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bola crisis

West Africa is experiencing the biggest outbreak of the Ebola virus ever known, causing thousands of deaths, devastating fragile healthcare systems and damaging the economies of countries, some of which are still recovering from civil war. Infections are thought to be doubling every few weeks. The World Health Organization (WHO) says there were 13,700 officially registered cases by the end of October, almost all in Sierra Leone, Liberia and Guinea, with about 5,000 deaths, but many go unrecorded and the true figure is thought to be two to three times higher. The US Centre for Disease Control (CDC) says that if nothing changes there could be 1.4 million cases by late January.
The WHO has been criticized for not reacting fast enough to the outbreak: it took three months to diagnose the first cases, and five months more before a public health emergency was declared. The exceptional spread of the disease was probably down to a number of factors including dysfunctional health systems, high population mobility across state borders, densely populated capitals and lack of trust in authorities after years of armed conflict meaning health advice is not heeded. Fear is also a factor. People are afraid to go to hospital because they think it may be the source of infection.
Healthcare in the region was fragile before Ebola. Now there is disintegration as staff become ill or stay away for fear of the disease. Infection control and hygiene are major issues. Soap and water are unavailable in some areas. Alcohol hand rubs are needed on a large scale. Isolation facilities are vital to contain Ebola, as are labs for testing because rapid diagnosis is very important. Both are in very short supply. In some places, isolation is nothing more than an area behind a curtain. People with other diseases and women in childbirth are at risk because hospitals are no longer functioning properly.