UK government is criticised for "political decisions" in response to Ebola epidemic.

نویسنده

  • Anne Gulland
چکیده

The UK government’s decision to stop direct flights to west Africa because of the Ebola virus epidemic was not based on science, MPs have said, arguing that flights should be restored immediately. A report by the Public Accounts Committee into the Department for International Development’s handling of the Ebola outbreak said that “political decisions” had hampered the response to the epidemic. The report stated, “The revocation of licences to carriers to fly direct to the region was a political decision with no basis in science and was inconsistent with World Health Organization advice.” It went on to say that the department has since recognised that this decision caused inconvenience, adding, “In our judgment, it will inevitably have led to an increase in the costs of dealing with the outbreak and, potentially, to further loss of life.” MPs criticised the department, as a major donor to WHO, for failing to ensure that the international community acted quickly in response to the outbreak. The department’s chief scientific officer, Chris Whitty, admitted in evidence to the committee in December that the department “could and should have listened to and responded to the views of Médecins Sans Frontières and others on the ground who were warning of the seriousness of the outbreak.” There was an “unfortunate time lag” between the department’s recognition that it had to act and its allocation of funding, the report noted. “In early August 2014 it had announced £5m [€6.76m; $7.67m] of support; by September this had risen to £100m and by the time of our hearing [December], it had reached £230m,” it said, adding, “Had the department acted sooner, both lives and money would have been saved.” The committee said that it “wholeheartedly” supported the United Kingdom’s efforts to combat the outbreak and commended the bravery of people working on the ground, including volunteers and the armed forces. However, it added that the epidemic highlighted a lack of emergency response experience and capability in the department and in its partner, Save the Children. The committee urged the department to create a contingency plan for dealing withmedical emergencies, and it acknowledged that the slow response was partly due to a lack of organisations that were able and willing to build and operate treatment centres. The committee also urged the department to undertake a “rigorous evaluation of all aspects of the UK’s response to the crisis.” It said that developing early warning surveillance and improving epidemiological intelligence were important initial lessons to be followed up. The report called on the government to strengthen Sierra Leone’s health system “as a priority,” through the UK’s bilateral aid programme. It said that the lack of health infrastructure after Sierra Leone’s 10 year civil war—the country had only 120 doctors at the beginning of the outbreak—had hampered the response and probably led to a rise in the number of deaths from other causes. Data published by WHO on 10 February showed 22 859 cases of the disease in the three worst affected countries so far, including 9162 deaths. Also, the latest situation report from WHO showed a rise in the number of Ebola cases for the second week running: 144 cases arose in the week to 8 February, compared with 124 the week before. Guinea in particular has seen a sharp increase, to 69 cases from 39 the previous week.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Response to and Impact of the Ebola Epidemic: Towards an Agenda for Interdisciplinary Research

Background The 2013-2016 Ebola virus disease (EVD) epidemic in West Africa was the largest in history and resulted in a huge public health burden and significant social and economic impact in those countries most affected. Its size, duration and geographical spread presents important opportunities for research than might help national and global health and social care systems to better prepare ...

متن کامل

A review on West African Ebola epidemic dynamics models

Background and aims: The world is threatened by disease outbreak that reaches a public health emergency of international concern, studies to inform public and agencies for effective containment strategy are necessary. Several studies provided vital information of the dynamics and control of Ebola epidemic outbreak in West Africa. Methodologies and techniques in those researches...

متن کامل

The Political Economy of Health Epidemics: Evidence from the Ebola Outbreak

Health epidemics represent a unique test of governmental accountability. Compared to other disasters, the way the government responds is crucial to stop the contagion and limit the ultimate costs to citizens. However, political motives may distort the allocation of governmental resources. In this paper, I study the response of the Liberian government to the 2014 West Africa Ebola outbreak, and ...

متن کامل

When an emerging disease becomes endemic.

Epidemics, such as HIV in the early 1980s and Ebola in 2014, inspire decisive government investment and action, and individual and societal concern, sometimes bordering on panic. By contrast, endemic diseases, such as HIV in 2017 and tuberculosis, struggle to maintain the same attention. For many, the paradox is that endemic disease, in its totality, continues to impose a far higher public heal...

متن کامل

The Politics and Crisis Management of Animal Health Security

E ven as the lessons learned from the response to the 2014–2015 Ebola outbreak in West Africa begin to be analyzed, history provides other key examples of health crises that challenge traditional thinking and, in some cases , government structures themselves. In his new book The Politics and Crisis Management of Animal Health Security, author John Connolly examines the events and aftermath of t...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • BMJ

دوره 350  شماره 

صفحات  -

تاریخ انتشار 2015