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WHO slammed for ‘slow’ response to Ebola virus

The Geneva-based World Health Organization insisted on Tuesday it would probe complaints that it had been slow to wake up to the scale of Ebola, but insisted the focus now must be on battling the epidemic.

WHO slammed for 'slow' response to Ebola virus
Hospital doctor in Philippines checks an isolation room for Ebola patients. Photo: Ted Aljibe/AFP

"We know that many elements need to be explained in the future," said the UN health agency's spokeswoman Fadela Chaib.
   
"We believe in the virtue of transparency and accountability. WHO will do that, but in the future. Now our focus is on the response," she told reporters in Geneva.
   
Critics have questioned why WHO only declared an international health emergency in August, eight months after the epidemic began in Guinea.
   
The tropical disease, which is proving fatal in 70 percent of cases, has claimed more than 4,500 lives in West Africa, making it the largest Ebola epidemic in history.
   
Liberia, Sierra Leone and Guinea have been hit hardest, accounting for the overwhelming majority of the 9,200 cases registered in seven countries.
   
Experts warn that the infection rate could reach 10,000 a week by early December.
   
Even the current scale of the epidemic is unclear, due to massive difficulties gathering figures.
   
"We know that for the three countries, they are under-reporting," said Chaib.
   
"Is it ten percent, is it 20 percent? I don't know," she said.

"What we know is that we are not finding all the cases."

Medical charity Doctors Without Borders (MSF), at the forefront of the fight against the disease, had back in April said it was out of control.

 'Frustrated and angry' 

"We are frustrated and angry that the global response to this outbreak has been so slow and inadequate. For months, we have been pleading for more help and watching the situation deteriorate," MSF told AFP on Tuesday.
   
"When the outbreak is under control, it is important for every organisation to look back on their respective response and identify possible shortcomings or failures so that lessons learnt can be used in future interventions.
   
"We at MSF will also look at our own operations and what we could have done and said differently," the charity said.

"We must also reflect on how national and global health systems can have failed quite so badly."
   
For now, however, the top priority must be the immediate deployment of desperately needed assets and expertise to West Africa in order to curb the epidemic, MSF said.
   
There have been claims that WHO was hobbled by internal bureaucracy and turf wars —  and asleep at the wheel despite extensive media coverage of the emerging crisis.
   
Leaks of a hard-hitting internal report have trickled into the media, but WHO insists they are from a first draft setting out the chronology of the outbreak for a future review, and have not been fact-checked or assessed by staff involved in battling the epidemic.
   
"We will have time to do an audit of the WHO and international response to the Ebola epidemic. Now our focus is to respond to it, try to minimize its effects on the population in West Africa," said Chaib.
   
The review's remit has not been set out yet, she said.

It was unclear whether WHO would hold an external audit, as it did after the 2009 H1N1 swine flu crisis.

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ANGELA MERKEL

WHO to set up pandemic data hub in Berlin

The World Health Organization announced Wednesday it would set up a global data hub in Berlin to analyse information on emerging pandemic threats, filling the gaps exposed by Covid-19.

WHO to set up pandemic data hub in Berlin
Angela Merkel on May 5th. Photo: picture alliance/dpa/AFP Pool | John Macdougall

The WHO Hub for Pandemic and Epidemic Intelligence, which will start operating later this year, is set to analyse data quickly and in detail, in order to predict, prevent, detect, prepare for and respond to risks worldwide.

The hub will try to get ahead of the game, looking for pre-signals that go far beyond current systems that monitor publicly available information for signs of emerging outbreaks.

“The Covid-19 pandemic has exposed gaps in the global systems for pandemic and epidemic intelligence,” WHO chief Tedros Adhanom Ghebreyesus told journalists.

“There will be more viruses that will emerge with the potential for sparking epidemics or pandemics.

“Viruses move fast. But data can move even faster. With the right information, countries and communities can stay one step ahead of an emerging risk and save lives.”

READ ALSO: ‘We are still in the third wave’: German Health Minister urges caution in reopening after shutdown

Merging digital, health expertise

German Chancellor Angela Merkel said Berlin was a good location for the hub as it already had leading players in the digital and health fields, such as the Robert Koch Institute.

“If that expertise is now supplemented by the WHO Hub, we will create a unique environment for pandemic and health research here in Berlin – an environment from which important action-oriented insights will emerge for governments and leaders around the world,” she said in a video message.

It is hoped that the site will be operational from September. Its budget is still under discussion, while Germany will meet the start-up costs.

German Health Minister Jens Spahn said the world needed the capacity to detect outbreaks with the potential to become health crises “before the threat becomes a sad reality”.

Global systems were currently “insufficiently prepared” to handle the risks posed by outbreaks, mutations of existing pathogens, extensions of diseases to previously unaffected populations, and diseases jumping species from animals to humans, he added.

“There’s a clear need for a stronger global early warning alert and emergency response system with improved public health intelligence,” he said.

“Better data and better analytics are key for better decisions.”

 Looking for pre-signals

“There are signals that may occur before epidemics happen… data that can give us pre-signals,” said WHO emergencies director Michael Ryan. That information could drive early decision-making, he added.

“The Hub will allow us to develop tools for that sort of predictive analytics,” he said.

A joint mission by international and Chinese scientists concluded in March that the SARS-CoV-2 virus which causes Covid-19 disease most likely passed to humans from a bat via an intermediary animal.

The experts’ report suggested the outbreak could have started as far back as September 2019, long before it was first detected in December 2019 in Wuhan.

The WHO only became aware of the new coronavirus on December 31st that year, when its epidemic intelligence service and its China office spotted a media report and a mention by the Wuhan Municipal Health Commission of a mysterious cluster of pneumonia cases.

The Covid-19 pandemic has killed at least 3.2 million people and more than 154 million cases have been registered worldwide since then, according to tallies from official sources compiled by AFP.

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