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A year on, MSF slams global Ebola response

A year after the start of the Ebola outbreak, aid agency Doctors Without Borders has slammed the international community’s slow response and detailed the “indescribable horror” faced by its staff.

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More than 10,000 people have been killed and some 25,000 infected since the Ebola epidemic was first identified in west Africa in March 2014, mostly in Guinea, Liberia and Sierra Leone.

A report released on Monday by Doctors Without Borders – known by its French initials MSF – says “months were wasted and lives were lost” because the UN’s World Health Organisation, which is charged with leading on global health emergencies and “possesses the know-how to bring Ebola under control”, failed to respond quickly or adequately.

Its report accused the WHO’s Global Alert and Outbreak Response Network of ignoring desperate pleas for help from Liberia when it met in June.

“I remember emphasising that we had the chance to halt the epidemic in Liberia if help was sent now,” said Marie-Christine Ferir, MSF emergency co-ordinator.

“It was early in the outbreak and there was still time. The call for help was heard but no action was taken.”

The WHO did not set up a regional hub for co-ordinating the response until July, by which time a second wave of the epidemic had struck.

“All the elements that led to the outbreak’s resurgence in June were also present in March, but the analysis, recognition and willingness to assume responsibility to respond robustly were not,” the report said.

It was only when a US doctor and Spanish nurse were diagnosed with Ebola that the world woke up to the threat, MSF said.

The aid agency also blamed the governments of Guinea and Sierra Leone for refusing to admit the scale of the epidemic, saying they put “needless obstacles” in the path of MSF teams.

MSF built a 250-bed centre in Liberia’s capital Monrovia, but even that was far from enough. The centre able to open only 30 minutes each morning, filling beds vacated by deaths overnight.

The report describes people dying on the gravel outside the gates, and a father who brought his daughter in the boot of his car, begging MSF to take her in so as to not infect his other children at home, but who was turned away.

“It was an indescribable horror,” said Rosa Crestani, Ebola task force co-ordinator.

There were so many patients and so few employees that the staff had on average only one minute per patient.

The report also points the criticism inward, saying it too should have mobilised faster.

“This Ebola outbreak has wrought an exceptionally heavy toll on MSF’s staff, and particularly on our west African colleagues,” it said.

“Not since the early days of HIV care have MSF staff sustained the loss of so many patients dying in our facilities and never in such an intense short period of time,” the report concluded.

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