Only Guinea is on track to meet the December 1 goal, according to an update from WHO.
In Liberia, only 23 per cent of cases are isolated and 26 per cent of the needed burial teams are in place. In Sierra Leone, about 40 per cent of cases are isolated while 27 per cent of burial teams are operational.
WHO's Dr. Bruce Aylward acknowledged in October that to reach the December 1 goal would be "really pushing the system hard."
"If we don't do it in 60 days and we take 90 days: No. 1, a lot more people will die that shouldn't; and No. 2, we will need that much more capacity on the ground to be able to manage the caseload," said Aylward, who is directing WHO's Ebola response.
The December 1 targets had been met in many places but not all, which was the goal, said Anthony Banbury, who is heading the UN's Ebola response.
"There are still going to be many people who catch the disease and many people who die from it," Banbury said.
Even if the December 1 targets had been reached, WHO and others had predicted Ebola would continue sickening people in West Africa and possibly elsewhere until sometime next year.
Failing to reach the December 1 target now suggests Ebola will spread even further as capacities to respond become even more stretched, according to Oyewale Tomori, of Redeemer's University in Nigeria, who sits on WHO's Emergency Ebola committee.
"We need to redouble our efforts to see what we can do to reduce the spread and catch up with the virus," he said. "Right now, it doesn't look good.
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