Kim Yi Dionne Smith College Challenges No recorded previous outbreak though there is evidence of previous exposure Outbreak across borders requires coordination across governments Intensity of Spread ID: 778825
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Slide1
The Challenges to Ebola Response
Kim Yi Dionne
Smith College
Slide2ChallengesNo recorded previous outbreak (though there is evidence of previous exposure).
Outbreak across borders requires coordination across governments.
Slide3Intensity of Spread
Slide4ChallengesNo recorded previous outbreak (though there is evidence of previous exposure).
Outbreak across borders requires coordination across governments.All three of the heavily affected countries have weak health infrastructure.
Slide5Capacity to Respond
Slide6ChallengesNo recorded previous outbreak (though there is evidence of previous exposure).
Outbreak across borders requires coordination across governments.All three of the heavily affected countries have weak health infrastructure.International response was slow and then reactive/defensive.
Slide7Timeline of events
[Mar 25: CDC announces Guinea outbreak][Mar 30: Liberia reports two cases][May 25: 1
st
confirmed case in Sierra Leone]
Aug 8: WHO declares and international health emergency
Aug 12: UN special envoy appointed
Sept 16: President Obama announces $750 million planned response by U.S.
Sept 18: UNMEER established
Slide8Slow and weak international response
April 10: WHO says $4.8 million is needed for the response.July 31: WHO says $103 million is needed for the response.Sept 18: UN says $1 billion is needed for the response.
Slide9What hasn’t worked?
Quarantine in West Point neighborhood in Monrovia, LiberiaLate June: Liberian and Sierra Leonean presidents made threats of prosecuting anyone “harboring” the infected
Closed borders and suspended flights
Photo taken during West Point Quarantine, Monrovia, Liberia, by John Moore, Getty Images
Photo taken during West Point Quarantine, Monrovia, Liberia, by Abbas
Dulleh
, Associated Press
Slide10What is working?
Slide11A common statement from the West
“We know what works…”
Slide12Who is responding?
C-17 Jet in Monrovia, Sept. 18 by Joe Penney (Reuters)
MSF volunteer preparing CDC doctor to enter Ebola unit in Liberia (CDC Global)
Slide13Who is responding?
Slide14Who is responding?
Locals: the governments of Guinea, Liberia, and Sierra Leone; health workers; burial teams; contact tracing teams, and more.International agencies: World Health Organization (WHO); United Nations (esp. UNICEF); Red Cross; Doctors without Borders (aka MSF), and more.
Powerful donors: US, UK, France
Others: Cuba (doctors); Malaysia (rubber gloves)
Slide15What might work?Provide protection for local health workers
Pay local health workersEvacuate all health workers who get sick, not just the ones from Western countriesWork with and through local leaders
Slide16What new challenges might the response create?
Militarization of humanitarian aidFocus on potential Westerners who get sickMultiple donor countries, still unclear on coordination
Slide17Preliminary Data from Monrovia on Ebola’s Economic Impact
Slide18Organizations You Can Support
Doctors without Borders/MSF USA: https://donate.doctorswithoutborders.org/onetime.cfm
Wellbody
Sierra Leone:
http://wellbodyalliance.org/donate/
LastMileHealth
(Liberia):
https://donatenow.networkforgood.org/lastmilehealth?code=equity1847
Direct Relief:
https://secure2.convio.net/dri/site/Donation2?df_id=2105&2105.donation=form1&set.SingleDesignee=1541&_ga=1.224985114.1681973088.1408417880