Reasons to calm down about Ebola

Globalization has made international disease transmission easier, but it is unlikely to lead to large-scale global propagation in this case. For Ebola, the barriers to global spread are high. Highly infectious people are desperately sick; they will not be boarding airplanes. Travelers entering this stage after reaching their destinations will be identified and isolated by properly functioning health systems.

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Nigeria provides an edifying example. The collapse of Liberian-American Patrick Sawyer in Lagos’s busy international airport on July 20 was the nightmare scenario—Ebola unleashed in a crowded venue, in a teeming megacity of the developing world. But rapid, well-coordinated action on the part of the Nigerian government averted disaster, and that West African nation’s incipient outbreak has been contained, despite a health system below developed-world standards.

Misjudgments are possible, as when Ebola patient Thomas Eric Duncan was turned away from a Dallas hospital, and subsequently died on Oct. 8. Protective protocols can be insufficient or break down, as was the case for health-care workers who cared for Duncan and for a nurse’s assistant who contracted Ebola in Spain. But as the threat of Ebola importation becomes more widely understood, health-care professionals and facilities are better prepared with each passing day. What the public should understand is this: Vigilance and decisive action can halt Ebola’s spread even under adverse circumstances.

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