Ebola: Sierra Leone

Patrick Grady Excerpts

Tuesday 19th January 2016 Commons Chamber

[Justine Greening]

There are various aspects, but one that is particularly key is the regional response of the WHO. It is important to ensure, at that level, that emerging outbreaks be clearly identified in a depoliticised way. They must be identified as outbreaks simply from the facts on the ground, as Governments are sometimes understandably reticent about declaring a health emergency. Those are the key changes that we will steadily see in the WHO over time.

Critically, we need to be able to mobilise people. One aspect of the WHO reform is the setting up of an international register of healthcare responders, much like the one the UK has, which we were able to draw on to tackle Ebola. That will enable us to ensure that we rapidly have the right people in the right places the next time that a crisis hits. Having said all that, this was an unprecedented outbreak. It was the first time that an Ebola outbreak spread across borders. Nevertheless, we clearly need the WHO to reform and to respond far more quickly and effectively in future.

[Patrick Grady (Glasgow North) (SNP)]

We echo the dismay at the new case and the tributes that have been paid to those involved in the response.

Bearing in mind the International Development Committee report, what more can the Secretary of State say about the steps DFID is taking to monitor the situation in the wider region? What contact does she currently have with service providers such as MSF on the ground to pick up early warnings? What consideration will she give to the recent report from the US National Academy of Medicine’s commission on creating a global health risk framework for the future, which called for WHO reform, including a permanent emergency centre and global investment of £3 billion a year in pandemic response?

[Justine Greening]

The work that is under way on the ground aims to ensure that the whole framework that we put in place to tackle the major outbreak swings into action again at the local level. That means the isolation of potential Ebola sufferers. It sits alongside ongoing surveillance work, which was how we picked up this case in the first place. We must continue to emphasise the need for safe burials so that this case does not spread more broadly, and work with communities to deliver that.

I mentioned the hospital and treatment centres that provide the isolation units we need to treat Ebola sufferers effectively, and the lab testing. Those things are legacies of the UK’s work with Sierra Leone, which means that it is now better placed to deal with this case. I emphasise that as we go through the contact tracing period and the quarantine period for high-risk contact, it is inevitable that further cases may emerge. That is all part of the steady eradication of Ebola, and getting to what is called “resilient zero”. Unfortunately, we do not expect it suddenly to switch off overnight, which is why we were keen to ensure that some of the underlying processes remained, as well as having the right people and surveillance in place to deal with such situations.

The hon. Gentleman asked about WHO reform and the emergency response, and he is right about that. We must ensure that resourcing is funded internationally, to enable the WHO to put into practice the new strategies it is now developing. The UK was one of the initial contributors to a fund that was set up to do that within the WHO, and we are strongly lobbying other countries to join us.