Bruce Aylward: Humanity vs. Ebola. The winning strategies in a terrifying war

Translator: Eriko T Reviewer: Morton Bast

Prevodilac: Ljiljana Colic Lektor: Ivana Korom

When I was invited to give this talk a couple of months ago,

Kada su me pozvali da održim ovaj govor pre par meseci,

we discussed a number of titles with the organizers,

razmotrili smo nekoliko naslova sa organizatorima,

and a lot of different items were kicked around and were discussed.

i raspravljalo se i diskutovalo o mnogim različitim stvarima.

But nobody suggested this one,

Ali niko nije predložio ovaj,

and the reason for that was two months ago,

a razlog tome je što je pre dva meseca

Ebola was escalating exponentially

izbila velika epidemija ebole

and spreading over wider geographic areas than we had ever seen,

i širila se preko većih geografskih područja nego što smo ranije videli,

and the world was terrified, concerned and alarmed

i svet je bio prestravljen, zabrinut i uznemiren ovom bolešću,

by this disease, in a way we've not seen in recent history.

na način koji nismo videli u skoroj istoriji.

But today, I can stand here and I can talk to you about beating Ebola

Ali danas, ja mogu da stojim ovde i da vam govorim o pobedi nad ebolom

because of people whom you've never heard of,

zbog ljudi za koje nikad niste čuli,

people like Peter Clement, a Liberian doctor who's working in Lofa County,

ljudi poput Pitera Klementa, liberijskog lekara koji radi u okrugu Lofa,

a place that many of you have never heard of, probably, in Liberia.

mestu u Liberiji za koje verovatno mnogi od vas nikad nisu čuli.

The reason that Lofa County is so important

Razlog zašto je okrug Lofa tako važan

is because about five months ago,

je zato što je pre oko pet meseci,

when the epidemic was just starting to escalate,

kada je epidemija tek počela da se širi,

Lofa County was right at the center, the epicenter of this epidemic.

okrug Lofa bio tačno u središtu, u epicentru epidemije.

At that time, MSF and the treatment center there,

Za to vreme, Lekari bez granica i tamošnji centar za lečenje

they were seeing dozens of patients every single day,

su pregledali desetine pacijenata svakog dana,

and these patients, these communities were becoming more and more terrified

i u tim pacijentima, u tim zajednicama je vremenom strah od te bolesti

as time went by, with this disease and what it was doing to their families,

postajao sve veći, i od toga šta ona čini njihovim porodicama,

to their communities, to their children, to their relatives.

njihovim zajednicama, njihovoj deci, njihovim rođacima.

And so Peter Clement was charged with driving that 12-hour-long rough road

I tako je Piter Klement dobio zadatak da pređe taj neravan put od 12 sati

from Monrovia, the capital, up to Lofa County,

od glavnog grada, Monrovije, do okruga Lofa,

to try and help bring control to the escalating epidemic there.

da tamo pokuša da rastuću epidemiju dovede pod kontrolu.

And what Peter found when he arrived was the terror that I just mentioned to you.

Kad je stigao, Piter je zatekao užas koji sam vam upravo spomenuo.

So he sat down with the local chiefs, and he listened.

Tako je on seo sa tamošnjim poglavicama, i slušao.

And what he heard was heartbreaking.

A ono što je čuo je bilo srceparajuće.

He heard about the devastation and the desperation

Čuo je o razorenosti i očajanju

of people affected by this disease.

ljudi koji su pogođeni ovom bolešću.

He heard the heartbreaking stories

Čuo je srceparajuće priče

about not just the damage that Ebola did to people,

ne samo o šteti koju je ebola nanela ljudima,

but what it did to families and what it did to communities.

nego i o tome šta je uradila porodicama i šta je uradila zajednicama.

And he listened to the local chiefs there and what they told him --

I slušao je tamošnje mesne poglavice i ono što su mu pričali -

They said, "When our children are sick, when our children are dying,

Rekli su: "Kada su nam deca bolesna, kada nam deca umiru,

we can't hold them at a time when we want to be closest to them.

ne možemo da ih držimo onda kada najviše želimo da budemo uz njih.

When our relatives die, we can't take care of them as our tradition demands.

Kada nam rođaci umru, ne možemo da se pobrinemo za njih kako tradicija nalaže.

We are not allowed to wash the bodies to bury them

Nije nam dozvoljeno da okupamo tela, da ih sahranimo

the way our communities and our rituals demand.

onako kako naša zajednica i naši rituali nalažu."

And for this reason, they were deeply disturbed, deeply alarmed

I zbog toga su bili duboko potrešeni, duboko uznemireni

and the entire epidemic was unraveling in front of them.

i čitava epidemija se odvijala pred njima.

People were turning on the healthcare workers who had come,

Ljudi su se obraćali zdravstvenim radnicima koji su došli,

the heroes who had come to try and help save the community,

herojima koji su došli sa pokušaju da spasu zajednicu,

to help work with the community, and they were unable to access them.

da pomognu u radu sa zajednicom, a nisu bili u mogućnosti da im priđu.

And what happened then was Peter explained to the leaders.

I onda je Piter sve objasnio poglavarima.

The leaders listened. They turned the tables.

Poglavari su slušali. Situacija se promenila.

And Peter explained what Ebola was. He explained what the disease was.

Piter je objasnio šta je to ebola. Objasnio je šta je ta bolest.

He explained what it did to their communities.

Objasnio je šta ona čini njihovim zajednicama.

And he explained that Ebola threatened everything that made us human.

Rekao je da ebola preti svemu što nas čini ljudskim bićima.

Ebola means you can't hold your children the way you would in this situation.

Ebola znači da ne možete zagrliti svoju decu onako kako biste to uradili

u ovakvoj situaciji.

You can't bury your dead the way that you would.

Ne možete sahraniti svoje mrtve onako kako biste to inače uradili.

You have to trust these people in these space suits to do that for you.

Sve to morate poveriti ovim ljudima u ovim svemirskim odelima.

And ladies and gentlemen, what happened then was rather extraordinary:

Dame i gospodo, ono što je usledilo je prilično izvanredno:

The community and the health workers, Peter, they sat down together

zajednica, zdravstveni radnici i Piter su seli zajedno

and they put together a new plan for controlling Ebola in Lofa County.

i sastavili su novi plan za kontrolisanje ebole u okrugu Lofa.

And the reason that this is such an important story, ladies and gentlemen,

A razlog zašto je ovo tako važna priča, dame i gospodo,

is because today, this county, which is right at the center of this epidemic

jeste zato što danas, ovaj okrug koji je u centru epidemije

you've been watching, you've been seeing in the newspapers,

koju ste pratili, koju ste gledali u novinama,

you've been seeing on the television screens,

koju ste gledali na televizijskim ekranima,

today Lofa County is nearly eight weeks without seeing a single case of Ebola.

danas okrug Lofa beleži skoro osam nedelja bez ijednog slučaja ebole.

(Applause)

(Aplauz)

Now, this doesn't mean that the job is done, obviously.

Ali ovo naravno ne znači da je posao obavljen.

There's still a huge risk that there will be additional cases there.

I dalje postoji ogroman rizik da će tamo biti dodatnih slučajeva.

But what it does teach us is that Ebola can be beaten.

Ali ono čemu nas uči jeste to da se ebola može pobediti.

That's the key thing.

To je ključna stvar.

Even on this scale,

Čak i u ovim razmerama,

even with the rapid kind of growth that we saw in this environment here,

čak i sa brzim rastom koji smo videli u ovom okruženju,

we now know Ebola can be beaten.

sada znamo da se ebola može pobediti.

When communities come together with health care workers, work together,

Kada se zajednice udruže sa zdravstvenim radnicima, kada rade zajedno,

that's when this disease can be stopped.

upravo tada se ova bolest može zaustaviti.

But how did Ebola end up in Lofa County in the first place?

Ali kako je ebola prvobitno završila u okrugu Lofa?

Well, for that, we have to go back 12 months, to the start of this epidemic.

Pa, da bismo to objasnili, moramo se vratiti 12 meseci do početka epidemije.

And as many of you know, this virus went undetected,

I kao što mnogi od vas znaju, ovaj virus je bio neprimetan,

it evaded detection for three or four months when it began.

nije bio primećen tri ili četiri meseca otkad je počeo.

That's because this is not a disease of West Africa,

Zato što ovo nije bolest Zapadne Afrike,

it's a disease of Central Africa, half a continent away.

već je bolest Centralne Afrike, udaljena za pola kontinenta.

People hadn't seen the disease before;

Ljudi nisu nikad pre videli ovu bolest;

health workers hadn't seen the disease before.

zdravstveni radnici nisu nikad pre videli ovu bolest.

They didn't know what they were dealing with,

Nisu znali sa čim imaju posla,

and to make it even more complicated,

i ono što još više komplikuje stvari,

the virus itself was causing a symptom, a type of a presentation

sam virus je izazivao simptom, manifestovao se u obliku

that wasn't classical of the disease.

koji nije bio primeren ovoj bolesti.

So people didn't even recognize the disease, people who knew Ebola.

Tako da ljudi koji su znali za ebolu, nisu uopšte prepoznali bolest.

For that reason it evaded detection for some time,

Iz tog razloga je neko vreme nisu mogli primetiti.

But contrary to public belief sometimes these days,

Ali suprotno mišljenju javnosti ovih dana,

once the virus was detected, there was a rapid surge in of support.

kada je virus otkriven, nastao je ubrzan priliv pomoći.

MSF rapidly set up an Ebola treatment center, as many of you know, in the area.

LBG su, kao što mnogi od vas znaju, brzo osposobili centar za lečenje ebole

u tom području.

The World Health Organization and the partners that it works with

Svetska zdravstvena organizacija i njeni partneri

deployed eventually hundreds of people over the next two months

su za sledeća dva meseca zaposlili stotine ljudi

to be able to help track the virus.

koji su pomagali u praćenju virusa.

The problem, ladies and gentlemen, is by then, this virus,

Problem je, dame i gospodo, što se ovaj virus,

well known now as Ebola, had spread too far.

sada dobro poznat kao ebola, do tada predaleko proširio.

It had already outstripped what was one of the largest responses

Premašio je jedan od najvećih odziva

that had been mounted so far to an Ebola outbreak.

na izbijanje ebole do sad.

By the middle of the year, not just Guinea

Do polovine godine, nije samo Gvineja bila zaražena

but now Sierra Leone and Liberia were also infected.

već i Sijera Leone i Liberija.

As the virus was spreading geographically, the numbers were increasing

Dok se virus geografski širio, brojevi su rasli

and at this time, not only were hundreds of people infected

i do tada nisu se samo stotine ljudi zarazile

and dying of the disease,

i umirale od ove bolesti,

but as importantly, the front line responders,

već isto tako ljudi koji su došli da pomognu u prvim redovima,

the people who had gone to try and help,

ljudi koji su otišli da pokušaju pomoći,

the health care workers, the other responders

zdravstveni radnici, i drugi odazvanici

were also sick and dying by the dozens.

su se takođe masovno razboljevali i umirali.

The presidents of these countries recognized the emergencies.

Predsednici ovih država su prepoznali opasnost.

They met right around that time, they agreed on common action

Ubrzo su se sastali, dogovorili su se o zajedničkom dejstvu

and they put together an emergency joint operation center in Conakry

i zajedno su osnovali ujedinjeni urgentni centar u Konakriju

to try and work together to finish this disease and get it stopped,

kako bi pokušali zajedničkim snagama da okončaju i zaustave ovu bolest,

to implement the strategies we talked about.

kako bi sproveli strategije o kojima smo govorili.

But what happened then was something we had never seen before with Ebola.

Ali ono što se sledeće desilo je nešto što nikad pre nismo videli kod ebole.

What happened then was the virus, or someone sick with the virus,

Desilo se da se virus, ili neko zaražen virusom,

boarded an airplane, flew to another country,

ukrcao u avion odleteo u drugu zemlju,

and for the first time, we saw in another distant country

i po prvi put svedočimo kako u drugoj udaljenoj zemlji

the virus pop up again.

virus ponovo izbija.

This time it was in Nigeria, in the teeming metropolis of Lagos,

Ovog puta je to bila Nigerija, krcata metropola Lagos,

21 million people.

21 milion ljudi.

Now the virus was in that environment.

Sada se virus nastanio u tu okolinu.

And as you can anticipate, there was international alarm,

I kao što možete da naslutite, nastala je međunarodna uzbuna,

international concern on a scale that we hadn't seen in recent years

međunarodna zabrinutost u razmeri kakvu u skorije vreme nismo videli

caused by a disease like this.

da je uzrokovana ovakvom bolešću.

The World Health Organization immediately called together an expert panel,

Svetska zdravstvena organizacija je odmah sazvala komisiju stručnjaka,

looked at the situation, declared an international emergency.

sagledala situaciju, proglasila međunarodno vanredno stanje.

And in doing so, the expectation would be that there would be a huge outpouring

Čineći to, očekivalo bi se da će nastati ogroman priliv

of international assistance to help these countries

međunarodne pomoći koja bi pomogla ovim zemljama

which were in so much trouble and concern at that time.

koje su se u to vreme našle u teškim nevoljama i stanju zabrinutosti.

But what we saw was something very different.

Ali ono što smo videli je bilo nešto potpuno drugačije.

There was some great response.

Odziv je bio velik.

A number of countries came to assist -- many, many NGOs and others, as you know,

Nekoliko zemalja je priteklo u pomoć - mnogo, mnogo nevladinih organizacija

i drugih, kao što znate, ali u isto vreme se na mnogim mestima desilo suprotno.

but at the same time, the opposite happened in many places.

Alarm escalated, and very soon these countries found themselves

Podignuta je uzbuna, i uskoro su ove zemlje

ostale bez potrebne podrške, i sve više izolovane.

not receiving the support they needed, but increasingly isolated.

What we saw was commercial airlines [stopped] flying into these countries

Komercijalne avio kompanije prestale su da lete u ove zemlje

and people who hadn't even been exposed to the virus

i ljudima koji nisu bili uopšte izloženi virusu

were no longer allowed to travel.

je bilo zabranjeno da putuju.

This caused not only problems, obviously, for the countries themselves,

Ovo očigledno nije prouzrokovalo probleme samim zemljama,

but also for the response.

već i odazvanicima.

Those organizations that were trying to bring people in,

One organizacije koje su pokušavale da dovedu ljude,

to try and help them respond to the outbreak,

da pomognu u savladavanju epidemije,

they could not get people on airplanes,

nisu mogle da pošalju ljude avionima,

they could not get them into the countries to be able to respond.

nisu mogli da ih pošalju u te zemlje kako bi mogli da pomognu.

In that situation, ladies and gentleman,

U takvoj situaciji, dame i gospodo,

a virus like Ebola takes advantage.

virus poput ebole uzima prednost.

And what we saw then was something also we hadn't seen before.

I ono sledeće što smo videli je, takođe, bilo nešto što nikad pre nismo videli.

Not only did this virus continue in the places

Ne samo da je virus nastavio da se širi na mestima

where they'd already become infected, but then it started to escalate

koja su već bila zaražena, već je počeo da eskalira

and we saw the case numbers that you see here,

i videli smo broj žrtava koji vidite ovde,

something we'd never seen before on such a scale,

nešto što nikada nismo videli u ovakvim razmerama,

an exponential increase of Ebola cases

jedan vrtoglav rast slučaja ebole

not just in these countries or the areas already infected in these countries

ne samo u ovim zemljama ili oblastima ovih zemalja koje su već zaražene

but also spreading further and deeper into these countries.

već se širi sve dalje i dublje u unutrašnjost zemalja.

Ladies and gentleman, this was one of the most concerning

Dame i gospodo, ovo je bila jedna od najviše zabrinjavajućih

international emergencies in public health we've ever seen.

međunarodnih uzbuna u javnom zdravlju kojoj smo ikad svedočili.

And what happened in these countries then,

I ono što se zatim desilo u ovim zemljama,

many of you saw, again, on the television, read about in the newspapers,

su mnogi od vas videli na televiziji, čitali o tome u novinama,

we saw the health system start to collapse under the weight of this epidemic.

videli smo kako se zdravstveni sistem ruši pod težinom ove epidemije.

We saw the schools begin to close, markets no longer started,

Videli smo kako se škole zatvaraju, tržišta prestaju sa radom,

no longer functioned the way that they should in these countries.

nisu više funkcionisala onako kako bi trebalo u ovim zemljama.

We saw that misinformation and misperceptions started to spread

Videli smo kako se dezinformacije i pogrešna shvatanja počinju širiti

even faster through the communities, which became even more alarmed

još brže u zajednicama, koje su se još više uznemirile

about the situation.

povodom ove situacije.

They started to recoil from those people that you saw in those space suits,

Počeli su da se povlače pred onim ljudima koje ste videli u svemirskim odelima

as they call them, who had come to help them.

kako su ih zvali, koji su došli da im pomognu.

And then the situation deteriorated even further.

A onda se situacija još više pogoršala.

The countries had to declare a state of emergency.

Zemlje su morale objaviti vanredno stanje.

Large populations needed to be quarantined in some areas, and then riots broke out.

U nekim oblastima je ogroman broj stanovništva

morao biti smešten u karantin, a onda su izbile pobune.

It was a very, very terrifying situation.

Bila je to jako, jako strašna situacija.

Around the world, many people began to ask,

Širom sveta, mnogi ljudi su se počeli pitati,

can we ever stop Ebola when it starts to spread like this?

hoćemo li ikad moći da zaustavimo ebolu kada počne ovako da se širi?

And they started to ask, how well do we really know this virus?

Pitali su koliko uistinu dobro poznajemo ovaj virus?

The reality is we don't know Ebola extremely well.

Stvarnost je da mi ne poznajemo ebolu tako dobro.

It's a relatively modern disease in terms of what we know about it.

To je jedna prilično savremena bolest u smislu onoga šta mi znamo o njoj.

We've known the disease only for 40 years,

Ova bolest nam je poznata samo 40 godina,

since it first popped up in Central Africa in 1976.

otkad je prvi put izbila u Centralnoj Africi 1976. godine.

But despite that, we do know many things:

Ali uprkos tome, mi znamo mnogo toga:

We know that this virus probably survives in a type of a bat.

znamo da ovaj virus najverovatnije preživljava u jednoj vrsti slepog miša.

We know that it probably enters a human population

Znamo da verovatno zalazi među ljudsko stanovništvo

when we come in contact with a wild animal

kada dođemo u dodir sa divljom životinjom

that has been infected with the virus and probably sickened by it.

koja je zaražena virusom i koja je verovatno od istog obolela.

Then we know that the virus spreads from person to person

Zatim znamo da se virus širi od osobe do osobe

through contaminated body fluids.

preko zaraženih telesnih tečnosti.

And as you've all seen,

I kao što ste svi videli,

we know the horrific disease that it then causes in humans,

znamo tu strašnu bolest koju potom prouzrokuje u ljudima,

where we see this disease cause severe fevers, diarrhea, vomiting,

kada vidimo da ova bolest izaziva ozbiljnu groznicu, proliv, povraćanje,

and then unfortunately, in 70 percent of the cases or often more, death.

a zatim nažalost, u 70% slučajeva ili čak više, smrt.

This is a very dangerous, debilitating, and deadly disease.

Ovo je jako opasna, iscrpljujuća, i smrtna bolest.

But despite the fact that we've not known this disease for a particularly long time,

Ali uprkos činjenici da ovu bolest ne poznajemo tako dugo,

and we don't know everything about it, we do know how to stop this disease.

i da ne znamo sve o njoj, mi znamo kako da je zaustavimo.

There are four things that are critical to stopping Ebola.

Postoje četiri stvari koje su ključne u zaustavljanju ebole.

First and foremost, the communities have got to understand this disease,

Prvo i prvo, zajednice moraju da razumeju ovu bolest,

they've got to understand how it spreads and how to stop it.

moraju da razumeju kako se ona širi i kako da je zaustave.

And then we've got to be able to have systems that can find every single case,

Onda moramo da imamo sisteme pomoću kojih

bismo mogli locirati sve i jedan slučaj, svaki kontakt tih slučajeva,

every contact of those cases,

and begin to track the transmission chains so that you can stop transmission.

i početi da pratimo lance prenošenja kako bismo mogli da zaustavimo prenošenje.

We have to have treatment centers, specialized Ebola treatment centers,

Moramo da imamo centre za lečenje, specijalizovane centre za lečenje ebole,

where the workers can be protected

gde će radnici biti zaštićeni

as they try to provide support to the people who are infected,

dok pokušavaju da pomognu zaraženim ljudima,

so that they might survive the disease.

kako bi mogli da prežive bolest.

And then for those who do die,

A što se tiče onih koji umru,

we have to ensure there is a safe, but at the same time dignified, burial process,

moramo da osiguramo sigurnu, ali u isto vreme dostojanstvenu, sahranu,

so that there is no spread at that time as well.

kako ne bi došlo do širenja bolesti u isto vreme.

So we do know how to stop Ebola, and these strategies work, ladies and gentlemen.

Tako da mi znamo kako da zaustavimo ebolu,

i ove strategije su uspešne, dame i gospodo.

The virus was stopped in Nigeria by these four strategies

Virus su u Nigeriji zaustavile ove četiri strategije

and the people implementing them, obviously.

i ljudi koji su ih primenjivali, očigledno.

It was stopped in Senegal, where it had spread, and also in the other countries

Zaustavljen je u Senegalu, gde se proširio i takođe u drugim zemljama

that were affected by this virus, in this outbreak.

koje su bile pogođene virusom, tokom ove epidemije.

So there's no question that these strategies actually work.

Tako da nema sumnje da su ove strategije efikasne.

The big question, ladies and gentlemen, was whether these strategies could work

Veliko pitanje je, dame i gospodo, da li bi ove strategije bile uspešne

on this scale, in this situation, with so many countries affected

na ovom nivou, u ovoj situaciji, sa tako mnogo zaraženih zemalja

with the kind of exponential growth that you saw.

sa ovakvim povećanim rastom koji ste videli.

That was the big question that we were facing just two or three months ago.

To je veliko pitanje sa kojim smo se suočili pre samo dva ili tri meseca.

Today we know the answer to that question.

Danas znamo odgovor na to pitanje.

And we know that answer because of the extraordinary work

A taj odgovor znamo zbog izvanrednog rada

of an incredible group of NGOs, of governments, of local leaders,

neverovatne grupe nevladinih organizacija, vlada, lokalnih vođa,

of U.N. agencies and many humanitarian and other organizations

agencija UN-a i mnogih humanitaraca i drugih organizacija

that came and joined the fight to try and stop Ebola in West Africa.

koji su došli i pridružili se borbi da se pokuša zaustaviti ebola u Zapadnoj Africi.

But what had to be done there was slightly different.

Ali ono što je tamo trebalo uraditi je bilo malo drugačije.

These countries took those strategies I just showed you;

Ove zemlje su uzele ove strategije koje sam vam upravo pokazao;

the community engagement, the case finding, contact tracing, etc.,

angažman zajednica, pronalazak slučajeva, praćenje kontakata, itd,

and they turned them on their head.

i potpuno ih preokrenule.

There was so much disease, they approached it differently.

Bilo je toliko mnogo slučajeva bolesti, pristupali su im na različite načine.

What they decided to do was they would first try and slow down this epidemic

Oni su odlučili da prvo pokušaju da uspore epidemiju

by rapidly building as many beds as possible in specialized treatment centers

osposobljavajući velikom brzinom što više kreveta u specijalizovanim centrima

so that they could prevent the disease from spreading from those were infected.

kako bi mogli sprečiti da se bolest širi od onih koji su bili zaraženi.

They would rapidly build out many, many burial teams

Brzo bi sastavljali mnogo timova za sahrane

so that they could safely deal with the dead,

kako bi bez brige mogli da se pobrinu za mrtve,

and with that, they would try and slow this outbreak

i samim tim bi pokušali da uspore ovu epidemiju

to see if it could actually then be controlled using the classic approach

kako bi ustanovili da li bi se mogla kontrolisati koristeći klasičan pristup

of case finding and contact tracing.

pronalaženja slučajeva i kontakata.

And when I went to West Africa about three months ago,

Kada sam ja otišao u Zapadnu Afriku pre oko tri meseca,

when I was there what I saw was extraordinary.

ono što sam video je bilo izvanredno.

I saw presidents opening emergency operation centers themselves against Ebola

Video sam kako sami predsednici otvaraju centre za hitne slučajeve protiv ebole

so that they could personally coordinate and oversee and champion

kako bi mogli lično da koordinišu i nadziru i podržavaju

this surge of international support to try and stop this disease.

ovu navalu međunarodne podrške u pokušaju da se zaustavi ova bolest.

We saw militaries from within those countries and from far beyond

Videli smo kako vojska iz tih zemalja, a i iz udaljenih zemalja

coming in to help build Ebola treatment centers

dolazi da pomogne da se izgrade centri za lečenje ebole

that could be used to isolate those who were sick.

koji bi imali za svrhu da izoluju one koji su bili bolesni.

We saw the Red Cross movement working with its partner agencies on the ground there

Videli smo kako Crveni krst radi sa svojim partnerima na licu mesta

to help train the communities so that they could actually safely bury their dead

i pomaže u obuci zajednica kako bi one same mogle da sigurno sahrane svoje mrtve

in a dignified manner themselves.

na dostojanstven način.

And we saw the U.N. agencies, the World Food Program,

I videli smo agencije UN-a, Svetski program za hranu,

build a tremendous air bridge

kako grade ogroman vazdušni most

that could get responders to every single corner of these countries rapidly

preko kojeg bi odazvanici mogli brzo pristići u svaki kutak ovih zemalja

to be able to implement the strategies that we just talked about.

i bili u mogućnosti da primene strategije o kojima smo upravo govorili.

What we saw, ladies and gentlemen, which was probably most impressive,

Ono što smo videli, dame i gospodo, ono što je verovatno najimpresivnije,

was this incredible work by the governments,

jeste ovaj neverovatan rad vlada,

by the leaders in these countries, with the communities,

vođa iz ovih zemalja, sa zajednicama,

to try to ensure people understood this disease,

kako bi bili sigurni da ljudi razumeju ovu bolest,

understood the extraordinary things they would have to do to try and stop Ebola.

da razumeju izvanredne stvari koje bi morali da rade kako bi zaustavili ebolu.

And as a result, ladies and gentlemen,

Kao posledicu toga, dame i gospodo,

we saw something that we did not know only two or three months earlier,

videli smo nešto za šta do pre dva ili tri meseca,

whether or not it would be possible.

nismo znali da li bi bilo moguće ili ne.

What we saw was what you see now in this graph,

Ono što smo videli je ovo što sad vidite na ovom grafikonu,

when we took stock on December 1.

kada smo sve sabrali 1. decembra.

What we saw was we could bend that curve, so to speak,

Ono što smo uvideli je da mi možemo da savijemo krivu, da tako kažemo,

change this exponential growth,

da promenimo ovaj neverovatan rast,

and bring some hope back to the ability to control this outbreak.

i da vratimo nadu u mogućnost da možemo da kontrolišemo ovu epidemiju.

And for this reason, ladies and gentlemen, there's absolutely no question now

I zbog toga, dame i gospodo, sada apsolutno ne postoji sumnja

that we can catch up with this outbreak in West Africa and we can beat Ebola.

da možemo da sustignemo ovu epidemiju u Zapadnoj Africi

i da možemo pobediti ebolu.

The big question, though, that many people are asking,

Ipak, veliko pitanje koje mnogo ljudi postavlja,

even when they saw this curve, they said,

čak i kad vide ovu krivu, jeste,

"Well, hang on a minute -- that's great you can slow it down,

"Pa, čekajte malo - to je odlično što je možete usporiti,

but can you actually drive it down to zero?"

ali možete li je zapravo svesti na nulu?"

We already answered that question back at the beginning of this talk,

Već smo dali odgovor na to pitanje na samom početku ovog govora,

when I spoke about Lofa County in Liberia.

kada sam govorio o okrugu Lofa u Liberiji.

We told you the story how Lofa County got to a situation

Pričali smo tome kako je okrug Lofa došao do situacije

where they have not seen Ebola for eight weeks.

da osam sedmica nije zabeležen slučaj ebole.

But there are similar stories from the other countries as well.

Ali takođe postoje slične priče iz drugih zemalja.

From Gueckedou in Guinea,

Iz Gekedua u Gvineji,

the first area where the first case was actually diagnosed.

oblasti gde je zapravo prvi slučaj bio zabeležen.

We've seen very, very few cases in the last couple of months,

Videli smo vrlo, vrlo malo slučajeva u poslednjih nekoliko meseci,

and here in Kenema, in Sierra Leone, another area in the epicenter,

i ovde u Kenemi, u Sijera Leoneu, još jednoj oblasti koja je u epicentru,

we have not seen the virus for more than a couple of weeks --

nismo videli virus više od dve sedmice -

way too early to declare victory, obviously,

prerano da bi se proglasila pobeda, očigledno,

but evidence, ladies and gentlemen,

ali to je dokaz, dame i gospodo,

not only can the response catch up to the disease,

ne samo da reagovanjem možemo sustići bolest,

but this disease can be driven to zero.

već da ova bolest može biti svedena na nulu.

The challenge now, of course, is doing this on the scale needed

Sada je izazov, naravno, da se radi na nivou koji je potreban

right across these three countries, and that is a huge challenge.

za rad u ove tri zemlje, a to je ogroman izazov.

Because when you've been at something for this long, on this scale,

Jer kad tako nešto radite tako dugo, na ovakvom nivou,

two other big threats come in to join the virus.

virusu se pridružuju druge dve velike pretnje.

The first of those is complacency,

Jedna je samozadovoljstvo,

the risk that as this disease curve starts to bend,

rizik da će mediji i čitav svet okrenuti glavu

the media look elsewhere, the world looks elsewhere.

kad se ova kriva počne savijati.

Complacency always a risk.

Samozadovoljstvo uvek predstavlja rizik.

And the other risk, of course, is when you've been working so hard for so long,

Drugi rizik je, naravno, kada sa naporom radite ovako nešto tako dugo,

and slept so few hours over the past months,

i kada ste tako malo spavali poslednjih meseci,

people are tired, people become fatigued,

ljudi se umore, postanu izmoreni,

and these new risks start to creep into the response.

i ovi novi rizici počnu da se pojavljuju.

Ladies and gentlemen, I can tell you today I've just come back from West Africa.

Dame i gospodo, mogu vam danas reći da sam se upravo vratio iz Zapadne Afrike.

The people of these countries, the leaders of these countries,

Ljudi u ovim zemljama, vođe ovih zemalja,

they are not complacent.

oni nisu samozadovoljni.

They want to drive Ebola to zero in their countries.

Oni žele da svedu ebolu na nulu u svojim zemljama.

And these people, yes, they're tired, but they are not fatigued.

A ti ljudi, da, oni su umorni, ali oni nisu izmoreni.

They have an energy, they have a courage,

Oni imaju energiju, nagon,

they have the strength to get this finished.

imaju snagu da završe ovo.

What they need, ladies and gentlemen, at this point,

Ono što im je potrebno, dame i gospodo, u ovom trenutuku,

is the unwavering support of the international community,

jeste čvrsta podrška međunarodnih zajednica,

to stand with them,

da ustraju sa njima,

to bolster and bring even more support at this time, to get the job finished.

da ih podrže i dovedu još veću podršku u ovom trenutku, da završe posao.

Because finishing Ebola right now means turning the tables on this virus,

Jer ako okončamo ebolu odmah sada, situacija se preokreće, i mi postajemo

and beginning to hunt it.

ti koji love virus.

Remember, this virus, this whole crisis, rather, started with one case,

Zapamtite, ovaj virus, čitava ova kriza, je počela sa jednim slučajem,

and is going to finish with one case.

i završiće se sa jednim slučajem.

But it will only finish if those countries have got enough epidemiologists,

Ali okončaće se samo onda kada te zemlje budu imale dovoljno epidemiologa,

enough health workers, enough logisticians and enough other people working with them

dovoljno zdravstvenih radnika, logističara i drugih ljudi koji rade sa njima

to be able to find every one of those cases, track their contacts

i pomažu u pronalaženju sve i jednog slučaja, njihovih kontakata

and make sure that this disease stops once and for all.

i posstaraju se da se ova bolest zaustavi jednom zauvek.

Ladies and gentleman, Ebola can be beaten.

Dame i gospodo, ebola se može pobediti.

Now we need you to take this story out to tell it to the people who will listen

Sada je potrebno da prenesete ovu priču i da je saopštite ljudima koji će slušati

and educate them on what it means to beat Ebola,

i da ih podučite o tome šta to znači pobediti ebolu,

and more importantly, we need you to advocate with the people

i još važnije, potrebno je da podržite ljude

who can help us bring the resources we need to these countries,

koji nam mogu pomoći da prenesemo potrebne resurse ovim zemljama,

to beat this disease.

kako bi pobedili ovu bolest.

There are a lot of people out there who will survive and will thrive,

Mnogo je ljudi tamo koji će preživeti i nastaviti da žive,

in part because of what you do to help us beat Ebola.

delom zbog toga šta vi učinite u pokušaju da se pobedi ebola.

Thank you.

Hvala.

(Applause)

(Aplauz)