Some more information for us to think about. Porous borders. . . . hmm.
World Health Organisation admits botching response to Ebola outbreak World news The Guardian
The World Health Organisation has admitted mishandling the early stages of the Ebola outbreak in west Africa, saying it failed to recognise the risks of the disease in the fragile states of Guinea, Liberia and Sierra Leone.
“Nearly everyone involved in the outbreak response failed to see some fairly plain writing on the wall,” says a draft internal document obtained by the Associated Press. Experts should have realised that the conventional way of containing an Ebola outbreak would not work in a region with porous borders and broken health systems.
WHO’s appointment system in Africa is also criticised in the document. Heads of WHO country offices in Africa are “politically motivated appointments” made by the WHO regional director for Africa, Dr Luis Sambo, who does not answer to the agency’s chief in Geneva, Dr Margaret Chan, it said. As Peter Piot, director of the London School of Hygiene and Tropical Medicine
told the Guardian last week: “What should be [the] WHO’s strongest regional office because of the enormity of the health challenges, is actually the weakest technically, and full of political appointees.”
Medecins Sans Frontieres, whose volunteer doctors had begun to treat Ebola cases as soon as the outbreak was officially diagnosed in March – three months after the first case – had warned WHO in strong terms that this outbreak was different from previous ones.
“First of all it was the first time we had a case in a big city like Conakry [capital of Guinea]. It is something very different from the remote Congo jungle,” MSF’s Brice de le Vingne, director of operations in Brussels, told the Guardian. The cases were also in a triangle where three countries met. “We knew we were going to have a problem with dealing with three different administrations.” No country was going to want to declare an Ebola epidemic, because of the economic implications.
On 3 April, MSF first warned WHO, who responded by saying the numbers were still small. A dispute then broke out on social media between MSF and the WHO’s spokesman, who insisted it was all under control.