World can’t find pocket change to fight Zika

Filed under HEALTH

Governments and philanthropies have pledged just $4.1 million to date, with donations from Australia, Canada, Japan, New Zealand, Norway and the Bill & Melinda Gates Foundation. The U.S., U.K. and major powers of the European Union haven’t contributed at all.

BY JOHN TOZZI
BLOOMBERG NEWS/TNS

NEW YORK — More than five months after President Barack Obama requested $1.9 billion to fight the Zika epidemic, members of Congress went home to July 4 barbecues without approving a spending bill.

Dr. Megumi Itoh, left, an epidemic intelligence officer with the CDC, measures the head of then-5-month-old Adrielly Rufino, as she is held by her mother, Maria Girdielly, 17, earlier this year. It was part of the CDC and Brazil’s Ministry of Health case-control study investigating the association between women having the Zika virus when they are pregnant, and the effects they are seeing of microcephaly in babies.(KATIE FALKENBERG/LOS ANGELES TIMES/TNS)

Dr. Megumi Itoh, left, an epidemic intelligence officer with the CDC, measures the head of then-5-month-old Adrielly Rufino, as she is held by her mother, Maria Girdielly, 17, earlier this year. It was part of the CDC and Brazil’s Ministry of Health case-control study investigating the association between women having the Zika virus when they are pregnant, and the effects they are seeing of microcephaly in babies.
(KATIE FALKENBERG/LOS ANGELES TIMES/TNS)

While Washington’s dysfunction is predictable given the current electoral climate, less noticed has been the global inertia facing efforts to combat the mosquito-borne disease.

The World Health Organization has only $7.9 million dedicated to fight Zika, which is spreading in 60 countries and blamed for more than 1,600 serious birth defects, mostly in Brazil.

The planet has never seen a mosquito-borne virus that causes microcephaly, resulting in babies born with small heads and brain damage. In the Americas, Zika is racing through populations that have never been exposed before and thus haven’t developed any natural immunity.

No surge
To put the lack of funding in perspective: The three-month Olympic torch relay that ends with the start of the games in Rio de Janeiro this summer, sponsored by the Coca-Cola Co., Nissan Motor Co., and Brazil’s Banco Bradesco SA, has a bigger budget than the WHO’s strategy to fight Zika over two years.

“Activities proposed by WHO and its partners have been underfunded to date, and without sufficient funding the response is likely not to succeed,” the WHO wrote in its Zika Strategic Response Plan.

One lesson from the Ebola epidemic in West Africa is that the world must respond swiftly to outbreaks, said Anne Schuchat, principal deputy director of the U.S. Centers for Disease Control and Prevention.

“We need the world to surge, and we can’t wait for all the politics and all the issues to get worked out,” Schuchat said in a June interview. While health authorities are responding with the money they have, no surge has materialized. “It’s a little bit stalled right now, in terms of that real response.”

Who gave
The WHO, part of the United Nations, sought $25 million for the first six months of the crisis, which it declared an international public health emergency on Feb. 1.

Governments and philanthropies have pledged just $4.1 million to date, with donations from Australia, Canada, Japan, New Zealand, Norway and the Bill & Melinda Gates Foundation. The U.S., U.K. and major powers of the European Union haven’t contributed at all.

To try to make up for the shortfall, the WHO borrowed another $3.8 million from an emergency fund established after the Ebola epidemic — a fund set up because of the delay in funding and inadequate global response to that crisis.

The Geneva-based organization said it expects to require another $122 million for Zika through the end of next year. “We have to shuffle funds and staff from other programs to be able to support the response,” WHO spokeswoman Nyka Alexander said in an email. “This is not sustainable long term.”

Not equipped
The situation shows that the one global health authority charged with battling epidemics isn’t equipped for the challenge, said Lawrence Gostin, professor of global health law at Georgetown Law.

“If you look at its record in response to diseases, whether it’s yellow fever, Ebola, now Zika, you’ll find that they constantly underestimate the amount that it will cost, and then are unable to mobilize the funding for the small amounts that they even said they need,” Gostin said.

“The WHO “doesn’t have the political clout or leadership to actually get donors and particularly countries to invest in ongoing crises.”

The world consistently underinvests in preparation for outbreaks, resulting in real economic harm, he said.

In January, a commission on global health security estimated that the world should invest $4.5 billion a year for pandemic preparedness to avert after-the-fact costs that can reach 10 times that sum.

“We don’t perceive a health crisis until it’s actually here, in which case it’s too late,” said Gostin, who sat on the commission.

More disease
The World Bank made $150 million in financing available to Zika-affected countries in February.

That followed the development bank’s calculation that the short-term economic costs of Zika would be about $3.5 billion, an estimate “predicated on a swift, well-coordinated international response.”

Such a response hasn’t come to pass. A separate mechanism called the UN Zika Response Multi-Partner Trust Fund was announced May 6 to provide “a rapid, flexible and accountable platform to support a coordinated response from the U.N. system and partners,” according to the organization.

So far, the fund remains empty.

The gridlock in Washington and impotence in Geneva show the world is working without an insurance policy for unexpected infectious outbreaks. There’s no pot of money to pay for surveillance, testing, public education, mosquito control, vaccine research and development, and medical care.

The stalled flow of funds has real consequences.

“We’re simply just going to see more disease,” said Oscar Alleyn, senior adviser for public health programs at the National Association of County & City Health Officials. “With more disease we’re going to see a lot more children with negative birth outcomes.”

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