Why You feel so special ? Since 2 0 2 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 years on earth there could have lived people reaching IQ's 320 at least 6 6 6 6 6 6 6 6 6 6 6 6 6. You are not so intelligent like You seem to want to show to the world.




On Saturday, October 9, 2021 at 12:40:03 AM UTC+3, uy wrote:

When people started dying of Ebola in Liberia, Clarine Vaughn
faced a wrenching choice: Should she send home, for their own
health and safety, four American doctors working for Heartt, the
aid group she led there? Or should she keep them in the country
without proper supplies or training to fight the virulent,
contagious disease, which was already spreading panic?

After much agonizing, Ms. Vaughn, who lives in Liberia, pulled
the doctors out and canceled plans to bring in more. The African
physicians and nurses left behind told her they understood, but
felt abandoned. They said, “We need you guys here,” she recalled.

Since then, Ms. Vaughn has wondered if the American doctors
might have made a difference, and she asked the aid group
AmeriCares to help. It sent in a planeload of supplies that
landed in Monrovia, the Liberian capital, last Sunday.

The departure of many Western development workers from Guinea,
Liberia and Sierra Leone, the West African countries hit hardest
by Ebola, has further weakened the region’s decrepit,
understaffed health systems at the very moment they are facing
one of the gravest public health crises ever. Liberia,
population four million, has fewer than 250 doctors left in the
entire country, according to the Liberia Medical and Dental
Council. Seven doctors there have contracted Ebola, and two of
them have died.

“The locals’ seeing this mass exodus of expatriates has
contributed to the sense that there’s an apocalypse happening
and they’re in it on their own,” said Raphael Frankfurter,
executive director of the Wellbody Alliance, which provides
clinical services in a diamond-mining district of Sierra Leone
bordering Guinea, where the outbreak began.

Mr. Frankfurter, too, sent his four American volunteers home for
fear they might fall ill. They left behind 160 national staff.
“It’s certainly not in line with our values, because it’s just
such a glaring inequality,” he said. But “it’s a very scary
place to get sick right now.”

As an array of international organizations, wealthy countries
and charitable groups gear up to provide desperately needed
resources to fight the outbreak, the absent doctors and
volunteers are a reminder of the daunting practical obstacles.
Many African health workers battling Ebola are contracting it
themselves. At least 170 workers have gotten the disease,
according to the World Health Organization, and more than 80
have died.

Those sickened include Dr. Kent Brantly, an American now
recovering in an Atlanta hospital after receiving ZMapp, an
experimental drug. Three Liberian patients received ZMapp on
Friday, a senior Liberian health official confirmed. The
patients signed consent forms stating that they understood the
risks of the untested drug and waived liability for any adverse
effects.

The doses had been flown into Liberia with the agreement of the
drug’s San Diego-based producer and the United States
government, after appeals from President Ellen Johnson Sirleaf
of Liberia to President Obama and senior American officials. Its
arrival last week lifted morale and “raised the hope of
everybody,” Mrs. Johnson Sirleaf said in an interview.

Even as some leave, other international workers are arriving in
the affected areas. Still, fear is complicating the huge
increase in aid that is needed: food for people in areas that
have been cordoned off; laboratory supplies to test for the
disease; gloves, face masks and gowns to protect health workers;
body bags for the dead; bedsheets to replace those that must be
burned. Airlines have canceled flights that could have carried
in such supplies, despite assurances from the W.H.O. that
properly screened passengers pose little risk. Positions on aid
rosters remain unfilled.

Hundreds of workers for Doctors Without Borders have fought the
outbreak since March. The group’s president, Dr. Joanne Liu,
said there was an acute need for materials as well as for more
human resources on the ground — and not just experts and
bureaucrats, but also the kind of person who is ready to “roll
up his sleeves.”

“What we have to keep in mind is we are facing today the most
devastating and biggest Ebola epidemic of the modern times,” Dr.
Liu said. “There is fear, there is a front line, the epidemic is advancing, and there is a collapse of infrastructure.”

A more muscular effort to fight the outbreak began lumbering to
life over the past week.

The newly appointed United Nations coordinator for Ebola, Dr.
David Nabarro, wrote in an email that he had his “head right
down working through some extremely challenging stuff under
tight time pressure.”

“All of us are going to have to perform in an outstanding way
over some months,” Dr. Nabarro added in a phone interview. “For
many, the image is fearful to a degree that it makes it very
hard indeed for them to do anything other than think about their
safety and the safety of those they love.”

The W.H.O.’s sole in-house Ebola specialist said he was
following his doctor’s advice to take the week off work. His
colleagues drew up plans to coordinate the international effort
and recruited employees from other agencies to help with data
management and field work.

With commercial flights dwindling, the United Nations’ World
Food Program began an air service for humanitarian workers on
Saturday. “The virus is spreading, and we’re all suddenly
realizing we need to do more,” said Denise Brown, the agency’s
emergency coordinator for the crisis.

The agency studied whether food stockpiled in the region for
refugees fleeing a military crisis in Central African Republic
could be moved to help people in what Ms. Brown called “hot
zones.” But planning was complicated by the refusal of some
countries to receive ships that had stopped at ports in Guinea,
Liberia and Sierra Leone, she said. And the movement of food
from domestic stocks into quarantined areas stalled as the World
Food Program and W.H.O. sought ways to keep transporters safe
and to ensure that deliveries did not cause people to
congregate, risking further transmission of the disease.

Dr. Marie-Paule Kieny, a W.H.O. assistant director general, said
that while it was “important to limit the movement in and out of
the hot spots,” there was an urgent need to provide food and
drinking water in communities cordoned off by the military to
“make sure we don’t add a humanitarian disaster on a difficult
health problem.”

Dr. Kieny has begun cataloging available doses of experimental
drugs and vaccines in preparation for a Sept. 4 meeting on their
possible use and testing in the outbreak.

Unicef staff at a supply depot in Copenhagen are working to
mobilize medical treatments, burial supplies, and millions of
bars of soap and disinfectants for use in homes and health
centers, many of which lack basic sanitary supplies. “This is
just the beginning of the intensification,” said Shanelle Hall,
director of the supply division.

The director of the Centers for Disease Control and Prevention,
Dr. Thomas R. Frieden, said the C.D.C. had sent 50 experts to
help local governments keep track of where people are getting
sick and set up emergency operations centers — a challenge,
judging from a Liberian Health Ministry report that in the
hardest-hit area of the country, the County Surveillance Office
has no computer for data management.

The American military says it has trained over 230 Liberian
soldiers to use protective equipment and support health efforts.

The World Bank has begun freeing up the first $12 million of a
promised $200 million in aid, consisting of reprogrammed
existing loans and new no-interest loans and grants to the most
affected countries. Paperwork signed Saturday will allow Liberia
to use $6 million in current loans, which were intended to
strengthen health systems, instead to buy ambulances, pickup
trucks and protective suits for national laboratory workers, and
to provide hazardous duty pay to health workers in hopes of
attracting back some of those who fled their jobs in fear.

“Skilled health care workers with the right equipment can snuff
this out,” said Dr. Jim Yong Kim, president of the World Bank,
which had advised the government to transfer $4 million from its
central bank to the United Nations to make those purchases flow
more quickly.

Mrs. Johnson Sirleaf, the Liberian president, said that she had
not spoken with Dr. Kim about the plan, but that she welcomed
the new grants and loans, which will require approval from the
World Bank’s board.

Liberia’s central bank established a separate trust fund for the
Ebola containment effort, with an initial $5 million. Mrs.
Johnson Sirleaf said she hoped that her government, which has
invested in improving financial management, would be informed of
any money granted directly to aid groups “so we can keep a
comprehensive picture of what amounts have been mobilized in the
name of Liberia.”

Units for Ebola patients at ELWA Hospital, just outside
Liberia’s hard-hit capital, overflowed with around 70 patients,
more than twice as many as the units were designed to hold. On
Saturday, a Getty Images photographer found patients mixed with
healthy family members at a school in Monrovia, where health
workers had no gloves. People stormed the school and urged those
inside to flee.

In Sierra Leone, as the number of contacts of Ebola patients
spiraled far beyond efforts to trace them during the 21-day
incubation period of the virus, some counselors visited
residents at home. Radio programs, posters and even parades were
not enough to persuade everybody with symptoms to report to
isolation centers, or their family members to refrain from
risking their lives to care for them.

“They’re actively rejecting those messages,” not failing to
understand them, said Mr. Frankfurter, the Wellbody director.
Health care workers, he added, are treating community members
“more as disease carriers than as humans with families” going
through an “incredible, devastating emotional process.”

Mr. Frankfurter, who was in Sierra Leone until a week ago, said
the number of patients seeking regular medical care at his
group’s clinic in Kono had dropped to around 10 a day from more
than 75, most likely because of fear. Before the crisis, the
local government hospital lacked running water, had only
recently obtained rudimentary electricity, and was understaffed
and frequently out of drugs. While disasters often cause medical
standards to slide, recovery from this one, he said, will
require higher standards.

By contrast, in Guinea, where the first cases appeared, the
outbreak is “more under control than not,” said Dr. Frieden, the
C.D.C. director.

Better outreach is helping, said Aliou Boly, who manages Ebola
operations for the International Federation of Red Cross and Red
Crescent Societies in Guinea. “They know about Ebola in the
rural areas,” he said.

To build trust and dispel rumors of cannibalism, which stem from
families’ inability to bury their loved ones’ contaminated
remains or even to see the bodies, some Red Cross workers
invited families to watch burials at a distance or even to put
on gowns and view the bodies of family members who had died.
“This person can use his mobile phone to take pictures,” Mr.
Boly said, identifying the corpse and showing that “nothing has
been cut out by these people.”

He added that there was a need for psychologists to help
families cope with trauma.

Ms. Vaughn, with the Heartt program, said she hoped that trained infectious-diseases doctors and C.D.C. experts would help bring
the outbreak under control and create mechanisms to protect
health workers. That would allow her organization to convince
American universities that their medical residents can safely
return to Liberia. “We’re not there yet,” she said. “Right now, we’re still in crisis mode.”

http://www.nytimes.com/2014/08/17/world/africa/with-aid-doctors- gone-ebola-fight-grows-harder.html

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