"Until the last case of Ebola is under treatment, we have to stay on full alert," Dr. David Nabarro said in an interview with The Associated Press. "It's still bad."
A month ago, Nabarro said the number of Ebola cases was probably doubling every three-to-four weeks and warned that without a mass global mobilization, "the world will have to live with the Ebola virus forever." He said then that the response needed to be 20 times greater.
Ebola has killed nearly 5,000 people in West Africa.
Nabarro said there are five times the number of beds for treatment in hardest-hit Sierra Leone, Liberia and Guinea than there were two months ago, helping to reduce the number of cases and improving efforts to find suspected infections and trace their contacts.
Nabarro pointed to two other positive signs: The extraordinary global response in the last month and the mobilization of local communities in the three countries as a result of massive media campaigns and house-to-house "sensitization efforts" involving traditional leaders.
But Nabarro said it is too early to say the worst is over, noting that in Ebola and other diseases sometimes a reduction in cases can suddenly be followed by an upsurge, "like a fire reigniting."
"So I must stress to you that we are really not saying to the world that the job is even half done or a quarter done," he said.
"We're simply saying we had a strategy and the strategy predicted that as things got implemented, numbers of cases wouldn't increase at the rate they were increasing in August and September," Nabarro said.
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