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University of Nebraska Medical Center

Inside the Troubled Early Days of Guinea’s Ebola Response

PBS

Why wasn’t the largest Ebola outbreak on record, which has now killed more than 10,000 people, stopped before it was too late?

That’s the question at the heart of Outbreak, a FRONTLINE investigation from journalist and filmmaker Dan Edge that premieres tonight.

In vivid, comprehensive detail, the film traces Ebola’s spread across West Africa, uncovering a string of tragic missteps in the response to the epidemic. Among them: What happened in March 2014 when the mysterious disease then spreading through Guinea’s forest region was officially confirmed as Ebola.

At first, the country’s ministry of health was shocked: all previous Ebola outbreaks had occurred more than 1,000 miles away from Guinea. Expertise was desperately needed. The relief group Doctors Without Borders — known also by its French acronym, MSF — stepped in immediately, setting up a field hospital in Gueckedou, the outbreak’s epicenter, within 48 hours.

Beyond the efforts of MSF, however, it was a different story. The World Health Organization (WHO) left the response in the hands of its officials in Guinea, who had no previous experience with Ebola.

“Our powers are limited when we are operating in countries,” Dr. Francis Kasolo, Director of Disease Prevention & Control for WHO Africa, told FRONTLINE. “The countries take the lead, we advise honestly, and this is what we tried to do in Guinea.”

In just over a week, the outbreak spread 400 miles to Guinea’s capital — and that’s when Doctors Without Borders’ top Ebola expert, Michael van Herp, spoke out, describing the outbreak as “unprecedented.”

It was a move that infuriated Guinea’s Minister of Health, Col. Rémy Lamah, who accused the group of sowing panic.

As Lamah told FRONTLINE in the below excerpt from Outbreak, “I summoned all the staff from MSF to come in my office … I told them that I didn’t appreciate their unilateral decision to say things different from our official line.”

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