Facing Down the Threat: Canada and the Fight against Global Health Crises
This past September, a UBC-initiated event was held at university campuses across Canada to raise awareness for Ebola. While the Canadian public’s general awareness of the disease and its deadly effects wasn’t lacking, the participating students felt that our government’s response was. They weren’t the only ones who felt this way.
Just a few weeks later, the World Health Organization (WHO) reported that the virus was killing 70% of its patients, and warned that without a significant increase in aid from other countries, as many as 10,000 new infections could be expected every week in West Africa by early December.
Some might argue that Canada is contributing significantly to the fight against Ebola (in response to the WHO’s plea, Canada would pledge another $30 million to total the nation’s monetary contribution at $65 million). Others believe that Canada’s response was far too small and belated in its delivery, considering the urgency of the situation. While monetary donations sound appealing, they often take too long, or even fail to materialize into much needed resources in the field. For example, in the current case of Ebola, only 17% of Canada’s first $30 million pledge had been delivered three weeks after its announcement. Furthermore, the biggest need according to those on the front lines is increased medical, epidemiological, and logistical personnel  – something the government has been hesitant to provide.
While some might disagree with the extent and urgency with which Canada tackles global health crises such as Ebola, others might wonder why Canada is obliged to get involved at all. For example, why should Canada involve itself in crises that aren’t a direct health threat to its citizens? In outbreak cases, this question might be asked less often, as it’s easy to argue Canada will inevitably be affected if the primary countries cannot contain the outbreak. However, in situations where the potential for physical affliction is virtually inexistent (arguably the case with Ebola, despite widespread fear in North America), the reasons to advocate for foreign aid might become less obvious.
Whether a direct threat to us or not, it is both Canada’s moral imperative, and in its best interest, to help in the most effective way possible during times of global health crises (that is, provided needs within Canada have been evaluated before focusing resources elsewhere). While the benefit that Canadians stand to gain from providing foreign aid might not be obvious at first glance, we must consider how, through its altruism, Canada has positioned itself so that it can rely on many allies in times of need. While humanitarianism is inherently selfless, it can be accompanied by many secondary self-serving benefits.
Secondly, when a substantial portion of a country’s population becomes ill or dies, political and economic stability is weakened and can fail. This is especially a threat to developing nations that are most affected by the current outbreak, such as Liberia, Guinea, and Sierra Leone. Dr. Peter Piot, who helped discover the virus in the 1970s, states that the current outbreak would have been quickly containable, had the Western world rallied to provide aid at the outset. In part due to this initial neglect by the Western world, Piot warns of the potential for major societal and political destabilization in the affected countries and those surrounding them. The World Bank estimates that without containment, the financial impact of the Ebola outbreak could reach $32.6 billion. In order to prevent potential breakdowns in the infrastructure of already vulnerable areas, it is crucial that other nations step up. It should be noted that foreign aid is complex and an issue of ongoing debate, as historically it has not always led to improvements and has even been detrimental to the development countries.[10,11] However, the aid in this paper refers to aid that is specifically provided response to health crises rather than aid provided in an ongoing effort to help nations develop.
Canada has proven its ability to change the course of health crises on a global scale. For example, scientists in Winnipeg developed the trial Ebola vaccine currently being tested by the WHO,[5,12] and the ‘Treatment as Prevention’ (TasP) policy pioneered by UBC’s Dr. Julio Montaner now serves as the basis for the Joint United Nations Programme on HIV/AIDS (UNAIDS) 90-90-90 strategy to eradicate AIDS by 2030.[13,14]
We are lucky to live in a country that has the capacity to provide resources and relief to others during times of crisis. While we might not always agree on the most effective way to distribute resources in such circumstances, as Canadians we should feel proud knowing that other nations look to us in times of need. The case of Ebola is certainly no exception. If there were ever a time to solidify our reputation as a humanitarian nation, it would be now.
Thank you to UBC Master of Public Health students Nicole Markwick and Sally Lin for their editing and content suggestions.
- WHO Ebola Response Team. Ebola virus disease in West Africa–the first 9 months of the epidemic and forward projections. N Engl J Med. 2014 Oct 16;371(16):1481–95.
- Boseley S. WHO warns 10,000 new cases of Ebola a week are possible [Internet]. The Guardian [Internet]. [cited 2014 Oct 18]; Available from: http://www.theguardian.com/world/2014/oct/14/who-new-ebola-cases-world-health-organisation
- Ebola virus aid adds $30 million from Canada [Internet]. CBC News [Internet]. 2014 Oct 17; Available from: http://www.cbc.ca/news/health/ebola-virus-aid-adds-30m-from-canada-1.2802614
- Cornish S. Ebola outbreak calls for a global response [Internet]. The Globe and Mail [Internet]. 2014 Aug 7; Available from: http://www.theglobeandmail.com/globe-debate/ebola-outbreak-calls-for-a-global-response/article19946491/
- Grant K. Canada contributes more money, but no medical workers in Ebola fight [Internet]. The Globe and Mail [Internet]. [cited 2014 Dec 1]; Available from: http://www.theglobeandmail.com/news/national/canada-contributes-more-money-but-no-medical-workers-in-ebola-fight/article21429835/
- Wolford B. Ebola is terrorizing Americans, but there’s little to fear; poll shows 27% consider outbreak a “major threat” [Internet]. Medical Daily [Internet]. 2014 [cited 2014 Oct 18]; Available from: http://www.medicaldaily.com/ebola-terrorizing-americans-theres-little-fear-poll-shows-27-consider-outbreak-major-306836
- “This is not an epidemic. It is a humanitarian crisis” Peter Piot on the implications of Ebola [Internet]. Oxford Martin School [Internet]. 2014 Oct 16 [cited 2014 Nov 30]; Available from: http://www.oxfordmartin.ox.ac.uk/news/141016-Piot01
- Boseley S. Ebola epidemic may not end without developing vaccine, scientist warns [Internet]. The Guardian [Internet]. 2014 [cited 2014 Nov 30]; Available from: http://www.theguardian.com/world/2014/oct/16/ebola-vaccine-peter-piot-west-africa-epidemic
- Mayhew M. World Bank Group Ebola Response Fact Sheet. The World Bank [Internet]. 2014 Dec 24; Available from: http://www.worldbank.org/en/topic/health/brief/world-bank-group-ebola-fact-sheet
- Easterly W. What did structural adjustment adjust? J Dev Econ. 2005 Feb;76(1):1–22.
- Easterly W. Can the West Save Africa? [Internet]. Cambridge, MA: National Bureau of Economic Research; 2008 Sep [cited 2015 Jan 13]. Report No.: w14363. Available from: http://www.nber.org/papers/w14363.pdf
- Bramswell H. Ebola vaccine trial to be held in Halifax, far from Winnipeg research lab [Internet]. The Globe and Mail [Internet]. 2014 [cited 2014 Dec 1]; Available from: http://www.theglobeandmail.com/life/health-and-fitness/health/ebola-vaccine-trial-to-be-held-in-halifax-far-from-winnipeg-research-lab/article21587704/
- Picard A. The 90-90-90 solution to AIDS pandemic. The Globe and Mail [Internet]. 2014 [cited 2014 Oct 18]; Available from: http://www.theglobeandmail.com/life/health-and-fitness/health/the-90-90-90-solution-to-aids-pandemic/article20285035/
- Montaner J. Made-in-Canada AIDS Strategy a Blueprint for Health Care Sustainability. The Vancouver Sun [Internet]. 2014 [cited 2014 Dec 1]; Available from: http://www.vancouversun.com/opinion/op-ed/Opinion+Made+Canada+AIDS+strategy+blueprint+health+care/10430455/story.html