West Africa: Global Bio-disaster Response Urgently Needed in Ebola Fight
2 SEPTEMBER 2014
http://allafrica.com/stories/201409021648.html?viewall=1
New York ? MSF Denounces International Inaction in Ebola-stricken African Countries; States Must Deploy Specialized Medical Assets Now
World leaders are failing to address the worst ever Ebola epidemic, and states with biological-disaster response capacity, including civilian and military medical capability, must immediately dispatch assets and personnel to West Africa, the international medical humanitarian organization M?decins Sans Fronti?res (MSF) announced today in a special briefing at the United Nations organized by the office of the UN Secretary General and the World Health Organisation (WHO). The further spread of the virus will not be prevented without a massive deployment of such specialised medical units to bolster epidemic control efforts in affected countries, said MSF.
In a speech delivered to UN member states, MSF International President Dr. Joanne Liu denounced the lack of deployment of resources, which has to-date relied on overstretched ministries of health and private nongovernmental organisations, to tackle the exceptionally large outbreak. Despite repeated calls by MSF for a massive mobilisation on the ground, the international response has been lethally inadequate.
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?Six months into the worst Ebola epidemic in history, the world is losing the battle to contain it,? said Dr. Liu. ?Leaders are failing to come to grips with this transnational threat. The WHO announcement on August 8 that epidemic constituted a ?public health emergency of international concern? has not led to decisive action, and states have essentially joined a global coalition of inaction,? she said.
Many countries possess biological threat response mechanisms. They can deploy trained civilian or military medical teams in a matter of days, in an organised fashion, and with a chain of command to assure high standards of safety and efficiency to support the affected countries. MSF insists, however, that any military assets and personnel deployed to the region should not be used for quarantine, containment, or crowd control measures. Forced quarantines have only bred fear and unrest, rather than stem the virus.
?Funding announcements and the deployment of a few experts do not suffice,? said Dr. Liu. ?States with the required capacity have a political and humanitarian responsibility to come forward and offer a desperately needed, concrete response to the disaster unfolding in front of the world?s eyes,? said Dr. Liu. ?Rather than limit their response to the potential arrival of an infected patient in their countries, they should take the unique opportunity to actually save lives where immediately needed, in West Africa.?
In the immediate term, field hospitals with isolation wards must be scaled up, trained personnel must be dispatched, mobile laboratories must be deployed to improve diagnostics, air bridges must be established to move personnel and material to and within West Africa, and a regional network of field hospitals must be established to treat medical personnel with suspected or actual infections.
In Monrovia, Liberia, for example, new Ebola management centres with adequate isolation facilities and qualified staff are urgently needed. The queue of patients continues to increase in front of MSF?s ever growing ELWA 3 centre, which now contains 160 beds. It is estimated that 800 additional beds are needed in Monrovia alone. The MSF team is overwhelmed and cannot offer more than palliative care.
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MSF?s care centres in Liberia and Sierra Leone are overcrowded with suspected Ebola patients. People continue to become ill and are dying in their villages and communities. In Sierra Leone, highly infectious bodies are rotting in the streets.
A multiplication of high quality isolation facilities would allow for earlier referral and admission, leading to a significant impact on mortality.
snip
Additionally, triage centres must to be set up, systems for management of corpses must be increased, and hygiene items must be distributed at a mass scale, along with an increase of active surveillance capacities. Disinfection campaigns are needed, as well as health and hygiene promotion among the populations and within health facilities.
?The clock is ticking and Ebola is winning,? said Dr. Liu. ?The time for meetings and planning is over. It is now time to act. Every day of inaction means more deaths and the slow collapse of societies.?
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2 SEPTEMBER 2014
http://allafrica.com/stories/201409021648.html?viewall=1
New York ? MSF Denounces International Inaction in Ebola-stricken African Countries; States Must Deploy Specialized Medical Assets Now
World leaders are failing to address the worst ever Ebola epidemic, and states with biological-disaster response capacity, including civilian and military medical capability, must immediately dispatch assets and personnel to West Africa, the international medical humanitarian organization M?decins Sans Fronti?res (MSF) announced today in a special briefing at the United Nations organized by the office of the UN Secretary General and the World Health Organisation (WHO). The further spread of the virus will not be prevented without a massive deployment of such specialised medical units to bolster epidemic control efforts in affected countries, said MSF.
In a speech delivered to UN member states, MSF International President Dr. Joanne Liu denounced the lack of deployment of resources, which has to-date relied on overstretched ministries of health and private nongovernmental organisations, to tackle the exceptionally large outbreak. Despite repeated calls by MSF for a massive mobilisation on the ground, the international response has been lethally inadequate.
snip
?Six months into the worst Ebola epidemic in history, the world is losing the battle to contain it,? said Dr. Liu. ?Leaders are failing to come to grips with this transnational threat. The WHO announcement on August 8 that epidemic constituted a ?public health emergency of international concern? has not led to decisive action, and states have essentially joined a global coalition of inaction,? she said.
Many countries possess biological threat response mechanisms. They can deploy trained civilian or military medical teams in a matter of days, in an organised fashion, and with a chain of command to assure high standards of safety and efficiency to support the affected countries. MSF insists, however, that any military assets and personnel deployed to the region should not be used for quarantine, containment, or crowd control measures. Forced quarantines have only bred fear and unrest, rather than stem the virus.
?Funding announcements and the deployment of a few experts do not suffice,? said Dr. Liu. ?States with the required capacity have a political and humanitarian responsibility to come forward and offer a desperately needed, concrete response to the disaster unfolding in front of the world?s eyes,? said Dr. Liu. ?Rather than limit their response to the potential arrival of an infected patient in their countries, they should take the unique opportunity to actually save lives where immediately needed, in West Africa.?
In the immediate term, field hospitals with isolation wards must be scaled up, trained personnel must be dispatched, mobile laboratories must be deployed to improve diagnostics, air bridges must be established to move personnel and material to and within West Africa, and a regional network of field hospitals must be established to treat medical personnel with suspected or actual infections.
In Monrovia, Liberia, for example, new Ebola management centres with adequate isolation facilities and qualified staff are urgently needed. The queue of patients continues to increase in front of MSF?s ever growing ELWA 3 centre, which now contains 160 beds. It is estimated that 800 additional beds are needed in Monrovia alone. The MSF team is overwhelmed and cannot offer more than palliative care.
snip
MSF?s care centres in Liberia and Sierra Leone are overcrowded with suspected Ebola patients. People continue to become ill and are dying in their villages and communities. In Sierra Leone, highly infectious bodies are rotting in the streets.
A multiplication of high quality isolation facilities would allow for earlier referral and admission, leading to a significant impact on mortality.
snip
Additionally, triage centres must to be set up, systems for management of corpses must be increased, and hygiene items must be distributed at a mass scale, along with an increase of active surveillance capacities. Disinfection campaigns are needed, as well as health and hygiene promotion among the populations and within health facilities.
?The clock is ticking and Ebola is winning,? said Dr. Liu. ?The time for meetings and planning is over. It is now time to act. Every day of inaction means more deaths and the slow collapse of societies.?
snip
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