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Lost Keys Blame Hofmann. Browse Lyrics. Our awesome collection of Promoted Songs ». Michael J. Haciendo Money. Amalia Maldonado. Quiz Are you a music master? Get instant explanation for any lyrics that hits you anywhere on the web! Two clicks install ». It will likely not be possible for the US government and its partners to maintain the staffing in West Africa that was established in the wake of the outbreak. Neither is it certain that resources for capacity building from other donors will be sustained.

Although surveillance systems currently continue to provide timely data on critical disease threats, it may not be possible to maintain community-based activities that were established during or after the Ebola outbreak.

The gains made in laboratory capacity are especially fragile; laboratories in all 3 countries continue to rely on support from partners for equipment maintenance and replacement, reagents, and ongoing training. Local laboratory capacities and sample transport function remain suboptimal, and there is persistent need for international partners to provide reference laboratory testing, as was the case for the May outbreak of meningococcal meningitis in Liberia Clearly, it is ideal to build public health capacity before the occurrence of a public health threat.

However, there are lessons from the post-Ebola capacity-building efforts to strengthen global health security. Donors and organizations that support an emergency response should be reassured that resources committed to a response—if appropriately coordinated and targeted—can have an impact beyond the response itself. When possible, continuing support into the postepidemic period could both optimize readiness for possible resurgence of the initial threat and contribute to broad and rapid progress toward health security goals.

Global health security relies on the ability of all countries to prevent, rapidly detect, and respond to public health threats at their source. The West Africa Ebola epidemic highlighted the importance of strong public health systems and the need for local public health systems that include ongoing surveillance, a well-trained workforce, laboratory capacity, and emergency response capabilities. In settings with limited public health capacity or in which the magnitude of a health threat overwhelms local capacity and requires international support, response efforts provide a unique opportunity for strengthening public health systems and can serve as a further catalyst to accelerate progress toward global health security goals.

She also led a specific office dedicated to providing support to the Ebola Affected Countries during the initial phases of the recovery following the epidemic. We are grateful to the many collaborators in the affected countries, multilateral, bilateral, and NGO partners, and especially the populations affected by Ebola.

We are grateful to Schabbethai Sainvil for assistance with the figure, Erica Meyer for assistance with Table 1, and John Saindon for assistance with Table 2. Activities described in this article were supported by the governments of Liberia, Sierra Leone, and Guinea and a wide range of development and technical partners, with a focus on activities supported by the Centers for Disease Control and Prevention.

No specific funding was used for the development of the paper. Table of Contents — Volume 23, Supplement—December Please use the form below to submit correspondence to the authors or contact them at the following address:. Highlight and copy the desired format.

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Section Navigation. Facebook Twitter LinkedIn Syndicate. Table 1 Table 2. Article Metrics. Related Articles. Barbara J. Marston , E. Nyenswah, and John T. Marston, E. Dokubo, A. Keita ; Ministry of Health, Monrovia T.

Abstract Events such as the — West Africa epidemic of Ebola virus disease highlight the importance of the capacity to detect and respond to public health threats. Emergency Response. Figure Figure. Expansion of Laboratory Capacity. Improved Surveillance.

Expansion of Human Capacity. World Health Organization. Situation report—Ebola virus disease. June 10 [cited Oct 4].

Selim J. United Nations Development Programme. Human development report [cited Mar 6]. Ebola virus disease in West Africa—the first 9 months of the epidemic and forward projections.

N Engl J Med. West African economies feeling ripple effects of Ebola, says UN. Sunday 8 August Monday 9 August Tuesday 10 August Wednesday 11 August Thursday 12 August Friday 13 August Saturday 14 August Sunday 15 August Monday 16 August Tuesday 17 August Wednesday 18 August Thursday 19 August Friday 20 August Saturday 21 August Sunday 22 August Monday 23 August Tuesday 24 August Wednesday 25 August Thursday 26 August Friday 27 August Saturday 28 August Sunday 29 August Monday 30 August Tuesday 31 August Wednesday 1 September Thursday 2 September Friday 3 September Saturday 4 September Sunday 5 September Monday 6 September Tuesday 7 September Wednesday 8 September Thursday 9 September Friday 10 September Saturday 11 September Sunday 12 September Monday 13 September Tuesday 14 September Wednesday 15 September Thursday 16 September Friday 17 September Saturday 18 September Sunday 19 September Monday 20 September Tuesday 21 September Wednesday 22 September Thursday 23 September Friday 24 September Saturday 25 September Sunday 26 September Monday 27 September Tuesday 28 September Wednesday 29 September Thursday 30 September Friday 1 October