Abstract
The international response to the current outbreak of Ebola virus in west Africa, which is projected to infect about 20 000 people with a case fatality rate of more than 50%,1,2 has been fractured and delayed. The index case (a 2-year-old boy from Guinea) died in December, 2013, followed by confirmed Ebola clusters on March 22, 2014, which quickly spread to Liberia and then Sierra Leone. The disease jumped to Nigeria through air travel, and, recently, to Senegal. Yet WHO did not declare a Public Health Emergency of International Concern (PHEIC) until Aug 8, 2014, and only released an Ebola response roadmap on Aug 28—5 months after international spread.
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