foreign policy | Attention World: You just don't get it.
You think there are
magic bullets in some rich country's freezers that will instantly stop the
relentless spread of the Ebola virus in West Africa? You think airport security
guards in Los Angeles can look a traveler in the eyes and see infection, blocking
that jet passenger's entry into La-la-land? You believe novelist Dan Brown's
utterly aburd description of a World Health Organization that
has a private C5-A military transport jet and disease SWAT team that can swoop
into outbreaks, saving the world from contagion?
Wake up, fools. What's going on in West Africa now isn't Brown's silly Inferno scenario
-- it's Steven Soderberg's movie Contagion, though without a modicum of its
high-tech capacity.
Last week, my
brilliant Council on Foreign Relations colleague John Campbell, former U.S. ambassador to Nigeria, warned that spread of the virus inside Lagos
-- which has a population of 22
million -- would instantly transform this situation into a worldwide crisis,
thanks to the chaos, size, density, and mobility of not only that city but
dozens of others in the enormous, oil-rich nation. Add to the Nigerian scenario
civil war, national elections, Boko Haram terrorists, and a country-wide
doctors' strike -- all of which are real and current -- and you have a scenario so
overwrought and frightening that I
could not have concocted it even when
I advised screenwriter Scott Burns on his Contagion script.
Inside the United
States, politicians, gadflies, and much of the media are focused on
wildly experimental drugs and vaccines, and equally wild notions of "keeping the virus out" by barring travelers and "screening at airports."Let's
be clear: Absolutely no drug or vaccine has been proven effective against the
Ebola virus in human beings. To date, only one person -- Dr. Kent Brantly -- has
apparently recovered after receiving one of the three prominent putative drugs,
and there is no proof that the drug was key to his improvement. None of the
potential vaccines has even undergone Phase One safety trials in humans, though at least two are
scheduled to enter that stage before December of this year. And Phase One is the swiftest, easiest part of new vaccine trials
-- the two stages of clinical trials aimed at proving that vaccines actually
work will be difficult, if not impossible, to ethically and safely execute. If
one of the vaccines is ready to be used
in Africa sometime in 2015, the measure will be executed without prior evidence
that it can work, which in turn will require massive public education to ensure
that people who receive the vaccination do not change their behaviors in ways
that might put them in contract with Ebola -- because they mistakenly believe they
are immune to the virus.
We are in for a very
long haul with this extremely deadly disease -- it has killed more
than 50 percent of those
laboratory-confirmed infections, and possibly more than 70 percent of the
infected populations of Liberia, Sierra Leone, and Guinea. Nigeria is
struggling to ensure that no secondary spread of Ebola comes from one of the
people already infected by Liberian
traveler Patrick Sawyer -- two of whom have died so far. That effort expanded
on Wednesday, when Nigerian health authorities announced that a nurse who had
treated Sawyer escaped her quarantine confinement in Lagos and traveled to Enugu a city that, as of 2006, has a population of about three million. Though the nurse has not
shown symptoms of the disease, the incubation time for infection, which is up to 21 days, hasn't elapsed.
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