September 25,
2014
Remarks by
Joanne Liu, International President, Doctors Without Borders/Médecins Sans
Frontières (MSF)
Excellencies,
ladies and gentlemen.
Generous
pledges of aid and unprecedented UN resolutions are very welcome. But they will
mean little, unless they are translated into immediate action.
The reality
on the ground today is this: the promised surge has not yet delivered.
The sick are
desperate, their families and caregivers are angry, and aid workers are
exhausted. Maintaining quality of care is an extreme challenge.
Fear and
panic have set in, as infection rates double every three weeks. Mounting
numbers are dying of other diseases, like malaria, because health systems have
collapsed.
Without you,
we fall further behind the epidemic’s deadly trajectory. Today, Ebola is
winning.
Our 150-bed
facility in Monrovia opens for just thirty minutes each morning. Only a few
people are admitted—to fill beds made empty by those who died overnight.
The sick
continue to be turned away, only to return home and spread the virus among
loved ones and neighbors.
The isolation
centers you have promised must be established NOW.
And other
countries must not let a few states carry the load. Complacency is a worse
enemy than the virus.
The required
response must be hands-on, rigorous and disciplined. And it must not be
subcontracted. It is not enough for states to just build isolation centers.
While NGOs can manage some, you will have to manage many.
Don’t cut
corners. Massive, direct action is the only way.
But have no
doubt about what you will face. This will be extremely challenging.
Scaling up
the response will present huge organizational difficulties. The UN cannot fail
in coordinating and leading this effort.
In parallel,
an equally massive effort is needed to create a vaccine, an additional tool for
cutting the chain of transmission.
But current
models of vaccine development will not work. We need incentives for trials and
production, along with collaborative research and open source data. A safe
vaccine must be accessible, and rapidly delivered to the most affected
populations.
There is
today a political momentum the world has rarely—if ever—seen.
As world
leaders, you will be judged by how you use it.
Thank you.
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