Another governance framework in the literature is the concept of security (Kamradt-Scott 2015, Kassalow 2001, Kemp et. al 2006, Kirton et al 2014, Mustapha & Bangura 2016, Ostergard 2002, Roderick 2006, Smith et al 2003, and Sy & Copley 2014). This can be broken down into two subsets: first, that disease outbreaks can be national security problems, destabilizing economies and regimes, and even threatening international peace. Second, that building and strengthening the institutions to provide health (as well as other services like education, or food) will bring human security, which is freedom from conflict. Mustapha & Bangura (2016), Menon-Johansson (2005), and Wilkinson & Leach (2014) describe the structural violence, as decisions made, by the state, over a long period of time that have led to inequalities in the health systems and can lead to human insecurity. However, human insecurity and lack of these key resources can lead to destabilization of the state (conflict).
At the advent of the Ebola epidemic in West Africa, many experts asked why these nations were unable to identify and contain the spread of the disease early on and why was the international community slow to respond. It is my view that any developing country (especially fragile, post conflict states) would have struggled with an epidemic of this nature, not just Sierra Leone and Liberia. However, as many fragile states have under-developed health systems, the real questions are: “why are the health systems
In late 2013, Ebola virus disease (EVD), a deadly and lethal disease, remerged in West Africa spreading to various countries in the region. In humans, the disease is spread through contact with infected bodily fluids leading to haemorrhagic fever (World Health Organization [WHO], 2015). Originating in 1976 in equatorial Africa, past outbreaks with a few hundred cases had been contained within rural, forested areas in Uganda and Congo (Piot, 2012). In 2014, a total of 20, 206 cases and 7,905 deaths were reported to have occurred in up to eight countries worldwide. Of all cases and deaths resulting from the disease, 99.8% occurred in three neighbouring West African countries - Liberia, Sierra Leone and Guinea (WHO, 2014). With a case fatality rate from about 50% to 90%, and the absence of preventative or curative therapies, the Ebola epidemic has led to overall global alarm and further elucidated existing global health disparities that perpetuated the epidemic with these West African countries.
The whole world is at edge knowing that Ebola is a very lethal virus and it is very tough to treat and cure an infected person. But it has been seen that in countries were level of development is higher and health care is easily reached this disease can be fought.
In 2014 the world watched in horror as West Africa experienced the largest Ebola epidemic in history. Affected countries in Africa included Guinea, Liberia, and Sierra Leone and the epidemic, having begun in December 2013, went on for a full year, with additional cases occurring throughout 2015. Over 19,000 cases were reported by December 2014 and of those, 7,518 lost their lives. Today, we know that in total, over 11,000 people lost their lives ("Previous case counts", 2016). There were many factors at play in this outbreak, such as the emergence of a new strain Ebola virus; a lack of preparedness in West Africa, where Ebola had not been seen prior to 2014; a shortage of health care workers and subsequent death of many more them, leading
What was usually a disease contained in regions of sub-Saharan Africa became a global worry. Although the outbreak started in Guinea, it quickly spread to two neighboring countries. From these three countries, cases were then transmitted to the United States, Spain, and the United Kingdom. No vaccine was available to stop the spread of Ebola. This deadly disease went from being a problem in only a small region of the world to being seen in three noncontiguous countries, which could have sowed the seeds of a pandemic had the cases not been contained. As a global community, we gain from our interactions with all citizens, but we must also be aware that we can also suffer from diseases that we think of as only affecting the “others.” If we do not help those “others,” we may become part of
Although Ebola caught the world’s attention during the 1995 outbreak in Zaire, the first outbreak occurred in 1976. As the chart below displays, 71% of the people infected died as a result of Ebola during this first outbreak (Bulletin of the World Health Organization, 56 (2): 247-270, 1978). With the current outbreak, this ratio has dramatically decreased as a result of scientific research leading to early detection, but the current infected population is more than 20 times the amount of any previous outbreak and this number continues to grow as no vaccine exists to prevent the disease.
In both Ebola Outbreak by Dabbous and A mask on the Face of Death by Seltzer they discuss the social and political problems contributing to the spread of Ebola and HIV/AIDS. These Epidemics continue to spread thought out the world to millions of people. The main areas that these diseases began to spread began in very poverty stricken countries. Not only did poverty play a role in the spread but both Dabbous and Seltzer pointed out the lack of education in the area which leads people to easily be manipulated by stories about the diseases. The cultural practices in these areas contribute majorly to the spread of the Ebola and the AIDS virus. These viruses continue to spread to other parts of the world and is hard to contain to a specific location.
UNICEF officer, Suzanne Mary Beukes provided a clearer insight to how poor the country of Guinea is when she wrote, "The world has virtually quarantined a country in which 43 percent of people were already living on less than $1.25 a day prior to this health crisis” (Gholipour, 2014). The countries of Guinea, Liberia, and Sierra Leone (the countries where outbreaks primarily occurred), are some of the poorest countries in the world as a result of their recent civil war and the damaged health and education infrastructures that followed. (“Factors that Contributed to the Spread of Ebola,” n.d., para. 10). The poor infrastructures led to the delayed transportation of patients and lab work to labs and hospitals in addition to the lack of communication between health facilities. In addition to the lack of health facilities, there was shortage of healthcare workers. “Prior to the outbreaks, the three countries (Guinea, Liberia, and Sierra Leone) had a ratio of only one to two doctors per nearly 100,000 population” (“Factors that Contributed to the Spread of Ebola,” n.d., para. 15). The poverty in these cities and countries lead people to want to move to a better standard of living, be treated for the virus, and look for food &
Despite modest health improvements in the decade or so following the end of active conflict, the 2014-2015 Ebola epidemic revealed ongoing systemic issues. The global involvement in the Mano River region countries, and particularly the role of the World Health
The supererogatory capitalist mentality reinforced in American society as a means of success and an acceptable manner to diligently fulfill ethical and moral obligations has been streamlined through the allocation of financial resources, however, these contributions have failed to educate West Africans about precautionary measures, build an effective public health infrastructure and has generated a new strain of the virus: Ebola Debt. Since the recent outbreak of Ebola in early 2014 politicians and public health officials have collaborated with the World Health Organization to dedicate the “Health System Fund” aiming to repay what a large portion of the population claims to be a debt to our allies, which beguiles
The country's development is limited and is generally restricted to the capital city. The recent outbreak of the disease Ebola clearly demonstrated the lack of health and resources. Ebola, though contagious, can be easily contained by the sufficient sanitation and health resources. There were 13 250 cases of Ebola reported with 3 949 deaths. In Sierra Leone, there is no proper hospital outside the capital city and 136 doctors for the entire population. The low level of development in Sierra Leone was only worsened by the Ebola outbreak and restricted any improvements that the country may have made after the civil war.
Care of people with Ebola is difficult and varied due to the highly infectious and often fatal nature of the disease. For instance, care can occur through traditional healers, the home, primary health care facilities and hospitals (Manguvo, A & Mafuvadze, B 2015, p. 2). Where a individual seeks care depends on the level of trust in the healthcare system, accessibility and abundance of healthcare facilities, financial and economic stance and cultural beliefs (WHO 2016). There was considerable difference in the ability of health care services to deal with infectious diseases due to scarcity in supplies and training. When the Ebola epidemic began in 2014 Sierra Leone 's government health care system was built on rigid foundations. There were scant resources, limited infrastructure, poor training on infection prevention and control and a severe shortage of health care workers with a ratio of 1.9 workers for every 10,000 people. (Michaels-Strasser et al. 2015, p. 61). The lack of IPC training lead to ‘health care workers being 100 times more likely than the general population to contract Ebola’ (Ratnayake et al. 2016, p. 2). When healthcare workers became infected colleges became frightened further reducing community trust in the healthcare system.
According to anthropologists, the impact of structural violence can be best represented by analyzing the global disparities in health and healthcare. The continuous violence employed by everyone who belong to a specific social order (Farmer, 2004: 315), structural violence, “at the root of much terrorism and bombardment, is much more likely to wither bodies slowly, very often through infectious diseases” (Farmer, 2004: 315). Furthermore, the imbalance in health and healthcare maintains a close relationship to “social inequality, including racism and gender inequality” (Farmer, 2004: 307), generating a higher impact on developing countries such as Vietnam, Haiti, Venezuela and Liberia. Although the effects upon each region might be divergent,
The 2014 epidemic was the first truly transnational outbreak of Ebola, the longest in duration, and the first with a human case diagnosed on American soil. (Wilson, 2015, 1) This was a pivotal moment of global health, as it occurred at the formal end of the UNMDGs, some of which aimed to improve health conditions in vulnerable countries. (Wilson, 2015, 3) These and other MDGs were set back by this epidemic, (UNDP 2014) exposing the role that chronically weak and underfunded public health systems played in disrupting perceptions of global health security. In an epoch characterized by neoliberal globalization, vulnerabilities caused by interdependency between the Global South are easy to identify, producing discourses of explanation,
The 2014 Ebola outbreak was the first occurrence of Ebola in West Africa, killing thousands of people. The epidemic caused panic worldwide as the World Health Organization (WHO) struggled to contain what it claimed would be a brief outbreak. It was through this unsuccessful response that the WHO came under increased scrutiny. Investigations into the WHO revealed deficiencies across many aspects of the organization. Most notably, the WHO was criticized for its lack of emergency preparedness, its ineffective implementation of the International Health Regulations, and its failure to respond to the outbreak with the necessary force. While these criticisms questioned
Prevention of the Ebola virus is more useful than the treatments. Improving sanitation is an important thing to do in rural African countries. Any victims need to be isolated as soon as possible. Quarantining of infected people from others plays a major role. People who have been in close contact with the infected