The
Ebola epidemic now raging across three countries in West Africa is
three-fold larger than any other outbreak ever recorded for this
terrible disease; the only one to have occurred in urban areas and to
cross national borders; and officially urgent and serious.
At
least 1,090 people have contracted the awful disease this year, though
the epidemic's true scope is unknown because of widespread opposition to
health authorities in afflicted Guinea, Liberia and Sierra Leone.
This
week, 39-year-old physician Sheik Umar Khan -- labeled the country's
hero for his brave leadership of the epidemic fight -- was hospitalized
with Ebola, adding yet another public fear: that even the doctors cannot
escape the disease.
But as terrifying as Ebola is, the virus has
been controlled in the past, and can be again. The current crisis,
which threatens an 11-nation region of Africa that includes the
continent's giant, Nigeria, is not a biological or medical one so much
as it is political. The three nations in Ebola's thrall need technical
support from outsiders but will not succeed in stopping the virus until
each nation's leaders embrace effective governance.
As was the
case in Kikwit, Zaire, in 1995 -- an Ebola outbreak I personally was in
as a journalist -- there is no vaccine or cure for the disease. The key
to stopping its spread is rapid identification of the sick; removal of
the ailing and deceased from their homes; and quarantine and high
hygiene measures to prevent transmission of the virus to family members
and health care workers.
In the absence of such measures, Ebola
will kill upwards of 70% of those it infects, as the virus punches holes
in veins, causing massive internal hemorrhaging and bleeding from the
eyes, ears, mouth and all other orifices.
...Laurie Garrett is
senior fellow for global health at the Council on Foreign Relations and
a Pulitzer Prize-winning journalist.
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