J.J. Dossen Memorial Hospital, on the southeastern tip of this nation recently declared free of Ebola, has three doctors and spotty electricity. Sixteen of its 46 nurses left during the Ebola crisis. When two motorcycle accident victims needed X-rays, the hospital dispatched them in its only ambulance on a bumpy eight-hour ride to the nearest facility with a machine.
The deadly disease may have receded, but it is still exacting a heavy toll. Run-down, poorly staffed and equipped health facilities allowed Ebola to explode. Since it was identified in early 2014, the epidemic has claimed the lives of 507 health-care workers in three West African countries, all of which already were short of medical professionals. The health-care system was so overwhelmed with Ebola victims that many other patients couldn’t receive care for malaria, heart disease or pregnancy complications. That bill is coming due.
“There are more people who are going to die from Ebola, but not have Ebola,” says Paul Farmer, a Harvard professor and co-founder of the Boston-based charity Partners in Health.