Report: Ebola Fueled by Distrust
2015-07-29 12:19:09


As health officials in Liberia, Guinea and Sierra Leone struggle to eliminate the final cases of Ebola, a new report said some hard lessons have been learned.(1)
作为卫生官员在利比里亚、 几内亚和塞拉利昂的斗争,消除埃博拉的最后案件中,一份新报告说一些硬的教训。

The group International Alert says a lack of trust between the Liberian people and their government made the outbreak worse(2)
国际警觉组织说之间缺乏信任利比里亚人民和他们的政府作出爆发变得更糟

 The report’s author, Ashoka Mukpo, said that “many people mistrust official institutions and even feel threatened by them.”(3)
该报告的作者,阿育王 Mukpo 说,"很多人不信任官方机构和甚至感受到他们的威胁"。

Mukpo, an American, is an Ebola survivor himself.(4)
Mukpo,一个美国人,是自己的埃博拉幸存者。

He contracted the disease last year in Monrovia.(5)
他染病,但去年在蒙罗维亚。

“It was a bad couple of weeks. I was very, very sick. I’ve never been that sick in my life and I was quite scared.”(6)
"这是坏几个星期。非常,非常恶心了我从未在我的生命中那次生病,很害怕。

After being treated for five days in Liberia, he was airlifted to a medical facility in the U.S. state of Nebraska.(7)
在接受治疗后五天在利比里亚,他被空运到在美国内布拉斯加州的医疗设施。

The International Alert report is entitled Surviving Ebola: Public Perceptions of Governance and the Outbreak Response in Liberia.(8)
The International Alert report is entitled Surviving Ebola:公众对治理和利比里亚疫情应对措施的看法。

“International Alert is an organization that looks at underlying dynamics to maintain peace in fragile states.(9)
"国际警报是一个着眼于潜在的动力来维持和平的脆弱国家的组织。

And one of the things we’re really curious about with the Ebola outbreak in Liberia is how much did people’s perceptions toward government contribute to the outbreak?(10)
和我们的事情之一真的好奇与埃博拉疫情在利比里亚是政府向人民的看法是多少贡献爆发吗?

And what we found when we talked to people is that there were very high levels of mistrust and suspicion towards the government’s motives.(11)
我们的发现,当我们与民众交谈时是有很高的不信任和对政府的动机的猜疑。

And this was really what underpinned people’s initial refusal to take their warning seriously about how deadly Ebola was,” said Mukpo.(12)
而这是真的什么支撑的人们最初拒绝采取他们认真关于如何致命的埃博拉病毒的警告,"Mukpo 说。

The mistrust, he said, stemmed from history and unfulfilled expectations.(13)
猜疑,他说,源于历史和无法实现的期望。

“On one hand, Liberia has quite a history of tension between citizens and government. It had a civil war about 15 years ago.(14)
"一方面,利比里亚已颇有历史的公民与政府之间的张力。大约 15 年前,它有过内战。

But I think right now what people felt is that there is this tremendous sense of hope.(15)
但我认为现在人们的感觉是这巨大的希望感。

That with President Johnson Sirleaf’s election this would mean development and accountability for corruption and these kinds of things.(16)
Johnson 瑟里夫总统选举这意味着发展和问责制的腐败和这些各种各样的事情。

And the results actually have been quite disappointing.(17)
结果其实已经相当令人失望。

So, people are savvy enough to see that what they were hoping would happen hasn’t actually happened.”(18)
所以,人是够聪明,能来看看,他们都希望会发生没有实际上发生了。

Mukpo said Liberians had expected more from the healthcare system when the Ebola outbreak took hold.(19)
Mukpo 说: 利比里亚人预料更多从医疗系统,埃博拉疫情手上时。

“People felt like so many millions of dollars have gone into aid and development over the past 10 years.(20)
"感觉就像这么多的数以百万计的美元的人已经进入援助和发展在过去的 10 年。

With the health sector that completely collapsed so quickly, there was this perception that, well,(21)
与卫生部门完全倒塌这么快,有了这种看法说,好,

there must have been some kind of corruption – that people were taking money and not putting it into places it was supposed to go.(22)
一定有某种形式的腐败 — — 人拿钱,不把它放到地方应该去。

So, fair or not, if you look at the record of this government in battling corruption, it’s been so poor that even if there were much bigger issues,(23)
所以,公平与否,如果你看看这个政府反腐败斗争的记录,它一直很差,即使有更大的问题,

you know, with how hard it is to fight an Ebola outbreak people’s perceptions automatically went to corruption.”(24)
"你知道,有多么困难它是争取人们的感知自动跑到腐败埃博拉出血热疫情。

He said, however, perceptions were not the same for the international community.(25)
他说,然而,看法并不相同,国际社会。

“You know, actually, I was really surprised by this.(26)
"你知道,其实,我真的很惊讶这。

As someone who lived in Liberia for a few years I really expected that the levels of trust in the international community would have been equally as low as the government.(27)
作为一个在利比里亚住了几年的人我真心期待在国际社会的信任级别本来同样低的政府。

Because, you know, I’ve heard people say, well, these are the folks who support this government [in] the way that they act.(28)
因为,你知道,我听到人们说,好吧,这些人 [in] 他们行事的方式支持这个政府。

But actually the levels of trust that were given to the international community were much higher than the government.(29)
但实际上给国际社会的信任级别比政府高得多。

In fact, most of the remarks in most of the reports on the international community’s performance during Ebola,(30)
事实上,大多数在大多数埃博拉病毒,在国际社会表现报告讲话

and just, in general, its concern for Liberians, was very high,” said Mukpo.(31)
只是,在一般情况下,利比里亚人,其关注率很高,说:"Mukpo。

He said that “one of the critical and under reported narratives” of Liberia’s Ebola crisis involved community leaders.(32)
他说,"之一的关键和下报告叙述"利比里亚的埃博拉病毒危机涉及社区领袖。

“Initially, there was this really authoritative effort to quarantine communities and force them to do things differently. And it kind of didn’t work.(33)
"最初,那里是这真正权威的努力隔离社区并强迫他们做不同的事情。这种没有工作。

And what really worked is once you sat down with communities –(34)
什么真的工作是一旦你坐下来与社区 — —

and once the government actually got to community leaders and said, look, what can we do to assist you in fighting this outbreak?(35)
和一旦政府实际上到社区领袖,说,瞧,我们能干什么,协助你在此爆发的战斗吗?

What do you need from us and what can you do to help?(36)
你从我们需要什么,你该做什么来帮助吗?

Then once that kind of collaborative effort started, then that’s really when you started to see cases reduce,” he said.(37)
那么一旦这种协作努力开始,然后就是真的当你开始看到案件减少,"他说。

Mukpo said community trust played a major role in the safe burial of Ebola victims.(38)
Mukpo 说: 社区信托在埃博拉病毒受害者安全埋葬发挥了重大作用。

Touching and washing dead bodies helped spread the disease, despite government warnings against the traditional practice.(39)
触摸和洗死机构帮助的传播疾病,尽管政府警告反对传统的实践。

“Really, when you’ve got community volunteers involved,(40)
"真的,当你有社区志愿者参与,

these are the people whose neighbors doing these secret burials – whose neighbors were hiding the sick.(41)
这些人做这些秘密的墓葬 — — 其邻居隐瞒了生病的邻居。

So, it’s much easier to hide somebody from an official who doesn’t live in your neighborhood than from someone who grew up 30 yards away.(42)
因此,它是隐藏某人从一位官员,也不住在你家附近比从长大 30 码远的人要容易得多。

They come and knock on your door and say, you know, look, I hear your sister is sick. We need to take her to the clinic.(43)
他们来去敲你的门,说,你知道吗,你看,我听说你姐姐是生病。我们需要带她到诊所。

And I really think that was the tipping point – that once it was people that folks trusted and that knew had their best interests in mind,(44)
而且我真的认为那是引爆点 — — 一旦它是受信任的人,那知道的人已经在心目中,他们最大的利益

that that’s really when people started to be more cooperative and change their behavior,” he said.(45)
那就是真的时,人们开始更多的合作,改变他们的行为,"他说。

The International Alert report said, “Post-Ebola policy-making and aid delivery must take into account the need to repair the bonds between Liberians and their government, in order to strengthen good governance and accountability.”(46)
国际警报报告说,"邮政埃博拉决策和运送援助物品必须考虑到需要修复的债券之间利比里亚人和他们的政府,以加强善政和问责制"。

It added that “projects that seek to strengthen health services, promote good governance and rebuild service delivery must incorporate civil society and…communities into planning and decision-making.”(47)
它补充说,"寻求加强卫生服务、 促进善政和重建服务交付的项目必须纳入民间社会 and...communities 规划和决策"。

It also recommended that security forces exercise restraint during demonstrations and protests,(48)
它还建议期间示威游行和抗议活动,治安部队保持克制

that anti-corruption agencies be strengthened, and that the Liberian government support a free press and civil society.(49)
加强反腐败机构和利比里亚政府支持新闻自由和民间社会。


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