Imagine if our government and the other governments of the major developed countries had paid attention to Doctors without Borders/Médecins Sans Frontières (MSF) when they were running around with their heads on fire regarding the ebola outbreaks in West Africa back in July, instead of those same governments sitting on their hands pretending nothing important was happening. Maybe we (we being the USA and our Europeans friends) could have prevented this catastrophe from happening:
Whatever its causes, it is evident now that the rapid and accelerating spread of Ebola – the virus is infecting five additional people every hour in Sierra Leone and a similar number in Liberia – is the avoidable result of a lack of hospital beds, isolation wards and basic facilities. It is the result, also, of too few doctors and nurses, of underprotected health workers who are themselves falling ill in large numbers, of traditional healing and burial practices, of generally underfunded healthcare systems, of corrupt misappropriation of foreign aid earmarked for healthcare and, crucially, of the lack of a vaccine in the face of a mutating virus. Of the 20,000 new cases predicted by the end of November, 70% on current trends will result in death. By the end of January, the Centres for Disease Control in Atlanta warns, there could be 1.4m new cases.
Well, they weren’t Americans so the public, and few people in a position to do something important to stop the spread of this killer virus gave much of a damn until cases started popping up here within the “homeland.” And still the world’s response to the crisis is far less than needed. The US has barely begun to intervene in this humanitarian crisis, while Europe stays mostly on the sidelines.
The European Commission makes all the right noises, but its financial contribution has been paltry. One of its main concerns appears to be how to airlift EU nationals in the affected countries.
Here’s the truth of the matter, stated better than I can:
The scary truth of the Ebola pandemic is that, starting with the WHO last March, the world’s leading governments and institutions were, for the most part, caught napping. They thought (as did much of the western media) that this outbreak was another grisly but isolated act in Africa’s ongoing human tragedy. They thought it would not affect us.
“They” were wrong. Everything that happens in this globalized world of ours affects us. Ignorance, incompetence, sheer stupidity, bigotry – take your pick for the reasons no major political figures around the world, much less their governments, took the cries for help from the World Health Organization and MSF seriously. One more example (as if the failure to take significant action on climate change weren’t enough) that the wealthy nations of the world are led by fools or worse, people who could care less when others die unless it moves the numbers in some poll in their favor.
http://www.vox.com/2014/10/4/6905303/ebola-scared-quarantine
In fairness (cough, cough) at the time, the US and European countries were preoccupied with Syria and Ukraine. How to eliminate Assad with Muslim terrorists and Putin with Ukrainian Nazis.
Those with immense respect for MSF (like me) watched in horror for months as the outbreak shifted to epidemic and virtually no action by our government. Somehow diseases (that humans have been spreading for like forever) never rise to the level of sufficient, international, public health action in the early stages when epidemiologists begin sounding the alarms.
Should add that Africa does matter — that’s why Africom was set up. The US is deeply troubled by the amount of money China is investing there in farming land and basic resource property.
As Steve M. at No More Mister Nice Blog points out, local politics in the afflicted countries isn’t helping either:
http://nomoremister.blogspot.com/2014/10/you-want-to-get-hysterical-about-ebola.html#links
Which doesn’t absolve the West of its egregious indifference to this crisis until it could generate “Scary Killer Disease About to Ravage USA!” type headlines.
Politicians mantra: crisis (real or imaginary) = opportunity (for money and/or power if properly exploited).
Recall how fast the Patriot Act sailed through Congress after anthrax infected envelopes appeared in Daschle’s and Leahy’s Senate mailboxes.
Hey, if they don’t care if Americans have Health Care (repeal Obamacare, no Medicaid here!), why would they care about Africans?
BBC News – Ebola outbreak: Nurse infected in Spain
In this case, hindsight is not 20/20. In most Ebola outbreaks of the past (and there have been a dozen or so), there were 2 or 3 dozen cases and the outbreak died out. In some cases, there were under a dozen. So, the basic approach of not panicking in the past has been effective. Outbreaks were controlled locally.
This one is different. But if you want people to do the things they learned to do, they seemed to, but it didn’t work this time. But I’m not ready to say that this was a failure of response. It’s a different kind of outbreak, but that is hard to know at the time.
Cut budgets for UN WHO and US CDC. Cut foreign and development aid for Africa to shore up military aid for Israel and Egypt. Tank US economy so donations to church missions and NGOs drop.
Deploy troops to support the African Union in several countries.
Fail to deal with global climate change or food security.
It’s not just Africa or Liberia. It is the entire planet from Djibouti to Detroit that has been austerianized for three decades. Formerly strong public health services have closed. Health worker training has been curtailed.
Liberia is just the canary in the coal mine for the destruction of public health infrastructure.
Folks here are pretty awake. But it’s time to wake up the rest of the developed world.
That Texas freaked out says a lot about the state that has led US policy into this state of affairs. And constrained the public hospitals that they themselves depend on.