Wednesday, August 20, 2014

Slum Dwellers Clash with Police in Liberia

The New York Times today reported the kind of thing you would only previously have seen in a Hollywood thriller.

A virulent virus outbreak in some Third World country is met with a weak response. Local officials are overwhelmed. A few hardy local and foreign doctors do their best to get the world's attention. The virus spreads despite the best initial efforts from rural areas to an urban centre. The poorest of poor are afflicted first. Read: Slum. The slum is Unsanitary, thickly populated and the slum dwellers are deeply distrustful with a dose of magical thinking. The army closes off the slum to stop the spread of the virus...residents of the virus react by trying to break out of the cordon, causing an already bad situation to get worse.

Unfortunately, this scenario is no longer fantastical it is a reality for West Point: A slum in the capital city of Monrovia, Liberia. The New York Times reports on this in a short piece here.

Dr. Joanne Liu, head of Doctors Without Borders, recently said, “No one yet has the full measure of the magnitude of this crisis.” Asked how much money is needed to squash the outbreak Dr. Liu has said, “I don’t know. We’re making history. We’re facing something we’ve never faced before.”

The New York Times has a good primer to common questions about the virus including the graphic below which you can find here.

Click on the graphic to see a larger image.

Sunday, August 17, 2014

Ebola Virus History

Ebola first appeared in 1976 in 2 simultaneous outbreaks, in Nzara, Sudan, and in Yambuku, Democratic Republic of Congo. The latter was in a village situated near the Ebola River, from which the disease takes its name.
Genus Ebolavirus is 1 of 3 members of the Filoviridae family (filovirus), along with genus Marburgvirus and genus Cuevavirus. Genus Ebolavirus comprises 5 distinct species:
  • Bundibugyo ebolavirus (BDBV)
  • Zaire ebolavirus (EBOV)
  • Reston ebolavirus (RESTV)
  • Sudan ebolavirus (SUDV)
  • Taï Forest ebolavirus (TAFV).
(Follow the above link for the full article on the history of Ebola outbreaks on the WHO's website).


Saturday, August 16, 2014

Ebola Response

I wonder if Switzerland, The Netherlands and France had an Ebola outbreak, whether the west would be so blasé about dealing with this epidemic. A few doses of an untested drug is not an answer. A massive response, financial and medical, is needed.  Compare this response to the attention Ukraine is getting. Ukraine is not capable of spreading and turning into a global epidemic yet the West is fixated on events taking place there.

Why is there such a dearth of resources being focused on the Ebola crisis in West Africa?  I remember reading once that if the whole of Africa were to disappear tomorrow the world economy would hardly notice it's absence.  It all comes down to economics: West Africa is simply not important globally to warrant a well resourced response. If, however, a case were to appear in a western nation I'm sure the whole tone of the response by the west would ramp up to hysterical levels.

Note, however, that Nigeria and Saudi Arabia have confirmed cases of people infected with Ebola. This is already beyond the original three of Sierra Leone, Guinea and Liberia.

Below are the latest figures from the Centre for Disease Control. 

CDC's Update as of August 14, 2014

Case Counts

Total Cases
Updated: August 15, 2014
  • Suspected and Confirmed Case Count:2127
  • Suspected Case Deaths: 1145
  • Laboratory Confirmed Cases: 1310
Cases by Country
Guinea
  • Suspected and Confirmed Case Count:519
  • Suspected Case Deaths: 380
  • Laboratory Confirmed Cases: 376
Liberia
  • Suspected and Confirmed Case Count:786
  • Suspected Case Deaths: 413
  • Laboratory Confirmed Cases: 190
Nigeria
  • Suspected and Confirmed Case Count: 12
  • Suspected and Confirmed Case Deaths: 4
  • Laboratory Confirmed Cases: 11
Sierra Leone
  • Suspected and Confirmed Case Count:810
  • Suspected and Confirmed Case Deaths:348
  • Laboratory Confirmed Cases: 733
Distribution map showing districts and cities reporting suspect cases of Ebola