At
Science-based Medicine Steven Novella discussed the Ebola outbreak. He wrote, "Well, here we are. The Trump administration has pulled out of the WHO and has “fed USAID into a woodchipper”. This has
gutted the infrastructure we had in place to respond to outbreaks. This lack of infrastructure and networks makes it harder to detect new cases, which means our response to a new outbreak is delayed. The WHO has lost 20% of its workforce, which it uses to back up the fragile health infrastructure in much of sub-Saharan Africa. The CDC has perhaps been even more affected,
as I recently discussed. In the previous large outbreak, the CDC sent 2,000 health workers to help contain the outbreak. This time they sent 100, and their primary goal is to prevent spread to the US, not to contain the outbreak itself. The US has given
over $182 million in assistance. However, you cannot simply throw money at this problem. The money is given to local governments, but the network of experts that we had in place is essentially gone, down the woodchipper with USAID...The lack of a well-funded and coordinated response, through an established network of experts armed with early detection, is a main reason why this is the fastest-spreading Ebola outbreak in history. This is a human and political failure of epic proportions."