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Global Emergency Legal Responses to the 2014 Ebola Outbreak: Public Health and the Law

Published online by Cambridge University Press:  01 January 2021

James G. Hodge Jr. ,
Leila Barraza ,
Gregory Measer  and
Asha Agrawal
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Extract

From their relative obscurity over the past three decades, varied strains of Ebola disease have emerged as a substantial global biothreat. The current outbreak of Ebola, beginning in March 2014 in Guinea, is projected to infect tens of thousands of people before being brought under control. Some estimate the outbreak could exceed 100,000 cases and extend another 12-18 months. Ebola’s spread has the potential to extend across the globe, but is concentrated in several African countries (e.g., Democratic Republic of Congo, Sierra Leone, Liberia, Guinea, Nigeria, and Senegal). Collectively, these countries are home to nearly 290 million people. Among Liberia’s population of 4.1 million, over 1,100 people have already died from Ebola in less than 6 months; by comparison, if this same outbreak and death rate occurred in the United States, over 88,000 Americans would perish.

Type
JLME Column
Information
Journal of Law, Medicine & Ethics , Volume 42 , Issue 4 , Winter 2014 , pp. 595 - 601
Copyright
Copyright © American Society of Law, Medicine and Ethics 2014

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References

CDC, “Outbreaks Chronology, Ebola Hemorrhagic Fever,” available at <http://www.cdc.gov/vhf/ebola/resources/outbreak-table.html#one>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Cumming-Bruce, N. Cowell, A., “Ebola Could Strike 20,000, World Health Agency Says,” New York Times, August 28, 2014, available at <http://www.nytimes.com/2014/08/29/world/africa/ebola-outbreak.html>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Larimer, S., “20,000 cases or 100,000? How Researchers Predict Ebola's Spread,” Washington Post, September 8, 2014, available at <http://www.washingtonpost.com/news/to-your-health/wp/2014/09/08/20000-cases-or-100000-how-researchers-predict-ebolas-spread/>(last visited December 5, 2014).(last visited December 5, 2014).' href=https://scholar.google.com/scholar?q=Larimer,+S.,+“20,000+cases+or+100,000?+How+Researchers+Predict+Ebola's+Spread,”+Washington+Post,+September+8,+2014,+available+at+(last+visited+December+5,+2014).>Google Scholar
Grady, D., “U.S. Scientists See Long Fight Against Ebola,” New York Times, September 12, 2014, available at <http://www.nytimes.com/2014/09/13/world/africa/us-scientists-see-long-fight-against-ebola.html?_r=1&referrer=>(last visited September 15, 2014).(last+visited+September+15,+2014).>Google Scholar
CDC, “2014 Ebola Outbreak in West Africa,” available at <http://www.cdc.gov/vhf/ebola/outbreaks/guinea/>last visited September 10, 2014).last+visited+September+10,+2014).>Google Scholar
CIA, “The World FactBook,” available at <https://www.cia.gov/library/publications/the-world-factbook/>(last visited September 10, 2014).(last+visited+September+10,+2014).>Google Scholar
Id.Google Scholar
WHO, “Ebola Response Roadmap Situation Report 3,” September 12, 2014, available at <http://apps.who.int/iris/bitstream/10665/133073/1/roadmap-sitrep3_eng.pdf?ua=1>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Hayden, E. C., “World Struggles to Stop Ebola,” Nature News, August 26, 2014, available at <http://www.nature.com/news/world-struggles-to-stop-ebola-1.15768>(last visited September 10, 2014).(last+visited+September+10,+2014).>Google Scholar
WHO, “Ebola Virus Disease, West Africa – Update,” August 28, 2014, available at <http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4264-ebola-virus-disease-west-africa-28-august-2014.html>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
WHO, “WHO Statement on the Meeting of the International Health Regulations Emergency Committee Regarding the 2014 Ebola Outbreak in West Africa,” August 8, 2014, available at <http://www.who.int/mediacentre/news/statements/2014/ebola-20140808/en/>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Hodge, J. G., “Emergency Legal Preparedness Concerning Ebola Virus Disease (EVD): A Primer,” The Network for Public Health Law, September 11, 2014, available at <https://www.networkforphl.org/_asset/dzf8u4/Ebola-Outbreak-2014$–Network-Overview.pdf>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Phillip, A., “Oxford Study Predicts 15 More Countries Are at Risk of Ebola Exposure,” Washington Post, September 9, 2014, available at <http://www.who.int/mediacentre/news/ebola/8-september-2014/en/>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Reinberg, S., “U.S. Launches Ebola Vaccine Trial,” HealthDay, September 4, 2014, available at <http://consumer.healthday.com/public-health-information-30/centers-for-disease-control-news-120/ebola-outbreak-still-not-under-control-officials-691432.html>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
MacCalla, A., “Ebola: 5 Questions for a Frontline Healthcare Worker in Sierra Leone,” The Huffington Post, August 1, 2014, available at <http://www.huffingtonpost.com/andrew-maccalla/ebola-5-questions-for-a-f_1_b_5642610.html>(last visited September 11, 2014).(last+visited+September+11,+2014).>Google Scholar
Paye-Layleh, J., “With Supplies Short, Nurses on Liberian Ebola Ward Must Improvise Protective Gear,” Associated Press, September 4, 2014, available at <http://www.usnews.com/news/world/articles/2014/09/04/officials-monitor-200-for-ebola-in-nigeria>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Medecins Sans Frontieres, Ebola, available at <http://www.msf.org/diseases/ebola>(last visited December 5, 2014).UN News Centre, “Ebola: UN Relief Chief Allocates $4 million to Bolster Aid Deliveries in West Africa,” available at <http://www.un.org/apps/news/story.asp?NewsID=48683#.VBMH-sPldWSo>(last visited December 5, 2014).(last+visited+December+5,+2014).UN+News+Centre,+“Ebola:+UN+Relief+Chief+Allocates+$4+million+to+Bolster+Aid+Deliveries+in+West+Africa,”+available+at+(last+visited+December+5,+2014).>Google Scholar
Phillip, A., “How Ebola Is Stealing Attention from Illness That Kill More People,” Washington Post, September 5, 2014, available at <http://www.washingtonpost.com/news/to-your-health/wp/2014/09/05/how-ebola-the-kar-dashian-of-diseases-is-stealing-attention-from-illnesses-that-kill-more-people>(last visited December 5, 2014(last+visited+December+5,+2014>Google Scholar
Institute for Health Metrics and Evaluation, GBD 2010 Heat Map, available at <http://vizhub.healthdata.org/irank/heat.php>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Kaiser Family Foundation, “Global Health Facts,” available at <http://kff.org/global-indicator/malaria-deaths>(last visited September 11, 2014);.(last+visited+September+11,+2014);.>Google Scholar
WHO, “10 Facts on Malaria," available at <http://www.who.int/features/fact-files/malaria/en>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
O'Carroll, L., “Sierra Leone's Planned Ebola Lockdown Could ‘Spread Disease Further,’” The Guardian, September 6, 2014, available at <http://www.theguardian.com/world/2014/sep/06/sierra-leone-lockdown-ebola-outbreak>(last visited September 11, 2014).(last visited September 11, 2014).' href=https://scholar.google.com/scholar?q=O'Carroll,+L.,+“Sierra+Leone's+Planned+Ebola+Lockdown+Could+‘Spread+Disease+Further,’”+The+Guardian,+September+6,+2014,+available+at+(last+visited+September+11,+2014).>Google Scholar
NPR Staff, “Doctors Without Borders: What We Need To Contain Ebola,” NPR, August 19, 2014, available at <http://www.npr.org/blogs/goatsandsoda/2014/08/19/341639702/more-ngos-need-to-be-in-the-field-to-contain-ebola-outbreak>(last visited September 11, 2014).UNICEF, “Every Child Counts,” available at <http://www.unicef.org/sowc2014/numbers/documents/english/SOWC2014_In%20Numbers_28%20Jan.pdf>(last visited December 5, 2014).(last+visited+September+11,+2014).UNICEF,+“Every+Child+Counts,”+available+at+(last+visited+December+5,+2014).>Google Scholar
Hogan, C., “Groups Rush to Avoid Food Crisis in Ebola-Stricken Areas,” Washington Post, August 27, 2014, available at <http://www.washingtonpost.com/national/health-science/groups-rush-to-avoid-food-crisis-in-ebola-stricken-areas/2014/08/27/80285e8a-2d3d-11e4–994d-202962a9150c_story.html>(last visited December 5,2014).(last+visited+December+5,2014).>Google Scholar
Id.Nossiter, A., “Ebola Is Taking a Second Toll, on Economies,” New York Times, September 5, 2014, available at <http://www.nytimes.com/2014/09/06/world/africa/ebola-hurting-african-economies.html?_r=0>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
See Hogan, , supra note 24.Google Scholar
Id.Google Scholar
The Economist, “The Cost of a Pandemic Ebola's Economic Impact,” September 3, 2014, available at <http://www.economist.com/blogs/baobab/2014/09/costs-pandemic>(last visited December 5, 2014).(last visited December 5, 2014).' href=https://scholar.google.com/scholar?q=The+Economist,+“The+Cost+of+a+Pandemic+Ebola's+Economic+Impact,”+September+3,+2014,+available+at+(last+visited+December+5,+2014).>Google Scholar
Id.Google Scholar
Ahmed, A. S. Weber, L., “Cost to Stop Ebola Outbreak Is Soaring, U.N. Experts Warn,” Huffington Post, September 3, 2014, available at <http://www.huffingtonpost.com/2014/09/03/ebola-outbreak-cost_n_5761326.html>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Hodge, J. G. Anderson, E. D., “Principles and Practice of Legal Triage during Public Health Emergencies,” NYU Annual Survey of American Law 64, no. 2(2008): 249–291.Google Scholar
See CIA, supra note 6.Google Scholar
Sirleaf, E. J., “Special Statement by President Ellen Johnson Sirleaf on Additional Measures in the Fight against the Ebola Virus Disease,” The Executive Mansion, July 30, 2014, at 1, available at <http://www.emansion.gov.lr/doc/Special_State_Delivered_July%2030.pdf>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Nossiter, A., “Sierra Leone Deploys Troops in Ebola Crisis,” New York Times, August 5, 2014, available at <http://www.nytimes.com/2014/08/06/world/africa/sierra-leone-deploys-troops-in-ebola-crisis.html>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
“Ebola Outbreak: Nigeria Closes All Schools Until October,” BBC News Africa, August 27, 2014, available at <http://www.bbc.com/news/world-africa-28950347>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
International SOS, “Guinea,” available at <https://www.internationalsos.com/ebola/index.cfm?content_id=395&language_id=ENG>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
See Sirleaf, supra note 33.Google Scholar
Id.Google Scholar
The Constitution of Sierra Leone, Act. No. 6, § 29(5) (1991), available at <http://www.sierra-leone.org/Laws/constitution1991.pdf>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
See Guinea's Constitution of 2010, title 2, art. 6, Constitute Project, at 6, available at <https://www.constituteproject.org/constitution/Guinea_2010.pdf>(last visited December 5, 2014).(last visited December 5, 2014).' href=https://scholar.google.com/scholar?q=See+Guinea's+Constitution+of+2010,+title+2,+art.+6,+Constitute+Project,+at+6,+available+at+(last+visited+December+5,+2014).>Google Scholar
See Constitution of the Federal Republic of Nigeria, § 45(1)(a) (1999), available at <http://www.wipo.int/wipolex/en/text.jsp?file_id=179202>.The Constitution of Sierra Leone, Act. No. 6, § 26(2)(a)(i)> (1991), available at <http://www.sierra-leone.org/Laws/constitution1991.pdf>(all last visited December 5, 2014)..The+Constitution+of+Sierra+Leone,+Act.+No.+6,+§+26(2)(a)(i)>+(1991),+available+at+(all+last+visited+December+5,+2014).>Google Scholar
See Constitution of the Federal Republic of Nigeria, § 43(2)(d) (1999), available at <http://www.wipo.int/wipolex/en/text.jsp?file_id=179202>.The Constitution of Sierra Leone, Act. No. 6, § 19(2)(d) (1991), available at <http://www.sierra-leone.org/Laws/constitution1991.pdf>.The Constitution of the Republic of Liberia, § 12 (1986), available at <http://www.liberianlegal.com/constitution1986.htm>(both last visited December 5, 2014)..The+Constitution+of+Sierra+Leone,+Act.+No.+6,+§+19(2)(d)+(1991),+available+at+.The+Constitution+of+the+Republic+of+Liberia,+§+12+(1986),+available+at+(both+last+visited+December+5,+2014).>Google Scholar
WHO, “Ebola Situation in Liberia: Non-Conventional Interventions Needed,” September 8, 2014, available at <http://www.who.int/mediacentre/news/ebola/8-september-2014/en/>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
See Constitution of the Federal Republic of Nigeria, § 45(1)(a) (1999), at available at <http://www.wipo.int/wipolex/en/text.jsp?file_id=179202>The Constitution of Sierra Leone, Act. No. 6, § 29(6)(a) (1991), available at <http://www.sierra-leone.org/Laws/constitution1991.pdf>.The Constitution of the Republic of Liberia, § 13 (1986), available at <http://www.liberianlegal.com/constitution1986.htm>(all last visited December 5, 2014).The+Constitution+of+Sierra+Leone,+Act.+No.+6,+§+29(6)(a)+(1991),+available+at+.The+Constitution+of+the+Republic+of+Liberia,+§+13+(1986),+available+at+(all+last+visited+December+5,+2014).>Google Scholar
Onishi, N., “Clashes Erupt as Liberia Sets an Ebola Quarantine,” New York Times, August 20, 2014, available at <http://www.nytimes.com/2014/08/21/world/africa/ebola-outbreak-liberia-quarantine.html?_r=0>(last visited September 11, 2014).(last+visited+September+11,+2014).>Google Scholar
MacDougall, C., “Liberian Government's Blunders Pile Up in the Grip of Ebola,” Time, September 2, 2014, available at <http://time.com/3247089/liberiawest-point-quarantine-monrovia/>(last visited December 5, 2014).(last visited December 5, 2014).' href=https://scholar.google.com/scholar?q=MacDougall,+C.,+“Liberian+Government's+Blunders+Pile+Up+in+the+Grip+of+Ebola,”+Time,+September+2,+2014,+available+at+(last+visited+December+5,+2014).>Google Scholar
Id.Google Scholar
Nossiter, A., “Sierra Leone to Impose 3-Day Ebola Quarantine, New York Times, September 6, 2014, available at <http://www.nytimes.com/2014/09/07/world/africa/sierra-leone-to-impose-widespread-ebolaquarantine.html>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Carter, C. J. Fofana, U., “Sierra Leone Plans Nationwide Lockdown to Stop Spread of Ebola,” CNN, September 8, 2014, available at <http://www.cnn.com/2014/09/06/world/africa/sierra-leone-ebola-lockdown/>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Hodge, J. G., “Public Health Emergency Legal Preparedness & Response,” in Public Health Law in a Nutshell (St. Paul: West Academic Publishing, 2014): At 227–247.Google Scholar
Gostin, L. O. Lazzarini, Z., eds., Human Rights and Public Health in the AIDS Pandemic (New York: Oxford University Press, 1997).Google Scholar
Cetron, M.et al, “Isolation and Quarantine: Containment Strategies for SARS 2003”, in Learning from Sars: Preparing for the Next Disease Outbreak (Washington, D.C.: The National Academies Press, 2004): 71–83, at 78.Google Scholar
Gostin, L., “JAMA Forum: Tackling the Ebola Epidemic,” news@JAMA, August 19, 2014, available at <http://newsatjama.jama.com/2014/08/19/jamaforum-tackling-the-ebola-epidemic/>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
UNICEF, “Liberia Ebola Virus Disease: Sit Rep #36,” July 14, 2014, available at <http://reliefweb.int/sites/reliefweb.int/files/resources/UNICEF%20Liberia%20SitRep%20%2336%20Ebola%20Viral%20Disease%20-%2014%20July%202014.pdf>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
“Ebola Crisis: Liberia ‘Faces Huge Surge’ says WHO,” BBC News Africa, September 8, 2014, at 1, available at <http://www.bbc.com/news/world-africa-29115298>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Fofana, U. MacDougall, C., “Sierra Leone Army Blockades Ebola Areas, Liberia Declares Emergency,” Reuters, August 7, 2014, available at <http://www.reuters.com/article/2014/08/07/us-health-ebola-africa-idUSK-BN0G70WW20140807>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
APA, “Liberia: Border Guards Given Shoot-on-Site Orders,” Star Africa, August 18, 2014, available at <http://en.starafrica.com/news/liberia-border-guards-given-shoot-on-sight-orders.html>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
“Flight Restrictions Hamper Ability to Battle Ebola, UN Cautions,” UN News Centre, August 25, 2014, available at <http://www.un.org/apps/news/story.asp?NewsID=48555#.U_3OzJXn-1t>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar
Lewis, D., “Sierra Leone Lockdown Will Not Help Halt Ebola,” Reuters, September 6, 2014, available at <http://www.reuters.com/article/2014/09/06/us-health-ebola-idUSKBN0H10ID20140906>(last visited December 5, 2014).(last+visited+December+5,+2014).>Google Scholar