PMC:4693303 / 12167-15324
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/4693303","sourcedb":"PMC","sourceid":"4693303","source_url":"https://www.ncbi.nlm.nih.gov/pmc/4693303","text":"SOCIOECONOMIC IMPACT OF EBOLA\nIn Sierra Leone, Guinea, and Liberia the Ebola outbreak has affected a broad range of socioeconomic parameters. The virus to date has caused 28,256 confirmed cases and 11,306 deaths (of which 513 were healthcare workers).[33] Age groups most impacted were those under the age of six and older than 16 years of age.[533] Table 2 compares general population health characteristics of the countries hardest hit by the 2014-2015 Ebola outbreak to the population characteristics of the United States. Figure 4 demonstrates that children between the ages of 10 and 15 years appear to have the lowest case fatality rate.[5] Figure 4 also shows that highest fatality rates were seen among patients \u003c5 years of age and those \u003e45 years of age.[5]\nTable 2 Country comparison of population health characteristics in 2014[343536]\nFigure 4 Comparison of case fatality rates of Ebola virus across various ages groups[5] Observed gross domestic product (GDP) growth rates from 2013 to 2014 drastically declined in each West African nation affected by the outbreak [Figure 5].[343536] The corresponding decline in current account balance can be attributed to the combination of slowing economic growth and significant costs associated with providing medical care to acutely ill patients and containing the spread of Ebola. Healthcare expenditures of the three most affected nations rose substantially throughout the course of the outbreak, noting that the “baseline” percentage of GDP spent on healthcare was 11.8%, 4.7%, and 10% in Sierra Leone, Guinea, and Liberia, respectively.[343536] The percentage of the population living below poverty level in 2014 was 70.2%, 47.0%, and 68.8% in Sierra Leone, Guinea, and Liberia, respectively [Figure 6].[343536]\nFigure 5 Gross domestic product growth rate percentages from 2012 to 2014 for Sierra Leone, Guinea, and Liberia[343536]\nFigure 6 Recent data reflecting key socioeconomic parameters for the countries most affected by the 2014-2015 Ebola outbreak[343536] In order to assist the public health sector in the most affected areas of West Africa, the World Bank developed the Ebola Recovery Response Plan with the objective to “…eradicate Ebola, restore basic socioeconomic services across countries, and lift economic growth rate.”[37] The plan centered around two pillars:\n(a) Immediate recovery strategies and\n(b) Building national systems for resilience and sustainable development.[37]\nThe World Bank estimates that this plan will require approximately $219 million US dollars to ensure sustained control of the outbreak.[37] Preliminary cost for immediate recovery programs is estimated at around $625 million. Therefore, the total costs for the recovery plan will be approximately $844 million.[37] The World Bank has developed specific response teams for each of the West African nations affected by the Ebola outbreak.[373839] The overall framework will also involve the WHO, the United States government, various public health coalitions, as well as other third party organizations to secure the funds needed for the development, initiation, and successful execution of this plan.","divisions":[{"label":"title","span":{"begin":0,"end":29}},{"label":"p","span":{"begin":30,"end":766}},{"label":"table-wrap","span":{"begin":767,"end":847}},{"label":"label","span":{"begin":767,"end":774}},{"label":"caption","span":{"begin":776,"end":847}},{"label":"p","span":{"begin":776,"end":847}},{"label":"figure","span":{"begin":848,"end":936}},{"label":"label","span":{"begin":848,"end":856}},{"label":"caption","span":{"begin":858,"end":936}},{"label":"p","span":{"begin":858,"end":936}},{"label":"p","span":{"begin":937,"end":1771}},{"label":"figure","span":{"begin":1772,"end":1892}},{"label":"label","span":{"begin":1772,"end":1780}},{"label":"caption","span":{"begin":1782,"end":1892}},{"label":"p","span":{"begin":1782,"end":1892}},{"label":"figure","span":{"begin":1893,"end":2026}},{"label":"label","span":{"begin":1893,"end":1901}},{"label":"caption","span":{"begin":1903,"end":2026}},{"label":"p","span":{"begin":1903,"end":2026}},{"label":"p","span":{"begin":2027,"end":2341}},{"label":"p","span":{"begin":2342,"end":2379}},{"label":"p","span":{"begin":2380,"end":2457}}],"tracks":[{"project":"TEST0","denotations":[{"id":"26752867-238-243-1465713","span":{"begin":345,"end":346},"obj":"[\"25806936\"]"},{"id":"26752867-235-240-1465714","span":{"begin":644,"end":645},"obj":"[\"25806936\"]"},{"id":"26752867-121-126-1465715","span":{"begin":764,"end":765},"obj":"[\"25806936\"]"},{"id":"26752867-76-81-1465716","span":{"begin":934,"end":935},"obj":"[\"25806936\"]"}],"attributes":[{"subj":"26752867-238-243-1465713","pred":"source","obj":"TEST0"},{"subj":"26752867-235-240-1465714","pred":"source","obj":"TEST0"},{"subj":"26752867-121-126-1465715","pred":"source","obj":"TEST0"},{"subj":"26752867-76-81-1465716","pred":"source","obj":"TEST0"}]},{"project":"2_test","denotations":[{"id":"26752867-25806936-60482779","span":{"begin":345,"end":346},"obj":"25806936"},{"id":"26752867-25806936-60482780","span":{"begin":644,"end":645},"obj":"25806936"},{"id":"26752867-25806936-60482781","span":{"begin":764,"end":765},"obj":"25806936"},{"id":"26752867-25806936-60482782","span":{"begin":934,"end":935},"obj":"25806936"}],"attributes":[{"subj":"26752867-25806936-60482779","pred":"source","obj":"2_test"},{"subj":"26752867-25806936-60482780","pred":"source","obj":"2_test"},{"subj":"26752867-25806936-60482781","pred":"source","obj":"2_test"},{"subj":"26752867-25806936-60482782","pred":"source","obj":"2_test"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"TEST0","color":"#93d5ec","default":true},{"id":"2_test","color":"#ece993"}]}]}}