Did Trump's foreign aid cuts fuel the Ebola outbreak?

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Short Wave 13 min 10 speakers 5 chapters transcribed 2 months ago
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What is the main topic discussed in this episode?

Jonathan Lambert 0:00
This is Ira Glass. On This American Life, one thing we like is a good mystery. Sometimes about really big things, but most times, the little mysteries are the best.
Emmett Livingstone 0:10
Our lost and found is currently filled with pants. I don't know what, I've never seen this happen.
Alexis Christophorus 0:16
Wait, this is true?
Jonathan Lambert 0:16
This is true. Mysteries of every size, each week. This American Life, wherever you get your podcasts.
Regina Barber 0:24
You're listening to Shortwave from NPR. Hey, short wavers. Regina Barber here. And today I'm joined by NPR global health reporter Jonathan Lambert. Hey, John.
Jonathan Lambert 0:36
Hey, Gina.
Regina Barber 0:37
So you're here today to talk about the ongoing Ebola outbreak.
Jonathan Lambert 0:41
Yeah, it's been just about the only thing I've covered over the past month and a half or so. The outbreak has gotten really big, really fast. It's already the third largest Ebola outbreak on record.
Regina Barber 0:52
That's terrible. So where do the numbers stand right now?
Jonathan Lambert 0:55
As of now, there are over 1,000 confirmed cases and over 250 confirmed deaths, but the toll is likely much higher.
Regina Barber 1:03
Why is that?
Jonathan Lambert 1:05
Well, many cases and deaths are probably going uncounted. The outbreak is centered in a region of the Democratic Republic of Congo that's really remote and battered by a lot of ongoing conflict.
Regina Barber 1:16
I see how that could make responding to the outbreak a lot harder.
Jonathan Lambert 1:19
Yeah. And the virus got a head start. It was likely circulating for months before officials realized that it was. That's made it harder to rein in, which is really worrisome for a disease that, on average, kills about half the people it infects.
Regina Barber 1:33
So do scientists have a sense of how bad it could get?
Jonathan Lambert 1:37
Well, the CDC projects that in the absence of robust control measures, as many as 20,000 people could be sick by August. If it continues at that pace, it could rival the 2014 to 2016 Ebola outbreak in West Africa, which killed over 11,000 people. And there are concerns that it could spread more widely in the region.
Regina Barber 1:56
So today on the show, how this became one of the largest Ebola outbreaks in history.
Jonathan Lambert 2:02
And what has to happen to treat patients and get it under control.
Regina Barber 2:05
You're listening to Shorewave, the science podcast from NPR.

What is the current status of the Ebola outbreak in the Democratic Republic of Congo?

Tonya Mosley 2:14
This is Tanya Mosley, co-host of Fresh Air. Don't miss my interview with comic and storyteller Ali Sadiq. We talk about fatherhood, healing, and how prison changed him.
John Connor 2:25
He's been out 29 years, but he says... These psychological wounds are different than my physical wounds.
Tonya Mosley 2:32
Listen to Fresh Air on the NPR app or wherever you get your podcasts.
Alexis Christophorus 2:40
Every episode of It's Been a Minute, NPR's What's Happening in Culture podcast starts by asking three questions. Who? How? Why now? If the culture's asking it, we're talking about it. At NPR, we stand for your right to be curious and indulge your cultural curiosity. Follow It's Been a Minute wherever you get your podcasts, and we'll break down the zeitgeisty topics that are filling your feed.
Regina Barber 3:03
OK, so, John, remind us of some of the basics of Ebola.
Jonathan Lambert 3:07
Yeah, it's a disease caused by a virus, specifically the ortho Ebola virus. The first known outbreak was in 1976 in the Democratic Republic of Congo. Since then, at least a couple dozen outbreaks have occurred, mostly from East to West Africa.
Regina Barber 3:21
So what causes an outbreak to occur?
Jonathan Lambert 3:23
Usually it's a spillover event. That's when a virus that typically circulates in non-human animals jumps from an animal to a human. Scientists aren't sure how many animals harbor Ebola, but they do know that it circulates in some bats.
Regina Barber 3:37
So how does this virus get from the bat to the human?
Jonathan Lambert 3:40
It's not exactly clear. In many parts of East and West Africa, some people eat bat meat for food and could get exposed that way. Exposure to guano or bat poop could be another route.
Regina Barber 3:50
Yeah, this reminds me of COVID, but this infection is much more serious, right?
Jonathan Lambert 3:55
Right.

Why are the official numbers of Ebola cases likely underestimated?

Jonathan Lambert 3:55
Ebola is a very deadly disease, and its deadliness stems in part from a kind of sneakiness.
Regina Barber 4:02
Like how? How is it sneaky?
Jonathan Lambert 4:04
So when the virus first infects a person, it goes straight for key immune cells. Typically, these cells help spur the production of antibodies, which allow the immune system to target a pathogen.

What challenges are faced in responding to the Ebola outbreak?

Jonathan Lambert 4:15
But by attacking these cells first, Ebola viruses delay this response.

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