The Ebola epidemic sweeping West Africa could infect up to 500,000 people by the end of January, according to a new estimate under development by the Centers for Disease Control and Prevention.
The report is scheduled to be released next week, but work on it is still ongoing and projections could change, said a person who is familiar with its contents but was not authorized to speak because the report is not yet public.
The CDC projection assumes no additional aid by governments and relief agencies. But the United States this week launched a $750 million effort to establish treatment facilities with 1,700 beds in Liberia, the hardest hit country. And the U.N. Security Council voted unanimously Thursday to create an emergency medical mission to respond to the outbreak, with an advance team in West Africa by the end of the month.
"CDC is working on a dynamic modeling tool that allows for recalculations of projected Ebola cases over time," Barbara Reynolds, a spokeswoman for the agency, said in an email. "CDC expects to release this interactive tool and a description of its use soon."
The CDC projection was first reported by Bloomberg News.
The World Health Organization said last month that the outbreak could reach 20,000 cases before it is brought under control. But infectious disease experts, aid officials and global health advocates said cases are increasing so rapidly that the total number is almost certain to be much higher, especially in the worst-affected countries of Liberia, Guinea and Sierra Leone.
On Friday, the streets of Sierra Leone's capital city of Freetown were uncharacteristically empty as the government began a controversial three-day lockdown in an effort to slow the spread of the deadly virus. Only law enforcement personnel, security officials and a handful of others deemed "essential" by the government are allowed on the streets during that time -- and only with a government-issued pass, the Guardian reported.Researchers have been using different models in an attempt to predict the size of the outbreak, but the complexity and magnitude of the current epidemic poses additional challenges.
Previous outbreaks have been in rural areas and were brought under control using a relatively straightforward strategy of isolating and treating infected patients and contact tracing -- finding everyone who comes into direct contact with a person, watching for signs of illness, and then isolating and treating them.
But now that the disease has spread to the large cities and urban areas, cases are doubling in about three weeks, U.N. officials said Thursday.
"One of the scary things about this outbreak is that all the general models of the past have been broken," said John Connor, associate professor of microbiology at Boston University School of Medicine and investigator at the university's National Emerging Infectious Diseases Laboratories.
He said there is no way to know how many people will be infected in the future, because there are too many variables. "That's like asking whether it's going to be sunny a month from now," he said.
"I'm really worried that no one has a handle on everything that's happened," he said. "Do we know all the places where there's been virus present?"
Alessandro Vespignani, a Northeastern University physicist, has looked at the outbreak and studied the response on the ground. He has worked on a model to estimate the growth of the disease, and by the end of this month, he has said, the epidemic could get much worse -- as in, "thousands and thousands of cases" worse. Vespignani and his colleagues project between 6,000 and 10,000 Ebola cases by late September.
"These predictions are like the weather forecast," Vespignani said. "These are statistical predictions. So you have uncertainty cones."
Vespignani's model assumes that response to the deadly virus stays the same, that the picture of the event remains unchanged. It assumes there will not be increased medical attention and that the spread of Ebola will continue.
As of Sunday, the WHO said the virus had infected 5,357 people and killed 2,630. In addition to Guinea, Liberia and Sierra Leone, the disease has spread to Nigeria and Senegal. WHO officials said those numbers vastly underreport the true number of cases.
Laurie Garrett, senior fellow for global health at the Council on Foreign Relations, who has been speaking with health workers and officials in the region, said that the cumulative number of cases will probably reach 250,000 by Christmas unless the U.S. plan provides for immediate measures that lead to long-term escalations in supplies, logistics support, air shipments and personnel on the ground in West Africa.
---
Washington Post staff writers Joel Achenbach and Sarah Larimer contributed to this report.
The Washington Post
Sat Sep 20 2014
-filepic
Is climate change making tropical storms more frequent? Scientists say it's unclear
Scientists say it remains unclear how much climate change is reshaping the storm season.
Samples obtained by Chinese spacecraft show moon's ancient volcanism
The material provides new insight into the moon's geological history including the oldest evidence to date of lunar volcanism.
The scamdemic targeting the young and vulnerable
Teenagers and young adults are becoming prime targets for a new wave of cyber scams, a trend raising alarm bells across Southeast Asia.
Japanese manicurist takes on plastic pollution, one nail at a time
Before global leaders address plastic pollution, a Japanese manicurist highlights the issue by incorporating it into her nail designs.
What to watch for ahead of US presidential inauguration
Here's a timeline of events between now and inauguration day.
The battle to reduce road deaths
In Malaysia, over half a million road accidents have been recorded so far this year.
Pro-Palestinian NGOs seek court order to stop Dutch arms exports to Israel
The Dutch state, as a signatory to the 1948 Genocide Convention, has a duty to take all reasonable measures at its disposal to prevent genocide.
How quickly can Trump's Musk-led efficiency panel slash US regulations?
Moves by Trump and his appointees to eliminate existing rules will be met with legal challenges, as many progressive groups and Democratic officials have made clear.
2TM: Consultations on PTPTN loans, admission to IPTA at MOHE booth
Consultations on PTPTN loans and admission to IPTA are among services provided at the Higher Education Ministry booth.
Kampung Tanjung Kala residents affected by flooded bridge every time it rains heavily
Almost 200 residents from 60 homes in Kampung Tanjung Kala have ended up stuck when their 200-metre (m) long concrete bridge flooded.
COP29 climate summit draft proposes rich countries pay $250 billion per year
The draft finance deal criticised by both developed and developing nations.
Bomb squad sent to London's Gatwick Airport after terminal evacuation
This was following the discovery of a suspected prohibited item in luggage.
Kelantan urges caution amidst northeast monsoon rains
Kelantan has reminded the public in the state to refrain from outdoor activities with the arrival of the Northeast Monsoon season.
Former New Zealand PM Jacinda Ardern receives UN leadership award
Former New Zealand prime minister Jacinda Ardern was given a global leadership award by the United Nations Foundation.
ICC'S arrest warrants for Netanyahu, Gallant an apt decision - PM
The decision of the ICC to issue arrest warrants against Benjamin Netanyahu and Yoav Gallant is apt, said Datuk Seri Anwar Ibrahim.
KTMB provides two additional ETS trains for Christmas, school holidays
KTMB will provide two additional ETS trains for the KL Sentral-Padang Besar route and return trips in conjunction with the holidays.
BNM'S international reserves rise to USD118 bil as at Nov 15, 2024
Malaysia's international reserves rose to US$118.0 billion as at Nov 15, 2024, up from US$117.6 billion on Oct 30, 2024.
Findings by dark energy researchers back Einstein's conception of gravity
The findings announced are part of a years-long study of the history of the cosmos focusing upon dark energy.
NRES responds to Rimbawatch press release on COP29
The Ministry of Natural Resources and Environmental Sustainability (NRES) wishes to offer the following clarifications to the issues raised.
Online Safety Bill and Anti-Cyberbullying Laws must carefully balance rights and protections
The Online Safety Advocacy Group (OSAG) stands united with people in Malaysia in the fight against serious online harms.