This Ebola outbreak, the seventh largest in history, with 216 cases and 139 dead since July, has seen a sharp uptick in cases in the last few days after response efforts were limited by rebel violence, political instability and community resistance. The WHO’s emergency response chief, Peter Salama, previously told HuffPost that this has been the “most difficult context” for dealing with an Ebola outbreak ― ever.
The WHO’s emergency committee decided that the outbreak was very concerning for the region, but not of wider international concern, committee Chairman Dr. Robert Steffen said Wednesday in Geneva. While the WHO currently deems the risk of wider international spread as low, it says the risk of its spreading nationally and regionally is very high. The committee also did not want a potential emergency declaration to impact travel and trade, which they believe would hinder the emergency response.
“We do have some optimism that this outbreak, just like the one in May, will be brought under control in a reasonable amount of time,” Steffen said.
A WHO declaration of a so-called public health emergency of international concern (PHEIC) would have aimed to draw the world’s attention and hopefully elicit a greater international response to a health crisis with global implications. Since 2007, when the barometer was established, the WHO has only declared a PHEIC four times: for swine flu in 2009, polio and Ebola in 2014, and Zika in 2016.
The WHO also decided not to declare a PHEIC over the last Ebola outbreak, which ultimately killed 33 people in the DRC’s Équateur province earlier this year, due to the quick response and deployment of an experimental vaccine. However, that outbreak was not taking place in a war zone.
“The [declaration of a PHEIC would have] snapped people into attention that otherwise have not been noticing the rising challenges in DRC around Ebola,” Dr. Thomas Inglesby, director of the Johns Hopkins Center for Health Security, told HuffPost.
Last week, the WHO said it was $25 million short of the $33 million it says it needs to stamp out this outbreak by January ― costs that have gone up with the increased security needs and wide geographic spread of the disease. On Wednesday however, WHO Director Tedros Adhanom Ghebreyesus said international partners have been generous, and he believes the lack of a PHEIC declaration will not affect their commitments.
But when it comes to the U.S., Inglesby wonders if it would have motivated the country to become more involved.
“That kind of announcement at the highest level would [have been] a catalyst for contributing more technical expertise and leadership from the U.S. side,” Inglesby said.
Inglesby has been pushing for more involvement from the Centers for Disease Control and Prevention, as HuffPost first reported last week, since the CDC does not currently have any team members in the epicenter of Beni. A CDC spokeswoman said there is currently an Ebola expert adviser, vaccine expert, and border health expert in the capital of Kinshasa, as well as personnel deployed to the border country of Uganda, where there is high risk of cross-country spread due to the mobile populations there.
“In terms of people in the field, the U.S. isn’t participating in ways it has in the past,” Inglesby said, citing security concerns. “There’s also a risk in not participating and not contributing what CDC leaders have been able to contribute.”