Ebola virus recently landed in the United States, The Bill and Melinda Gates Foundation of Bill Gates has always paid attention to public health care investment. It has also attracted the attention of people from all over the world. The Bill and Melinda Gates Foundation of Bill Gates has always paid attention to public health care investment. Not long ago, he also donated 50 million US dollars to the battle to control Ebola. However, In an interview with Gates the other day, I think it is quite impressive what’s being pulled together, But carelessly attracted a lot of criticism. I have to say, Bill Gates was a little careless, As the international community responded to the Ebola crisis, Looking back now is really a little slow, Moreover, there was a lack of coordination in action. Until early August, The World Health Organization (WHO) realized the seriousness of the problem, An emergency committee meeting on the matter was convened, It is recommended that the countries concerned enter a state of emergency. [1] Speaking, Since the outbreak of the plague in India in 1994 and the appeal to WHO for help, WHO is the international coordinator for such emergencies, And is playing a growing role in such incidents. Now in the face of the Ebola epidemic, Naturally, WHO cannot escape the blame. However, although WHO Assistant Director General Keiji Fukuda frankly admitted that WHO had not responded well to this matter, he still said bluntly, “If this is just an ordinary epidemic, WHO’s actions will not be criticized so much.” To put it bluntly, WHO itself has something to say, that is, money. Bill Gates donated 50 million yuan, which is probably on the order of what? WHO estimated in August that it would take nearly $500 million to control Ebola. Today, a month later, this estimate has risen to $1 billion. Doctors Without Borders estimates that it will take about $60 million to maintain its relief operations in Africa alone until the end of the year. How much does WHO have its own funds? Less than $4 billion. In its own budget for the 2014-2015 fiscal year, WHO has a total budget of about $1.2 billion for epidemic prevention and control, of which $700 million is accounted for by polio alone. Less than $40 million is specifically spent on epidemic response and emergency crisis control in Africa. [2] This money is definitely small. How much is it? The U.S. Government’s Centers for Epidemic Disease Control (CDC) has a budget of 6 billion U.S. Dollars a year. Why is this so? The immediate cause, Is the 2008 economic crisis, And the slow recovery that followed. WHO’s funding sources, In fact, it is not the contributions paid by various countries, This part now accounts for only 20% of WHO funds, The remaining 80%, To their own governments and private donations. But when the economic crisis comes, Everyone lives within their means, I don’t want to donate money to WHO. For example, From 2010 to 2013, Contributions from the U.S. Government to WHO in addition to membership fees, From $280 million to $180 million. Calculated, In 2011, The funds were cut by 1 billion dollars. Without the money, Of course we will cut people down. According to a report in the New York Times [3], Outbreaks and emergency response departments bear the brunt, He was cut down the most, The Department of Epidemiology and Epidemic Response was simply shut down. Keiji Fukuda said that compared with the 2009 H1N1 flu, He has 35% fewer men, People who study epidemics and plagues, Even the secretary, There are only 52 people. The department responsible for emergency response, Ninety-four people were cut down to 34. No one, WHO can only make strategic adjustments, Now that I am unable to do so, From direct participation, It has become to help countries establish their own epidemic protection systems. To become a complete coordinator. This idea is certainly valid for countries with good public health foundation, For the large number of African countries that are still struggling for food and clothing, It’s just a slogan. WHO itself is aware of this, In its objectives, Although it is hoped that all countries will be able to respond to emergencies within five days by 2015, But it did not give any bottom line. Because by at least 2012, Only 20% of the countries can cope with the corresponding crisis on their own. Like Sierra Leone, There are only two doctors per 100,000 people, There is only one person in Liberia, Ordinary medical care cannot guarantee it, This goal is naturally only a dream. WHO’s strategy, It is estimated that in the event of a [common epidemic] like what Keiji Fukuda said, It may not be a big problem, But this time the Ebola virus, The attack is the weakest link in WHO’s new defense system. Controlling Ebola virus, Patients need to be closely monitored, Timely isolation, Only in this way can the potential epidemic situation be reasonably estimated and effectively controlled. According to WHO estimates, Only 8% of patients have received such treatment. In response to the Ebola epidemic, Only M é decins Sans Fronti è res in the West has had real experience. As a result, It is not possible to make timely and accurate estimates of the epidemic situation, It is also impossible to respond effectively after the outbreak. (I would like to praise Bill Gates’ foundation, The Polio Emergency Command Center established for Nigeria in 2012 has now been transformed into an Ebola Emergency Operations Center. It has made an important contribution to Nigeria’s effective control of the Ebola epidemic. This may be part of the reason that Gate is satisfied. It can be said that WHO chose to gamble because it has no money. However, it is difficult for a skillful woman to cook without rice. In the end, this bowl of rice is smelly, but everyone still has to eat it. 1. Http://www.who.int/about/resources_planning/A66_7-en.pdf3. Http://www.nytimes.com/2014/09/04/world/africa/cuts-at-who-hurt-response-to-ebola-crisis.html