Ebola

Lord Crisp Excerpts

Thursday 6th November 2014 Lords Chamber

[Lord Crisp (CB)]

My Lords, the noble Baroness, Lady Kinnock, set out very cogently the big picture and the underlying issues. I want to pick up a small but important element in the international response. Let me say how good it is to see the UK leading the way but how disappointing it is to see that some other countries seem to have adopted a fortress mentality, which is short-sighted and contrary to both best practice and international agreements on tackling global epidemics.

I turn to my specific point. I declare an interest as chair of the King’s Centre for Global Health advisory board. King’s has been working in Sierra Leone for two years and is one of the very few organisations that stayed in the country when Ebola broke out. Its team has played a central role in the multiagency effort in the country, and now has very considerable experience. Noble Lords may recall that the King’s programme leader, Dr Oliver Johnson, was previously policy director for the All-Party Parliamentary Group on Global Health, a number of whose members are in the House at the moment.

The King’s team had to work with what was available at the start of the epidemic. Its members created an isolation facility out of the rooms and equipment that they had to hand. As a result, they have developed an approach that engages local people alongside international workers and can be scaled up both quickly and cheaply. They have had 600 people through their unit, of whom 300 have tested positive—that is one-quarter of all those infected in Freetown. There have, however, been no infections of local or international staff in the unit.

Such a scale-up would involve creating small local units for treating people with the minimum of facilities and staff. King’s argues that, while the large, well equipped facilities such as the Kerry Town unit are very welcome, in the short run at least there is also a need for the immediate construction of small facilities that can be operational very quickly and reach into smaller communities. They also have the advantage of maintaining greater local control, rather than just being about international aid. What is Her Majesty’s Government’s view on this? Will they support the further development of these sorts of facilities? Moreover, I have learnt today that seconded NHS staff are going to be allowed to work only in the big units. Is that the case? Will they be allowed to work in these smaller units as well?

I add my praise to the praise that others have already given to the work of so many UK and other volunteers who have shown remarkable courage, as well as skill, in doing the wonderful work that they are doing.