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The Ebola lockdown that everyone forgot

September 21, 2021 - 10:34am

The failings of WHO’s Covid-19 policies are extensive, especially in the world’s poor countries. Today, I spoke to ex-Médecins-Sans-Frontières (MSF) Deputy Head for the Emergency Unit in Spain, Llanos Ortíz Montero, who laid out in grim detail just how badly these countries have been affected.

Ortíz Montero has worked for decades in emergency responses in countries from Mozambique and South Sudan to Haiti and the Philippines. Her interview adds to the growing evidence for the catastrophic and unprecedented policy shift which took place in the WHO’s pandemic response policy in February 2020. “The impression you get,” says Ortíz Montero, is that these policies were “a diversion away from the Alma Ata declaration.”

Having been a leading figure in MSF’s response to the Ebola epidemic in Sierra Leone in 2014-15, Ortíz Montero’s evidence should be taken seriously. For it was during the Ebola crisis that a lockdown of this kind was trialled — a lockdown for uninfected people which MSF criticised severely at the time, arguing that “a lockdown would force people underground, destroy trust between doctors and the public and ultimately help spread the disease”. 

During the Ebola crisis of 2014-5, brief lockdowns were introduced in both Liberia and Sierra Leone. Subsequent academic studies pointed out that they had been widely criticised as being ineffective and counter-productive. With an airborne disease such as Covid-19, the contraindications for lockdowns in poor countries are even higher than for Ebola; for, as Ortíz Montero points out in her interview, “Living conditions in many countries imply many families living in one house. And again, that’s facilitating transmission. And in fact there are several studies through the years which highlight side-effects of locking up healthy, or not infected people”.

Thus we learnt that leading public health experts working in low income countries had warned against lockdowns in poor countries just a few years before, and that subsequent research had confirmed that the policies had had a negative impact. WHO officials worked closely on Ebola, and must have known about this research, so why did they suddenly change tack for Covid? It’s hardly surprising that Ortíz Montero describes her shock when on February 24th 2020 the WHO issued a “one-size-fits-all” model to deal with the Covid-19 pathogen.

It would appear that no lessons were learnt from the Ebola epidemic by WHO. However, that’s not the impression one gets on the WHO Covid-19 pages, which offers Liberia as a case study response for Covid and describes the lessons learnt from Ebola. This 7-page document says very little about lockdowns at all; other than mentioning lockdown fatigue here and there in 2020, the fact that one of the “lessons learnt” from Ebola was the inappropriateness of lockdowns in poorer countries goes unmentioned.

In WHO’s Geneva headquarters, it appears, the desire to rewrite history gathers pace. Meanwhile, brave figures such as Ortíz Montero show how troubled we should all be at the catastrophic policy decisions which have led to what many policymakers describe as the reversal of decades of gains in the Global South.

Toby Green is the author of The Covid Consensus: The New Politics of Global Inequality (Hurst).


Toby Green is a professor of History and associate of the Global Health Institute at King’s College, London. The updated edition of his book, The Covid Consensus, co-authored with Thomas Fazi, is published by Hurst.

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Johann Strauss
Johann Strauss
3 years ago

Great article. It’s a tragedy that public health officials and politicians didn’t learn from the Ebola experience, but rather simply chose to impose lockdowns and masks,. not on the basis of any scientific or medical evidence, but rather to simply demonstrate that they were actually doing something (even if that something was useless and counterproductive). In that regard it’s interest to note how fear mongering by the MSM in the US reiterated day after day how much worse the US was doing relative to other counties either in Europe or South East Asia, and yet the truth is that it wouldn’t have mattered what measures were taken, then end result would have been the same. And give or take the results in all Western countries have been essentially the same within “error”. In other words, Sweden with no lockdowns or masks, has fared neither better nor worse that the UK with lockdowns or masks; in the US states with lockdowns and/or mask mandates have fared no better than those without. Indeed, in the case of two neighboring states with virtually identical demographics and populations densities, namely North and South Dakota, the curves for daily deaths/million and daily cases/million are superimposable despite the fact that North Dakota had strict mask mandates while South Dakota imposed no restrictions of any sort.
The other tragedy is that the “15 days to slow the curve” is now 18 months plus to slow the curve, and the only impact has been to prolong the epidemic rather than get it over with. But I;’m sure our high and mighty public health officials who are so arrogant and sure of themselves will learn absolutely nothing from this whole episode.

ralph bell
ralph bell
3 years ago
Reply to  Johann Strauss

Great comment

Francis MacGabhann
Francis MacGabhann
3 years ago

Locked straight on to the “destroy trust between doctors and the public” bit. For the benefit of any scientist, public health official or member of a medical organization like the WHO who may be reading, I don’t believe a single word that’s coming out of your mouths anymore.

Lesley van Reenen
Lesley van Reenen
3 years ago

I have been walking around in an escalating towering rage the entire time. How could arbitrary civilians like us have been able to predict exactly what was going to happen a couple of months into the fiasco.