时间:2019-01-09 作者:英语课 分类:VOA标准英语2015年(五月)


英语课

MSF Reflects On Ebola Outbreak


More than a year after the Ebola epidemic 1 began in West Africa the end appears to be near. Liberia has been declared Ebola-free and Guinea and Sierra Leone have reported just a few cases in recent days. Members of the medical aid group that sounded the alarm about the outbreak have reflected on its effects.


Doctors Without Borders said while the number of recorded Ebola cases “has decreased, much work remains 2 to be done.” It described health systems as being “ravaged,” as hundreds of health care workers died in the outbreak along with about 11,000 others.


Some members of the group – also known as MSF – took part in a panel discussion about how Ebola damaged the lives of both the infected and uninfected.


Ella Watson-Stryker, a health promoter, said a lot of lessons have been learned. In the beginning, MSF focused on supporting the overall intervention 3 efforts to stop the spread of Ebola. But she said more needed to be done.


“What we didn’t do well in the beginning is broaden our scope to really be able to reach into the communities – not just the communities that were most affected 4, but also the communities that were not yet affected. And we stayed very much focused in Guinea in Guékédou Prefecture and we didn’t focus on Guinea as a country, as a whole. And it was months before we had a dedicated 5 health promoter based in Conakry even though we had a lot of cases in Conakry throughout that time -even though we had a fully 6 functioning management center,” she said.


 Another lesson learned, she said, is just how scary Ebola can be.


“Ebola is a disease that creates fear and everyone’s afraid – whether it’s the leader of a small village, whether it’s the president of a country. The doctors and nurses who respond are afraid. The health promoters, who are there - trained to talk about Ebola - are afraid. And our patients are terrified. And so, I think that’s the biggest barrier that we have to overcome.”


Watson-Stryker said when people are that afraid they may refuse to face reality.


“Something that we learned again and again is that when people are afraid denial becomes a really good fallback for how to deal with that level of fear. And we saw that people were in denial when they were sick. We saw that villages were in denial that anyone in the village had died from Ebola. We saw governments in denial that there was Ebola inside their country and we saw [the] international community deny the severity of the outbreak.”


She said to overcome fear of Ebola health workers must build trust in the community. And that, she said, can take a very long time.


Dr. Craig Spencer worked as both an MSF physician and epidemiologist in Guinea. He said it’s important to celebrate the victories, but never forget what happened.


“I think the biggest challenge is something that we’ve been dealing 7 with in a different form since the epidemic began over a year ago – and that is complacency. Everyone is rightfully excited that Liberia, as of a few days ago, has passed 42 days and is declared Ebola-free. But West Africa, as a region, and really the global community, as a whole, will not be Ebola-free until Guinea, Sierra Leone, Liberia and everywhere else that’s been touched by this virus makes it out of that window,” he said.


Earlier this year, Spencer traveled back to Guékédou in southern Guinea near the Liberia and Sierra Leone borders.


“It was amazing to me just driving back through town for the first time in months how life just kind of got back to normal. There were teenagers on the streets holding hands. Markets were bustling 8. You wouldn’t know that this is the same place that merely months before Ebola was ravaging 9 and destroying communities,” he said.


Thousands of people survived the outbreak. But Dr. Spencer said its effects linger, including joint 10 pain and vision and hearing problems, as well as post-traumatic stress and stigma 11.


He said, “It will be great when all of these countries are officially declared free of Ebola. But in many ways the hard work really starts at that point. A transition to a post-Ebola healthcare system is going to be an incredibly difficult and fragile task.”


He said healthcare must include prevention and treatment for a wide range of illnesses, and nutritional 12 support to help the body heal. Spencer added that MSF has learned the importance of psycho-social support to help people get through – what he called – an “unbelievably difficult and trying time.”


MSF-USA Executive-Director Sophie Delaunay said the organization had experience with Ebola in central Africa. But it didn’t have enough qualified 13 personnel in the beginning to cope with an epidemic this size. She said MSF was forced to leave its “comfort zone.”


“The fact that for the first time in our history the teams had to build a crematorium is very exceptional for us. It’s been a very traumatic experience on top of, you know, not having the expertise 14 to do that.”


Delaunay said the medical aid group also had to deal with economic collapse 15 as livelihoods 16 and trade were disrupted.


“Of course, we’re operating in war zones where there isn’t much most of the time. But in these countries there was an infrastructure 17. There was a lot of business. And in the course of a few weeks and months this business just stopped. So, we had to rely on our own supply chain. We could not rely anymore on the usual airlines. And also we could not rely anymore on the medical evacuation that we usually have,” she said.


MSF reported that children under five and adults over 45 had higher mortality rates from Ebola. And those who had more of the Ebola virus in their bodies, which can be shown through tests, also did worse.


MSF was opposed to the imposition of quarantines as a means of containing the epidemic and finding new patients. Watson-Stryker said they were often imposed in a brutal 18 way. She said families would find out loved ones had been diagnosed with Ebola when armed police or soldiers showed up and cordoned 19 off their homes.


Often pregnant women had to deliver babies unassisted because they were in the quarantine zone. Gillian Burkhardt, an obstetrician and gynecologist, explained other problems of being pregnant during the Ebola outbreak.


“Women who go into labor 20 during the time of the epidemic have similar symptoms that may be confused with Ebola. And so the first problem is how do we care for pregnant women that don’t have Ebola when a health system has shut down? We saw a lot of women, actually, who were pregnant, and had Ebola survive. But none of the fetuses 21 have survived. And so all women have delivered a stillbirth, who have been Ebola positive and survived,” she said.


Eventually, Guinea and Sierra Leone will join Liberia in being declared Ebola-free. But MSF said celebrations will be tempered by what’s been lost.



n.流行病;盛行;adj.流行性的,流传极广的
  • That kind of epidemic disease has long been stamped out.那种传染病早已绝迹。
  • The authorities tried to localise the epidemic.当局试图把流行病限制在局部范围。
n.剩余物,残留物;遗体,遗迹
  • He ate the remains of food hungrily.他狼吞虎咽地吃剩余的食物。
  • The remains of the meal were fed to the dog.残羹剩饭喂狗了。
n.介入,干涉,干预
  • The government's intervention in this dispute will not help.政府对这场争论的干预不会起作用。
  • Many people felt he would be hostile to the idea of foreign intervention.许多人觉得他会反对外来干预。
adj.不自然的,假装的
  • She showed an affected interest in our subject.她假装对我们的课题感到兴趣。
  • His manners are affected.他的态度不自然。
adj.一心一意的;献身的;热诚的
  • He dedicated his life to the cause of education.他献身于教育事业。
  • His whole energies are dedicated to improve the design.他的全部精力都放在改进这项设计上了。
adv.完全地,全部地,彻底地;充分地
  • The doctor asked me to breathe in,then to breathe out fully.医生让我先吸气,然后全部呼出。
  • They soon became fully integrated into the local community.他们很快就完全融入了当地人的圈子。
n.经商方法,待人态度
  • This store has an excellent reputation for fair dealing.该商店因买卖公道而享有极高的声誉。
  • His fair dealing earned our confidence.他的诚实的行为获得我们的信任。
adj.喧闹的
  • The market was bustling with life. 市场上生机勃勃。
  • This district is getting more and more prosperous and bustling. 这一带越来越繁华了。
毁坏( ravage的现在分词 ); 蹂躏; 劫掠; 抢劫
  • It is believed that in fatigue there is a repeated process of ravaging the material. 据认为,在疲劳中,有一个使材料毁坏的重复过程。
  • I was able to capture the lion that was ravaging through town. 我能逮住正在城里肆虐的那头狮子。
adj.联合的,共同的;n.关节,接合处;v.连接,贴合
  • I had a bad fall,which put my shoulder out of joint.我重重地摔了一跤,肩膀脫臼了。
  • We wrote a letter in joint names.我们联名写了封信。
n.耻辱,污名;(花的)柱头
  • Being an unmarried mother used to carry a social stigma.做未婚母亲在社会上曾是不光彩的事。
  • The stigma of losing weighed heavily on the team.失败的耻辱让整个队伍压力沉重。
adj.营养的,滋养的
  • A diet lacking in nutritional value will not keep a person healthy.缺乏营养价值的饮食不能维持人的健康。
  • The labels on food products give a lot of information about their nutritional content.食品上的标签提供很多关于营养成分的信息。
adj.合格的,有资格的,胜任的,有限制的
  • He is qualified as a complete man of letters.他有资格当真正的文学家。
  • We must note that we still lack qualified specialists.我们必须看到我们还缺乏有资质的专家。
n.专门知识(或技能等),专长
  • We were amazed at his expertise on the ski slopes.他斜坡滑雪的技能使我们赞叹不已。
  • You really have the technical expertise in a new breakthrough.让你真正在专业技术上有一个全新的突破。
vi.累倒;昏倒;倒塌;塌陷
  • The country's economy is on the verge of collapse.国家的经济已到了崩溃的边缘。
  • The engineer made a complete diagnosis of the bridge's collapse.工程师对桥的倒塌做了一次彻底的调查分析。
生计,谋生之道( livelihood的名词复数 )
  • First came the earliest individualistic pioneers who depended on hunting and fishing for their livelihoods. 走在最前面的是早期的个人主义先驱者,他们靠狩猎捕鱼为生。 来自英汉非文学 - 政府文件
  • With little influence over policies, their traditional livelihoods are threatened. 因为马赛族人对政策的影响力太小,他们的传统生计受到了威胁。
n.下部构造,下部组织,基础结构,基础设施
  • We should step up the development of infrastructure for research.加强科学基础设施建设。
  • We should strengthen cultural infrastructure and boost various types of popular culture.加强文化基础设施建设,发展各类群众文化。
adj.残忍的,野蛮的,不讲理的
  • She has to face the brutal reality.她不得不去面对冷酷的现实。
  • They're brutal people behind their civilised veneer.他们表面上温文有礼,骨子里却是野蛮残忍。
v.封锁,用警戒线围住( cordon的过去式 )
  • Police cordoned off the area until the bomb was defused. 警方封锁了这个地区直到炸弹被拆除为止。 来自《简明英汉词典》
  • Police cordoned off the road and diverted commuter traffic. 警察封锁了道路并分流交通。 来自《简明英汉词典》
n.劳动,努力,工作,劳工;分娩;vi.劳动,努力,苦干;vt.详细分析;麻烦
  • We are never late in satisfying him for his labor.我们从不延误付给他劳动报酬。
  • He was completely spent after two weeks of hard labor.艰苦劳动两周后,他已经疲惫不堪了。
n.胎,胎儿( fetus的名词复数 )
  • DNA was extracted from fetuses at mid-gestation, about 10 days past conception. DNA从受孕大约10天后的中期妊娠胚胎中提取。 来自互联网
  • Brucellosis is a disease that causes fetuses to abort in cattle. 普鲁士菌病是一种可以导致牲畜胎儿夭折的疾病。 来自互联网
学英语单词
ablactated
adult of the first form
alainas
ankylostomiasis
antiandrogen
artifactuality
ateloencephalia
automated quotation system
balls-up
bebek
blackballers
blood formation
braking action advisory
byte stuffing
capoun
carrier track
chemoprophylactics
cleaneth
complementarymorpheme
current endogenous variable
cylindrical flue boiler
dauriporphinoline
Delphene
deterior
Deutzia setchuenensis
diluter-dispenser
dot raster character generator
drink deep
drum storage
Einstein Observatory
element cell
equipment output
falconing
fidesz
flow program
free climbing
full bandwidth
general flat key
ground plum
hedging one's bets
hexagonia hirta
hydraulic foot brake
inamoratoes
inhibitory stage
Konneh
kramer drive
l'entendement
least-squares procedure
maeaquinone
mandiocs
mascarpones
menu activate
monoresistant
Montferrier
motorsports
multilevel menu
name and shame
Neisseriaceae
Neothyl
neuroenhancer
noncharacteristic product
not later than
nullisome-tetrasome combination
nullisomic haploids
out of doing
over-cross
overcarbonated
pars alveolaris
periot
Peucedanum macilentum
polyarchists
post coordination
Postscript Printer Description file
pseudo optical band
rectangular coordinate dimensioning
reinforced stock
romancy
ruatcaelum
rubberbanding
ruda slaska
Saint-Agreve
Sakkara
sludge gas holder
spacefilling model
straight-forward circuit
switch chair
thread vein
tree planter
troop carrying coach
typhis ramosus
undelightsome
under exploitation
understaund
unit-linked
unpopularities
unsensationalists
vibrating regulator
videoscreens
warning red
whirl gate dirt trap system
wibrissae
worsted card