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The outbreak of pandemic influenza A (H1N1) found countries scrambling for access to vaccines, an unseemly process that led the World Health Organization to call for a new "global framework" on equitable influenza vaccine access.

A senior European diplomat in Geneva involved in health issues, who was not authorized to speak publicly, lamented the limited international response. “The scale of the epidemic is what the international community is still not getting,” the diplomat said. “It’s becoming obvious that what you need is to scale up by a factor of 20. There’s not enough international coordination and imagination going into this.”

uba sent 165 doctors and nurses last week, China has expanded a medical team deployed there, and British personnel are scouting sites for at least five new centers and 700 additional beds that will bring the total closer to the World Health Organization’s target of about 1,300 beds.

United States delivers on a pledge to provide up to 17 100-bed units, said Dr. Ian Norton, who is coordinating foreign medical teams for the W.H.O. In Guinea, the W.H.O. says there are four treatment centers working with 160 beds available, with 100 more beds needed.

The spread of Ebola virus occurs because health infrastructure in the region is fragmented, under-resourced, or non-existent. And the therapeutic response to the illness is constrained by failure of markets to drive drug and vaccine development that would help the world’s

But drugs and a vaccine are being sent to the region, after a ruling from an ethics panel convened by the World Health Organization decided their use was acceptable even though they haven’t been definitively shown to be safe or effective.

Think about it this way: if Ebola virus outbreaks had occurred in New York, London, or Sydney, effective therapies surely would have been developed long ago.

While many have emphasized the enormous assistance hauled into the region by the United States and international organizations, there is strong evidence, especially here in Monrovia, that the biggest change came from the precautions taken by residents themselves.“Fundamentally, this is about the extent to whi

Reeling from the explosion of infections in August, volunteer Ebola watchdog groups sprang up in many neighborhoods, typically overseen by local elders and led by educated youths, drawing from a long history of community organizing to survive war, poverty and government neglect.

“Heroes emerged in every community,” said Dr. Mosoka Fallah, a Harvard-trained Liberian epidemiologist who often acted as a liaison between neighborhoods and the government. “The volunteer task forces may be the biggest reason behind the drop in October.”