Warning of huge Ebola surge in Liberia

West African country to see thousands of new cases as virus spreads exponentially, WHO warns

Members of an Ebola burial team collect the body of a suspected Ebola victim from a home in Monrovia, Liberia. The WHO said  the number of afflicted patients was increasing exponentially and that nearly all the country has confirmed cases and that all new treatment facilities are overwhelmed. Photograph: Daniel Berehulak/The New York Times
Members of an Ebola burial team collect the body of a suspected Ebola victim from a home in Monrovia, Liberia. The WHO said the number of afflicted patients was increasing exponentially and that nearly all the country has confirmed cases and that all new treatment facilities are overwhelmed. Photograph: Daniel Berehulak/The New York Times

Liberia, the country worst hit by West Africa's Ebola epidemic, should see thousands of new cases in coming weeks as the virus spreads exponentially, the World Health Organisation (WHO) has warned.

The epidemic, the worst since the disease was discovered in 1976, has killed some 2,100 people in Guinea, Sierra Leone, Liberia and Nigeria and has also spread to Senegal.

The WHO believes it will take six to nine months to contain and may infect up to 20,000 people. In Liberia, the disease has already killed 1,089 people - more than half of all deaths reported since March in this regional epidemic.

A Liberian man paints on a wall as part of an awareness programme about the deadly Ebola virus in Monrovia, Liberia. The World Health Organization (WHO) has said the number of deaths from Ebola has risen to 2100 in West Africa with an exponential surge predicted in Liberia the hardest hit country in the region. Photograph: Ahmed Jallanzo/EPA
A Liberian man paints on a wall as part of an awareness programme about the deadly Ebola virus in Monrovia, Liberia. The World Health Organization (WHO) has said the number of deaths from Ebola has risen to 2100 in West Africa with an exponential surge predicted in Liberia the hardest hit country in the region. Photograph: Ahmed Jallanzo/EPA

“Transmission of the Ebola virus in Liberia is already intense and the number of new cases is increasing exponentially,” the UN agency said in a statement. “The number of new cases is moving far faster than the capacity to manage them in Ebola-specific treatment centres.”

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Fourteen of Liberia’s 15 counties have reported confirmed cases. As soon as a new Ebola treatment centre is opened, it immediately overflows with patients.

“In Monrovia, taxis filled with entire families, of whom some members are thought to be infected with the Ebola virus, criss-cross the city, searching for a treatment bed. There are none,” it said.

In Montserrado County, which includes the capital Monrovia and is home to more than one million people, a WHO investigative team estimated that 1,000 beds are urgently needed for Ebola patients, the statement said.

Motorbike-taxis and regular taxis have become “a hot source” of Ebola transmission.

Liberia’s government announced yesterday it was extending a nationwide nighttime curfew imposed last month to curb the spread of the disease.

Sierra Leone last week ordered a four-day countrywide “lockdown” starting September 18th as part of tougher efforts to halt the spread of Ebola.

International mobilisation

UN secretary-general Ban Ki-moon called British prime minster David Cameron, France's president François Hollande, Cuban president Raul Castro and Herman Van Rompuy, president of the European Council, to urge more support, his spokesman said.

While governments and organisations across the world are scrambling cash and supplies to the region, the WHO said its aid partners must scale up efforts by three- to fourfold to battle the epidemic.

Conventional control measures were “not having an adequate impact” in Liberia, it said.

Ebola is a haemorrhagic fever spread through the blood, sweat or vomit of those infected, making those working directly with the sick among the most vulnerable to the disease.

In a country with just one doctor for nearly 100,000 inhabitants before the outbreak, some 152 health care workers have been infected and 79 have died in Liberia since the crisis began, the WHO said.

The United States said yesterday it will send a 25-bed field hospital to Liberia to help provide medical care for health workers there. Britain earlier said it would send military and humanitarian experts to set up a treatment centre for Ebola victims in Sierra Leone.

Medical charity Medecins Sans Frontieres welcomed the move by the British government but voiced fears the disease was moving "catastrophically" through the population. Resources needed to be deployed on the ground more quickly, it said.

The WHO said yesterday that one of its doctors working in an Ebola treatment centre in Sierra Leone had tested positive for the disease and would be evacuated from Freetown shortly. It was the second WHO-deployed staff member to contract the virus after a Senegalese epidemiologist was infected last month.

Economies threatened

Chief executives of 11 firms in the region joined the call for world leaders to step up the fight against the disease, warning yesterday that it threatened the region’s stability.

“Without the support of the international community the situation for these economies, many of whom are only beginning to return to stability after decades of civil war, will be even more catastrophic,” they said in a statement.

Signatories of the statement included chief executives from ArcelorMittal, Randgold Resources, London Mining, IAMGOLD, Newmont, Aureus Mining, and Hummingbird Resources.

Exxon Mobil meanwhile donated $150,000 to the Liberian National Red Cross Society.

Meanwhile, an emergency meeting of health ministers and other officials from African Union member states agreed in the Ethiopian capital Addis Ababa on Monday to lift restrictions on travel to and from countries affected by Ebola.

A number of African nations introduced travel bans and border closures in recent months despite WHO warnings that the measures risk creating food and supply shortages.

“It was agreed that countries should lift travel bans and allow people to move between members states and allow trade but to put proper measures for screening,” Nkosazana Dlamini-Zuma, the African Union’s chairperson, said after the meeting.

“We expect them (all member countries of the 54-nation bloc)to implement (the decision) as agreed,” she told journalists.

Reuters