Thursday 6th November 2014

(10 years ago)

Lords Chamber
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Lord Chidgey Portrait Lord Chidgey (LD)
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My Lords, for almost a decade I was responsible for managing major infrastructure projects along the Guinea/Sierra Leone/Liberia border. Only 5% of Sierra Leone’s highways are paved and the rest of the network is gravel, generally poorly maintained. We are nearing the end of the rainy season, and in the interior some rivers will have flooded and roads and minor bridges will have been washed away, isolating many communities. In yesterday’s Disasters Emergency Committee briefing, it was clear that it had yet to reach the remote areas of Guinea.

Visiting American envoy Samantha Power has lambasted the international community for not supplying aid, doctors and health workers to an area where hundreds of thousands of people can rely on perhaps only a handful of clinicians for their health needs. As she boarded a plane for Guinea, she said:

“You have countries at the United Nations … who are signing on to resolutions and praising the good work that the United States and the United Kingdom … are doing, but they themselves haven't taken the responsibility yet to send docs, to send beds, to send … money”.

The international community,

“isn’t just losing the race to Ebola. We are getting lapped”.

Both the DEC and the UN admit that Ebola cases are doubling every three to four weeks, with the potential to reach 1.2 million. The WHO says that, unless the rate of infection reduces by 1 December, it will be overwhelmed by,

“an entirely unprecedented situation, for which we do not have a plan”.

At present, less than a quarter of the almost 5,000 planned Ebola treatment beds are operational, due fundamentally to a lack of foreign medical teams. Lack of bed space has become a huge issue.

What is desperately needed is the development of community health systems, which expand and grow from the bottom up in the communities and settlements in the interior. Dependency on outside intervention leaves the people hostage to fortune in terms of accessibility by road, particularly in the rainy season.

In this regard, what precisely are the special resources that NATO is able to bring? Does NATO have the thousands of clinicians and aid workers that might turn the tide? I some how doubt it.