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 $650 million from the World Bank Group.
On March 5, Liberian physicians discharged Beatrice Yardolo, an English teacher, from the hospital, hoping that she would be their last Ebola patient. Unfortunately, last Friday another person in Liberia tested positive for the disease that has killed more than 10,000 people in West Africa.
The bad news was a reminder that the world must remain vigilant and insist that we get to zero Ebola cases everywhere. We also must support Guinea, Liberia, and Sierra Leone in their efforts to build back better health care systems to prevent the next epidemic.
Beatrice survived Ebola, but she and the other survivors have paid dearly because of the outbreak. She lost three of her 10 children to Ebola, her home was encircled in quarantine, and she’s been unable to work. She and her country face a daunting road back to recovery and they remain at risk of Ebola as long as there is a single case in the region.
Much of the media coverage of children during West Africa’s Ebola epidemic has been focused on orphans. Repeatedly, we have read heartbreaking stories of children who have lost parents to the disease and even been rejected by their communities. These children deserve our attention: We know that losing a parent has both short-term and long-term impacts. Evidence from Kenya, South Africa, Tanzania, and across Africa demonstrates significant reductions in educational outcomes for orphans in the short run. Evidence from Tanzania shows that adverse education and health effects persist into adulthood.
Most people are aware of Ebola's devastating impact on human health. To date, over 22,800 people have been infected and 9,000 have died. Its effects on West Africa's economy have also been well-documented. According to recent World Bank estimates, Ebola will cause at least US$ 1.6 billion in lost economic growth in Guinea, Liberia and Sierra Leone in 2015.
It’s been a difficult year for the people of Guinea, Liberia and Sierra Leone, and all those fighting to end the terrible Ebola epidemic that took thousands of lives, spread fear and destabilized economies. Though the global response to this crisis was too slow, at year’s end, there are hopeful signs that international mobilization is having an impact, and that the countries most affected by the disease are coalescing around the goal of “zero cases.”
In a part of Sub-Saharan Africa where life is far from easy for most people, the Ebola epidemic is the most devastating event in a generation. With per capita incomes ranging between $400 and $700 a year, people living in Guinea, Liberia and Sierra Leone can ill afford Ebola’s terrible toll on survival, health, and livelihoods. World Bank Group President Jim Yong Kim was in West Africa last week to pledge our ongoing support to these countries to help them reach the goal of zero Ebola cases.
More than 5 million children are out of school indefinitely due to the crisis, and the number is even larger if university-age students are taken into account. But the crisis is not just the downtime for these millions of students of all ages affected by school and university closures. Its full magnitude is revealed in the loss of learning and the opportunities for progress that are forgone with each passing day.
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.
Last week, I had the opportunity to visit several communities affected by Ebola in Liberia and Guinea. While I saw clear signs of progress in terms of destigmatization and family support, we can’t for one second take our foot off the accelerator in pushing forward on our response to this crisis. There’s a long way to go until we reach zero cases. Here are some of my reflections from the trip.
This week’s links include continuing global coverage of the Ebola crisis response. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and more. Follow us @worldbankhealth.