Sunday 17 April 2016

Knowledge in Ebola and Zika virus


WHO Director-General opens the European Medical Corps

Dr. Margaret Chan
Director General of the World Health Organization

Speech at the opening of the European Medical Corps
Brussels, Belgium
February 15, 2016

In my time as a young doctor, I took delivery. Today were born a very healthy child.

Responding to an outbreak of Ebola in West Africa has become the most extensive logistics operations in connection with an infectious disease since the elimination of the 1979 outbreak of smallpox in the Horn of Africa.

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At the time of start of the outbreak more than two years ago, humanity and WHO have been poorly prepared for the deployment of retaliatory measures of this magnitude. We have experienced a shortage of everything, including medical teams. The situation has changed thanks to the support of the European Union, which has played a crucial role in overcoming the Ebola outbreak.

You had mass support, which included the second dement of experts and direction of medical teams, construction of special treatment centers and operational bases, training forces of European civil society organizations, the use of military aircraft and ships to deliver much-needed mobile laboratories, motorcycles and huge amounts of equipment and materials.

The support provided by you facilitate reciprocal activities far beyond the European region. Your efforts to ensure medical evacuation and medical assistance to participants to respond to an outbreak of open possibilities for directing teams of emergency medical care and public health professionals from around the world.

Outbreak of Ebola has become very sharp wake-up call. Humanity is never more should not be taken by surprise, so unprepared to face the challenges. All that can be done in advance, must make the most urgent way.

In the framework of such readiness delegates last year's World Health Assembly, invited me to create a global talent pool to respond to emergencies in the health field. This presentation of the European Medical Corps is an important milestone in achieving this goal. It is the culmination of the joint work of WHO / EU for the last year to establish standards to ensure the quality, classification and registration of medical teams to respond to emergencies.

housing starts today is a visible and highly effective contribution to the strengthening of global personnel for emergency response in the area of ​​public health. I thank you all for everything you have done. In this case it embodies much more than knowledge in the field of public health and medical teams.

It includes medical evacuation team, logistics team, with skills repair damaged hospitals, management of incidents and information management, as well as mobile laboratories and materials for them. I congratulate you on the first contribution to the global health workforce, you set an example for others to follow others.

The basis of a public health system that can respond to outbreaks and emergencies, is laid on the national level. European Medical Corps and its "voluntary pool" based on the national capacity to respond, which may be provided for use by other countries facing emergency. This is extremely important, not only at the regional level, but also in the global response becomes necessary.

Emergency response to complement national capacities through regional capacity always more timely, predictable, effective and relevant.

Ladies and Gentlemen,

What do today together the EU and WHO, organizes a situation that has become chaotic, with increased amounts, scope and severity of health emergencies to unprecedented levels.

When you create an outbreak of Ebola have been taken into account European Medical Corps, as well as the results of previous response to sudden emergencies, such as earthquakes, floods and tropical storms.

The turning point came five years ago when, after the earthquake in Haiti, there are numerous low-skilled rushed, not coordinated and poorly equipped rescue workers. According to many observers, emergency assistance in Haiti has brought more harm than good.

In order to avoid chaos, the global system has been established to ensure the quality of medical teams to respond to emergencies, categorize their skills and to register them as an element of global preparedness for sudden natural disasters. This system allows you to quickly and carefully pick up medical teams in accordance with the specific needs and eliminates uncoordinated and inadequate assistance.

This system dramatically changed the response to the typhoon Haiyan in the Philippines, the cyclone Pam in Vanuatu and the earthquake in Nepal, where 98% of the 149 medical teams were registered and jointly coordinated by WHO and the Ministry of Health and Population.

These more recent examples demonstrate the possibility of a global health workforce and the changes they may bring. This is a manifestation of global solidarity. Together, we will never allow other viruses to get out of control. We owe it to more than 11,000 people have died of Ebola ─ be better prepared.

I am fully convinced that the European Medical Corps will mark a paradigm shift in the global preparedness for outbreaks and emergencies.

I repeat: the return on this achievement goes well beyond Europe. Your work closely duplicated in similar efforts in Southeast Asia, Latin America and the Caribbean and the Western Pacific.

Many of you mentioned disease virus Zika as the source of the next global crisis. Between Ebola Zikoy and there are many differences. Ebola is one of the most deadly pathogens planet. Zika virus has no reputation of people killer. Since the first appearance of Ebola in 1976, we learned a lot about the disease. About Zika virus, we know very little, and we are just beginning to understand its features.
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The risk of spreading the virus Zika high. Zika virus is transmitted primarily through mosquito species Aedes aegypti, which are present in many equatorial and subtropical countries.

These mosquitoes can breed in tiny containers, such as plastic cups and lids from bottles. The responsibility for the fight against mosquitoes is to every family. Two-thirds of these mosquitoes live on the premises, not outside. Each family must contribute to the elimination of breeding sites. Governments can not do it alone.

In accordance with existing knowledge, Zika virus causes most people to easily flowing disease, and 80% of those infected have no symptoms. Most people recover. A great concern to us pregnant women. In the case of virus infection can have children born with small heads or other neurological disorders. Science has not yet given a definitive answer, but we have more conclusive evidence.

February 1, WHO announced an emergency situation in the field of public health emergency of international concern, because of gaps in our knowledge about the disease and the virus and its possible association with congenital anomalies. You can not imagine the stress, anxiety and heartfelt contrition, experiencing family with babies suffering from microcephaly. Raising these children is difficult, and they are a heavy burden on families and local communities.

WHO was requested to declare the state of emergency on the experts' recommendations. The work of WHO is coordinating the efforts of the best minds in the conduct of scientific research that would clarify this relationship.

I especially want to mention the case study, which was published last week in the New England Journal of Medicine. It was a series of very fine studies by European experts. This study gives us the most convincing factual information about the presence of a possible association between infection during pregnancy and microscopically.

Ebola require mass support and the mobilization of teams, and many tons of material. The disease is caused by a virus Zika, it requires mass mobilization of local communities. At the moment, mosquito control is an advanced line of defense.

We also need to empower women with information that will allow them to make difficult decisions. The evidence is now compelling enough to recommend pregnant women to consider postponing the trip to a country where the virus is circulating. It is also important to prevent the surrender of persons blood returning from travel to such countries. The European countries have a very high quality guidelines to ensure safe blood supplies.


The disease is caused by a virus Zika is not a deadly disease like Ebola, but it brings sorrow to the families.

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