{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/9a03fe9e-1ff0-4dcc-b3f6-50bd1f016ea4/497d0ad8-4b73-479e-901b-87637bd71025?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Ebola, COVID and the WHO","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/6195701f2eacc3a36070252a/619570bccb3c660012e3cfb0.jpg?height=200","description":"<p>David and Helen talk this week with&nbsp;Amy&nbsp;Maxmen, senior reporter at&nbsp;Nature.&nbsp;&nbsp;Amy&nbsp;has covered the Ebola epidemic in Western Africa and now COVID-19 in the US.&nbsp;Does she see comparisons between the two?&nbsp;What explains the failures of the US response?&nbsp;Can the WHO still make a difference?&nbsp;Plus we explore the implications of the growing politicisation of science.&nbsp;When did data become so divisive?</p><p><br></p><p>Talking Points:</p><p><br></p><p>There are significant parallels between what is happening now and epidemics such as ebola.</p><ul><li>Outbreaks turn slight cracks into gaping holes: they reveal political and systemic issues.</li></ul><p><br></p><p>Politics made the ebola outbreak in DRC worse.</p><ul><li>Conspiracy theories emerged that ebola was being used to suppress the political opposition.</li><li>Ultimately Tedros and other experts were able to convince both politicians and local leaders to focus on the public health response instead of the politics.</li><li>The parallels to the US now are clear, but could any figure get past the politics?&nbsp;</li></ul><p><br></p><p>For Amy, the lack of tests and the failure to contact trace and quarantine made it clear that the U.S. response would be much worse than she had feared.</p><ul><li>The U.S. hasn’t faced a pandemic in a long time and there was no sense of the kind of coordination that would be required.&nbsp;</li><li>Different states are still doing different things.</li></ul><p><br></p><p>There’s a lot to be said for supply chain management right now.</p><ul><li>In an ideal world, we would get a vaccine sooner rather than later. But we don’t know.</li><li>Funding for vaccines is great, but the basic public health response still needs to be funded.</li></ul><p><br></p><p>The WHO is now getting politicized, but they still have the most experience at coordinating things like this at a global level.</p><ul><li>A lot of people misunderstand what the WHO can and can’t do. It’s pretty small in terms of both budget and power.</li><li>The WHO can’t enforce things; it works through diplomacy and relationships. But there is still a lot of power in that.</li></ul><p><br></p><p>If you need people to stay home; you need to be sure that you can support them.</p><ul><li>Supporting people alleviates public pressure to prematurely lift the lockdown and it ensures that people can actually survive.</li></ul><p><br></p><p>Mentioned in this Episode:&nbsp;</p><ul><li><a href=\"https://www.nature.com/articles/d41586-019-02673-7\" rel=\"noopener noreferrer\" target=\"_blank\">Amy on the WHO’s fight against Ebola in the DRC</a></li><li><a href=\"https://www.nature.com/articles/d41586-020-00823-w\" rel=\"noopener noreferrer\" target=\"_blank\">How the US dropped the ball on testing and contact tracing back in March</a></li><li><a href=\"https://www.nature.com/articles/d41586-020-01068-3\" rel=\"noopener noreferrer\" target=\"_blank\">On tests going unused in US labs</a></li><li><a href=\"https://www.nytimes.com/2020/04/16/health/WHO-Trump-coronavirus.html\" rel=\"noopener noreferrer\" target=\"_blank\">The NYTimes on how the Trump administration ignored WHO warnings</a></li></ul><p><br></p><p>Further Learning:</p><ul><li><a href=\"https://www.nature.com/articles/d41586-020-01121-1\" rel=\"noopener noreferrer\" target=\"_blank\"><em>Nature</em> on why the WHO is so important right now</a></li><li><a href=\"https://www.nature.com/articles/d41586-020-00983-9\" rel=\"noopener noreferrer\" target=\"_blank\">More on how low and middle income countries are responding to the crisis&nbsp;</a></li><li><a href=\"https://www.nationalgeographic.com/news/2015/01/150127-ebola-virus-outbreak-epidemic-sierra-leone-freetown-photos-pictures/\" rel=\"noopener noreferrer\" target=\"_blank\">More on the ebola outbreak in Sierra Leone</a></li></ul><p><br></p><p><strong>And as ever, recommended reading curated by our friends at the LRB can be found here: </strong><a href=\"http://lrb.co.uk/talking\" rel=\"noopener noreferrer\" target=\"_blank\"><strong>lrb.co.uk/talking</strong></a></p>","author_name":"David Runciman and Catherine Carr"}