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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsAssassination of Public Health Systems Driving Ebola Crisis, Experts Warn
http://www.commondreams.org/news/2014/10/16/assassination-public-health-systems-driving-ebola-crisis-experts-warnSince the 1980s, western financial institutions have given loans to third world governments on the condition those states impose austere domestic reforms and roll back public services. This approach is encapsulated in the 1981 World Bank report Accelerated Development in Sub-Saharan Africa, which presses for "structural adjustments," including rapid privatization, shrinking of public services and subsidies, and a shift towards export dependency as a solution to "slow economic growth."
"In West Africa, the resulting neoliberal economic policies sought to promote growth and prosperity through structural adjustment programs (SAPs) that generally involved contraction of government services, renewed export orientation on crops or goods deemed to have a comparative advantage, privatization of parastatal organizations, removal or reduction of many subsidies and tariffs, and currency devaluations," explain Macalester College Professor William Moseley and colleagues in a paper for the journal Proceedings of the National Academy of Sciences of the United States of America.
"What you had was a shift of public expenditures from health care, school, and essential services to a model of economic development driven by the World bank and International Monetary Fund, which said that public service provision was not passage to development, and services should be privatized," said Woods. "There was this notion that poor people can pay, and services are better provided by the private sector."
While years of war played a role in weakening public systems, it is the "war against people, driven by international financial institutions" that is largely responsible for decimating the public health care system, eroding wages and conditions for health care workers, and fueling the crisis sweeping West Africa today, says Woods. "Over the past six months to a year there have been rolling health care worker strikes in country after countryNigeria, Sierra Leone, and Liberia," said Woods. "Nurses and doctors are risking and losing their lives but don't have protective gear needed to serve patients and save their own lives. They are on the front lines and have not had their voices heard."
malaise
(269,004 posts)You cannot have both Public Health and neo-liberal economic policies.
I predicted an epidemic and it was not rocket science on my part.
Since the IMF pushed Friedman's bullshit in the 1970s we've seen vector borne epidemics like dengue, malaria chikungunya, as well as polio and now ebola in places where polio and malaria in particular had been wiped out as a direct result of global Public Health policies.
Add to that deforestation and our increasing exposure to some of the animals that spread disease.
http://www.theguardian.com/vital-signs/2014/oct/03/ebola-epidemic-bats-deforestation-west-africa-guinea-sierra-leone-liberia
<snip>
The world now knows in great detail how Thomas Eric Duncan, a man who just a few weeks ago showed admirable compassion for a sick, pregnant neighbor in Liberia, has become the first person to come down with Ebola in the United States.
What is less well known is how the virus came to West Africa to infect Duncans neighbor. Knowing and acting on that story is absolutely critical if we hope to contain future outbreaks of Ebola and other scary diseases before they turn into global headlines.
The Ebola epidemic in West Africa may have surprised most of the medical establishment this is the first such outbreak in the region but the risk had been steadily rising for at least a decade. The risk had grown so high, in fact, that this outbreak was almost inevitable and very possibly predictable.
All that was needed was to see the danger was a bats eye view of the region. Once blanketed with forests, West Africa has been skinned alive over the last decade. Guineas rainforests have been reduced by 80%, while Liberia has sold logging rights to over half its forests. Within the next few years Sierra Leone is on track to be completely deforested.
The bottom line is that there is no public health without environmental health. Deforestation didnt cause this Ebola epidemic, but did make it much more likely. The regions legacy of war and poverty, its beleaguered health care systems, and a series of bureaucratic fumbles fanned a small and isolated outbreak into a full-blown epidemic fire, which has already killed more people than all previous 25 known Ebola outbreaks put together.
dixiegrrrrl
(60,010 posts)Excellent article.
thank you, Malaise.
malaise
(269,004 posts)We either take care of everything on the planet or we self destruct.
Sadly we're paying for ignorance as an alternative to reason, education and science.
kickysnana
(3,908 posts)Really, really short sighted, wrong and now fatal.
Fumesucker
(45,851 posts)The very same thing is happening here, has already happened actually.