Dentico Nicoletta
Recenti Prog Med. 2014 Nov;105(11):405-6. doi: 10.1701/1680.18396.
The high state of anxiety about Ebola virus and its possible spread in the Western world has seemingly changed the route of the disease, for which effective vaccines and medicines do not exist. The rapid spread of the virus provides a paradigmatic narrative about the failure of today's governance for health, grounded on a series of global initiatives focussed on pathologies prioritized by the donors' community, at the detriment of health promotion and the strengthening of health systems in countries. The Ebola crisis also delivers a powerful account about the consequences of the de-potentiation of the World Health Organization (WHO), once the leading organization in public health policy-making. Today, the WHO is increasingly weak technically, politically and financially. While the virus remains out of control, the WHO's capacity to play a role in accompanying the development of the new essential vaccines and in brokering the conditions for accessibility and availability of the new medical tools remains to be questioned.
对埃博拉病毒及其可能在西方世界传播的高度焦虑，似乎改变了这种疾病的传播路径，而针对该疾病目前尚无有效的疫苗和药物。病毒的迅速传播为当今卫生治理的失败提供了一个典型案例，这一治理基于一系列全球倡议，这些倡议聚焦于捐赠界优先考虑的病症，却损害了各国的健康促进和卫生系统强化。埃博拉危机也有力地说明了世界卫生组织（WHO）——曾经公共卫生政策制定方面的主导组织——失势的后果。如今，世卫组织在技术、政治和财政方面日益薄弱。在病毒仍失控的情况下，世卫组织在助力新型基本疫苗研发以及促成新医疗工具可及性和可得性条件方面发挥作用的能力仍值得质疑。
