Just two weeks ago, the citizens of Sierra Leone celebrated the end of Ebola transmission in their country with cheering and dancing in the streets of Freetown. It’s a milestone worth celebrating in a country that has suffered nearly 4,000 deaths from the deadly virus.
In the photo, a beautiful woman named Radha holds her young child in a bleak landscape strewn with refuse. The photo caption reveals she is a rag-picker in Jaipur, India, one of millions making a living from collecting and selling the things other people throw away. We learn that shortly after the photo was taken, her husband died.
In a note to the photographer, National Geographic’s Erika Larsen explained why the photo was chosen: “This is a beautiful image but more importantly you have given us a story. You have followed her life for an amount of time and made us care about her situation.”
At this week's UN Sustainable Development Summit, the world's oceans will be getting the attention they have long deserved -- but not always received. They are the focus of Sustainable Development Goal 14: "Conserve and sustainably use the oceans, seas, and marine resources for sustainable development."
The inclusion of oceans for the first time in the international-development agenda illustrates the ambitious and holistic view of challenges and solutions that nations are embracing. With the SDGs, nations are calling for a future in which nature is managed to drive economies, enhance well-being and sustain lives -- whether in Washington or Nairobi, on land or sea.
Fifteen years ago, nations convened at the UN and created an unprecedented set of guideposts, the Millennium Development Goals. In that timespan, the number of people living in extreme poverty was more than halved. But the oceans were not part of those goals. We now have the opportunity to focus minds globally on restoring healthy oceans for resilient economies and thriving communities.
Intriguing, I thought when I first heard the phrase. In Ghana’s small-scale fisheries, the 'Fish Mommy' or 'Fish Queen' is the matriarch of the fish landings. She also doubles as the local authority on all post-harvest operations, exercising a great deal of control over the local market by setting the prevailing price of that day’s fresh catch every morning on the docks of coastal communities in Ghana.
With the Ebola outbreak waning but not yet over, the three most affected countries must now find ways to rebuild their economies and strengthen their health systems to try to prevent another health crisis in the future.
To that end, the presidents of Guinea, Liberia, and Sierra Leone came to the World Bank on April 17 to ask for help funding an $8 billion, 10-year recovery plan for the three countries, with $4 billion needed over the next four years to accelerate recovery. More than $1 billion was pledged by the end of a high-level meeting at the start of the World Bank Group -IMF Spring Meetings – including $650 million from the World Bank Group.
On March 5, Liberian physicians discharged Beatrice Yardolo, an English teacher, from the hospital, hoping that she would be their last Ebola patient. Unfortunately, last Friday another person in Liberia tested positive for the disease that has killed more than 10,000 people in West Africa.
The bad news was a reminder that the world must remain vigilant and insist that we get to zero Ebola cases everywhere. We also must support Guinea, Liberia, and Sierra Leone in their efforts to build back better health care systems to prevent the next epidemic.
Beatrice survived Ebola, but she and the other survivors have paid dearly because of the outbreak. She lost three of her 10 children to Ebola, her home was encircled in quarantine, and she’s been unable to work. She and her country face a daunting road back to recovery and they remain at risk of Ebola as long as there is a single case in the region.
Imagine a football team at the World Cup, just standing around the field watching as the other team breezes right past them and scores a goal. Without taking action to not only help the sick, but protect the healthy, then we, as global citizens, are letting Ebola win this game of life and death.
According to the World Health Organization, as of Nov. 9, a total of 14,098 confirmed, probable, and suspected cases of Ebola virus disease have been reported in six countries. There have been 5,160 deaths. Guinea, Liberia, and Sierra Leone have seen the highest number of cases.
But the fight against Ebola is also a fight against inequality. The knowledge and infrastructure to treat the sick and contain the virus exists in high- and middle-income counties. However, over many years, we have failed to make these things accessible to low-income people in Guinea, Liberia, and Sierra Leone. So now thousands of people in these countries are dying because, in the lottery of birth, they were born in the wrong place.
If we do not stop Ebola now, the infection will continue to spread to other countries and even continents, as we have seen with the first Ebola case in the United States this past week. This pandemic shows the deadly cost of unequal access to basic services and the consequences of our failure to fix this problem.
The virus is spreading out of control in Guinea, Liberia, and Sierra Leone. As a consequence, our ability to boost shared prosperity in West Africa — and potentially the entire continent — may be quickly disappearing.
The Ebola outbreak in West Africa started with just one case. More than nine months later, it’s now outrunning the ability of fragile countries and relief organizations in the three most-affected countries to contain it. Clinics and hospitals are overloaded. Sick people are being turned away. Things could get much worse unless something changes.