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But it is only now, four or six months later, that the great machine of the so-called "international community", the United Nations, is lumbering into action.

Imagine trying to set up and run a medium sized multinational company. But then imagine trying to set it up in countries with very bad roads and electricity supply, dodgy telecommunications and mostly badly-educated populations

To establish your "multinational company" you have to do some mundane tasks. You have to bring in people from all over the world. Then you have to feed and house them. You have to get them cars and desks and telephones. You have to make sure each bit of the machine knows what the other bits are doing. And that's before your aid workers can move to the front line and actually do their job.

"We are losing the battle," World Bank chief Jim Yong Kim warned, blaming a lack of international solidarity in efforts to stem the epidemic.

"Certain countries are only worried about their own borders," he told reporters in Paris.

The East African Community bloc comprising Burundi, Kenya, Rwanda, Uganda and Tanzania announced it was sending more than 600 health workers to Guinea, Liberia and Sierra Leone.