People who contract Ebola are three to four times less likely to die from it if they are treated in a high-income country such as the United States rather than in places like Congo or western Africa.
Why such disparity? Because it is not Ebola alone that is catastrophically deadly; it is the combination of Ebola and poverty.
I have seen repeatedly in the course of my work how it isn’t enough to treat only the patient. Severe poverty drives the spread of many diseases, and it must be addressed as well. A seminal body of work from global health guru Dr. Paul Farmer and his colleagues has repeatedly shown that patients have far better outcomes if they receive not just treatment for their illnesses, but also financial support and social support from community health workers.
Another critical manifestation of poverty in the Congo Ebola epidemic has been the significant violence from rebel warfare. Violence has been a primary driver of the current epidemic and has prevented public health forces from safely testing and treating patients at scale. The inextricable links between violence and poverty have been well studied and proven: Poor places are more prone to violent conflict and violence further impedes the ability to efficiently address disease outbreaks.
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