By Rachael Rettner, Senior Writer
Published: 09/04/2014 02:17 PM EDT on LiveScience
A doctor who just returned from treating Ebola patients in West Africa predicts the current Ebola outbreak will go on for more than a year, and will continue to spread unless a vaccine or other drugs that prevent or treat the disease are developed.
Dr. Daniel Lucey, an expert on viral outbreaks and an adjunct professor at Georgetown University Medical Center, recently spent three weeks in Sierra Leone, one of the countries affected by the Ebola outbreak. While there, Lucey evaluated and treated Ebola patients, and trained other doctors and nurses on how to use protective equipment.
The current Ebola outbreak, which is mainly in Guinea, Sierra Leone and Liberia, has so far killed at least 1,552 of the more than 3,000 people infected, making it the largest and deadliest Ebola outbreak in history. It is also the first outbreak to spread from rural areas to cities. Strategies that have worked in the past to stop Ebola outbreaks in rural areas may not, by themselves, be enough to halt this outbreak, Lucey said.
"I don't believe that our traditional methods of being able to control and stop outbreaks in rural areas … is going to be effective in most of the cities," Lucey said yesterday (Sept. 3) in a discussion held at Georgetown University Law Center that was streamed online. While the World Health Organization has released a plan to stop Ebola transmission within six to nine months, "I think that this outbreak is going to go on even longer than a year," Lucey said. [5 Things You Should Know About Ebola]
In addition, without vaccines or drugs for Ebola, "I'm not confident we will be able to stop it," Lucey said. There are a few studies of Ebola treatments and prevention methods under way, but more research is needed to show whether they are safe and effective against the disease.
One strategy that could help with the current outbreak is to implement public health "command centers" whose job it is to make sure that tools and equipment sent to the affected regions are properly distributed to places that need them, Lucey said.
When Lucey was in Sierra Leone, protective equipmentfor health care workers made its way to the capital city, but not to the hospital where he was working, he said. "We did not have gloves that I felt safe with," Lucey said, noting that the gloves would tear easily. "We didn't have face shields. We had goggles that had been washed so many times you couldn't see through them," Lucey said.
Another important factor in stemming the outbreak will be community engagement and education to help people in the region understand the behaviors that spread the disease, said Dr. Marty Cetron, director of Global Migration and Quarantine at the Centers for Disease Control and Prevention. It is also important to understand the culture of an area so that control strategies are culturally acceptable, Cetron said.
This large Ebola outbreak could have been prevented with an effective public health response at the beginning, said Lawrence Gostin, director of the O'Neill Institute for National and Global Health Law at Georgetown University. But the weak health systems of the affected countries left them unprepared to respond to the outbreak, Gostin said.
The international community should have been more generous in supporting poorer countries so they could develop the response capacities needed to contain the outbreak, Gostin and colleagues wrote in a recent briefing for the O'Neill Institute.
To help with the current outbreak, and prevent future ones, Gostin called for the establishment of an international "health systems fund," which would be supported by high-resource countries. The money would be used to strengthen the health systems in those countries, he said.
"We want to avoid leaving these countries in the same kind of fragile health condition" that they are in now, and that is being worsened, Gostin said.
Follow Rachael Rettner @RachaelRettner. Follow Live Science @livescience, Facebook & Google+. Original article on Live Science.
Copyright 2014 LiveScience, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed. ]]>
Our 2024 Coverage Needs You
It's Another Trump-Biden Showdown — And We Need Your Help
The Future Of Democracy Is At Stake
Our 2024 Coverage Needs You
Your Loyalty Means The World To Us
As Americans head to the polls in 2024, the very future of our country is at stake. At HuffPost, we believe that a free press is critical to creating well-informed voters. That's why our journalism is free for everyone, even though other newsrooms retreat behind expensive paywalls.
Our journalists will continue to cover the twists and turns during this historic presidential election. With your help, we'll bring you hard-hitting investigations, well-researched analysis and timely takes you can't find elsewhere. Reporting in this current political climate is a responsibility we do not take lightly, and we thank you for your support.
Contribute as little as $2 to keep our news free for all.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
The 2024 election is heating up, and women's rights, health care, voting rights, and the very future of democracy are all at stake. Donald Trump will face Joe Biden in the most consequential vote of our time. And HuffPost will be there, covering every twist and turn. America's future hangs in the balance. Would you consider contributing to support our journalism and keep it free for all during this critical season?
HuffPost believes news should be accessible to everyone, regardless of their ability to pay for it. We rely on readers like you to help fund our work. Any contribution you can make — even as little as $2 — goes directly toward supporting the impactful journalism that we will continue to produce this year. Thank you for being part of our story.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
It's official: Donald Trump will face Joe Biden this fall in the presidential election. As we face the most consequential presidential election of our time, HuffPost is committed to bringing you up-to-date, accurate news about the 2024 race. While other outlets have retreated behind paywalls, you can trust our news will stay free.
But we can't do it without your help. Reader funding is one of the key ways we support our newsroom. Would you consider making a donation to help fund our news during this critical time? Your contributions are vital to supporting a free press.
Contribute as little as $2 to keep our journalism free and accessible to all.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
As Americans head to the polls in 2024, the very future of our country is at stake. At HuffPost, we believe that a free press is critical to creating well-informed voters. That's why our journalism is free for everyone, even though other newsrooms retreat behind expensive paywalls.
Our journalists will continue to cover the twists and turns during this historic presidential election. With your help, we'll bring you hard-hitting investigations, well-researched analysis and timely takes you can't find elsewhere. Reporting in this current political climate is a responsibility we do not take lightly, and we thank you for your support.
Contribute as little as $2 to keep our news free for all.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
Dear HuffPost Reader
Thank you for your past contribution to HuffPost. We are sincerely grateful for readers like you who help us ensure that we can keep our journalism free for everyone.
The stakes are high this year, and our 2024 coverage could use continued support. Would you consider becoming a regular HuffPost contributor?
Dear HuffPost Reader
Thank you for your past contribution to HuffPost. We are sincerely grateful for readers like you who help us ensure that we can keep our journalism free for everyone.
The stakes are high this year, and our 2024 coverage could use continued support. If circumstances have changed since you last contributed, we hope you'll consider contributing to HuffPost once more.
Support HuffPostAlready contributed? Log in to hide these messages.