UN: Ebola outbreak a public health emergency
by Maria Cheng, AP Medical Writer
August 08, 2014 01:30 PM | 1449 views | 0 0 comments | 5 5 recommendations | email to a friend | print
This undated photo made available by the Antwerp Institute of Tropical Medicine in Antwerp, Belgium, shows the Ebola virus viewed through an electron microscope. The World Health Organization on Friday, Aug. 8, 2014 declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread. (AP Photo/Antwerp Institute of Tropical Medicine)
This undated photo made available by the Antwerp Institute of Tropical Medicine in Antwerp, Belgium, shows the Ebola virus viewed through an electron microscope. The World Health Organization on Friday, Aug. 8, 2014 declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread. (AP Photo/Antwerp Institute of Tropical Medicine)
slideshow
This undated photo made available by the Antwerp Institute of Tropical Medicine in Antwerp, Belgium, show the Ebola virus viewed through an electron microscope. The World Health Organization on Friday, Aug. 8, 2014 declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread. (AP Photo/Antwerp Institute of Tropical Medicine)
This undated photo made available by the Antwerp Institute of Tropical Medicine in Antwerp, Belgium, show the Ebola virus viewed through an electron microscope. The World Health Organization on Friday, Aug. 8, 2014 declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread. (AP Photo/Antwerp Institute of Tropical Medicine)
slideshow
This undated photo made available by the Antwerp Institute of Tropical Medicine in Antwerp, Belgium, shows the Ebola virus viewed through an electron microscope. The World Health Organization on Friday, Aug. 8, 2014 declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread. (AP Photo/Antwerp Institute of Tropical Medicine)
This undated photo made available by the Antwerp Institute of Tropical Medicine in Antwerp, Belgium, shows the Ebola virus viewed through an electron microscope. The World Health Organization on Friday, Aug. 8, 2014 declared the Ebola outbreak in West Africa to be an international public health emergency that requires an extraordinary response to stop its spread. (AP Photo/Antwerp Institute of Tropical Medicine)
slideshow
LONDON (AP) — The World Health Organization urged nations worldwide Friday to donate money and resources to stop the spread of Ebola as it declared the outbreak in West Africa to be an international public health emergency.

The current Ebola outbreak is the largest and longest ever recorded for the disease, which has a death rate of about 50 percent and has so far killed at least 961 people, according to the U.N. health agency. It emerged in Guinea in March and has since spread to Sierra Leone and Liberia, with a suspected cluster in Nigeria.

"Countries affected to date simply do not have the capacity to manage an outbreak of this size and complexity on their own," WHO chief Dr. Margaret Chan told a news conference in Geneva. "I urge the international community to provide this support on the most urgent basis possible."

She added that the world's "collective health security" depends on curbing the spread of the killer virus in West Africa, even as she acknowledged that many countries would probably not have any Ebola cases.

The agency convened an expert committee this week to assess the severity of the Ebola epidemic. WHO declared similar emergencies for the swine flu pandemic in 2009 and for polio in May.

Since Ebola was first identified in 1976, there have been more than 20 outbreaks in central and eastern Africa; this is the first to affect West Africa. The virus causes symptoms including fever, vomiting, muscle pain and bleeding. It is spread by direct contact with bodily fluids like blood, sweat, urine, saliva and diarrhea.

The impact of WHO's declaration Friday is unclear; its similar declaration about polio doesn't yet seem to have slowed the spread of the paralytic virus.

"Statements won't save lives," said Dr. Bart Janssens, director of operations for the Doctors Without Borders charity group. "For weeks, (we) have been repeating that a massive medical, epidemiological and public health response is desperately needed. ... Lives are being lost because the response is too slow."

"I don't know what the advantage is of declaring an international emergency," added Dr. David Heymann, who directed WHO's response to the SARS outbreak and is now a professor at the London School of Hygiene and Tropical Medicine. "This could bring in more foreign aid but we don't know that yet."

Earlier this week, the World Bank pledged up to $200 million in emergency funding to help the countries affected by Ebola and strengthen public health systems across West Africa.

On Friday, the European Union said it would chip in an additional 8 million euros ($10.7 million) to Ebola efforts and send a second mobile lab to help with diagnostics. USAID also announced it would invest an extra $12.45 million to support the fight against Ebola.

In the United States, the Centers for Disease Control and Prevention has already warned Americans against traveling to West Africa due to the Ebola outbreak. The agency also put U.S. hospitals on alert for symptoms so they can spot potential cases.

Two Americans infected with Ebola recently received a drug never before tested in people and seem to be improving slightly, according to the charity they work for.

Next week, WHO will hold another meeting to discuss whether it's ethical to use experimental Ebola treatments in the current outbreak. There is no licensed drug or treatment for Ebola and no evidence in people that the experimental treatments work.

Other experts hoped the WHO declaration would mean that send more health workers are sent to West Africa.

"The situation is very critical and different from what we've seen before," said Dr. Heinz Feldmann, chief of virology at the U.S. National Institute of Allergy and Infectious Disease. "There are so many locations with transmission popping up and we just need more people on the ground."

WHO did not recommend any travel or trade bans Friday but said people who had close contact with Ebola patients should not travel internationally. For countries with Ebola, WHO issued various recommendations, including exit screening at international airports and border crossings to spot potential cases. It also discouraged mass gatherings.

WHO said countries without Ebola should heighten their surveillance and treat any suspected cases as a health emergency.

This week, two of the worst-hit Ebola countries — Liberia and Sierra Leone — brought in troops to enforce quarantines and stop people infected with the disease from traveling. Liberian authorities said no one with a fever would be allowed in or out of the country and warned some civil liberties could be suspended if needed to bring the killer virus under control.

The disease spread from Liberia to Nigeria when a man apparently sick with Ebola boarded a plane, according to the Nigerian government. Nigerian authorities say the man, who later died, was not placed into isolation for at least 24 hours after he was hospitalized. A nurse who treated him has since died from Ebola and authorities are monitoring seven other cases among people who had contact with him.

Chan said while extraordinary measures might be necessary to contain the Ebola outbreak, it was important to recognize civil rights.

"We need to respect the dignity of people and inform them why these measures are being taken," she said.

___

Associated Press writer Krista Larson in Dakar, Senegal, contributed to this report.

Online:

www.who.int



Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.



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