GENEVA
— West Africa’s deadly Ebola epidemic is probably much worse than the
world realizes, with health centers on the front lines warning that the
actual numbers of deaths and illnesses are significantly higher than the
official estimates, the World Health Organization said.
So
far, 2,127 cases of the disease and 1,145 deaths have been reported in
four nations — Guinea, Liberia, Nigeria and Sierra Leone — the W.H.O
announced Friday. But the organization has also warned that the actual
number is almost certainly higher, perhaps by a very considerable
margin.
“Staff
at the outbreak sites see evidence that the numbers of reported cases
and deaths vastly underestimate the magnitude of the outbreak,” the group said in a statement on Thursday.

The
epidemic is still growing faster than efforts to keep up with it, and
it will take months before governments and health workers in the region
can get the upper hand, Joanne Liu, the president of Doctors Without Borders, said on Friday, calling conditions on the ground “like a war.”
The
situation “is moving faster and deteriorating faster than we can
respond,” Dr. Liu told reporters in Geneva after returning a day earlier
from a tour of the affected nations.
The
epidemic’s front line “is moving, it’s advancing, but we have no clue
how it’s going to go around,” Dr. Liu said. “Over the next six months we
should get the upper hand on the epidemic,” she added, but this was
only a “gut feeling” and it would happen only if sufficient resources
were put in place.
Many
deaths have occurred within local communities, not at health centers,
and the known deaths are “likely the tip of the iceberg,” Dr. Liu said.
“We are still having increasing numbers in most of the sites where we
work.”
The
W.H.O. announced last week that the Ebola epidemic constituted a public
health emergency, in a bid to galvanize local and international action.
But it has also emphasized that the risk of the epidemic spreading
abroad is extremely low.
As
countries around the world stepped up precautions for preventing the
spread of the disease, the International Olympic Committee announced on
Friday that athletes from the countries affected by the Ebola outbreak
who are attending the Youth Olympic Games in the Chinese city of Nanjing
would not be allowed to compete in contact sports or in the swimming pool.
In
addition to this step, which would affect three athletes, it said team
members from the affected countries would be subject to regular
temperature checks and physical assessments throughout the games.
In
its statement on Thursday, the W.H.O. said it was coordinating “a
massive scaling up” in support from governments, disease control
agencies and other organizations. Margaret Chan, the organization’s
director general, met ambassadors in Geneva on Thursday to identify the
most urgent needs and seek matching responses, it reported.
Dr.
Liu cautioned that “we haven’t turned any corner yet” and that most of
the international response was still at the level of promises.
Action
to combat the epidemic was at different levels in each of the affected
countries, Dr. Liu noted, singling out Liberia as a priority for urgent
international attention as it strives to contain the spread of the
disease in the capital, Monrovia, a city of 1.3 million people, where
one overstretched health care center was providing care for Ebola
patients.
“If we don’t stabilize Liberia, we will never stabilize the whole region,” Dr. Liu warned.
The
United Nations reported that the World Food Programme was delivering
food to more than one million people “locked down” in the quarantine
zones where the borders of Guinea, Liberia and Sierra Leone intersect,
but Dr. Liu was doubtful about the effectiveness of checkpoints intended
to restrict people’s movements.
“I’ve
seen it: People are fleeing, people are running around,” she said,
describing a checkpoint she had passed where people were walking around
it. The local population was not fully supportive and without that, she
said, it would be difficult to make the measure effective.
Comments
Post a Comment