OECD – Historic modernisation of official development assistance

Historic modernisation of official development assistance
OECD – Paris, 16 December 2014
Press Release [Full text]
The OECD Development Assistance Committee ended its High Level Meeting 15-16 December 2014 with an historic agreement to modernise the statistical system underpinning development co-operation. These steps will create incentives to mobilise more and better financing for development.

The DAC members agreed to modernise the reporting of concessional loans, which will encourage more resources on softer terms to the poorest nations while putting in place safeguards to ensure debt sustainability.

They also agreed to target more development assistance to the least developed countries and other nations most in need including small island developing states, land-locked developing countries and fragile and conflict-affected states.

This reform package by the DAC will enable donors to mobilise more private finance for development by making use of the available instruments in the financing tool box, such as guarantees and equity investments.

“This modernisation of official development assistance comes at an important time now as the world prepares for post-2015 and a new set of sustainable development goals,” said Erik Solheim, Chair of the OECD Development Assistance Committee.

‘’To eradicate poverty and continue the huge development success of the past decades, we need to direct more development assistance and concessional loans to the poorest nations and mobilise much more private finances for development.”

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OECD: DAC (Development Assistance Committee) High Level Meeting
Development Co-operation Directorate (DCD-DAC)
15 to 16 December 2014, Paris
The OECD Development Assistance Committee DAC convened its 2014 High Level Meeting from 15 to 16 December 2014 in Paris. The principal objective of the meeting was the modernisation of the OECD DAC development finance measurement framework to ensure that it is credible and fit-for-purpose in today’s global context. The decisions and actions taken in the meeting (see final 2014 HLM Communiqué in English – French version forthcoming – and statement by the DAC Chair) will enable the OECD and its members to make an important contribution to future monitoring of the financing framework underpinning the forthcoming Sustainable Development Goals.
This meeting was the culmination of an imperative fully endorsed by political leaders at the DAC High Level Meeting in December 2012. They called on the DAC to adapt its long-standing statistical concepts to the profound changes in the global financial and economic landscape. (See 2012 HLM Final Communiqué — EN, FR)

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Final 2014 HLM Communiqué in English
16 December 2015
[Excerpts from opening clauses, and Annexes; Editor’s text bolding]
1. We, the members of the OECD Development Assistance Committee (DAC), convened at high level in Paris on 15-16 December 2014. We welcomed the five new members who have joined the Committee since our last High-Level Meeting in 2012: the Czech Republic, Iceland, Poland, the Slovak Republic and Slovenia. We also welcomed the United Arab Emirates as the first country beyond the OECD membership to become a Participant of our Committee. The International Monetary Fund, the World Bank, the United Nations Development Programme, the Inter-American Development Bank and non-DAC OECD members – Chile, Estonia, Hungary, Israel, Mexico and Turkey – participated in our deliberations.1

2. We have witnessed tremendous development progress over the past 15 years. Globally, extreme poverty has been halved, substantial progress has been made toward reaching gender parity in school enrolment at all levels and in all developing regions and child mortality has been halved as has the proportion of people without access to safe water. Yet the job of ending global poverty is unfinished, and we encounter continued instability and conflict, humanitarian crises and rising inequality. Addressing all these challenges in a sustainable way requires a renewed global partnership for development.

3. We met as the world prepares the ground for the post-2015 agenda, an ambitious global framework for achieving inclusive, sustainable development for all. Three decisive events taking place next year will sharpen the vision and clarify the means of implementation underpinning this agenda: the Third International Conference on Financing for Development, the United Nations Summit for the Adoption of the Post-2015 Development Agenda, and the 21st Conference of the Parties on the United Nations Framework Convention on Climate Change.

4. As we shape the new sustainable development goals for the post-2015 era, we want to ensure our contributions make the difference that is needed. We invite the OECD to fully use its interdisciplinary expertise to support members and partners as they design and implement the range of policies needed to achieve these goals in all countries. This new set of goals will require both financial and non-financial means and efforts. As regards the financing challenge, a wide array of domestic and international resources – both concessional and commercial in nature – needs to be mobilised from public and private sources and from all providers. These different resources must also be used effectively, drawing on their respective comparative advantages. In this context, we welcome relevant efforts from across the OECD on development finance, including in the areas of taxation and investment. We consider that improving global access to reliable statistics regarding all these resources will be essential for all stakeholders, including developing and provider countries, to optimally plan, allocate, use and account for development resources. Reliable statistics will also facilitate national, regional and global transparency and accountability.

5. OECD DAC statistics on development finance are a global public good that informs policy choices, promotes transparency and fosters accountability. Following a mandate that we adopted at the 2012 High Level Meeting, we began work to modernise our statistical system, measures and standards to ensure the integrity and comparability of data on development finance and create the right incentive mechanisms for effective resource mobilisation. We have today taken stock of progress achieved in this regard, and have taken decisions in a number of areas.

6. Official Development Assistance (ODA) will remain a crucial part of international development co-operation in implementing the post-2015 agenda, particularly for countries most in need. We also acknowledge the important role of international private flows. Domestic resources, however, will continue to be the main pillar of development finance for the broad majority of developing countries.

7. We note that despite challenging fiscal circumstances in many OECD countries, we have maintained high levels of ODA – which reached an all-time high of USD 134.8 billion in 2013. We reaffirm our respective ODA commitments, including those of us who have endorsed the UN target of 0.7 per cent of Gross National Income (GNI) as ODA to developing countries, and agree to continue to make all efforts to achieve them…

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Annex 3: Developing a new measure – Total Official support for Sustainable Development
[Excerpt]
1. We, DAC members, recognise that the development agenda is broad and complex and that we need to mobilise resources and expertise to address related challenges.

2. We agree, therefore, that there is a need to capture in OECD DAC statistics the wide array of support we are providing beyond concessional finance through a measure of Total Official support for Sustainable Development (working title). Such a measure would encourage visibility and understanding about development financing options and impacts, enhance transparency and foster accountability beyond ODA, and facilitate information-sharing with providers of development co-operation beyond our Committee. This will contribute to broader global efforts to monitor international resource mobilisation for implementing the post-2015 agenda.

3. We have reviewed the work carried out on this measure and express our appreciation to various stakeholders who have participated in our ongoing efforts to shape its narrative and possible components.

4. We agree, today, to create a TOSD measure, which will:
:: complement and not replace ODA;
:: potentially cover the totality of resource flows extended to developing countries and multilateral institutions in support of sustainable development and originating from official sources and interventions, regardless of the types of instruments used and associated terms, i.e. including both concessional and non-concessional financing provided through various instruments, such as grants, loans, equity and mezzanine finance;
:: cover activities that promote and enable sustainable development, including contributions to global public goods when these are deemed relevant for development and aligned with developing countries’ priorities;
:: make a clear distinction between official support and flows mobilised through official interventions, but also between flows and contingent liabilities; and
:: capture and report resources on a gross cash-flow basis, while also collecting and publishing net flows so as to ensure full transparency of support and flows.

5. We agree to consult broadly with developing countries, international institutions, other providers of development co-operation and stakeholders on the scope, definition and statistical features of the measure, with the hope of contributing to a more global monitoring mechanism. We will also explore whether and how private finance mobilised by official interventions could be reflected in this new measure.

6. We will clarify the ultimate parameters once the final shape of the post-2015 agenda has been agreed. We will share the emerging features of this measure with the international community at the July 2015 Financing for Development conference in Addis Ababa, as an additional DAC contribution to the post-2015 monitoring framework, and use the opportunity to collect feedback on these features…

EBOLA/EVD [to 3 January 2014]

EBOLA/EVD [to 3 January 2014]
Public Health Emergency of International Concern (PHEIC); “Threat to international peace and security” (UN Security Council)

Editor’s Note:
Our extensive coverage of Ebola/EVD activity continues – including detailed coverage of UNMEER and other INGO/agency activity now available at the end of this digest. Please also note that many of the organizations and journals we cover continue to publish important EVD content which is threaded throughout this edition.
We note that the WHO Situation Report just below references the “100% goals” re-affirmed at the 60-day mark (see bolded text, second paragraph), but we have not encountered any update from UNMEER on performance against these goals.

WHO: Ebola response roadmap – Situation report 31 December 2014
Summary [Excerpt]
A total of 20,206 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in four affected countries (Guinea, Liberia, Mali and Sierra Leone) and four previously affected countries (Nigeria, Senegal, Spain and the United States of America) in the seven days to 28 December (week 52). There have been 7,905 reported deaths (case definitions are provided in Annex 1). On 29 December, the United Kingdom reported its first confirmed EVD case. Reported case incidence has fluctuated between 70 and 160 confirmed cases in Guinea over the past 15 weeks. In Liberia, case incidence has mostly declined in the past six weeks. In Sierra Leone, there are signs that the increase in incidence has slowed, although the country’s west is now experiencing the most intense transmission of all the affected countries. The reported case fatality rate in the three intense-transmission countries among all cases for whom a definitive outcome is known is 71%.

Interventions in the three countries continue to progress in line with the UN Mission for Ebola Emergency Response aim to conduct 100% of burials safely and with dignity, and to isolate and treat 100% of EVD cases by 1 January, 2015. Every country has sufficient capacity to isolate patients, but the uneven geographical distribution of beds and cases means shortfalls persist in some districts. In the past month, the average number of beds per reported patient has grown from 6.6 to 13.9 in Liberia, and 1.4 to 3.6 in Sierra Leone. In Guinea, it has fallen slightly from 2.3 to 1.9 beds per patient, reflecting a small increase in probable and confirmed cases. Each country has sufficient capacity to bury all people known to have died from Ebola, yet the under-reporting of deaths is a persistent challenge. The number of trained safe burial teams has significantly grown in the past month – from 34 to 64 in Guinea, 56 to 89 in Liberia, and 50 to 101 in Sierra Leone. This is close to the capacity needed in each country. All three countries report that more than 90% of registered contacts associated with known cases of EVD are being traced, although the number of contacts traced per EVD case remains low in many districts. Social mobilization is a vital component of an effective response. Engaging communities promotes burial practices that are safe and culturally acceptable, and the isolation and appropriate treatment of patients with symptoms of EVD.

Stories from the Field
Sierra Leone: How Kailahun district kicked Ebola out
29 December 2014
Sierra Leone communities organize Ebola response
24 December 2014
Cured of Ebola, Rebecca returns to cure others
22 December 2014

UNMEER Watch [to 3 January 2014]
:: Ould Cheikh Ahmed Arrived in Accra to Officially Take Over as Head of UN Ebola Mission
03 Jan 2015

:: Outgoing UNMEER Chief: Zero Ebola Cases is “only acceptable outcome”
UNMEER PRESS RELEASE
[Full text]
Accra, 2 January 2015 – Anthony Banbury, Head of the United Nations Mission for Ebola
Emergency Response (UNMEER), gave a final review of progress in the fight against Ebola today as he prepares to hand over the role to his successor, Ismail Ould Cheikh Ahmed of Mauritania on Saturday.
“It’s important to remember where we were when we started,” Banbury told journalists during a press conference in Accra. “At the time, there were predictions of up to 1.4 million cases of Ebola by the start of the year…Here we are in January and we have a total of around 20,000 cases instead of 1.4 million. That’s 1.4% of what was being projected as a possibility by credible scientists back in September.”
According to the latest World Health Organization report, there are 20,206 confirmed, probable or suspected cases of Ebola and 7,905 reported deaths.
“We are engaged in a big battle with this disease,” he said. “It’s an insidious, invasive disease that attacks people through acts of caring and kindness…It’s going to be extremely hard for us to bring it down to zero but that is what we will do. That is the only acceptable outcome.”
Returning from a final review mission in Guinea, Liberia and Sierra Leone, Banbury, who was
appointed in September, says there has been significant progress in the fight against Ebola over
the past 90 days. Banbury pointed, for instance, to the increased number of isolation beds in each country, which stands at two beds per patient in Guinea, 3.5 in Sierra Leone, and 14 in Liberia.
With support from UNMEER and other partners, the three countries now also have sufficient
capacity to isolate and treat 100 percent of confirmed Ebola patients and enough burial teams to ensure safe and dignified burials for 100 percent of all deaths due to Ebola.
Banbury, however, said several challenges remain, including the geographical dispersion of
Ebola. He also cited behavior change and community resistance as major obstacles in some areas despite massive interventions.
“It’s a bit like putting seatbelts in cars,” said Banbury. “If you have seatbelts in cars you can save a lot of lives, but only if people use those seatbelts.”
The key to success, according to Banbury, is to effectively engage with communities, and also to maintain vigilance and commitment as the number of cases continues to drop.
“It’s an obligation to set very ambitious targets so we can bring this crisis to an end as quickly as possible,” he said. “For the UN, it’s a very heavy responsibility. But it’s also a privilege to work with these communities and these people. We will succeed together.”
Banbury is succeeded by Ismail Ould Cheikh Ahmed of Mauritania, who will himself be visiting
the affected countries next week to reinforce UNMEER’s strategic priorities. Before his new
appointment, Ould Cheikh Ahmed was appointed Deputy Special Representative and Deputy
Head of the United Nations Support Mission in Libya (UNSMIL).

:: Secretary-General’s press encounter on Ebola (full transcript)
22 Dec 2014
UNICEF Watch [to 3 January 2014]
:: UNICEF Ebola response: 400+ survivors receive psycho-social support and kits to restart their lives
KENEMA, Sierra Leone, 24 December 2014 – More than 400 Ebola survivors have taken part in four separate survivor conferences over the past few days in the districts of Kailahun, Kenema and Bo, where they learned more about protecting their communities, were informed as to how their bodies defeated the disease, and received psycho-social support.
CDC/MMWR Watch [to 3 January 2014]
http://www.cdc.gov/media/index.html
:: Ebola epidemic continues to spread, requiring intensified effort – Press Release
December 22, 2014
After more than a year of Ebola transmission in Guinea and more than 7 months of transmission in Liberia and Sierra Leone, there is still much to be done to stop the world’s first Ebola epidemic, CDC director Tom Frieden, M.D., M.P.H reported from his second visit to the three affected nations.
Dr. Frieden yesterday returned from West Africa, where he spoke with patients and staff; met with many of CDC’s 170 staff working in each of the countries; and met with the presidents, health ministers, and Ebola leadership of each country. He described the situation as both inspiring and sobering.
“It is inspiring to see how much better the response has become in the past two months, how much international commitment there is, and, most importantly, how hard people from each of the three countries are working to stop Ebola,” Dr. Frieden said. “But it is sobering that Ebola continues to spread rapidly in Sierra Leone and that in parts of Monrovia and Conakry Ebola is spreading unabated. Improvements in contact tracing are urgently needed.”
At a telebriefing held to discuss the results of his trip to Guinea, Liberia, and Sierra Leone, Dr. Frieden described progress in some areas but continued growth in Ebola cases in other areas. Lingering unmet needs throughout the region continue to challenge response efforts.
“In Liberia, the outbreak has slowed dramatically and at the moment the country has the upper hand against the virus, in part due to improvements in access to Ebola Treatment Units and Community Care Centers, safe burials, and community engagement,” Dr. Frieden said. “But the outbreak continues to surge in Sierra Leone, and there has been a troubling spread in Guinea’s capitol city. We’ve got a long way to go and this is no time to relax our grip on the response.”…

:: MMWR Weekly, January 2, 2014 / Vol. 63 / Nos. 51 & 52
– Perceptions of the Risk for Ebola and Health Facility Use Among Health Workers and Pregnant and Lactating Women — Kenema District, Sierra Leone, September 2014
MSF/Médecins Sans Frontières [to 3 January 2014]
:: A Mixed Welcome for Homecoming Ebola Survivors
December 31, 2014
Moses’s family has been hard hit by Ebola. Four of them were infected with the virus—his father and brother died, but Moses and his sister both survived. Moses was recently discharged from the Doctors Without Borders/Médecins Sans Frontières (MSF) Ebola management center in Bo, Sierra Leone, and made the journey back to his home village, accompanied by MSF health promoter Esmee de Jong.

:: Clinical Trial for Potential Ebola Treatment Starts in MSF Clinic in Guinea
December 29, 2014
A clinical trial for a possible treatment for Ebola started in Guinea on December 17. The trial is led by the French medical research institute INSERM and is taking place at the Doctors Without Borders/Médecins Sans Frontières (MSF) Ebola treatment center in Guéckédou, in the east of the country. Although every experimental treatment for Ebola patients offers hope, MSF remains prudent. There’s no guarantee that the drug will be effective and safe, and, even if it is, it will not mean the end of the epidemic which continues to spread in the three most affected countries of West Africa.
The trial aims to include as many Ebola-positive patients presenting at the MSF treatment center as possible. There will be no control group (group of patients who do not receive the treatment) in this study, as it is considered unethical to deny a group of patients the higher chance of survival that may come with the new treatment, especially given the high mortality rate of Ebola. Instead, the outcomes of the patients will be measured against those of MSF patients admitted earlier this year, before the trial began. The first conclusive results are not expected before the first trimester of 2015.
All new patients arriving at the MSF Ebola treatment center in Guéckédou are informed about the possibility of receiving the experimental treatment and can elect to participate in the study or not. Those who do not wish to be given the new treatment will receive the same supportive care as those who do, but without the administration of the trial drug.
The drug being used in Guéckédou is favipiravir, an antiviral drug produced by the Japanese company Toyama/FujiFilm. This drug has had good results against Ebola in animal studies and good safety results in humans when used as treatment for another viral infection. But, as the drug has never been studied in humans with Ebola, it is important to wait for the results of the trial before declaring favipiravir a treatment for the disease.
If favipiravir is shown to be safe and effective, it will be made accessible to Ebola patients in other Ebola treatment centers through advancing the trial to the next phase. This means that after approval from national authorities and independent ethics committees more Ebola-positive patients in West Africa will be started on the treatment.
A safe and effective treatment for Ebola will prevent many patients from dying, but it will not change the course of the epidemic. Interventions like early admission of patients in specialized centers, thorough and accurate contact tracing, tailored health promotion, and necessary hygiene and sanitation measures will continue to be the most important strategies in ending the outbreak. Research into other treatments including vaccines and new diagnostics will also remain important.
EBOLA: THE FIRST PATIENT TREATED WITH ZMAB IN AFRICA DISCHARGED FROM EMERGENCY NGO’S CENTRE
Press Release [Full text]
December 30, 2014
On the 28th December, the first Ebola patient treated in Africa with the experimental drug ZMAb has been discharged from the Ebola Treatment Centre run by EMERGENCY NGO in Goderich, Sierra Leone.
A.M., 72 years old, had been admitted 2 weeks ago in very critical conditions.
The ZMAb used for A. M. had been requested by the Ministry of Health of Sierra Leone to treat Dr. Victor Willoughby, a leading doctor in the country. Dr. Willoughby, unfortunately died as soon as the drug arrived in country.
The Ministry of Health asked EMERGENCY to give the ZMAb to A.M., wife and mother of two of the patients of Dr Willoughby, both died of Ebola few days before.
The high standard Ebola Treatment Centre run by EMERGENCY NGO is the only centre in Africa that has used ZMAb so far. It opened on 14th of December in collaboration with DFID, the Department for International Development of the British Government.
Save The Children [to 3 January 2014]
http://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.6150563/k.D0E9/Newsroom.htm
Save the Children’s Sierra Leone Ebola Center Discharges its 60th Survivor
December 24, 2014
Plan International [to 3 January 2014]
http://plan-international.org/about-plan/resources/media-centre
Children’s futures impacted due to Ebola school closures
29 December 2014:
Children in Ebola-stricken Liberia are playing, working or begging to fill their time while schools are closed, according to Plan International.
The virus has kept schools shut for more than five months, in a country which already suffered from limited learning facilities and trained teachers, as well as a high illiteracy rate.
New research from Plan shows that a cohort of children and youth will lose half a year or more of education, which is expected to affect their prospects in life, as well as dent their confidence and self-esteem.
The report, entitled Young Lives on Lockdown: The impact of Ebola on children and communities in Liberia, says that while teachers and older children are continuing to teach their children and sibling at home, the majority of parents are themselves uneducated and thus cannot give their children home schooling.
“Most parents cannot read or write so they cannot help their children at home, and at the same time they don’t let other people come to their houses to conduct lessons for them or let their children out for even 30 minutes,” said one community leader interviewed for the research.
Once schools do re-open, parents worry they will not have the money to pay their children’s fees. “Schools will reopen but there’s no money to put kids in school,” said another community leader, speaking to researchers…
European Vaccine Initiative Watch [to 3 January 2014]
http://www.euvaccine.eu/news-events
Senior Project Manager position open at GAVI The Vaccine Alliance
24 December 2014
GAVI is currently looking for a Senior Project Manager, Ebola Vaccine.

United Nations [to 3 January 2014]

United Nations – Selected Press Releases [to 3 January 2014]
Secretary General, Security Council, General Assembly
http://www.un.org/en/unpress/

30 December 2014
SC/11722
Resolution in Security Council to Impose 12-Month Deadline on Negotiated Solution to Israeli-Palestinian Conflict Unable to Secure Nine Votes Needed for Adoption
The Security Council today failed to adopt a draft resolution calling for Israel, within three years, to withdraw from Palestinian territory occupied since 1967 and, within one year, for the parties to reach a negotiated solution to the conflict.

23 December 2014
GA/11606
General Assembly Adopts Resolution to Reinforce United Nations Emergency Humanitarian Response, Decisions on International Criminal Tribunals
The General Assembly today, nearing completion of its work for the main part of the session, adopted three draft texts on international tribunals and on bolstering emergency humanitarian response.
The General Assembly today, nearing completion of its work for the main part of the session, adopted three draft texts on international tribunals and on bolstering emergency humanitarian response.
Resuming its consideration of its agenda item on strengthening the coordination of emergency humanitarian assistance of the United Nations, the Assembly adopted, without a vote, a draft resolution on international cooperation on humanitarian assistance in the field of natural disasters, from relief to development.
The representative of Bolivia, speaking for the “Group of 77” developing countries and China, introduced the text, saying that it recognized the clear relationship between emergency response, rehabilitation and development, and reaffirmed that, in order to ensure a smooth transition, emergency assistance must be provided in ways that would be supportive of short-term and medium-term recovery leading to long-term development.
The draft resolution also emphasized the fundamentally civilian character of humanitarian assistance, he said, noting that it urged Member States, the United Nations and development organizations to prioritize risk management and to work towards a common understanding of risks and responsibilities.

22 December 2014
SC/11720
Security Council, in Divided Vote, Puts Democratic People’s Republic of Korea’s Situation on Agenda following Findings of Unspeakable Human Rights Abuses
Concerted action by the international community was needed following a Human Rights Council report on appalling, systematic abuses in the Democratic People’s Republic of Korea, high United Nations officials told the Security Council today, following a procedural vote of 11 in favour to 2 against (China, Russian Federation), with 2 abstentions (Chad, Nigeria) that put the situation on the body’s agenda.

23 December 2014
SG/SM/16436-DC/3537-L/T/4440
Secretary-General Says Arms Trade Treaty’s Entry into Force Is Testimony of International Commitment to Stop Irresponsible Arms Transfers
Secretary-General
Press Release
The following statement by UN Secretary General Ban Ki moon was issued today:
Tomorrow, 24 December 2014, the Arms Trade Treaty will enter into force.
This marks the opening of a new chapter in our collective efforts to bring responsibility, accountability and transparency to the global arms trade. From now on, the States parties to this important Treaty will have a legal obligation to apply the highest common standards to their international transfers of weapons and ammunition.

UNICEF [to 3 January 2014]

UNICEF [to 3 January 2014]
http://www.unicef.org/media/media_71508.html

Media Releases [selected]
UNICEF Ebola response: 400+ survivors receive psycho-social support and kits to restart their lives
KENEMA, Sierra Leone, 24 December 2014 – More than 400 Ebola survivors have taken part in four separate survivor conferences over the past few days in the districts of Kailahun, Kenema and Bo, where they learned more about protecting their communities, were informed as to how their bodies defeated the disease, and received psycho-social support.

UNICEF – Tsunami 10 years on
NEW YORK, 23 December 2014 – “The Indian Ocean tsunami changed lives around the world forever. Entire communities were obliterated in moments. Families were robbed of children, sisters, brothers and parents. In an unprecedented expression of international grief and solidarity, millions of people across the globe mobilised in support of one of the largest relief efforts in history.

UNHCR [to 3 January 2014]

UNHCR [to 3 January 2014]
http://www.unhcr.org/cgi-bin/texis/vtx/hom

Statement by Vincent Cochetel, UNHCR Europe Bureau Director, on new boat arrival in Italy
2 Jan 2015
“The use of larger cargo ships is a new trend, but it is part of an ongoing and worrying situation that can no longer be ignored by European governments. We need urgent European concerted action in the Mediterranean Sea, increasing efforts to rescue people at sea and stepping up efforts to provide legal alternatives to dangerous voyages. Without safer ways for refugees to find safety in Europe, we won’t be able to reduce the multiple risks and dangers posed by these movements at sea.
UNHCR thanks the Italian authorities for their response to these latest incidents, despite the phasing down of the Mare Nostrum operation. We have expressed concerns over the ending of this operation without a similar European search-and-rescue operation to replace it. This will undoubtedly increase the risk for those trying to find safety in Europe.”

WHO & Regionals [to 3 January 2014]

WHO & Regionals [to 3 January 2014]

WHO: 2014 in review: key health issues
Health headlines have recently been dominated by the Ebola outbreak in West Africa and humanitarian emergencies in many other countries. 2014 also saw major public health successes, and a clearer understanding of a number of public health threats. WHO produced reports on a range of critical health issues and provided new advice to help countries improve their people’s health. Here are a few highlights:
:: January – April
:: May – August
:: September – December

:: Global Alert and Response (GAR): Disease Outbreak News (DONs)
– Ebola virus disease – United Kingdom 30 December 2014
On 29 December 2014, WHO was notified by the National IHR Focal Point for the United Kingdom of a laboratory-confirmed case of Ebola Virus Disease (EVD). This is the first EVD case to be detected on UK soil.
– Human infection with avian influenza A(H7N9) virus – China 30 December 2014
– Human infection with avian influenza A(H5N6) virus – China 28 December 2014
– Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia 26 December 2014
– Human infection with avian influenza A(H7N9) virus – China 24 December 2014

:: The Weekly Epidemiological Record (WER) 19 December 2014, vol. 89, 51/52 (pp. 577–588) includes:
– Index of countries/areas
– Index, Volume 89, 2014, Nos. 1–52
– Revised guidance on meningitis outbreak response in sub-Saharan Africa
– Monthly report on dracunculiasis cases, January– October 2014
WHO Regional Offices
WHO African Region AFRO
Press Releases
:: National health systems – Africa’s big public health challenge 22 December 2014
Feature Stories
:: Cured of Ebola, Rebecca returns to cure others – 24 December 2014
:: Liberia: Local students become active Ebola case finders – 22 December 2014

WHO Region of the Americas PAHO
:: PAHO year in review: 2014 public health highlights in the Americas
Washington, D.C., 24 December 2014 (PAHO/WHO) – The year 2014 was marked by progress as well as significant challenges for public health in the Americas. The region’s countries advanced toward goals including universal health coverage, expanded access to vaccination, and ensuring that fewer babies are born with HIV. They also confronted major new challenges, including the arrival and spread of the chikungunya virus and the need to prepare for the possible imported cases of Ebola…

WHO South-East Asia Region SEARO
:: Strengthening emergency preparedness, response capacities can save lives in mega disasters like tsunami 24 December 2014

WHO European Region EURO
:: First Ebola case detected on UK soil 02-01-2015
:: Avian influenza A(H5N8) continues to spread in poultry 23-12-2014

WHO Eastern Mediterranean Region EMRO
No new digest content identified.

WHO Western Pacific Region
:: 2014: Pacific year in review
2 January 2015 – The Pacific responded to a number of challenges in 2014, from outbreaks of vector-borne diseases to strengthening capacity to respond to public health threats such as Ebola. At the same time, work to combat the NCD crisis accelerated, through, for example, the launch of the Tobacco Free Pacific initiative and salt reduction activities. The Pacific voice was heard on the global stage at the World Health Assembly and the 3rd International Conference on Small Islands Developing States…

UNFPA United Nations Population Fund [to 3 January 2014]

UNFPA United Nations Population Fund [to 3 January 2014]
http://www.unfpa.org/public/

UN calls for intensified efforts to end fistula
23 December 2014
UNITED NATIONS, New York – The United Nations General Assembly has adopted a resolution calling for increased actions to end obstetric fistula. The largely preventable condition is estimated to afflict some 2 million women around the world – most of them marginalized, impoverished and without access to essential maternal health services…

The UNFPA-backed resolution, adopted on 18 December, calls on the international community to intensify technical and financial support to maternal health efforts, including action to eliminate fistula, before the end of 2015. The end of next year is the deadline to achieve the Millennium Development Goals, including Goal 5, which calls for improving maternal health.

“The resolution is important for millions of women suffering the pain and shame of fistula,” said Dr. Babatunde Osotimehin, Executive Director of UNFPA…

UN Women [to 3 January 2014]

UN Women [to 3 January 2014]
http://www.unwomen.org/

Timeline: Gender equality, 2014 year in review
Date : December 23, 2014
From the passing of one of the Arab region’s most progressive Constitutions enshrining women’s rights to changes in legislation to provide long overdue redress to wartime survivors of sexual violence, this timeline is a selection of some of the gender equality achievements, milestones and noteworthy moments from around the world this year.

UNDP United Nations Development Programme [to 3 January 2014]

UNDP United Nations Development Programme [to 3 January 2014]
http://www.undp.org/content/undp/en/home/presscenter.html

30 Dec 2014
UNDP to help cut cross border Ebola infections in West Africa
UNDP is set to help the Liberian government build new border posts to cut cross-border Ebola infections from Sierra Leone. Infections in Liberia’s Eastern border region have spiked recently as tight nit cross-border communities spread the disease across the two countries often porous border. 49 new cases have been recorded in the border county of Grand Cape Mount in December, including 12 in the past four days.

29 Dec 2014
UNDP makes emergency payments to Ebola health workers in Guinea
The United Nations Development Programme (UNDP) has made additional incentive payments to 758 health personnel working in four Ebola treatment units in Guinea, ensuring their life-saving work can continue without any interruption.

24 Dec 2014
UNDP and partners put on a christmas party for Liberian Ebola orphans
Christmas came early to Westpoint, Liberia today where hundreds of children were thrown a big party courtesy of staff from UNDP, UN agencies and NGOs in Liberia and around the world.

23 Dec 2014
UNDP helps pay 16,000 workers fighting Ebola in Sierra Leone by mobile phone
With support from the United Nations Development Programme (UNDP) 16,000 nurses on the frontline in the fight against Ebola are receiving hazard pay through their mobile phones. Workers receive text messages with security codes and information on nearby kiosks to pick up the extra pay they receive for risks associated with fighting Ebola.

22 Dec 2014
Norad-Report Highlights UNDP-Results in Democracy, Human Rights
Norad’s annual results report launched earlier this month, showcases 25 examples of assistance in the areas of democracy and human rights. The case studies demonstrate that institutions which promote democracy and respect for human rights are able to carry out their work more effectively as a direct result of this assistance.

FAO Food & Agriculture Organization [to 3 January 2014]

FAO Food & Agriculture Organization [to 3 January 2014]
http://www.fao.org/news/archive/news-by-date/2014/en/

Growing concern for South Sudan’s herders as conflict displaces millions of cattle
Unusual herding and migration routes stir tensions and pose risk of spreading diseases
31-12-2014

Brazil offers an extra US $ 17 million to FAO projects as new government takes helm
Brazil has added US $ 17 million in funding to projects undertaken in its ongoing partnership with FAO, highlighting the Latin American country’s role as a key regional and global contributor to the fight against hunger.
31-12-2014

2014 in review
Food security and questions of how to feed a growing world remained high on the agenda in 2014. Here’s a quick rundown of some of the top FAO stories of the last twelve months.
29-12-2014

FAO and partners call for a global response to deadly banana disease
FAO and international experts say that a global effort is needed to prevent the rapid spread of the deadly Fusarium wilt disease in bananas, which poses a severe threat to economic welfare and food security in developing countries.
23-12-2014

USAID [to 3 January 2014]

USAID [to 3 January 2014]
http://www.usaid.gov/

USAID Awards $71 million to Support Primary Education in Ghana
December 29, 2014
Today, the U.S. Agency for International Development (USAID) announced the award of Partnership for Education: Learning, USAID’s flagship education project in Ghana, to FHI 360, an international human development NGO. Through the Learning project, the American people are investing $71 million to support Ghana’s educational institutions over five years to improve, expand, and sustain learning outcomes for at least 2.8 million primary students nationwide, with an emphasis on children in kindergarten through grade three.

USAID Announces Awards to Support Schools and Hospitals Abroad
December 22, 2014
The U.S. Agency for International Development’s Office of American Schools and Hospitals Abroad (ASHA) announced today 34 new grants to U.S. organizations to support construction projects and the purchase of equipment for overseas institutions. The projects, spanning 24 countries, are funded through a competitive annual grant and directly support schools, libraries and medical centers outside the United States that share universal values, such as empowering women and inclusive societies, as well as promoting innovation and entrepreneurship, while advancing best practices in healthcare and education. Throughout its history ASHA’s impact has covered the globe, working in nearly 80 countries with more than 270 institutions.

ECHO [to 3 January 2014]

ECHO [to 3 January 2014]
http://ec.europa.eu/echo/en/news

Austria contributes additional €1 million to Ebola prevention
23/12/2014
Austria will contribute €1 million to the EU’s Ebola prevention and preparedness programme in West Africa, in addition to more than €1.7 million the country has already dedicated to the Ebola response. The funding will go to a treatment centre for…

EU increases humanitarian aid for South Sudan
23/12/2014
The European Commission is increasing its life-saving assistance to South Sudan by over €7 million, bringing its 2014 relief aid for one of the world’s worst humanitarian crises to more than €116 million. The new funds will provide shelter, water,…

EU provides humanitarian assistance to Libya
22/12/2014
The European Commission is providing €2 million in additional humanitarian assistance to Libyans who have been forced to flee their homes amid the increasing instability and violence, which has plagues the country over recent months…

World Bank [to 3 January 2014]

World Bank [to 3 January 2014]
http://www.worldbank.org/en/news/all

Humanitarian-Development Nexus: World Bank Group stepping up its support to crisis and disaster risk management
December 30, 2014
Minimizing increasing disaster and crisis impacts is a joint humanitarian and development responsibility and more needs to be done to improve coordination among actors. We need to change the way we work together. In this context, Cyril Muller, World Bank Group’s Vice President for External and Corporate Relations, participated in the Principals’ Meeting of the Inter Agency Standing Committee (IASC), held in Geneva on December 9, 2014, and underscored the Bank Group’s commitment to partnership with humanitarian community. It is clear that response, recovery and development tend to happen in parallel, such that coordination, discipline and flexibility are more important than ever. The WBG has been stepping up its engagement in crises and disasters, contributing to humanitarian actions through financing, partnerships and innovation. In fact, we know firsthand that crises and disasters undermine sustainable development, and while the WBG does not deliver humanitarian aid, we support nation…

MSF/Médecins Sans Frontières [to 3 January 2014]

MSF/Médecins Sans Frontières [to 3 January 2014]

Selected Press Releases/Field News
A Mixed Welcome for Homecoming Ebola Survivors
December 31, 2014
Moses’s family has been hard hit by Ebola. Four of them were infected with the virus—his father and brother died, but Moses and his sister both survived. Moses was recently discharged from the Doctors Without Borders/Médecins Sans Frontières (MSF) Ebola management center in Bo, Sierra Leone, and made the journey back to his home village, accompanied by MSF health promoter Esmee de Jong.

Clinical Trial for Potential Ebola Treatment Starts in MSF Clinic in Guinea
December 29, 2014
A clinical trial for a possible treatment for Ebola started in Guinea on December 17. The trial is led by the French medical research institute INSERM and is taking place at the Doctors Without Borders/Médecins Sans Frontières (MSF) Ebola treatment center in Guéckédou, in the east of the country. Although every experimental treatment for Ebola patients offers hope, MSF remains prudent. There’s no guarantee that the drug will be effective and safe, and, even if it is, it will not mean the end of the epidemic which continues to spread in the three most affected countries of West Africa…

Plan International [to 3 January 2014]

Plan International [to 3 January 2014]
http://plan-international.org/about-plan/resources/media-centre

Children’s futures impacted due to Ebola school closures
29 December 2014:
Children in Ebola-stricken Liberia are playing, working or begging to fill their time while schools are closed, according to Plan International.

The virus has kept schools shut for more than five months, in a country which already suffered from limited learning facilities and trained teachers, as well as a high illiteracy rate.
New research from Plan shows that a cohort of children and youth will lose half a year or more of education, which is expected to affect their prospects in life, as well as dent their confidence and self-esteem.

The report, entitled Young Lives on Lockdown: The impact of Ebola on children and communities in Liberia, says that while teachers and older children are continuing to teach their children and sibling at home, the majority of parents are themselves uneducated and thus cannot give their children home schooling.

“Most parents cannot read or write so they cannot help their children at home, and at the same time they don’t let other people come to their houses to conduct lessons for them or let their children out for even 30 minutes,” said one community leader interviewed for the research.

Once schools do re-open, parents worry they will not have the money to pay their children’s fees. “Schools will reopen but there’s no money to put kids in school,” said another community leader, speaking to researchers…

Disasters Emergency Committee [to 3 January 2014]

Disasters Emergency Committee [to 3 January 2014]
http://www.dec.org.uk/
[Action Aid, Age International, British Red Cross, CAFOD, Care International, Christian Aid, Concern Worldwide, Islamic Relief, Oxfam, Plan UK, Save the Children, Tearfund and World Vision]

DEC publishes review of member agency assurance mechanisms
27/11/2014
The Disasters Emergency Committee (DEC) has published today an independent report which shows how its member agencies provide assurance that they are following agreed ways of working when they respond to emergencies.
The report “DEC Accountability Self-Assessment Validation 2013-14” was prepared for the DEC by consultants from One World Trust who validated members’ self-assessed performance against 21 ‘Ways of Working’ [PDF] which DEC members are committed to following.
The report shows that DEC member agencies continue to report performance improvements and that the large majority of these self-assessments were likely to be accurate. Importantly however it also drew the attention of a minority of members to areas where their self-assessments were insufficiently supported by evidence…

ODI [to 3 January 2014]

ODI [to 3 January 2014]
http://www.odi.org/media

Aid and the Islamic State
HPG Crisis Briefs, December 2014
Eva Svoboda and Louise Redvers
In this IRIN/HPG Crisis Brief we examine the flows of international aid into parts of Iraq controlled by militants from the so-called Islamic State (IS).

Development entrepreneurship: how donors and leaders can foster institutional change
Research reports and studies, December 2014
Jaime Faustino and David Booth
Various communities of practice have been established recently to advance the general idea of thinking and working politically in development agencies. This paper makes a contribution by describing the practice of what has been called development entrepreneurship and explaining some of the ideas from outside the field of development that have inspired it.

Lifecourse Epidemiology and Molecular Pathological Epidemiology

American Journal of Preventive Medicine
January 2015 Volume 48, Issue 1, p1-120
http://www.ajpmonline.org/current

Lifecourse Epidemiology and Molecular Pathological Epidemiology
Akihiro Nishi, MD, DrPH, Ichiro Kawachi, MD, PhD, Karestan C. Koenen, PhD, Kana Wu, MD, PhD, Reiko Nishihara, PhD, Shuji Ogino, MD, PhD
DOI: http://dx.doi.org/10.1016/j.amepre.2014.09.031
Abstract
Lifecourse epidemiology studies long-term effects of social and environmental exposures on health and disease.1,2 A key challenge to the three models of lifecourse epidemiology is translating its empirical evidence into intervention planning, especially among populations where the critical social and environmental exposures happened in the past or when they represent difficult groups with which to intervene. In this article, molecular pathological epidemiology (MPE), which was first described in 2010, is reviewed.