Abstract

It takes threat of Ebola to see lessons from low income countries.

Highlights

  • In his recent perspective in the New England Journal of Medicine, the head of the United States (US) Centers for Disease Control and Prevention (CDC), Thomas Frieden, and colleagues, were concerned that the arrival of the Ebola virus (EVD) in Lagos, Nigeria heralded a concerning escalation of the epidemic in West Africa [1]

  • Federal Public Health officials do not have the authority to command and control the kind of rapid, preventive and contact tracing activities deployed by Nigeria

  • The CDC must be expressly invited by a State government in order to effect public health responses at a local level

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Summary

Introduction

In his recent perspective in the New England Journal of Medicine, the head of the United States (US) Centers for Disease Control and Prevention (CDC), Thomas Frieden, and colleagues, were concerned that the arrival of the Ebola virus (EVD) in Lagos, Nigeria heralded a concerning escalation of the epidemic in West Africa [1]. Almost immediately after the first case was diagnosed, the Nigerian government declared a Public Health Emergency and centralised the command structure through an Ebola Response Incident Management Center [7]. * Correspondence: mjh599@nyu.edu 1Commonwealth Fund Harkness Fellow in Healthcare Policy and Practice, New York University, New York, USA Full list of author information is available at the end of the article

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