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Shoddy Infection Controls in Texas

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As word comes of a second American health worker is infected with ebola, there’s news that the Dallas Hospital did not implement recommended safety measures, suggesting that even more hospital workers may be at risk. ”Health care workers treating Thomas Eric Duncan in a hospital isolation unit didn’t wear protective hazardous-material suits for two days until tests confirmed the Liberian man had Ebola — a delay that potentially exposed perhaps dozens of hospital workers to the virus, according to medical records. The 3-day window of Sept. 28-30 is now being targeted by investigators for the Centers for Disease Control and Prevention as the key time during which health care workers may have been exposed to the deadly virus by Duncan, who died Oct. 8 from the disease.” (Dallas Morning News http://bit.ly/1qx6TUn)

Liberia health worker strike is over…for now… “The strike is over, according to all the health workers of the Republic of Liberia. Our concern is the people of Liberia.  We do not want the people in Liberia to be at risk. Because of this, all the health workers, we met today and we decided that we are going to cut off the ‘go-slow’ to listen to the international community to see how best they can come in and try to provide better incentives for the health workers of the Republic of Liberia,” said Joseph Tamba, president of the National Health Workers Association. (VOA http://bit.ly/1ruLw5g)

Quote of the Day:  “The kind of threat [ebola] poses to the American way of life essentially makes it the North Korea of peanut allergies.” –barely parody from Teju Cole in the New Yorker http://nyr.kr/1qx50XH

Africa

As thousands of U.N. staff volunteer to work in Ebola-stricken countries in Africa, the Staff Union has called for safety measures to protect personnel on the ground. (IPS http://bit.ly/1ruJeTE)

Good on Tanzania, which said it willgrant citizenship to some 200,000 refugees from neighbouring Burundi, a move hailed by the UN refugee agency. (AFP http://yhoo.it/1vvvijR)

Experts from around the world are certain that climate change is playing a major role in the difficulties hundreds of thousands of African farmers are experiencing. (IPS http://bit.ly/1ruJcel)

A senior official in Rwanda’s reconciliation process is calling on South Sudan to apply lessons on how Rwanda came back from the dark days of the 1994 genocide, in particular the system of the gacaca courts. (VOA http://bit.ly/1ruJaTY)

Nigeria’s government has promised to protect schoolchildren. It has been six months since 200 girls were kidnapped by Boko Haram and Nigeria’s northern states continue to live in fear. (Deutche Welle http://bit.ly/1ruJd25)

Sluggish courtrooms, swamped clinics and parents forgoing food are becoming the norm as Ebola opens cracks in Sierra Leonean society. (Guardian http://bit.ly/1vvx7gL)

Two principal recipients of malaria grants in Nigeria have been implicated in fraud and financial irregularities, following an investigation by the Office of the Inspector General, and have committed to returning some $350,000 to the Global Fund. (GFO http://bit.ly/1vvAHaN)

MENA

The U.N. High Commissioner for Refugees António Guterres said on Wednesday he had asked the European Union to grant legal entry to more Syrian refugees who are risking their lives trying to reach Europe illegally by sea. (Reuters http://yhoo.it/1ruIZId)

Asia

Thailand’s interim prime minister, who seized power in a military coup, suggested Wednesday that the country’s next elections may not occur until 2016, although he earlier set a target date of October 2015. (AP http://yhoo.it/1ruJkdP)

Sri Lanka on Wednesday banned foreigners from a former battle zone, the government said, weeks after the United Nations began an investigation into alleged war crimes in the final phase of a 26-year conflict between the army and separatist rebels. (Reuters http://yhoo.it/1ruJjqy)

Lawmakers here are urging President Barack Obama to put transparency in the extractives sector at the centre of an upcoming trip to Myanmar. (IPS http://bit.ly/1ruJkL1)

Organizers say concern about the spread of the Ebola virus is expected to impact attendance at China’s largest international trade fair, which kicks off Wednesday. (AP http://yhoo.it/1ruJlyw)

The Americas

From January to September of this year an estimated 230 migrants died trying to cross the border from Mexico into the United States. (VOA http://bit.ly/1vvvteW)

Brazilian police shut down an illegal abortion ring in the Rio de Janeiro area, arresting 47 people including doctors and police officers. (BBC http://bbc.in/1vvvtvA)

Fidel Castro has reprinted a New York Times editorial calling for the end of the U.S. embargo on Cuba. (AP http://yhoo.it/1ruJsKq)

President Dilma Rousseff and Aecio Neves, her challenger in a tight election contest, engaged in a bare-knuckle debate that saw the pair trade accusations of corruption and fiercely argue over who could rekindle Brazil’s economy. (AP http://yhoo.it/1ruJt0S)

Scores of children have been rescued in a raid on a sex trafficking ring in Colombia, including an 11-year-old girl allegedly sold for $1,000. U.S. Immigration and Customs Enforcement officials announced that they found 55 minors and arrested 12 people on Saturday. (VOA http://bit.ly/1ruJrpO)

The CDC is putting more resources into helping hospitals prepare and handle Ebola patients. This, after a nurse treating Ebola patient Thomas Duncan in Dallas became infected with the virus. (NPR http://n.pr/1vvvBLI)

Opinion/Blogs

This map shows all the countries where voting is mandatory (GlobalPost http://bit.ly/1vvvHTx)

South Africa: As World Food Day Approaches, One in Four S. Africans Are Hungry (SACSIS http://bit.ly/1vvvLTl)

Study Confirms 13,000 Dead in Boko Haram Conflict (Africa Check http://bit.ly/1vvvPCt)

Top-Notch Impact Studies On Development ‘On the Rise’ (SciDevNet http://bit.ly/1ruJQsi)

Hiring Reform at WHO (Center For Global Development http://bit.ly/1vvwAve)

Too young to watch. Old enough to get married. (Duval Guillaume http://bit.ly/1zaD0T5)

Do African Union Governance Reviews Work? (all Africa http://bit.ly/1ruKKoJ)

Women in Tanzania set for equal land rights – let’s make sure it happens (Guardian http://bit.ly/1vvzWyd)

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Malawi WFP ant-stunting program

Not on A-1: Stopping Stunting in Malawi

Stunting occurs when a child does not receive proper nutrition in her first months and years of life. The child does not grow properly, intellectually or physically. This can have wide ranging social consequences and perpetuate cycles of poverty. Combating stunting through providing education and access to proper nutrition is therefore one key way that the international community and local partners are fighting extreme poverty. This video from the World Food Program in Malawi shows one way that’s being accomplished.

It’s a good news story for a bad news cycle!

 

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A WFP food voucher WFP/Challiss McDonough

This Does Not Bode Well For Afghanistan

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Funding shortfalls have forced the World Food Programme to cut rations for up to a million people in Afghanistan, an early sign that aid money may dwindle as the international combat mission winds down. They need $30 million to close the gap. “We have had to cut down the rations of the people we are assisting, just so that we can buy some time so we don’t stop altogether,” said country director Claude Jibidar.” (Guardian http://bit.ly/1EUcbTl)

The Rich Keep Getting Richer…The richest 1% of the world’s population are getting wealthier, according to a Credit Suisse report which warned growing inequality could be a trigger for recession. “Taken together, the bottom half of the global population own less than 1% of total wealth. In sharp contrast, the richest decile hold 87% of the world’s wealth, and the top percentile alone account for 48.2% of global assets,” said the annual report, now in its fifth year. (Guardian http://bit.ly/1EUcKwG)

Rather discouraging news on ebola…The death rate in the Ebola outbreak has risen to 70 percent and there could be up to 10,000 new cases a week in two months, the World Health Organization warned Tuesday. (AP http://yhoo.it/1EU7Q2H)

Legitimately encouraging news on ebola…The WHO may declare the outbreak over in Nigeria and Senegal in the coming week, demonstrating that traditional epidemeological methods to contain the outbreak can work, (UN Dispatch  http://bit.ly/1nkPja3)

Quote of the Day: “He is really the first World Bank president who thinks of the bank as being primarily about relief rather than development,” — Bill Easterly, from an otherwise glowing article about Jim Kim. (NYT http://nyti.ms/1pafNXn)

Africa

MSF says that despite promises from various countries to help stem the spread of Ebola, to date, few pledges have translated into concrete action on the ground. (VOA http://bit.ly/1EUbKIS)

The Ebola outbreak in West Africa has exposed major gaps in development aid, prompting a rethink of the balance between building health systems and tackling specific diseases like AIDS, malaria and tuberculosis. (Reuters http://bit.ly/1trraRZ)

France said it agreed to set up new treatment centres for Ebola in Guinea after the United States asked for further assistance to fight the deadly epidemic in West Africa. (Reuters http://bit.ly/1trrdND)

The US and UN leaders called for “more robust” international efforts to tackle Ebola, after medics in Liberia demanded danger money to treat patients in what officials termed the worst health crisis of modern times. (AFP http://yhoo.it/1EU4Bbt)

The head of the United Nations’ Mali mission is to quit to take up a new job as the Netherlands’ foreign minister, the Dutch government said on Tuesday, opening up a vacancy in the west African nation at a time of growing instability. (Reuters http://yhoo.it/1r32d7O)

Mozambique’s upstart opposition vowed to take on the two traditional political heavyweights by offering a non-violent alternative in polls taking place this week amid low-level conflict. (AFP http://yhoo.it/1EU5DEo)

German hospital says UN medical worker infected with Ebola in Liberia has died. (AP http://yhoo.it/1EU5Wiy)

JFK Hospital is Liberia’s largest and one of its oldest medical facilities. The hospital had to close temporarily following the deaths of two leading doctors from Ebola. It is now getting back on its feet, with the maternity ward being the first section to reopen. (VOA http://bit.ly/1r39Mvg)

MENA

War against Islamic State militants in Syria and Iraq threatened on Tuesday to unravel the delicate peace in neighbouring Turkey after the Turkish air force bombed Kurdish fighters furious over Ankara’s refusal to help protect their kin in Syria. (Reuters http://yhoo.it/1EU7bOz)

Shiite rebels who recently overran Yemen’s capital on Tuesday seized control of a key port city on the Red Sea and a province south of Sanaa in a stunning new blitz that is certain to deepen the country’s turmoil, security and military officials said. (AP http://yhoo.it/1r30YWq)

The U.N. chief visited Gaza on Tuesday to give a push to international reconstruction efforts following a devastating summer war, saying the destruction was “beyond description” as Israel allowed the first shipment of construction materials to enter the coastal strip since the fighting ended in August. (AP http://yhoo.it/1r2Xy5M)

Despite a highly-symbolic British vote to recognize Palestine as a state, the road to official recognition is still fraught with obstacles, experts say, with the hoped-for two-state solution a long way off. (AFP http://yhoo.it/1r35ST7)

In Zarzis, a small port city of some 70,000 in southeastern Tunisia, fishermen plying the Mediterranean have become inadvertent saviours, rescuing boatloads of illegal migrants to Europe setting out from the shores of Libya. (IRIN http://bit.ly/1EUaBkB)

Asia

Inspectors hired by a group of Western clothing brands found 80,000 safety problems at all the Bangladesh factories they visited as part of an initiative launched after a building collapse last year killed more than 1,100 workers. (GlobalPost http://bit.ly/1r35q7t)

Despite worsening U.S.-North Korean relations, an American charity is ramping up efforts against an epidemic of multidrug-resistant tuberculosis in the isolated country, where it says it is making inroads in fighting the deadly disease. (AP http://yhoo.it/1EU41KT)

Thai authorities have arrested two men charged with human trafficking, police said on Tuesday, following the discovery of 134 suspected victims in southern Thailand at a time when the military government is under international pressure to tackle the crime. (VOA http://bit.ly/1EUbDgq)

The Americas

Bolivian leader Evo Morales says he will not run for a fourth term as president in 2020, as exit polls suggest he has been re-elected for a third time. (BBC http://bbc.in/1EU9ilv)

A magnitude 7.3 earthquake struck late on Monday off the coast of El Salvador and Nicaragua and was felt across Central America, killing at least one person, but there were no immediate reports of major damage. (Reuters http://yhoo.it/1EU3QPF)

One of Colombia’s most violent cities is successfully using science to combat crime. (BBC http://bbc.in/1EUdnWT)

Corruption and tax evasion are flagrant violations of human rights in Latin America, where they contribute to inequality and injustice in the countries of the region, according to studies and experts. (IPS http://bit.ly/1r3f4ad)

Opinion/Blogs

Why I am Afraid of the African Disease of Ebola (Africa is a Country http://bit.ly/1r42AiE)

With Ebola Crisis Looming, Where is the Surgeon General? (Global Information Network http://bit.ly/1r3eKrO)

The majority of Burkinabé favor progressive change on gender rights (Africa is a Country http://bit.ly/1r3WS09)

We can no longer ignore Ebola’s wider impact particularly on women (Guardian http://bit.ly/1r379tk)

Cuba’s Aid to Ebola-Hit Region Overlooked (SACSIS http://bit.ly/1r3gdhX)

Does the introduction of ambulances improve access to maternal health services in rural Ethiopia? (Development Policy http://bit.ly/1r407og)

Money Transfer via Twitter Coming Soon (CFI http://bit.ly/ZYhH7R)

The Guardian view of new thinking on global inequality http://bit.ly/1EUawNE)

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Image credit Samaritans Purse http://www.samaritanspurse.org/article/good-news-for-emmanuel/

Some Good News On Ebola

First, the bad news. As of today, there’s been 8,914 cases and 4,457 reported deaths from ebola. There is no evidence that the outbreaks in Guinea, Sierra Leone or Liberia are coming under control. “It’s still moving geographically and it’s still increasing in capitols,” said Bruce Alyward, the WHO’s point person on Ebola response in a briefing to reporters this morning. So long as the outbreak is out of control in these countries, we can expect more imported cases elsewhere in the world, both the countries bordering the affected countries and here in the United States.

But even as the outbreak metastasizes in those three countries, the WHO is preparing to declare the outbreak over in two other West African countries: Nigeria and Senegal

Ebola was first brought to Nigeria by a sick Liberian on July 20. Nigeria’s patient zero resulted in twenty infections and eight deaths in two cities: Lagos and Port Harcourt. In late August, an infected student from Guinea brought ebola to Senegal. He survived and did not infect anyone else.

The incubation period for this ebola virus is at most 21 days. The WHO will declare an outbreak over 21 days after the last high risk exposure–which includes health care workers treating an infected patient. So, for the WHO to declare an outbreak over requires rigorous monitoring over 42 days with no new cases detected.

If no new cases emerge in Senegal, that 42 day period will be reached on Friday. And if no new cases emerge in Nigeria, the WHO will declare on Monday that the outbreak is over in Nigeria. In both instances, contact tracing, palliative care and rigorous infection controls have stopped the outbreak. This demonstrates that traditional epidemiological strategies to contain the outbreak can work, even in resource poor settings like Liberia, Sierra Leone and Guinea. It’s just a matter of getting the resources and political to scale up the response. Therein lies the rub.

 

 

 

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Sign outside Mostar, Bosnia // Photo by Dennis Jarvis

A Big Election in Bosnia Brings More…Stasis

Bosnians went to the polls on Sunday amidst growing frustrations with the government over deadlock and poor economic opportunity. While the election presented the chance to alter the direction of the country, results so far demonstrate that change is much harder to come by as unresolved tensions from its civil war remains.

Nearly 20 years after the Bosnian War ended, the country is often referred to as “the most over-governed country in the world.” Multiple layers of government at the local, provincial and national level – often divided among Bosnia’s three main ethnic groups – has led to unprecedented levels of bureaucracy that leads to a lot of process, but few results. Unemployment remains persistently high with the official unemployment level in 2013 at 44%, but youth unemployment remains over 60%. Frustration with this led to major protests across the country in February, but few concessions by the government to address the key sources of anger.

In many ways, Bosnians appear to have accepted that things will not change. Despite the renewed attention the protests brought to the problems facing the country, election turnout was lower for Sunday’s election than in 2010. Likewise, the three main nationalist parties – the Muslim Party of Democratic Action (SDA), the Croatian Democratic Union (HZD), and Serb Democratic Party (SDS) – continue to dominate the election results as they have since the war ended in 1995.

The lead politicians vying for the three-person presidency highlight just how divided Bosnia remains. Bakir Izetbegovic, son of Bosnia’s first president Alija Izetbegovic and head of the SDA, campaigned on a stronger, unified Bosnian state. Dragan Covic of the HZD campaigned for the creation of a separate Croat entity within Bosnia to appeal to the smallest of the three major groups who increasingly feel overshadowed by Bosniaks within the Federation of Bosnia-Herzegovina. Both politicians have claimed victory already while the election for who will hold the Serb seat within the presidency is still undecided. For once the Serb opposition has the chance to dislodge the ruling SDS in the national presidency but general Bosnian Serb sentiments still seem to lean towards the breakaway of the Serb Republic.

Thus after 20 years, Bosnia remains in much the same predicament it was when the Dayton Peace Accords were being negotiated. Change is greatly needed but in such a highly charged environment, Bosnians are still scared of what change may bring. Sunday’s election was seen by many as a possible turning point, but a day later is yet another missed opportunity. Without further engagement by the international community, it is unlikely Bosnia will be able to break this cycle and find the progress it desperately needs.

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Global Hunger Index

These Countries Have the Worst “Hidden Hunger”

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The Global Hunger Index released its annual report of micronutrient deficiency, otherwise known as “hidden hunger.” In all 16 countries have “alarming” levels of this undernourishment. Burundi, which tops the Global Hunger Index for the third year in a row, is followed by Eritrea, East Timor and Comoros. Some 805 million people around the world are still chronically undernourished, according to the report, despite progress in combating hunger – three years ago, the index recorded 26 countries with “alarming” or “extremely alarming” hunger levels. South Asia and Sub-Saharan Africa face the highest levels of hunger. Countries showing the largest improvement since 1990 include Angola, Bangladesh, Cambodia, Chad, Ghana, Malawi, Niger, Rwanda, Thailand and Vietnam.” (Reuters http://bit.ly/1toRRqp)

Trouble for Tanzania…”International donors have suspended nearly $500 million in budget support to Tanzania in response to claims that senior government officials siphoned off funds from the country’s central bank under the guise of energy contracts.” (Guardian http://bit.ly/1toUrfU)

Today’s Quote of the Day is cause for concern:  I have never seen a health event threaten the very survival of societies and governments in already very poor countries.” — WHO Director Margaret Chan.  (NYT http://nyti.ms/1v5C1iW)

And in brighter news…George Mitchell is on Mark’s Global Dispatches Podcast! He’s one of his generation’s greatest peacemakers (as in the Good Friday Agreement in Northern Ireland) and tells Mark his life story. http://bit.ly/1wuBcOT

Africa

Many Liberian health care workers on the frontline of the battle against Ebola ignored calls on Monday to strike over poor pay and working conditions, and most hospitals and clinics were operating normally, officials and charity workers said. (Reuters http://bit.ly/1v41lG0)

As Liberia tries to end a months-long Ebola crisis, local and international media rights groups report an intensifying crackdown on journalists in the country. But some of those journalists say this is only a continuation of Liberia’s bad record on press freedom. (VOA http://bit.ly/1w26Inq)

Women and children in South Sudan have been the victims of horrific sexual violence since the country plunged into conflict 10 months ago, the UN Secretary General’s Special Envoy on Sexual Violence in Conflict, Zainab Bangura, said after a week-long visit. (VOA http://bit.ly/1v430eV)

One of Sudan’s main opposition parties will boycott elections set for April because a lack of democracy will not allow a fair vote, a senior party official said on Monday, diminishing the credibility of the ballot. (Reuters http://bit.ly/1w25Ejy)

Mozambique’s ruling Frelimo party and its presidential candidate look likely to win elections this week despite voters’ dissatisfaction with graft and inequality in one of Africa’s fastest growing economies that boasts abundant energy reserves. (Reuters http://bit.ly/1w25XLm)

Madagascar’s former president has been arrested, just hours after he returned to the country following more than five years in exile. (VOA http://bit.ly/1v43D8b)

Ugandan health officials said Monday that they are continuing to monitor five people feared to have contracted the Ebola-like Marburg virus, even though all suspected cases so far have tested negative. (AP http://yhoo.it/1v49479)

Somalia’s government remains riddled with corruption while Shabab Islamists are as deadly as ever, United Nations investigators warned in a damning report seen by AFP Monday. (AFP http://yhoo.it/1v49BWw)

Thousands of northerners who experienced human rights abuses during the occupation of Mali’s north are struggling to find redress amidst concerns that a climate of impunity is continuing and the government’s control in many areas of the north is at best shaky. (IRIN http://bit.ly/1v4abDO)

MENA

International donors pledged $5.4bn towards the rebuilding of Gaza after the recent 50-day war, but 100,000 Palestinians will still be homeless in the territory as winter arrives. (Guardian http://bit.ly/1w2bgKP)

U.N. chief Ban Ki-moon is chastising Israel for allowing settlements to advance in east Jerusalem and calling on Israeli Prime Minister Benjamin Netanyahu for leadership to reach a peace agreement with the Palestinians. (VOA http://bit.ly/1v43mlF)

Kurdish defenders held off Islamic State militants in Syria’s border town of Kobani, but the fighters struck with deadly bombings in Iraq, killing dozens of Kurds in the north and assassinating a provincial police commander in the west. (GlobalPost http://bit.ly/1v45eef)

Pledges of $2.7 billion for reconstructing the Gaza Strip may seem impressive, but huge challenges lie ahead as the Palestinian government had asked for more and its prime minister questioned Monday whether all of the money would actually arrive. (AP http://yhoo.it/1v48Xs8)

United Nations aid convoys cannot reach vast areas of Syrian territory under Islamic State control, a senior U.N. official told Reuters, although the Damascus government is allowing better access to besieged areas elsewhere. (Reuters http://yhoo.it/1v49Qkt)

Asia

Activists and supporters of Pakistani political parties October 12 took to streets of the southern port city of Karachi to protest against shelling on Pakistani border villages by neighbor India. (VOA http://bit.ly/1w26xIT)

Three of the Philippines largest child rights organizations, Save the Children, Plan International, and World Vision, unite to push passage of House Bill 5062 or the “Children’s Emergency Relief and Protection Act,” which calls for a comprehensive plan to be put in place to protect the rights of children in disasters and emergencies.​http://bit.ly/1w27H7f

Hong Kong authorities were accused for the second time of hiring thugs after clashes at democracy protest site. (GlobalPost http://bit.ly/1v45oSZ)

The death toll from a powerful cyclone which battered India’s eastern coastline rose to 24 on Monday, as the storm weakened and moved inland, leaving a swathe of destruction and triggering fears heavy rains would bring flash floods. (Reuters http://yhoo.it/1w2b4uN)

The Americas

A Texas health worker has contracted Ebola after treating a Liberian who died of the disease in Dallas last week, raising concern about how U.S. medical guidelines aimed at stopping the spread of the disease were breached. (Reuters http://bit.ly/1v41ZUc)

Severe drought has struck California for a third year. The lack of water is affecting farms, cities and small communities. California’s Central Valley is usually fertile. (VOA http://bit.ly/1v42ihO)

Scientists here are warning Caribbean countries, where the fisheries sector is an important source of livelihoods and sustenance, that they should pay close attention to a new international report on ocean acidification. (IPS http://bit.ly/1v4aBdg)

Opinion/Blogs

The Priest, the Killers, and a Looming Genocide (The New Yorker http://nyr.kr/1Ce9bwZ)

Visualizing how Syria’s war undermines health (Humanosphere http://bit.ly/1toUPv0)

A risky business: Aid workers in danger (Devex http://bit.ly/1Ce8Z0M)

Understanding the World Bank’s Estimate of the Economic Damage of Ebola to West Africa (Center For Global Development http://bit.ly/1toUUii)

The Disturbing Expansion of the Military-Industrial Complex (IPS http://bit.ly/1w27QHX)

Why the IMF’s poor forecasting matters (The Interpreter http://bit.ly/1Ce91FV)

“Should I go into international development?” (Lessons I Learned http://bit.ly/1toUBEi)

What does the Ebola crisis mean for long-term progress in Sierra Leone and Liberia? (The Guardian http://bit.ly/1toUNDm)

Leading global banks hop aboard infrastructure train (Humanosphere http://bit.ly/1Ce9w2T)

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