Ebola crisis: Huge risk of spread - UN's Tony Banbury

Tony Banbury: "The goal is absolutely zero human cases of Ebola"

The head of the UN Ebola response mission in West Africa has told the BBC there is still a "huge risk" the deadly disease could spread to other parts of the world.

Tony Banbury declined to say if targets he had set in the fight against Ebola, to be achieved by Monday, had been met.

The targets were for the proportion of people being treated and for the safe burial of highly infectious bodies.

The UN boss was speaking in Freetown, one of the worst-affected areas.

On Sunday in Sierra Leone's capital, bulldozers were clearing large areas for a new burial ground.

At the clearance site, near a rubbish tip, car after car was arriving with bodies, and several hundred workers were digging graves.

In October, Mr Banbury told the UN Security Council that by 1 December, "70% of all those infected by the disease must be under treatment and 70% of the victims safely buried if the outbreak is to be successfully arrested".

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This interim goal - the ultimate UN goal is zero Ebola deaths - was set to try to bend down the upward curve in the graph of cases.

Mr Banbury said the 70% targets were being met in "the vast majority" of areas in the three worst-affected countries - Guinea, Sierra Leone and Liberia.

"But in some areas", he said, "including here in Sierra Leone - especially in the capital Freetown and in the town of Port Loko - we are falling short. And it is in those areas where we really need to focus our assets and our capabilities".

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Ebola burials

Many volunteer grave-diggers in Sierra Leone have seen their pre-Ebola jobs disappear

  • Bodies still contain high levels of the Ebola virus
  • At least 20% of new infections occur during burials, WHO says
  • Relatives perform religious rites including touching or washing the body
  • Safe burial process involves observing rituals differently, such as "dry ablution"
  • Volunteers with full protective clothing are trained to handle and disinfect bodies
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In its latest report on 29 November, the World Health Organization said 6,928 people were now known to have died from Ebola. More than 16,000 have been infected.

Between 200 and 300 people are dying every week. Guinea, Liberia and Sierra Leone are by the far the worst hit countries.

But Mr Banbury said the situation would have been even worse if the UN had not intervened:

"Early on we adopted a strategy to get this crisis under control which involves treatment centres, safe burials and community mobilisation. That strategy is working."

The American UN boss added that, even so, "there is a huge risk to the world that Ebola will spread. It may spread around this sub-region, or someone could get on a plane to Asia, Latin America, North America or Europe... that is why it is so important to get down to zero cases as quickly as possible".

Ebola deaths

Figures up to 25 January 2015

8,810

Deaths - probable, confirmed and suspected

(Includes one in the US and six in Mali)

  • 3,686 Liberia

  • 3,199 Sierra Leone

  • 1,910 Guinea

  • 8 Nigeria

Getty
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