Review
doi: 10.1016/S0140-6736(15)60644-4.A retrospective and prospective analysis of the west African Ebola virus disease epidemic: robust national health systems at the foundation and an empowered WHO at the apex
Affiliations
- PMID:25987158
- DOI: 10.1016/S0140-6736(15)60644-4
Item in Clipboard
Review
A retrospective and prospective analysis of the west African Ebola virus disease epidemic: robust national health systems at the foundation and an empowered WHO at the apex
Lawrence O Gostin et al. Lancet..
Display options
Format
Display options
Format
Abstract
The Ebola virus disease outbreak in west Africa is pivotal for the worldwide health system. Just as the depth of the crisis ultimately spurred an unprecedented response, the failures of leadership suggest the need for innovative reforms. Such reforms would transform the existing worldwide health system architecture into a purposeful, organised system with an empowered, highly capable WHO at its apex and enduring, equitable national health systems at its foundation. It would be designed not only to provide security against epidemic threats, but also to meet everyday health needs, thus realising the right to health. This retrospective and prospective analysis offers a template for these reforms, responding to the profound harms posed by fragile national health systems, delays in the international response, deficient resource mobilisation, ill defined responsibilities, and insufficient coordination. The scope of the reforms should address failures in the Ebola response, and entrenched weaknesses that enabled the epidemic to reach its heights.
Copyright © 2015 Elsevier Ltd. All rights reserved.
Comment in
- Social and political remedies needed for the Ebola tragedy.Sanders D, McCoy D, Legge D, Birn AE, Sengupta A.Sanders D, et al.Lancet. 2015 Aug 22;386(9995):738. doi: 10.1016/S0140-6736(15)61534-3.Lancet. 2015.PMID:26333969No abstract available.
Similar articles
- The Ebola epidemic and public health response.Moll R, Reece S, Cosford P, Kessel A.Moll R, et al.Br Med Bull. 2016 Mar;117(1):15-23. doi: 10.1093/bmb/ldw007.Br Med Bull. 2016.PMID:26956605
- Global health security: the wider lessons from the west African Ebola virus disease epidemic.Heymann DL, Chen L, Takemi K, Fidler DP, Tappero JW, Thomas MJ, Kenyon TA, Frieden TR, Yach D, Nishtar S, Kalache A, Olliaro PL, Horby P, Torreele E, Gostin LO, Ndomondo-Sigonda M, Carpenter D, Rushton S, Lillywhite L, Devkota B, Koser K, Yates R, Dhillon RS, Rannan-Eliya RP.Heymann DL, et al.Lancet. 2015 May 9;385(9980):1884-901. doi: 10.1016/S0140-6736(15)60858-3.Lancet. 2015.PMID:25987157Free PMC article.Review.
- Enabling Rapid Response to the 2014-2016 Ebola Epidemic: The Experience and the Results of the National Institute for Infectious Diseases Lazzaro Spallanzani.Nicastri E, Castilletti C, Biava M, Fusco FM, Petrosillo N, Puro V, Lauria FN, Capobianchi MR, Di Caro A, Ippolito G.Nicastri E, et al.Adv Exp Med Biol. 2017;972:103-122. doi: 10.1007/5584_2016_134.Adv Exp Med Biol. 2017.PMID:27864803
- Overview, Control Strategies, and Lessons Learned in the CDC Response to the 2014-2016 Ebola Epidemic.Bell BP, Damon IK, Jernigan DB, Kenyon TA, Nichol ST, O'Connor JP, Tappero JW.Bell BP, et al.MMWR Suppl. 2016 Jul 8;65(3):4-11. doi: 10.15585/mmwr.su6503a2.MMWR Suppl. 2016.PMID:27389903Review.
- Ebola Virus Epidemic in West Africa: Global Health Economic Challenges, Lessons Learned, and Policy Recommendations.Elmahdawy M, Elsisi GH, Carapinha J, Lamorde M, Habib A, Agyie-Baffour P, Soualmi R, Ragab S, Udezi AW, Usifoh C, Usifoh S.Elmahdawy M, et al.Value Health Reg Issues. 2017 Sep;13:67-70. doi: 10.1016/j.vhri.2017.08.003. Epub 2017 Sep 13.Value Health Reg Issues. 2017.PMID:29073992
Cited by
- Indirect Effects of Ebola Virus Disease Epidemics on Health Systems in the Democratic Republic of the Congo, Guinea, Sierra Leone and Liberia: A Scoping Review Supplemented with Expert Interviews.Mulenga-Cilundika P, Ekofo J, Kabanga C, Criel B, Van Damme W, Chenge F.Mulenga-Cilundika P, et al.Int J Environ Res Public Health. 2022 Oct 12;19(20):13113. doi: 10.3390/ijerph192013113.Int J Environ Res Public Health. 2022.PMID:36293703Free PMC article.
- Ebola virus: A global public health menace: A narrative review.Hasan S, Ahmad SA, Masood R, Saeed S.Hasan S, et al.J Family Med Prim Care. 2019 Jul;8(7):2189-2201. doi: 10.4103/jfmpc.jfmpc_297_19.J Family Med Prim Care. 2019.PMID:31463229Free PMC article.Review.
- Dynamical footprints enable detection of disease emergence.Brett TS, Rohani P.Brett TS, et al.PLoS Biol. 2020 May 20;18(5):e3000697. doi: 10.1371/journal.pbio.3000697. eCollection 2020 May.PLoS Biol. 2020.PMID:32433658Free PMC article.
- Post-Ebola Awakening: Urgent Call for Investing in Maintaining Effective Preparedness Capacities at the National and Regional Levels in Sub-Saharan Africa.Nzietchueng S, Kambarage D, Rwego IB, Mfinanga SG, Mbonye A, Mutonga D, Kaboyo W, Makumbi I, Muriuki S, Casimir N, Mduma S, Makasi C, Kitua AY.Nzietchueng S, et al.East Afr Health Res J. 2019;3(1):79-84. doi: 10.24248/EAHRJ-D-19-00019. Epub 2019 Jul 30.East Afr Health Res J. 2019.PMID:34308199Free PMC article.
- A qualitative study examining the health system's response to COVID-19 in Sierra Leone.Stone H, Bailey E, Wurie H, Leather AJM, Davies JI, Bolkan HA, Sevalie S, Youkee D, Parmar D.Stone H, et al.PLoS One. 2024 Feb 2;19(2):e0294391. doi: 10.1371/journal.pone.0294391. eCollection 2024.PLoS One. 2024.PMID:38306321Free PMC article.
Publication types
MeSH terms
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous