Think more about Africa than Ebola
Cuba USA

Think more about Africa than Ebola


By Manuel Yepe

Africa rarely makes the news in the major Western media. This only occurs if the information is about an outbreak if some epidemic or a terrorist situation threatening the United States or some other wealthy allied country. The recent outbreak of Ebola in Western Africa has become one of those exceptions that put the continent on the corporate media's map. 

“Of course, we should care a great deal about the Ebola outbreak, but not because of the threat it poses to us as Americans, but for what it says about the current state of the health care system in much of Africa and many other resource-limited settings around the globe,” says Adam Levine,Assistant Professor at Brown University who currently serves as Clinical Advisor for Emergency and Trauma Care in Rwanda. I believe this article is substantial and opportune, considering who wrote it. 
“Stop Worrying about Ebola and Start Worrying about What it Means” is the title of Dr. Levine’s work published on August 13 on the Huffington Post.

“Sadly, the Western media has ignored the context of neglect in public health and the incredible health disparities present in our world,” says Levine.

“The two Americans recently infected in Liberia, for instance, are by all accounts improving, not because of any magic serum they received, but because of the close monitoring and care provided by their aid worker colleagues and their rapid evacuation to a modern hospital with intensive care facilities.”

The rate of mortality from all diseases, from pneumonia to heart attacks through cancer and traffic accidents is highest in sub-Saharan Africa than in any Western hospital. But the possibility of dying from any disease in the world, including Ebola, has much to do with geography.

According to Levine, there are actually several effective treatments for Ebola which can help support individuals through the worst phases of the disease and increase their chancea of survival. These treatments include early and careful resuscitation with intravenous fluids; blood products such as packed red blood cells, platelets, and concentrations of clotting factors to prevent bleeding; antibiotics to treat common bacterial co-infection and respiratory support with oxygen. In addition, modern diagnostic equipment can help doctors and nurses continuously track vital signs in order to rapidly detect and manage new complications of the disease.

Levine explains that Ebola is not the most contagious disease known. It's not airborne and it's not even spread by aerosols. This makes it less contagious than a host of other diseases, such as measles, chicken pox, tuberculosis, or even the seasonal flu. To the best of our knowledge, Ebola is spread only by close physical contact, especially with bodily fluids. 

During the past six months that the Ebola outbreak has claimed the lives of nearly 1000 children and adults, approximately 298,000 children have died of severe pneumonia, 193,000 children have died of severe diarrhea, 288,000 children and adults have died of severe malaria, and 428,000 children and adults have died from injuries like automobile accidents, all in sub-Saharan Africa alone. 

In Levine’s expert opinion, better access to emergency and critical care services could help save patients with Ebola as well as those affected by these and many other far more common killers.

In West Africa, Ebola has been spreading rapidly due to the absence of basic public health measures in poorly-equipped government hospitals and clinics. Many health centers and hospitals lack adequate supplies as basic as gloves and gowns. Many also lack the running water or alcohol-based solutions required for the necessary hygiene. 

“The real tragedy of the Ebola outbreak is that most Africans lack access to the very same medications, equipment, and skilled physicians and nurses that have been available in the United States and Europe for several decades, and that could have prevented the current epidemic from raging out of control,” says Levine

Sadly, pharmaceutical companies are generally not willing to invest in research to prevent or treat diseases that only affect poor people, since they are unlikely to ever turn a profit. 

It is obvious that Professor Adam Levine would never go along with the idea that the United States Agency for International Development (USAID) with which he now works in Africa on humanitarian tasks, should divert substantialfunding from the American taxpayers for plausible targets, rather than other foolish purposes such as promotingsubversion and "regime change" in poor nations whose governments Washington considers inconvenient




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