Sep 06


Daily Guide (Ghana)  6 September 2014


 September 6, 2014

Cameron Doudu

Whoever first said that you discover the full measure of a person or organisation when a crisis occurs, was absolutely spot on.  In the current Ebola crisis facing the world, an organisation called Médecins sans frontières (Msf in short or Doctors Without Borders) has taken over the leadership role in the battle against Ebola that should properly belong to the World Health Organisation (WHO). It is Who that is formally charged with the responsibility of helping the world to combat such pandemics.

But many observers  think that whether it is because the WHO is hampered by bureaucratic or associated political reasons, it has not quite risen to the enormous task facing it over Ebola – so far. MSN has. It deserves our praise. But WHO should not resent the leading role MSF is playing.

WHO should rather thank MSN, for daring to tell the story like it is – something  that WHO may not be placed to do at all times.

MSN has now officially asked the United Nations to appeal to its members to send military units into Sierra Leone, Liberia and Guinea to help the victims of Ebola there. In a special briefing to the UN on 2 September 2014, the international president of MSN, Dr Joanne Liu, said that six months into the worst Ebola epidemic in history, “the world is losing the battle to contain it.” Leaders were “failing to come to grips with this transnational threat.”

Dr Liu went on:

QUOTE: In West Africa, cases and deaths continue to surge. Riots are breaking out. Isolation centres are overwhelmed.

Health workers on the front lines are becoming infected and are dying in shocking numbers. Others have fled in fear, leaving people without care for even the most common illnesses. Entire health systems have crumbled.

Ebola treatment centres are reduced to places where people go to die alone, where little more than palliative care is offered. It is impossible to keep up with the sheer number of infected people pouring into facilities. In Sierra Leone, infectious bodies are rotting in the streets. Rather than building new Ebola care centres in Liberia, we are forced to build crematoria….

We are in uncharted waters. Transmission rates are at unprecedented levels, and the virus is spreading quickly through Liberia’s capital, Monrovia. I stand here today, as the president of a medical humanitarian organisation on the front lines of this outbreak since it emerged. My colleagues have cared for more than two thirds of the officially declared infected patients. Even as we have doubled our staff over the last month, I can tell you that they are completely overwhelmed.

Doctors Without Borders/Médecins Sans Frontières (MSF) has been ringing alarm bells for months, but the response has been too little, too late. The outbreak began six months ago, but was only declared a ‘Public Health Emergency of International Concern’ [by the responsible body, the W.H.O.] on August 8.

While funding announcements, roadmaps, and finding vaccines and treatments are welcome, they will not stop the epidemic today. We have been losing for the past six months. We must win over the next three. And we can.

Many of the member states represented here today have invested heavily in biological threat response. You have a political and humanitarian responsibility to immediately utilise these capabilities in Ebola-affected countries.

To curb the epidemic, it is imperative that states immediately deploy civilian and military assets with expertise in biohazard containment. I call upon you to dispatch your disaster response teams, backed by the full weight of your logistical capabilities. This should be done in close collaboration with the affected countries.

Without this deployment, we will never get the epidemic under control.

The following must be prioritised: Scaling up isolation centres; deploying mobile laboratories to improve diagnostic capabilities; establishing dedicated air bridges to move personnel and equipment to and within West Africa; building a regional network of field hospitals to treat suspected or infected medical personnel.

While these bio-defense teams will help to immediately shore up the response on the ground, the WHO and other public health agencies must operationalise the Ebola Road Map. We must also address the collapse of state infrastructure. The health system in Liberia has collapsed.

Pregnant women experiencing complications have nowhere to turn. Malaria and diarrhoea, easily preventable and treatable diseases are killing people. Hospitals need to be reopened, and newly created.

Lastly, we must change the collective mindset driving the response to the epidemic.

Coercive measures, such as laws criminalising the failure to report suspected cases, and forced quarantines, are driving people underground. This is leading to the concealment of cases, and is pushing the sick away from health systems. These measures have only served to breed fear and unrest, rather than contain the virus.

UN member states cannot focus solely on measures to protect their own borders. Only by battling the epidemic at its roots can we stem it.

This is a transnational crisis, with social, economic and security implications for the African continent. It is your historic responsibility to act.

We cannot cut off the affected countries and hope this epidemic will simply burn out.

To put out this fire, we must run into the burning building. UNQUOTE


Dr Liu’s statement is so eloquent that there is nothing to add to it, except to confirm that, yes, during the Cold War, and in recent days when Saddam Hussein and other international pariahs have made manifest, their ability to use biological and chemical weapons, many countries, particularly the USA, Britain,. France, Germany, Russia, China and others have established in their military, well-trained units that can combat both chemical and biological attacks efficiently, as well as radiation from nuclear weapons. It is precisely these units that must be flown into the burning fire – the epicentres of the disease in Liberia, Sierra Leone and Guinea.

To pay for these well-trained units to sit in their military camps doing nothing, when their services are so much in need, is nothing less than a crime against humanity.

By Cameron Duodu


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