures rise, so are the number of illnesses, emergency room visits, and deaths.

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Climate Change Health Threats in New York

Air Pollution Vulnerability

Ozone Smog and Allergenic Ragweed Occurrence

nrdc.org

Climate change will worsen smog and cause plants to produce more pollen pollution, increasing respiratory health threats, particularly for people with allergies and asthma.

CLICK HERE - See how New York is vulnerable to air pollution impacts...

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Geographic information helps provide public health intelligence at mass gatherings

MEDICALNEWS TODAY                                                            Jan. 6, 2015

Infectious diseases are one of the many health issues that worry the organizers of mass gatherings, such as the Hajj and the World Cup. Geographers' tools of the trade can help event organizers to better plan, monitor and respond timely to such eventualities. The ways in which geographers gather, analyze, and visualize information provide health officials with clearer pictures of the transport routes and environmental factors that may further the spread of viruses to and from the attendees' home countries.

In Chapter 3 of the new book Health, Science and Place: A New Model, geographer and biologist Dr. Amy Blatt explains how geographic information is used for disease surveillance at mass gatherings.
Read complete article

http://www.medicalnewstoday.com/releases/287577.php?tw

Read excerpt from the book,chapter 3.

by Dr. Amy Blatt
http://link.springer.com/chapter/10.1007%2F978-3-319-12003-4_3

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Cuomo to Ban Fracking in New York State, Citing Health Risks

CLICK HERE - REPORT -
New York State Department of Health
A Public Health Review of High Volume Hydraulic Fracturing for Shale Gas Development (184 page .PDF report)

nytimes.com - By THOMAS KAPLAN and JESSE McKINLEY
December 17, 2014

Gov. Andrew M. Cuomo’s administration announced on Wednesday that it would ban hydraulic fracturing in New York State because of concerns over health risks, ending years of uncertainty over the disputed method of natural gas extraction.

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