With Ebola, we need to learn from past failures | Letters

Readers respond Devi Sridhar’s call for the world to act now over the outbreak in the Democratic Republic of the Congo

Devi Sridhar is right that this Ebola outbreak needs urgent attention (Ebola in the DRC needs the world’s attention now – if your neighbour’s house is on fire, you don’t wait and watch, 19 May). Present an engineer with a problem needing a build or fix and you will often hear: “You can have it good, fast or cheap – pick two.” In global outbreak responses, we learn too late every time that we must pick “fast” first.

Having worked on the west African Ebola outbreak in 2014-16 and on smaller Ebola responses in the Democratic Republic of the Congo in 2018-2020, I have seen the same failure pattern repeat. We think too long before going in, despite knowing what is needed, and we overestimate the complexity of what must be accomplished.