Eleven things you should know about Ebola

Congo Guinea Ebola   AGUI101Mike Phipps offers some elementary facts about the epidemic and what it tells us about western priorities.

1. Ebola is fuelled by poverty. It broke out in west African countries that had been devastated by long civil wars. Given the resultant collapse of the public health system, if it hadn’t been Ebola, it would have been something else. Such epidemics require an alleviation of poverty – redistribution, sanitation, good nutrition and education.

2. There is no magic bullet. It won’t be fixed by sending US troops to carry out rapid vaccination programmes. It requires health professionals to carry out “contact tracing” – identification and quarantining those who have been in contact with those infected, as Professor Allyson Pollock has explained.

3. Ebola is hitting the headlines because it might kill the wrong people. The panic is disproportionate to the actual mortality rates and related more to the fact that rich white people might die from it, given the lack of a cure. But it’s hardly the biggest threat to life in poorer countries. The World Health Organisation reckons 15,000 people may have died from the current outbreak, a higher figure than usually reported in the media. But 1.2 million people die every year from malaria and 1.5 million from TB. Continue reading

Ebola a much-needed wake up call for the West

Preparing to enter Ebola treatment unit. Photographer: Athalia Christie  CC BY 2.0  https://www.flickr.com/photos/cdcglobal/15130688115/in/photolist-p43Jr2-oLxNxr-p43J5k-pgsjNp-pgsjZr-pgsi4J-pgsjPX-pgsjST-pgsk2k-ptmyE4-ptmyEV-ptBqy5-ptmyB8-ptmyBP-ptmyCk-pd9Vkc-oAPeN8-ojAoaZ-oB5MhV-ojAEuF-ojAM4x-oz4czE-oAT35U-oB5KhT-ojAKUt-oB45Qb-ojAkJM-ojA9gg-oCQGAz-ojA3Bb--oAP5UB-ojAPrD-ojAuPk-oAP9Qx-ojAUj4-oCQUKp-ojAJDT-oz46RA-oASFEq-oASVgJ-oz4hdN-oB5L6r-oB5ZCg-ojAwi1-oCQU5B-orEj8m-oygmKP-oygn5M-oygnaMThe President of the World Bank, Jim Kim, got it right when he said last night of the international community:

It’s late, really late… We were tested by Ebola and we failed. We failed miserably in our response… Every developed country should be prepared to send trained medical staff to West Africa… We don’t need to stop all travel from these countries. It’s going to be impossible to stop people. The way to stop the flow the patients from these countries getting to the rest of the world is to have programmes that will treat people (in their home countries) and increase survival dramatically. It’s possible.”

But it isn’t nearly happening. The WHO reports already 3,900 deaths in West Africa from Ebola, though with no sign that the epidemic was being brought under control. Continue reading

Ebola, Complacency and Crisis

Congo Guinea Ebola   AGUI101Health emergency in West Africa? Who cares. Until the last month or so, that pretty much summed up the attitude in Western newsrooms and policy-making circles. After all, when is there not some kind of health crisis blighting the people of Sub-Saharan, central and southern Africa? HIV/AIDS is an ugly shadow cast over the fate of entire nations. According to the UN 1-in-20 live with the disease, with over 15% of 15-49 year olds infected in some countries. As awful a social disaster and human tragedy this is, it pales next to Malaria where, despite falling infection rates, it kills a child every minute. Meanwhile, diarrhoel infections carry off approximately 1.5m African kids every year. So yeah, there’s been outbreaks and rumours of outbreaks before but as long as it never threatened our green and pleasant, few but concerned journalists and far-sighted public health experts were banging the Ebola drum. Continue reading