by Dish Staff
Kent Sepkowitz argues that better public-health infrastructure could stop the outbreaks:
[W]hat this second 2014 Ebola epidemic likely represents yet again is the fact many countries simply do not have the health care dollars to deal with this sort (or just about any sort) of infectious disease. The infrastructure does not exist. And infrastructure is not just masks and gowns, but rules about when to use masks and gowns, trucks to bring new supplies of masks and gowns, a stock room guy to keep track of supplies and order when things are low, a supplier with supplies, highways that are paved and dependable so the masks and gowns can get from here to there, cash on hand to keep equipment moving and on and on—all of it is missing. …
The Ebola virus outbreaks of 2014 have shown us that Ebola, like HIV and many other infections with effective preventions, containments, and treatments, will remain uncontrolled as long as the world allows it. As such, it reminds us that health is a basic human right and its maintenance not just a public health imperative—but a moral one.
Clair MacDougall dissects Liberia’s ill-thought-out quarantine experiment:
From the outset, the quarantine project was destined to fail. The sheer size and population of West Point, which sits on a peninsula next to Monrovia’s mainland, were stumbling blocks. The outcast township — made up of ex-combatants from Liberia’s brutal civil war that ended in 2003, marginalized youth, and migrants from Guinea and Sierra Leone — is one of Liberia’s most complicated communities. Consent for a quarantine was neither won nor sought from residents, including community leaders; health organizations working to help the government fight Ebola did not endorse it either. Making matters worse, many people who live in West Point do not understand how Ebola is transmitted and distrust the government, which has become synonymous with deception and corruption for many Liberians.
Brendan Nyhan (NYT) describes the role misinformation plays in impeding progress against the disease. He believe it’s “especially important to avoid the victim-blaming impulse”:
Anyone facing such a terrifying outbreak would be panicked, distrustful of outsiders bearing a potential death sentence, and eager for any shred of hope.
In particular, research suggests that conspiracy theories can be psychologically reassuring in situations like this — seeing conspiracies in randomness or attributing negative events to enemies can restore feelings of control when people encounter unpredictable threats. Until we can help people feel as if the situation is coming under control, we shouldn’t be surprised if they try to regain psychological equilibrium however they can.
And John Campbell notes that there isn’t just one Ebola crisis on the continent:
The DRC outbreak appears to be unrelated to Ebola in west Africa. The DRC strain of the virus is much less deadly, with a mortality rate of about 20 percent, rather than up to 90 percent in Sierra Leone, Liberia, and Guinea. The eastern part of the DRC has been the venue of almost constant warfare for nearly a generation. Infrastructure, including hospitals, has largely collapsed. The region would appear to be ripe for a new outbreak of Ebola.

