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Ebola Virus Disease

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In 2014, an outbreak of Ebola Virus Disease occurred in a number of West African countries, with most cases confined to Guinea, Liberia, and Sierra Leone. The highly contagious disease, spread via contact with infected body fluid, including mucus, saliva, tears, sweat, breast milk, and semen, infected more than 28,000 people. Although generally contained, the effects of the epidemic were felt both directly and indirectly in the United States and many other developed countries due to the limited education on Ebola. Since October 2014, the African epidemic has been abated, and global efforts have shifted from crisis response to development of preventative strategies. In the United States, researchers, clinicians, and other decision makers focus …show more content…

314). Successful preparation requires extensive collaborative management among a wide swath of stakeholders, both private and governmental, local and federal. Agranoff and McGuire define this as “the process of facilitating and operating in multi-organizational arrangements to solve problems that cannot be solved, or solved easily, by single organizations” (as cited in Meyers, 2016a, p. 314). Meyers’s extensive research at Indiana State University has identified four broad categories of collaboration that are necessary for appropriate and effective planning and response to a domestic Ebola Virus Disease breakout: Implementation, Intelligence, Network, and Governance (2016a, p. 329). Critical to achieving success within these four umbrella categories is participation by all concerned, including the general public (Meyers, 2016b, p. 201). Meyers argues that “public health decisions are best made in a transparent manner that encourages public participation in deliberations” and that “transparency is important even at the very beginning of a public health emergency, because the absence of accurate and reliable information from the government will be filled with misinformation that could stigmatize certain groups and hinder response” (2016b, p. 204). Such stigmatization, as was seen on a large scale during the initial U.S. HIV/AIDS …show more content…

19). Application of such an ethic to an Ebola Virus Disease outbreak is essential to maintaining basic human rights and ultimately controlling the epidemic. He points to the U.S. response to the West African Ebola Virus Disease outbreak of 2014 as an example of what not to do. Although there were only a handful of Ebola Virus Disease cases domestically, enhanced airport screening was implemented and many states quarantined healthcare workers returning from infected areas. Some states even called for travel bans. The author writes that such a “narrow focus on perceived self-interest can actually increase domestic risk” (p. 19). He warns that “although raging infectious diseases seem a world away, the smart course is to bring the epidemic under control rather than seal the borders” (p. 19). One of the author’s argument is that universal healthcare for everyone in the U.S. is not just a basic human right, but also a necessary measure for epidemic preparedness. Just as poverty has been identified as a contributing factor to the spread of Ebola Virus Disease in West Africa (Fallah, Skrip, Gertler, Yamin, & Galvani, 2015, p. 1), it could also play a pivotal role in a future domestic outbreak. Poor and otherwise vulnerable people, including immigrants and prisoners, have access to fewer resources

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