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Internal documents show WHO was receiving emails by mid-April 2014 from staffers in Guinea calling for help with epidemic
The World Health Organisation dragged its feet for two months over declaring the Ebola outbreak a global emergency for fear of damaging the economy of Guinea and other afflicted countries
The internal documents obtained by the Associated Press in Geneva reveal that WHO’s Geneva headquarters was receiving emails by mid-April 2014 from staffers on the ground in Guinea calling for help with an epidemic that had already killed 100 people but was recognised to be largely hidden and spreading
One of the emails was from an experienced Ebola expert with WHO’s Africa office
who wrote to a Geneva official saying the situation had taken a critical turn because many health workers at the Donka hospital in Guinea’s capital
“What we see is the tip of an iceberg,” wrote Jean-Bosco Ndihokubwayo
The scientist requested the help of half a dozen veteran outbreak responders
writing in all capitals in the email’s subject line: “WE NEED SUPPORT.”
WHO official Stella Chungong said she was very worried
warning in an email that terrified health workers might abandon Donka Hospital and that new Ebola cases were coming out of nowhere
change [of] course if we hope to control this outbreak,” she said
together with the publicity around the infection of two American health workers who were repatriated for treatment
UK and other countries together in the fight against the disease
Spokesman Gregory Hartl told reporters that “this outbreak isn’t different from previous outbreaks”
In a Twitter message sent by Hartl and preserved by ITV News
he is shown asking: “You want to disrupt the economic life of a country
[because] of 130 suspect and confirmed cases?”
Formenty said teams in Conakry had seen patients pop up all over the city with no known links to other cases
“This means there is one part of the epidemic that is hidden,” he later wrote in an internal report
“The Ebola outbreak could restart at any time.”
there were discussions at WHO over whether to call a global health emergency
An internal document says such a declaration “ramps up political pressure in the countries affected” and “mobilises foreign aid and action.”
But one director viewed it as a “last resort”
WHO was having to contend with other outbreaks
There were also issues with the government of Guinea
was reporting only confirmed Ebola cases and not those suspected or probable
in a bid to downplay the dangers and avoid alarming foreigners working in the mining industry
head of the pandemic and epidemic diseases department at WHO
acknowledged that her agency made wrong decisions
but said postponing the alert made sense at the time because it could have had catastrophic economic consequences
“What I’ve seen in general is that for developing countries
it’s sort of a death warrant you’re signing,” she told AP
and others sent a memo to WHO chief Dr Margaret Chan
noting that cases might soon pop up in Mali
But the memo went on to say that declaring an international emergency or even convening an emergency committee to discuss the issue “could be seen as a hostile act”
In a meeting at WHO headquarters on 30 July
Liu said she told Chan: “You have the legitimacy and the authority to label it an emergency ..
After WHO declared an international emergency on 8 August
Barack Obama sent 3,000 troops to west Africa and promised to build more than a dozen 100-bed field hospitals
Britain and France also pledged to build Ebola clinics
and Cuba sent more than 400 health workers
maintains however that labelling the Ebola outbreak a global emergency would have been no magic bullet
“What you would expect is the whole world wakes up and goes: ‘Oh my gosh
we have to deploy additional people and send money,’” he said
“Instead what happened is people thought: ‘Oh my goodness
there’s something really dangerous happening there and we need to restrict travel and the movement of people.’”