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 "The reality is that this epidemic is going to get worse before it
gets better," Obama said at the Atlanta headquarters of the U.S.
Centers for Disease Control and Prevention (CDC).
"But, right now, the world still has an opportunity to save
countless lives. Right now, the world has the responsibility to act,
to step up and to do more. The United States of America intends to
do more," he added.
The U.S. plan, a dramatic expansion of Washington's initial response
last week, won praise from the U.N. World Health Organization, aid
workers and officials in West Africa. Experts said it was still not
enough to contain the epidemic, which is rapidly spreading and has
caused already-weak local public health systems to buckle under the
strain of fighting it.
U.S. officials said the focus of the military deployment would be
Liberia, a nation founded by freed American slaves that is the
hardest hit of the countries affected by the crisis.
Obama's plan calls for sending 3,000 troops, including engineers and
medical personnel; establishing a regional command and control
center in Liberia's capital, Monrovia, commanded by Major General
Darryl Williams, who arrived there on Tuesday; and forming a staging
area in Senegal to help distribute personnel and aid on the ground.
It also calls for building 17 treatment centers with 100 beds each;
placing U.S. Public Health Service personnel in new field hospitals
in Liberia; training thousands of healthcare workers for six months
or longer; and creating an "air bridge" to get health workers and
medical supplies into West Africa more quickly.
Late on Tuesday, an Obama administration official, speaking on
condition of anonymity, said the Defense Department would ask
Congress to approve another $500 million in funds to be reallocated
from fiscal 2014 to help cover the mission's costs.
Added to the $500 billion sought earlier to be moved from the
previous fiscal year for Ebola and fighting Islamic State militants
in Iraq, up to $1 billion would be available to be spent on the
Ebola response.
This was separate from $175 million already dedicated to the effort,
and $88 million being sought in Congress this week as a stopgap
measure, the official noted.
The worst Ebola outbreak since the disease was identified in 1976
has already killed nearly 2,500 people and is threatening to spread
elsewhere in Africa.
Obama said "the world is looking to us" to take the lead against
Ebola, but urged other nations also to take action because the
epidemic is "spiraling out of control" and "people are literally
dying in the streets."
The White House said the troops will not be responsible for direct
patient care. Amid concern about infections, Obama said the "safety
of our personnel will remain a top priority." He also said the
"chances of an Ebola outbreak here in the United States are
extremely low."
GLOBAL SECURITY
Obama said that if the outbreak is not stopped now, hundreds of
thousands of people may become infected, "with profound political
and economic and security implications for all of us."
"This is an epidemic that is not just a threat to regional security.
It’s a potential threat to global security, if these countries break
down, if their economies break down, if people panic. That has
profound effects on all of us, even if we are not directly
contracting the disease," Obama added.
The WHO praised the U.S. plan for providing support to the United
Nations and other international partners to help authorities in
Guinea, Liberia, Sierra Leone, Nigeria and Senegal contain the
outbreak.
"This massive ramp-up of support from the United States is precisely
the kind of transformational change we need to get a grip on the
outbreak and begin to turn it around," Dr. Margaret Chan, WHO's
director-general, said in a statement.
Earlier, a senior WHO official said the Ebola outbreak requires a
much faster response to limit its spread to tens of thousands of
cases.
"We don't know where the numbers are going on this," WHO Assistant
Director-General Bruce Aylward told a news conference in Geneva,
calling the crisis "unparalleled in modern times."
The initial U.S. response last week had focused on providing funding
and supplies, drawing criticism from aid workers for not deploying
manpower as in other disasters like earthquakes.
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Obama's announcement marks his second within a week of a new mission
for the U.S. military, following last week's speech outlining a
broad escalation of the campaign against the Islamic State militant
group in Iraq and Syria.
During a congressional hearing in Washington, CDC official Beth Bell
said the "window of opportunity" to control Ebola's spread is
closing, while both Democratic and Republican lawmakers voiced
support for funding the fight against the virus.
"We need to declare a war on Ebola," Republican Senator Jerry Moran
said.
'WELCOME NEWS'
Liberians hailed the word that U.S. troops were coming, recalling a
military operation in 2003 that helped stabilize the country during
a civil war.
"This is welcome news. This is what we expected from the U.S. a long
time ago," Anthony Mulbah, a student at the University of Monrovia,
said in the dilapidated oceanfront capital. "The U.S. remains a
strong partner to Liberia."
In Liberia, a shortage of space in clinics for isolating victims
means patients are being turned away, then infecting others.
Ebola spreads rapidly, causes fever and uncontrolled bleeding.
The virus has so far killed 2,461 people, half of the 4,985 people
infected, and the death toll has doubled in the past month, WHO's
Aylward said.
The outbreak was first confirmed in the remote forests of
southeastern Guinea in March, then spread across Sierra Leone and
Liberia. A handful of Ebola deaths have been recorded in Nigeria,
Africa's most populous country.
The disease has crippled weak health systems, infecting hundreds of
local staff in a region chronically short of doctors. The WHO has
said that 500 to 600 more foreign experts and at least 10,000 more
local health workers are needed.
"It is not enough to provide protective clothing when you don't have
the people who will wear them," Ghana's President John Dramani
Mahama said during a visit to Sierra Leone.
The U.S. intervention comes as the pace of cash and emergency
supplies dispatched to the region accelerates.
Before Tuesday, Washington had sent about 100 health officials and
committed some $175 million in aid. Other nations, including Cuba,
China, France and Britain; have pledged medical workers, health
centers and other forms of support.
Critics, including regional leaders, former U.N. Secretary-General
Kofi Annan and Peter Piot, one of the scientists who discovered
Ebola in 1976; have said international efforts so far have fallen
woefully short.
"It is now up to other governments to equally scale up their support
in Sierra Leone and Guinea," Piot, now director of the London School
of Hygiene and Tropical Medicine, told Reuters.
Many neighboring African countries have closed their borders and
canceled flights to affected countries, making the humanitarian
response more difficult.
A draft U.N. Security Council resolution on Ebola, obtained by
Reuters, calls on U.N. member states, particularly in the region, to
lift general travel and border restrictions. The resolution could
win approval later this week.
(Additional reporting by Tom Miles and Stephanie Nebehay in Geneva,
Umaru Fofana in Freetown, Alphonso Toweh, David Lewis in Dakar,
Sharon Begley in New York and Roberta Rampton, Susan Heavey and Eric
Walsh in Washington; Writing by Will Dunham; Editing by Daniel
Flynn, Peter Graff and Jonathan Oatis)
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