The Ebola outbreak in the Democratic Republic of the Congo (DRC) is a global public health emergency, the United Nations health agency has announced, just days after the epidemic spread to a major urban hub for the first time.

The World Health Organization (WHO) made the declaration on Wednesday following a meeting of its emergency committee in the Swiss city of Geneva.

“It is a measure that recognises the possible increased national and regional risks and the need for intensified and coordinated action to manage them,” WHO said in a post on Twitter.

But the UN agency also said no country should close its borders or place any restrictions on travel or trade because of Ebola.

It had previously opted against raising the global alarm over the DRC’s Ebola outbreak on three occasions despite registering “deep concern”, with the epidemic surging amid a “perfect storm” of regional insecurity and deep community mistrust over the crisis and towards authorities.

A new case of the virus was registered in neighbouring Uganda earlier on Wednesday, fuelling concerns that the virus may be spreading beyond the DRC’s borders.

Ebola is highly infectious and spreads through bodily fluids. The current outbreak has killed 1,676 people – more than two-thirds of those who contracted it – since it emerged in eastern DRC in August 2018. Three of the deaths were recorded last month in Uganda.

Tedros Adhanom Ghebreyesus, WHO director-general, said in a statement it was “time for the world to take notice” of the epidemic and called for a redoubling of efforts to battle it back.

Tedros insisted that the declaration was not made to raise more money – even though WHO estimated “hundreds of millions” of dollars would be needed to stop the epidemic.

 

A public health emergency of international concern is not for fundraising, it’s for preventing the spread of disease. @WHO is not aware of any donor that has withheld funding because the emergency had not been declared. But if that was the excuse, it can no longer be used.

 

International health emergency declarations almost always boost global attention and lead to an increase in aid, but also raise the risk of governments opting to close borders.

Before Wednesday, WHO had declared a global health emergency four times since 2007, when it first put in place the procedure: in 2009 for the flu pandemic; in 2014 for polio; in 2014 for the devastating Ebola outbreak in West Africa that killed more than 11,300; and in 2016 for the Zika virus that caused a spate of birth defects across Latin America.

It was heavily criticised for its sluggish response to the West Africa outbreak, which it repeatedly declined to declare a global emergency until the virus was spreading explosively in three countries and nearly 1,000 people were dead.

Internal documents later showed WHO held off partly out of fear a declaration would anger the countries involved and hurt their economies.

Health experts welcomed Wednesday’s declaration but urged WHO to now focus on galvanising international aid and changing “the playbook” on the ground in order to end the epidemic.

“[Otherwise] we can expect the DRC epidemic to either spin out of control or, more likely, we will have a steady drumbeat of needless suffering and death for the next year, maybe much longer,” said Lawrence Gostin, faculty director at US-based Georgetown university’s O’Neill Institute for National & Global Health Law.

Gostin also cautioned that complacency in the international community was “crippling the response”, saying the “status quo is no longer tenable”.-Aljazeera