Publication: The Economic Impact of the 2014 Ebola Epidemic : Short and Medium Term Estimates for Guinea, Liberia, and Sierra Leone
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2014-09-17
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2014-09-17
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The 2014 outbreak of the Ebola Virus Disease in West Africa has taken a horrible human toll. Although the outbreak originated in rural Guinea, it has hit hardest in Liberia and Sierra Leone, in part because it has reached urban areas in these two countries, a factor that distinguishes this outbreak from previous episodes elsewhere. As of September 10, 2014, there had been 2,281 recorded deaths out of 4,614 suspected or confirmed cases of Ebola. Experts fear that the true numbers may be two to four times larger, due to underreporting. Misery and suffering have been intense, especially in Liberia where doctors have had to turning patients away for lack of space in Ebola treatment centers. Inevitably, before the outbreak is contained the human impacts will increase considerably over these numbers. Epidemiological estimates are acknowledged as highly uncertain and are not the subject of this note. What is certain is that limiting the human cost will require significant financial resources and a concerted partnership between international partners and the affected countries. Particularly in Liberia and Sierra Leone, government capacity is already overrun and the epidemic is impacting macroeconomic activity and budgetary resources. This note informs the response to the epidemic by estimating these macroeconomic and fiscal effects. Any such exercise is necessarily highly imprecise due to limited data and many uncertain factors, but it is still necessary in order to plan the economic assistance that must accompany the immediate humanitarian response. The goal is to help affected countries to recover and return to the robust economic growth they had experienced until the offset of this crisis.
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“World Bank. 2014. The Economic Impact of the 2014 Ebola Epidemic : Short and Medium Term Estimates for Guinea, Liberia, and Sierra Leone. © http://hdl.handle.net/10986/20218 License: CC BY 3.0 IGO.”
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Publication The Economic Impact of the 2014 Ebola Epidemic : Short and Medium Term Estimates for West Africa(Washington, DC, 2014-10-07)The 2014 outbreak of the Ebola virus disease in West Africa has taken a devastating human toll. Although the outbreak originated in rural Guinea, it has hit hardest in Liberia and Sierra Leone, in part because it has reached urban areas in these two countries, a factor that distinguishes this outbreak from previous episodes elsewhere. As of October 3, 2014, there had been 3,431 recorded deaths out of 7,470 probable, suspected, or confirmed cases of Ebola. This report informs the response to the epidemic by presenting best-effort estimates of its macroeconomic and fiscal effects. Any such exercise is necessarily highly imprecise due to limited data and many uncertain factors, but it is still necessary in order to plan the economic assistance that must accompany the immediate humanitarian response. The goal is to help affected countries to recover and return to the robust economic growth they had experienced until the onset of this crisis. This document presents the World Bank's preliminary estimates of the economic impact of the Ebola outbreak in West Africa for 2014 (short term impact) and 2015 (medium term impact). Section 2 presents a single set of 2014 estimates for Liberia, Sierra Leone, and Guinea, based on available data on current economic activity as well as assumptions about the short-term impact. It also presents current data on the limited current impacts on other countries in the region. Section 3 presents estimates for the impact by the end of 2015 for Liberia, Guinea, and Sierra Leone, as well as estimates for West Africa as a whole. Because the epidemic and the behavioral responses to it have more time to diverge over the course of 2015, Section 3 presents two scenarios for 2015, which vary in the optimism of their assumptions regarding the epidemic and the success of donor and government policy and efforts to control it. The take-away messages from this analysis are a low Ebola scenario that corresponds to rapid containment within the three most severely affected countries, and a high Ebola scenario corresponds to slower containment in the three countries, with some broader regional contagion. A swift policy reaction by the international community is crucial. With potential the economic costs of the Ebola epidemic being so high, very substantial containment and mitigation expenditures would be cost-effective, if they successfully avert the worst epidemiological outcomes. To mitigate the medium term economic impact of the outbreak, current efforts by many partners to strengthen the health systems and fill the fiscal gaps in the core three countries are key priorities. Finally, this report does not take into account the longer term impacts generated by mortality, failure to treat other health conditions due to aversion behavior and lack of supply capacity, school closings and dropouts, and other shocks to livelihoods. It is truly focused on the short and medium-term inputs, over the next 18 months.Publication Update on the Economic Impact of the 2014 Ebola Epidemic on Liberia, Sierra Leone, and Guinea(Washington, DC, 2014-12-02)The Ebola epidemic continues to cripple the economies of Liberia, Sierra Leone, and Guinea. The crisis is resulting in flat or negative income growth and creating large fiscal needs in all three countries, as they work to eradicate the virus. This update presents the World Bank s most recent analysis of the economic effects of the Ebola epidemic on the three countries. All three had been growing rapidly in recent years, and into the first half of 2014. But GDP growth estimates for 2014 have been revised sharply downward since pre-crisis estimates. Projected 2014 growth in Liberia is now 2.2 percent (versus 5.9 percent before the crisis and 2.5 percent in October). Projected 2014 growth in Sierra Leone is now 4.0 percent (versus 11.3 percent before the crisis and 8.0 percent in October). Projected 2014 growth in Guinea is now 0.5 percent (versus 4.5 percent before the crisis and 2.4 percent in October). The World Bank s October report on the economic impact of Ebola (report no. 91219 released at the 2014 Annual Meetings of the IMF and the World Bank) found that if the epidemic continues in the three worst-affected countries and spreads to neighboring countries, the two-year regional financial impact could range from a "low Ebola" estimate of $3.8 billion to a "high Ebola" estimate of $32.6 billion. These scale estimates of potential impact remain valid: the epidemic is not yet under control. Containment, combined with a full-fledged financial recovery effort to restart business activity and bring back investors, are now both therefore urgently needed for the region to improve on the downbeat forecasts in this update.Publication Update on the Economic Impact of the 2014-2015 Ebola Epidemic on Liberia, Sierra Leone, and Guinea(World Bank, Washington, DC, 2014-04-15)A year after the onset of Ebola, the estimated GDP losses for the three countries through 2015 total US$2.2 billion (US$240 million for Liberia, US$535 million for Guinea and US$1.4 billion for Sierra Leone). This is the result of the severe impact of the epidemic which has been exacerbated by the large decline in the world price of iron ore and severe corporate governance issues in mining in Sierra Leone. Important differences among the three countries are emerging. Liberia is gradually returning to normalcy, Guineas economy is stagnating, and Sierra Leone is suffering a severe recession. This update presents the World Banks most recent analysis of the economic and fiscal effects of the Ebola epidemic on the three countries. In relation to our January 2015 report it contains: 1) an updated status for the economies of Liberia, Guinea, and Sierra Leone; and 2) a brief description of these countries Economic Recovery Plans with indicative estimates of their potential impact on growth. As of April 2015, the Ebola epidemic has been largely contained but the negative effects on the economies of Liberia, Guinea and Sierra Leone loom large amidst continued uncertainty about the timing of complete eradication. The crisis continues to adversely affect these economies, so pace of recovery in these countries will depend heavily on adequate financing and effective implementation of the recovery plans. 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Later, the term "one health" came into use, and later still, the broader concept of "one world one health," which is today used to represent the inextricable links among human and animal health and the health of the ecosystems they inhabit.Publication The Effectiveness of Policies to Control a Human Influenza Pandemic : A Literature Review(World Bank, Washington, DC, 2008-02)The studies reviewed in this paper indicate that with adequate preparedness planning and execution it is possible to contain pandemic influenza outbreaks where they occur, for viral strains of moderate infectiousness. For viral strains of higher infectiousness, containment may be difficult, but it may be possible to mitigate the effects of the spread of pandemic influenza within a country and/or internationally with a combination of policies suited to the origins and nature of the initial outbreak. 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