Ebola : We Could Have Stopped This - by Laurie Garrett
▻http://www.foreignpolicy.com/articles/2014/09/05/we_could_have_stopped_this_ebola_virus_world_health_organization
Public health officials knew Ebola was coming. They know how to defeat it. But they’re blowing it anyway.
La réponse est très loin du compte :
To understand the scale of response the world must mount in order to stop Ebola’s march across Africa (and perhaps other continents), the world community needs to immediately consider the humanitarian efforts following the 2004 tsunami and its devastation of Aceh, Indonesia.
L’OMS est en vrac :
the sole major international responder, Doctors Without Borders (MSF), pleaded for help and warned repeatedly that the virus was spreading out of control. The WHO was all but AWOL, its miniscule epidemic-response department slashed to smithereens by three years of budget cuts, monitoring the epidemic’s relentless growth but taking little real action.
et ça fait des années qu’elle est maltraitée et instrumentalisée :
The neglectful status of the WHO was, horribly, by design. Its governing body, the World Health Assembly (WHA), in which nearly every nation on Earth is a voting member, has declined to increase country WHO dues for more than a quarter-century. Worse, following the 2008 financial crisis, most of the extrabudgetary special support that the WHO relied upon — funds from rich countries that more than doubled the agency’s financing — disappeared as once-wealthy governments turned away from philanthropy
le facteur épidémique (R0) s’accroît :
Today in Liberia, the virus is spreading so rapidly that no RO has been computed. Back in the spring, however, when matters were conceivably controllable, Liberia’s then-small rural outbreak was 1.59.
Les stats sous-évaluent la réalité :
WHO’s official case reports, which solely reflect lab-confirmed patients that have sought care in medical facilities, under-represents the true toll by at least half
Le reste de l’article est un appel à l’armée américaine qui est la seule (selon l’auteure) à pouvoir intervenir à cette échelle de besoins et de manière décisive :
Washington officials say off the record that options for U.S. military assistance are under consideration, and may be announced in a few days.
Mais ça va pas être facile :
Ebola responses in Liberia, Sierra Leone, Guinea, and possibly Nigeria each need a “national force/brigade that tells people, ’this is what you do and what you do not,’ and that does surveillance — this brigade has to have the trust of the people.”