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Tuesday, September 23, 2014
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Published: Wednesday, 8/6/2014

GUEST EDITORIAL

Dealing with Ebola

WASHINGTON POST

It was a commendable decision — and more unnerving than risky — for Emory University to accept into its hospital two Americans who contracted the deadly Ebola virus while doing humanitarian work in Africa.

The arrival of the first patient late last week is considered to be the first instance of the virus entering the United States, albeit in the care of infectious disease specialists working in an isolation unit built in collaboration with the U.S. Centers for Disease Control and Prevention. CDC officials say there is little safety threat and no cause for panic among Americans.

The far greater risk, on public-safety and humanitarian levels, would be to allow the current Ebola outbreak, the largest ever, to continue to rage out of control in West Africa until it spreads. That could create a global pandemic.

Ebola is not the most infectious serious disease, but it is the deadliest. Depending on the strain of the virus, the mortality rate can be as high as 90 percent.

The World Health Organization (WHO) said this week that the disease has killed 887 people since March, all but one in Liberia, Sierra Leone, and Guinea. One person died in Nigeria and several more people are reportedly sick.

The United States and other nations must make it a priority not just to provide medical aid to stricken regions, but also to improve the health conditions under which Africans live. Upgrading Africa’s health infrastructure is a long, slow, costly process, one the West has not expressed great interest in undertaking. Perhaps this epidemic will help remind us why it is so important.

Who has promised to fly hundreds more medical personnel into West Africa. The United States said it would send 50 public health officials.

It’s not just a matter of treating the illness — the earlier treatment is started the better, but there is no cure or vaccine. Other safety precautions should be observed. West Africans must be persuaded to stop the burial custom that involves washing bodies. WHO has enlisted local healers, tribal leaders, and anthropologists to encourage people who may be ill to go to hospitals. That effort must be intensified.

It’s a matter of convincing desperately scared people — some ill, some not ill yet — that health workers who show up at their doors and sometimes take away loved ones are not angels of death, but the only chance they have of staying alive.



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