Congo Faces New Ebola Outbreak Amid Global Pandemic

The World Health Organization has called on the international community for financial support and aid in combating the latest Ebola outbreak in the Democratic Republic of Congo. This latest outbreak was announced by the country’s government on June 1 and has seen 56 cases reported in the Equateur province, a region which has been a hot spot for the disease in recent years.

Ebola is a deadly disease with outbreaks occurring primarily in Africa. In humans, the virus can be caused by one of four virus species: Ebola virus, Sudan virus, Tai Forest virus and Bundibugyo virus. The virus spreads through direct contact with organic matter from infected humans and animals. Common symptoms include fever, aches, weakness, fatigue, abdominal pain, gastrointestinal symptoms, and hemorrhaging, bleeding and bruising.

This latest outbreak comes as the 11th in a long line of Ebola outbreaks in the Congo since the disease was first discovered in 1976. A couple of weeks ago, the WHO celebrated the end of the country’s 10th outbreak, which began in August 2018. That Ebola outbreak was the deadliest recorded in the DRC and second worst in history, seeing 2,280 deaths.

According to The New York Times, the WHO has gathered $1.75 million to combat the outbreak, but this funding would only last the organization for a couple more weeks. Dr. Matshidiso Moeti, the WHO’s regional director for Africa, called for additional funding to be allocated toward vaccinations, testing and treatment, as well as contact tracing and health education resources.

“Responding to Ebola in the midst of the ongoing COVID-19 pandemic is complex, but we must not let COVID-19 distract us from tackling other pressing health threats,” Dr. Moeti said. “The current Ebola outbreak is running into headwinds because cases are scattered across remote areas in dense rainforests. This makes for a costly response as ensuring that responders and supplies reach affected populations is extremely challenging.”

Dr. Moeti also stated that over 12,000 people living in the Equateur province had been vaccinated since the outbreak was first reported in June.

WHO Director-General Dr. Tedros Adhanom Ghebreyesus echoed Dr. Moeti’s sentiments in a recent news release on the situation.

“This is a reminder that COVID-19 is not the only health threat people face,” Dr. Ghebreyesus said. “Although much of our attention is on the pandemic, WHO is continuing to monitor and respond to many other health emergencies.”

This call for funding follows a challenging six months for the organization, as the WHO has partnered with global leaders to combat the ongoing COVID-19 pandemic.

While much of the world has been supportive of the organization, the United States has been an exception. President Donald Trump pulled the country out of the WHO in late May over concerns about Chinese influence, with the withdrawal going into effect on July 6, 2021. The U.S. is the organization’s single largest financial contributor, having provided over $400 million in 2019.

President Trump has not publicly commented on this latest Ebola outbreak. While the U.S. directed $21 million in aid through the U.S. Agency for International Development for the 10th outbreak in 2019, it is unclear whether the country will direct any funding toward this latest outbreak’s relief efforts.

The WHO is expected to continue Ebola relief operations within the Equateur province for the foreseeable future, as governmental agencies such as the United Nations have directed additional funding to the organization. However, it is unclear how long this funding will last and how the ongoing COVID-19 pandemic will complicate these relief measures.

Jacob Sutherland

is a recent graduate from the University of California San Diego where he majored in Political Science and minored in Spanish Language Studies. He previously served as the News Editor for The UCSD Guardian, and hopes to shed light on social justice issues in his work.

Cuba’s Pandemic Response Could Offer Solutions to Other Nations

Cuba has long been renowned for its health care system. The island nation of 11 million maintains a ratio of 8.4 doctors per 1,000 citizens, the highest for any country according to the World Bank.

The COVID-19 pandemic posed a significant threat to this system, as housing shortages and limited financial resources continue to remain widespread issues for the country. Despite this, Cuba has maintained a relatively low number of cases in comparison to similar-sized countries, with The New York Times reporting 2,119 total cases and 83 deaths as of June 5.

This has led some to argue that the successes of the Cuban health care system and COVID-19 response can serve as a model for other countries still combating the virus.

Universal Health Care

One of the hallmarks of the Cuban health care system is that it is available to all citizens either for free or at a significantly reduced cost. This can be attributed to the nation maintaining a deeply centralized authoritarian government, which allows for strict control on the prices of medical goods and services.

Cuba’s health care system is by no means perfect. The nation still faces shortages on a number of medical resources, and access to more advanced procedures is often limited to the larger cities like Havana and Santiago de Cuba. However, Cuba has continued to retain low infant mortality rates and high life expectancies, numbers which outpace similarly developed countries and are on par with those of the global north.

A Rapid Domestic Response

The Cuban Ministry of Public Health implemented a “prevention and control” plan on January 28, a solid month and a half before the country would see its first positive COVID-19 case on March 18. The plan outlined concrete details as to when and how the nation would limit international travel in the name of public health, as well as policies for how virus relief resources would be distributed throughout the island.

The plan was fully implemented on March 20 with a ban on tourist arrivals to the island and the enforcement of domestic quarantine procedures. At the time, Cuba had only 21 confirmed COVID-19 cases. The nation began mass testing on May 11 to further contain the spread of the virus.

The swift implementation of the “prevention and control” plan proved successful; the number of active COVID-19 cases peaked at 849 on April 25. The Ministry of Public Health reported that the number of active cases in the country had dropped to 161 as of May 28.

Cuban Doctors Abroad

Beginning in 1963 with the stationing of 56 Cuban doctors in Algeria, Cuba has continued to send doctors, nurses and health care workers abroad on both a voluntary and monetary basis, which has grown to an estimated 28,000 Cuban medical professionals working abroad today. This practice of medical diplomacy has continued into the COVID-19 era, with the nation having sent over 2,300 medical personnel abroad to over 24 countries to combat the virus as of May 26.

While some countries like the United States have refused this sort of outside medical aid, others have been more welcoming to Cuban health care workers. Italy welcomed two separate teams of Cuban doctors to Lombardy and Piedmont, two of the hardest hit regions in the country, during the pandemic’s height in the country.

Critics have argued that the practice of sending doctors abroad is merely a form of exploitative diplomacy done in an effort to legitimize the leadership of the Communist Party of Cuba. That said, the vast majority of Cuba’s medical diplomatic efforts are done in developing countries whose citizens would otherwise have no access to quality medical care.

Jacob Sutherland

is a recent graduate from the University of California San Diego where he majored in Political Science and minored in Spanish Language Studies. He previously served as the News Editor for The UCSD Guardian, and hopes to shed light on social justice issues in his work.

Rising Number of Coronavirus Cases Heightens Concerns About Prison Populations

As calls for the world’s population to practice social distancing have ramped up, it calls in to question a certain population that cannot practice social distancing: inmates. Prisons keep inmates in very close quarters, are overcrowded, and often lack proper sanitary conditions—three conditions that go against what the general American populace has been told to do to prevent spreading the coronavirus. The Center for Disease Control (CDC) recommended limiting gatherings to no more than 10 people, social distancing, maintaining a six-foot distance between people, and to avoid shaking hands. Concerts, weddings, funerals, conferences, and other events were cancelled because of the precautions the CDC recommended, but it was only recently that some US states began discussing and preparing to release inmates.

Over the past two weeks the Los Angeles County Sheriff’s Department has released inmates, reducing its inmate population by 600.

On March 19, New York City Mayor Bill de Blasio said the city will begin releasing some inmates, “including people who were arrested for minor crimes and those most vulnerable to infection due to underlying health problems,” according to the BBC. On the same day, it was reported that Rikers Island, a massive prison in NYC, saw the first confirmed case of the coronavirus in an inmate, according to Al Jazeera.

Salt Lake County District Attorney Sim Gill announced plans to release 90 inmates from the Salt Lake County jail on March 20. As many as 200 could be released in the coming days, according to The Salt Lake Tribune.

Prisoners Cannot “Flatten the Curve”

The United States has the highest incarceration rate in the world. According to a report from the Bureau of Justice Statistics, “an estimated 6,613,500 persons were under the supervision of U.S. adult correctional systems on December 31, 2016.” The population far surpasses the population of cities like Los Angeles, Chicago, and Houston; only New York City has a larger population at 8,398,748 as of July 2018. Overcrowded prisons cannot practice what the CDC has recommended regarding social distancing.

Jails and prisons are often dirty and lack medical resources and hygienic materials. The CDC recommends covering your mouth with a tissue when you sneeze or cough, to wash your hands frequently or use hand sanitizer that is at least 60% alcohol, and to sanitize frequently used surfaces. But it is not possible for most inmates to adhere to the CDC’s recommendations since, according to The Marshall Project, “access to toilet paper or tissues is often limited and covering your mouth can be impossible if you’re handcuffed, either because of security status or during transport to another facility.” 

At a news conference on March 10, 2018, New York Governor Andrew Cuomo revealed bottles of hand sanitizer made by New York inmates. As described in a directive from the New York State Department of Corrections and Community Supervision, inmates are not allowed to possess anything with alcohol in it. The very same inmates who are making the hand sanitizer are not allowed to possess or use it because alcohol is the main ingredient.

Health officials from all over the world have said older people and those with pre-existing medical conditions are most at risk of becoming severely ill from the coronavirus, according to the World Health Organization (WHO). According to statistics from the Federal Bureau of Prisons, about 20 percent of all inmates are older than 50. The lack of proper medical resources and materials coupled with their advanced age, means older inmates are particularly vulnerable to the coronavirus.

Asiya Haouchine

is an Algerian-American writer who graduated from the University of Connecticut in May 2016, earning a BA in journalism and English. She was an editorial intern and contributing writer for Warscapes magazine and the online/blog editor for Long River Review. She is currently studying for her Master’s in Library and Information Science. @AsiyaHaou

An Ancient Practice with Peru’s Last Medicine Men

Rosendo is a curandero, a healer who specializes in natural, plant-based medicines. He has been honing his trade in the mountains of the high Amazon, and at 86, he is one of the last remaining curanderos in the region. Now, he is passing the baton to his son Mauro in an effort to rescue this fading art. Our friends at Jungles in Paris bring us this story from San Martin, Peru.

The Truth about Socialized Medicine around the World

In 2010, I moved to Australia from the United States and stopped in Thailand to go diving. While walking back to my hotel, I started to have trouble breathing. When it didn’t go away, I took myself and my chest pain to the emergency room. It was sparkling clean and almost empty; the young Thai doctor was thorough and gentle, and I walked away with an EKG, a chest X-ray, and a prescription for antibiotics. The total cost of my visit, for which I had to pay out of pocket due to not being a Thai citizen? About $40 USD.

There is a lot of misinformation passed around in the United States about socialized healthcare. You can wait a year without treatment. There are only two MRI machines in all of Canada. Nobody actually likes the system, or uses it. But the one thing most Americans never do is actually use universal health care. So I asked residents of multiple other countries to tell me what their experiences were like.

ISRAEL

Health care in Israel is universal and participation in a medical insurance plan is mandatory. All Israeli citizens are entitled to basic health care as a fundamental right. 

Abby: “I never used the medical system for emergencies. Doctor’s offices seemed more like walk-in clinics than private practices, but Tel Aviv is very crowded. Even with an appointment, wait times were often 40-60 minutes. 

I paid small co-pays, only to see specialists. Generally, the system was very low-cost and easy to use. I had to pay for prescriptions, but they were very cheap, especially compared to the States. A downside for me was that, while the doctors spoke perfect English, often the receptionists, nurses, and other office workers didn’t, so I had to get my Israeli boyfriend to make the appointments for me.”

ENGLAND

The NHS is the state healthcare provider in the UK. The service is free at the point of use; services are free, and running costs are covered by taxation. Private insurance is used by only 8% of the population of England.

Tim: “I have used the NHS many times, although, where possible, I go to private providers to save resources. Emergency work is almost always done on NHS. My mother was recently diagnosed with lung cancer and the NHS could not have moved faster; she also gets a choice of where she can be treated. She got a biopsy yesterday, the results ought to be back in five days and then treatment will start immediately. You would not receive any better with private insurance (and I say that as Tory).

Going to Emergency (A&E) is usually good, which I know from all my rugby injuries. You can get patched up and sent on your way in a reasonable amount of time. Getting a GP appointment (a general doctor, who will give you a referral), on the other hand, is almost impossible. The waiting time for my area is about three weeks. On the whole, the NHS is a good thing. It still has many flaws, though, and is in desperate need of a restructuring.”

AUSTRALIA

Australia has universal healthcare, called Medicare. It covers all general medical care, but some services are only partially covered and individuals pay a gap fee – this is usually still reasonably affordable, however. Individuals who earn high annual salaries are encouraged to take out private insurance.

Jenny: “I had an abnormal pap smear at my GP’s office, and she sent me a referral onwards to the Royal Women’s Hospital. I’ve had a lot of anxiety about pap smears in the past, and she specifically notified them about these issues. Since my issue was not urgent, she told me to expect a wait of several months for an appointment. The hospital recommended a colposcopy.

I contacted the patient advocacy department at the hospital and asked for assistance with my anxiety and PTSD. On the day of the procedure, all doctors and nurses were helpful and calming, and I managed to get through the experience without too much fear. They recommended that I get laser surgery to remove the abnormal cells from my cervix.

All of this has been totally free -- which is to say, paid for by Medicare. My original appointment for the pap smear was in May, and my laser surgery is scheduled for December...I received the appointment at the hospital in August. The abnormalities that showed in my report were not of an emergency nature; for similar issues, the brochure I received said patients can sometimes wait up to a year for treatment. I really appreciated the personalized care and support I received; it would have been so difficult to worry about payment while trying to deal with my emotional reactions to these procedures.”

FRANCE

All French residents pay compulsory health insurance, which is automatically deducted from paycheques. Patients pay fees at the doctor or dentist, which are then reimbursed 75-80% by the government, except in the case of long-term or expensive illnesses (such as cancer), which is reimbursed at 100%

Aliyah: “My father, who is Kenyan, was on a business trip in Paris. He tripped getting out of the subway and had a nasty gash above his eye. He was rushed to hospital, treated and held overnight for one or two days. When he was released, with medication, I kept bracing for the bill. None came. I told Dad to ask about it and he did. Answer: there is no bill, it is your right to be treated for free under our system.”

SWEDEN

The Swedish health care system is government-funded, although private health care also exists. The health care system in Sweden is financed primarily through taxes levied by county councils and municipalities.

Kelly: “Giving birth, tests, and one ultrasound were free. They charged me for extra ultrasounds and non-essential testing. The only thing they give you at the hospital for the baby is diapers, cream, and formula. 

Generally, in Sweden, the health care works if you are dying or having an emergency. As long as everything's normal, no one will look twice at you or even WANT to see you more often than needed. The drop-in clinics (vårdcentral) never have enough staff or resources, so if you need to see a doctor, you exaggerate your symptoms or they just tell you not to bother coming in.

I have been struggling for 3 months to get a pediatrician for my daughter. Since I started trying, we went to the emergency room once, the nurse’s office 4 times, and I called the helpline a million times. No-one wants to actually see her.”

CANADA

Canada's health care system provides coverage to all Canadian residents. It is publicly funded and administered on a provincial or territorial basis, within guidelines set by the federal government.

“Everything is covered, whether it's something minor or surgery under anaesthetic.  I've had MRIs, CT scans, x-rays, ultrasound, mammograms, you name it. The times I've had to go to emergency, I've received variable treatment, depending on the hospital.  My longest wait was 13 hours. The shortest was ten minutes when I was afraid I had an aneurysm. For that one, I saw a specialist right away, which was also free. When my father had necrotizing fasciitis, he went to the hospital and was treated immediately.  If he'd received treatment even 30 minutes later, he may very well have lost his leg or worse. In Canada, vision and dental are not covered by universal health care, and neither are things like physiotherapy, massage therapy, or alternative medicine like acupuncture, chiropractors, and so on.  That being said, private medical insurance often covers a certain percentage of these things.  Prescription medicine is also not covered by federal system, but between provincial plans and private insurance, can be greatly reduced in price if not free. Flu shots are free every autumn, and I remember getting vaccinated against rubella at school when I was a little kid. If you step on a rusty nail and go to emergency, your tetanus shot is free. Travel vaccinations and more unusual vaccinations, however, cost money. When I planned a trip to South America, I went to a travel clinic. The consultation was free, but I had to pay for my yellow fever and cholera vaccines.
I wish vision, dental, and physio were covered by national health care, but I am so grateful that everything else is covered.  If they weren't, there's a chance I might not have survived as long as I have.”

IN SUMMARY

The United States is one of the only developed countries that doesn’t provide universal health care for its citizens. A friend of a friend had a baby at 28 weeks (extremely premature); the baby was in the NICU for several months. Fortunately, they had very good health insurance and ended up only having to pay $250 of the $850,000 bill -- but they were lucky. The United States healthcare system is a labyrinthine mess where insurance administrators make possibly lifesaving decisions about patient care, rather than doctors. The care you receive is based on what you can afford, not what you need.

Even with these astronomical costs to the consumer, the U.S. government still ends up paying more per capita for healthcare than countries with socialized medicine. Citizens of the U.S. have a life expectancy lower than other developed nations, and more elective surgery at higher costs...and paying more does not mean the service is better, as the U.S. also has fewer doctors than comparable countries. The systems elsewhere are not perfect, but the perfect is the enemy of the good: anything would be better than ending up in debt for the rest of one’s life, or worse, suffering (and dying) in silence because the cost of treatment is too high.

CLAIRE LITTON

Clair Litton was born in Canada, moved to the United States, went to graduate school in Australia, and recently relocated to Sweden. She has written for a series of online and offline magazine, and once had a young adult novel picked up by an agent, who then had to back down due to signing a little book called "Twilight." You can most commonly find Claire arguing about human sexuality and watching her toddler open and close doors.