Ebola: Sierra Leone

Stephen Phillips Excerpts

Tuesday 19th January 2016 Commons Chamber

[Stephen Phillips (Sleaford and North Hykeham) (Con)]

(Urgent Question): To ask the Secretary of State for International Development if she will make a statement on the death from Ebola virus disease of a 22-year-old student in Sierra Leone on 12 January 2016.

May I wish you a very happy birthday, Mr Speaker?

[The Secretary of State for International Development (Justine Greening)]

Many happy returns to you, Mr Speaker.

The House will be aware that, as my hon. and learned Friend said, a new case of Ebola has been confirmed in Sierra Leone. A 22-year-old female student from the Tonkolili district sadly died on 12 January. This latest case of Ebola in Sierra Leone demonstrates that we need to stay vigilant. Indeed, the news came just as the World Health Organisation formally declared the Ebola outbreak in west Africa over, following Liberia’s reaching 42 days without a new case, but it is not unexpected given the context of this unprecedented outbreak.

The new case was identified from a swab taken after death and is currently being investigated. The Government of Sierra Leone have activated their national Ebola response plan, and rapid work is under way to identify and quarantine people who have had contact with the young woman and to establish her movements in the final few days and weeks before her death. Teams in five districts are acting on that information. No other cases have been confirmed to date.

The speed of the process reflects the work that the UK has undertaken with the Government of Sierra Leone to develop their national response plan. As today’s International Development Committee’s report says, the UK has been at the forefront of the global response to the Ebola outbreak in west Africa and has from the very start led in Sierra Leone, working hand in hand with the Government of Sierra Leone. We took on this deadly disease at source by rapidly deploying the best of British military personnel and NHS and Public Health England staff, building treatment centres in a matter of weeks and mobilising the international response more broadly. We have worked with the Government of Sierra Leone to build up their health systems and strengthen all aspects of society, including civil society, to allow them to be prepared.

We continue to stand by Sierra Leone because, as we have always made clear, there is the potential for further cases. That is precisely why our response now is focused on assisting Sierra Leone in isolating and treating any new cases of Ebola before they spread.

[Stephen Phillips]

I am grateful to my right hon. Friend for that answer and, indeed, for coming to the House urgently today to answer questions on this subject. I am also grateful to her for the leadership she demonstrated during the Ebola outbreak of 2014-15, as I am to the brave military and civilian personnel who travelled to Sierra Leone to help west Africa during that period.

On 7 November 2015, the World Health Organisation declared Sierra Leone free of Ebola following a period of 42 days during which no new cases had been reported. Just last week, as my right hon. Friend has said, the WHO made a further declaration to the effect that, all reported transmissions having ended, the outbreak of Ebola in west Africa was over.

My right hon. Friend and the whole House will therefore have been dismayed at yesterday’s reports of the death from Ebola of a young woman in the northern Tonkolili district last week, particularly given that she appears to have travelled in three other provinces during the infectious stages of the disease.

What steps is my right hon. Friend taking, together with her colleagues in the Foreign and Commonwealth Office and the staff of our high commission in Freetown, to determine the source of this latest outbreak? Is she confident that the outbreak can be contained, given that the burial customs observed do not appear to have followed the procedures necessary to prevent further contamination? Are the quarantine measures adopted by the Government of Sierra Leone sufficient to ensure that widespread transmission of the virus is unlikely?

The assistance provided by the UK during the last outbreak cost the British taxpayer £427 million. My right hon. Friend will remember that I first asked about that outbreak in the House on 18 June 2014, at a stage when the number of cases was in the tens, rather than the thousands. None of us wishes to see a further significant outbreak, but is she working with her officials, the Government of Sierra Leone and the WHO to ensure that we get on top of the problem at a stage when relatively few individuals are likely to have been exposed?

It is fair to say that the worst epidemiological predictions during the previous outbreak did not materialise, but across west Africa more than 11,300 people died of Ebola in 2014-15. Many more died of preventable disease, which an overburdened and fragile health care system was incapable of addressing at the same time as dealing with Ebola.

What funding will my right hon. Friend make available to the Government of Sierra Leone and non-governmental organisations working in the region to deal with this latest outbreak and to establish long-term resilience in healthcare systems for dealing with a disease that may well now be endemic in the region? Has she held discussions with her colleagues in the Ministry of Defence about the potential for assistance to be given to ensure that the disease does not spread further? Does she have confidence that the failings demonstrated by the WHO in the past will not be repeated? To what extent is she confident that there are no further cases of Ebola present in Liberia and Guinea?

Retesting of samples taken from individuals who died in the 10 years prior to the 2014-15 outbreak indicated that Ebola may well have been present in west Africa for more than a decade. To the extent that Ebola is now endemic, what measures will my right hon. Friend and the Government support leading to the development of an effective vaccine for the virus? When does she expect that vaccine to be available?

The previous outbreak of Ebola and its spread across an interconnected world indicated the threat faced by the United Kingdom from the spread of hitherto unheard- of diseases. Direct flights have recently recommenced from Sierra Leone to London, but my right hon. Friend will know that the previous ban on such flights was unnecessary and, indeed, counterproductive. Will she assure the House and the Sierra Leonean diaspora in this country that the mistake of banning direct flights in the past will not be repeated?

Finally, the long-term prognosis for those previously infected with Ebola is not well understood by the medical profession. From cases such as that of Pauline Cafferkey, we now know that the virus can hide in the body for lengthy periods. Is the NHS aware of the risks of Ebola re-emerging in patients who have previously survived the disease? What assistance are the Government giving to non-governmental organisations and Governments in west Africa to ensure the long-term health of those who have survived Ebola and may still be able to pass it on to others? Specifically, what, if any, monitoring project does her Department intend to fund so that the disease is stamped out both for individuals in the region and to secure the biosecurity of the United Kingdom and those of us who live here?

[Mr Speaker]

Order. Before the Secretary of State responds, let me say to the hon. and learned Gentleman that his erudition, which is never in doubt, has been equalled today only by his length. He is a very sophisticated denizen of the House, and he has treated of a very serious matter. I am aware, and the House will also be conscious, that on top of that he is an illustrious Queen’s counsel. Perhaps I can express the hope that he does not charge his clients by the word, for if he does he will be a great deal richer and they, I fear, will be a great deal poorer. From now on, we must try to stick to the time limits allocated for this purpose. I say that in a good spirit, because he has raised a very important issue and done so in an extremely intelligent way. If we operated within the time limits from now on, the House would greatly appreciate it.