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Report slams WHO’s ‘poor’ response to Ebola

A UN-sponsored report on Monday denounced the Geneva-based World Health Organization's slow response to the Ebola outbreak and said the agency still did not have the capacity to tackle a similar crisis.

Report slams WHO's 'poor' response to Ebola
Ebola poster in Liberia. Photo: AFP

"It is still unclear to the panel why early warnings approximately from May through to July 2014 did not result in an effective and adequate response," an interim report by experts said.
   
WHO only declared a global public health emergency on August 8th — almost five months after the outbreak had taken hold in west Africa.
   
The epidemic has left more than 11,000 dead, mainly in the west African states of Guinea, Liberia and Sierra Leone, out of over 26,000 cases.
   
"There were serious gaps in the early months of the outbreak in terms of engaging with the local communities," the report said.
   
"There is a strong, if not complete, consensus that WHO does not have a robust emergency operations capacity or culture."
   
It added that "at present, WHO does not have the operational capacity or culture to deliver a full emergency public health response."
   
The experts said that it took WHO "until August or September 2014 to recognize that Ebola transmission would be brought under control only when surveillance, community mobilization and the delivery of appropriate health care to affected communities were all put in place simultaneously."
   
WHO chief Margaret Chan had at the end of January acknowledged blistering criticism of the UN health agency's Ebola response, saying the crisis had "delivered some horrific shocks and surprises."
   
"Ebola is a tragedy that has taught the world, including WHO, many lessons also about how to prevent similar events in the future," she said, adding: "Never again should the world be caught by surprise, unprepared."
   
The report said there were "serious gaps in the early months of the outbreak in terms of engaging with the local communities."
   
Although traditional cultural practices, including funeral and burial customs, contributed to virus transmission, "culturally sensitive messages and
community engagement were not prioritized," it said.
   
"Essentially, bleak public messaging emphasized that no treatment was available and reduced communities' willingness to engage," it added.
   
The experts' panel is headed by Barbara Stocking, who formerly headed Oxfam.

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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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