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Candidate to Lead the W.H.O. Accused of Covering Up Epidemics

The New York Times | by DONALD G. McNEIL Jr.

Foreign Minister Tedros Adhanom – A disgrace to Ethiopia

Tedros Adhanom

A leading candidate to head the World Health Organization was accused this week of covering up three cholera epidemics in his home country, Ethiopia, when he was health minister — a charge that could seriously undermine his campaign to run the agency.

The accusation against Tedros Adhanom Ghebreyesus was made by a prominent global health expert who is also an informal adviser to Dr. David Nabarro, a rival candidate in the race for W.H.O. director general.


Dr. Tedros, who uses his first name in his campaign, denied the cover-up accusation and said he was “not surprised at all but quite disappointed” that Dr. Nabarro’s camp — which he said included high-ranking British health officials — had switched to running what he called a “last-minute smear campaign.”

The vote for the next director general of the W.H.O. is to take place at a weeklong meeting of the world’s health ministers in Geneva beginning May 22.

Dr. Nabarro, reached by telephone on Saturday in China, said he knew of the accusations — especially because world health officials believe Ethiopia is suffering a cholera outbreak even now, while still denying it — but he insisted that he had not authorized their release.

“I absolutely did not know,” he said.

His adviser, Lawrence O. Gostin, the director of the O’Neill Institute for National and Global Health Law at Georgetown University, called attention to Ethiopia’s long history of denying cholera outbreaks even as aid agencies scramble to contain them. Some of those outbreaks occurred on Dr. Tedros’s watch.

Mr. Gostin said he acted without consulting Dr. Nabarro, and did so because he believed the W.H.O. “might lose its legitimacy” if it is run by a representative of a country that itself covers up epidemics.

“Dr. Tedros is a compassionate and highly competent public health official,” he said. “But he had a duty to speak truth to power and to honestly identify and report verified cholera outbreaks over an extended period.”

In an interview, Dr. Tedros, who was Ethiopia’s health minister from 2005 to 2012 and remains highly regarded for his accomplishments then, denied covering up cholera.

Outbreaks occurring in 2006, 2009 and 2011, he said, were only “acute watery diarrhea” in remote areas where laboratory testing “is difficult.” That is what the Ethiopian government said then and is saying now about an outbreak that began in January.

A woman with her baby, who was severely malnourished and had diarrhea

A woman with her baby, who was severely malnourished and had diarrhea, in 2011 in Ethiopia. Ethiopia suffered extensive outbreaks of diarrheal disease in 2006, 2009 and 2011. Credit Luc van Kemenade/Associated Press

W.H.O. officials have complained privately that Ethiopian officials are not telling the truth about these outbreaks. Testing for Vibrio cholerae bacteria, which cause cholera, is simple and takes less than two days.

During earlier outbreaks, various news organizations, including The Guardian and The Washington Post, reported that unnamed Ethiopian officials were pressuring aid agencies to avoid using the word “cholera” and not to report the number of people affected.

But cholera bacteria were found in stool samples smuggled out of the country. As soon as severe diarrhea began appearing in neighboring countries, the cause was identified as cholera.

United Nations officials said more aid could have been delivered to Ethiopia had the truth been told.

Somalia, which borders Ethiopia, is currently battling a large cholera outbreak, and a new vaccine is being deployed there. Aid officials believe cholera is also circulating in the neighboring regions of Ethiopia, but without confirmation, they cannot release the vaccine.

Ethiopia’s health ministry is still calling it “acute watery diarrhea,” and told VOA News last month that it would not change that report without laboratory confirmation, which it said it did not have.

Under the International Health Regulations, which apply to all W.H.O. members, countries must accurately report disease outbreaks. But the W.H.O. can officially report only what countries say.

Historically, some countries have tried to cover up or play down outbreaks of human or animal diseases for fear that travel restrictions would be imposed, tourism would suffer or food exports would be curtailed — or simply as a matter of national pride.

The regulations were strengthened after China denied for months in 2003 that it had a serious outbreak of lethal respiratory disease in its southern cities. That outbreak ultimately became known as SARS, for severe acute respiratory syndrome, and spread to several other countries, including Canada.

Dr. Margaret Chan, the current W.H.O. director general, is from China, but was never accused of participating in China’s cover-up. She was the director of health in Hong Kong at the time and led effective responses to both avian flu and SARS.

China has since changed its policy and now is often praised for acknowledging outbreaks promptly, fighting them aggressively and cooperating with other health agencies.

There are many causes of acute watery diarrhea, and the treatment is basically the same as for cholera: prompt intravenous and oral rehydration, accompanied by an antibiotic if the cause is bacterial.

But cholera is especially virulent and kills some victims in less than 24 hours. Since it emerged from the Ganges River Delta in 1817, it has killed tens of millions around the world.

Outbreaks of cholera tend to wax and wane and are affected by many factors, including flooding, population displacement, the immunity of victims and a phage virus that attacks Vibrio bacteria.

Dr. Tedros, who has the backing of the African Union and has been praised by international aid officials and former President George W. Bush, is widely respected for his stint as Ethiopia’s health minister.

He trained 40,000 female health workers, improved laboratories, created ambulance fleets and multiplied medical school graduates tenfold. Deaths from AIDS, tuberculosis and malaria, as well as deaths of young children and women in childbirth, fell by more than 50 percent.

He was Ethiopia’s foreign minister from 2012 to 2016 and was praised for his diplomatic skills, then left office to run for the W.H.O. job.

During Dr. Tedros’s campaign, he has been put on the defensive for working for a repressive government. Human Rights Watch and even the State Department have accused Ethiopia’s ruling party of displacing thousands of citizens, gunning down hundreds of protesters and jailing or torturing political opponents and journalists.

He has answered that some human rights violations were serious mistakes, but argues that Ethiopia is a “nascent democracy” with the growing pains common to new governments.

Dr. Nabarro is a British public health specialist who has led United Nations responses to Ebola, avian flu, hunger and other health crises.

The third candidate for the top W.H.O. post is Dr. Sania Nishtar, a Pakistani cardiologist and an expert on noncommunicable diseases.

Dr. Nabarro acknowledged occasionally getting advice from Mr. Gostin, but expressed surprise and some dismay that the issue had come up so late in the race.

“I’m quite keen to be super careful to not pursue any activity that might be considered inappropriate,” Dr. Nabarro said.

Dr. Tedros compared the accusation to James B. Comey, then the F.B.I. director, announcing a reopening of the investigation into Hillary Clinton’s private email server last year just before Election Day in the United States.

If Dr. Nabarro really did not know, “he is not in control of his team,” Dr. Tedros said. He said Dr. Nabarro’s backers have a “typical colonial mind-set aimed at winning at any cost and discrediting a candidate from a developing country.”

2 comments

  1. This article clearly pointed out ,Dr. Teodros was instrumental in covering up the cholera outbreaks took place when he was a health minister.

    “W.H.O. officials have complained privately that Ethiopian officials are not telling the truth about
    Cholera outbreaks. …Various news organizations, including The Guardian and The Washington Post, reported that unnamed Ethiopian officials were pressuring aid agencies to avoid using the word “cholera” and not to report the number of people affected.
    But cholera bacteria were found in stool samples smuggled out of the country. As soon as severe diarrhea began appearing in neighboring countries, the cause was identified as cholera….”

    The question now is who run the WHO and other international agencies such as U.N,and ICC ?Could it be the various Private interest groups who finance these agencies who may have hidden agendas to implement in the future of the citizens of the world? One is reminded a few years ago what happened in North Africa. We remember the Ebola outbreak there. We watched too the constant scary news, no one should be allowed to travel from those regions for fear of spreading the disease. But many people then believed this and other outbreaks are just lavatory designed germ warfare .This is plausible explanation at least for Ebola because while many Africans drop dead without any sign of cure, some western health officials who travelled to Africa to help on that crisis were flown to their country and were effectively treated. So it makes sense if it is a laboratory designed disease it is possible they may have the cure ready ahead of the trial in the field in Africa.

    This is not an off the wall remark. I believe, among other things, Dr Teodros had made in his interview inconsistence claims, when he said he wants to make a difference in people’s life. Really, if what the Dr. is true to his word then we could have not heard his government and hi own agency are committed to a long habit of COVER UP. If he really was what he said in the interview, he as opportunity to make a difference in his own people, but the facts point out he was concerned about the political image of TPLF who is a politburo member. We know now he is there not because of his competency or any other humanitarian purpose ,but to receive a reward for the part he played in vaccinating Ethiopians for the global corporations ,in which Bill Gate is the front man. In fact, there is a double mission in his desire to bid to the WHO. If he secures his position this will make TPLF the only regime in the world who govern Ethiopia under a martial law, and the KING MAKERS ADMITT IT.Not to mention the fact they are entertaining to anoint a figure head of one of their satellite state.

    https://www.youtube.com/watch?v=UHr490YnDuw

  2. This man, the man, Tedros Adhanom whose hands are soaked in the bloods of thousands and thousands of Ethiopians has been at large along with his crime partners for at least twenty five years ; truth be told and God be with the victims of Fascist TPLF, this man, Tedros Adhanom shall be captured along with both the dead and the living-criminals and stand before the millions for the ultimate trial.

    If not acts swiftly and decidedly, the WHO and the billion global beneficiaries will immediately fall into the murderous and stealing-hands of Tedros Adhanom. Some twenty five years ago the robbers came into Ethiopia via invasion with a lot of guns and bullets to reach the millions. No sooner than the robbers had gotten into the cities, they embarked on stealing the lives of citizens; they then scattered all over the country and got into villages and towns, and crossed into the neighbourhoods, broke into homes and vandalized the lives of families. The crimes Tedros Adhanom and his partners in crimes are very graphic and are evident to reporters and explores. Not too long ago, the con and fraudulent man, Tedros Adhanom had been in the international news on account of luring a school-girl into his adult world; in fact, this was not the only and the first criminal activity that he had been heavily involved in. Committed major crimes both murder and financial at every minor and major level he was assigned to. No matter what he dreamed last night, he will for sure meet his fate tomorrow. Justice shall prevail.

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