Unburied Bodies Show Ebola-Hit Areas’ Transportation Woes
By Simeon Bennett
Aug 28, 2014 12:47 PM ET
The bodies of Ebola victims are
taking as long as five days to be buried in Liberia as a
shortage of ambulances and fuel compound the fear and isolation
that are stoking the worst outbreak of the virus on record.
A lack of vehicles and a fuel shortage are hampering the
ability of the World Health Organization and its allies to reach
affected communities and investigate new cases, said Rick
Brennan, director of the WHO’s department of emergency risk
management and humanitarian response.
“Getting those activities running in the counties requires
a lot of vehicles and fuel, and both of those are in short
supply,” Brennan said by phone from Monrovia, the capital of
Liberia, which has the highest death toll in the current
outbreak at 694. “The roads here really beat up the vehicles,
so they don’t have a long shelf-life.”
The cancellation of flights to West Africa by carriers
including British Airways and Air France, contrary to advice
from the WHO, also poses a challenge to bringing in people and
supplies to the region and getting them where they need to go.
The limits on transportation have also made local people feel
isolated and demoralized, said Keiji Fukuda, the WHO’s assistant
director-general for health security.
Reeling Economies
“If companies pull out, if airlines continue not to fly
here and more close down, it is going to just worsen the
economic impact and the social impact,” Fukuda said in a phone
interview from Monrovia. “These countries don’t have that much
resilience. What other countries may be able to withstand is
going to send these countries potentially reeling.”
The worst-affected nations may see 1 percentage point to
1.5 percentage points shaved off economic growth because of the
disease, African Development Bank President Donald Kaberuka said
this week.
The human toll of the outbreak has risen to 1,552 dead of
the 3,069 people infected so far in Liberia, Sierra Leone,
Guinea and Nigeria, according to the Geneva-based WHO. More than
240 health-care workers have been infected so far and more than
120 have died because of a shortage of personal protective
equipment or its improper use, the WHO has said.
“We need the sea ports and airports to be opened so we can
receive supplies, medicines, relief items and personnel to help
curb the spread of the disease,” said Musu J. Ruhle, charge
d’affaires of the Embassy of Liberia in
Ghana, at a meeting of
West African health ministers in
Accra, Ghana’s capital. “The
whole country is isolated.”
Burial Teams
Liberia has deployed more burial teams, Assistant Minister
of Health for Preventive Services Tolbert Nyenswah said today in
Monrovia. Fourteen of 15 counties have received protective
equipment after donations from
China, the U.S. Agency for
International Development, and the United Nations Children’s
Fund, or Unicef. A fleet of 23 ambulances is now available, and
India has donated water, rice and 100 beds and mattresses,
Nyenswah said.
Health-care workers have been going through the equipment
more quickly than expected through overuse or not reusing some
items such as face shields, goggles, heavy-duty gloves and heavy
aprons, said Nyka Alexander, a WHO spokeswoman. Goggles and
boots can be disinfected and reused, though disposable gloves,
surgical gowns and scrubs are destroyed after one use, Alexander
said.
Direct Relief
Direct Relief, a Santa Barbara, California-based charity,
said a 4,000-pound shipment of supplies including gloves, gowns
and antibiotics will head to Liberia via Brussels today. The
shipment, carried by Brussels Airlines and originally scheduled
to arrive on Monday, has faced disruptions as Senegal closed its
border to flights originating from the affected region.
Doctors Without Borders has a supply center in Brussels and
has been chartering its own flights from there. Unicef this week
delivered 100 tons of equipment to Liberia, including personal
protective equipment, gloves and thermometers, the fund said in
a statement.
The WHO is relying on Brussels Airlines and Morocco’s
Royal
Air Maroc, which are still serving the affected countries, as
well as on the UN Humanitarian Air Service, which has a plane
and three helicopters in the region.
“We are worried that more air carriers may suspend
flights,” Brennan said. “Some of the shipping firms have shown
a little bit of hesitation. These are issues we’ve got to watch
very closely.”
Canceled Flights
The UN health agency and the International Air Transport
Association have said that travel and trade restrictions aren’t
warranted and that the risk of Ebola spreading through air
travel is low. Airlines haven’t been listening.
Emirates is also among airlines that have suspended flights
to affected countries.
DHL Express is still operating daily flights to the Guinean
capital of Conakry; Freetown, Sierra Leone; and Monrovia, though
it has stopped taking blood samples out of them, said Dan
McGrath, a spokesman for the carrier in Bonn.
Meanwhile, the WHO has asked for volunteers from its 7,000
staff globally to assist in West Africa, Fukuda said.
“Everyone in the organization is asked to be ready to
contribute,” he said. “There are a lot of people who are
saying, ’We’re ready to go.’”
http://www.bloomberg.com/news/2014-08-28/unburied-bodies-show-ebola-hit-areas-transportation-woes.html