The Centers for Disease Control told the incoming Obama administration in 2008 that it should establish 18 regional disease detection centers around the world to adequately safeguard the U.S. from emerging health threats like Ebola, according to an agency memo.
But six years later, as the government struggles to contain the fallout from a deadly Ebola outbreak at home and abroad, the CDC still has only 10 centers — and none of them operates in the western Africa region hardest hit by the deadly virus.
At the time, the CDC had five centers set up, and has only added five more of the 13 the agency had proposed “to complete the network and properly protect the nation.” The memo sheds new light on the problems dealing with the current Ebola crisis, which intensified with the revelations Wednesday that a second Texas nurse had tested positive for the disease and President Obama used a White House Cabinet meeting to promise a “more aggressive” federal response to the threat.
The CDC’s plan outlined in the transition memo was based on the notion that the U.S. shouldn’t wait for a disease to enter the country but rather monitor threats in hot spots overseas to try to help local public health authorities control outbreaks before then. The CDC didn’t respond to messages seeking comment on its plans Wednesday.
On its Web page, the agency said it has eight regional centers running, with another two in development.
Aside from detecting and monitoring diseases, the centers also provide education to local public health authorities. Though the CDC operates three response centers in Africa — in Kenya, Egypt and South Africa — none of those are based in the western parts of the continent that have seen major Ebola outbreaks this year.
News on Wednesday that another patient in the U.S. — a second health care worker who treated an Ebola patient in Texas — may be infected prompted calls for tightened travel restrictions and at least a temporary travel ban for Liberia, Guinea and Sierra Leone, including one from House Speaker John A. Boehner, Ohio Republican. The administration has so far rejected those calls, with health officials saying they fear the bans could prevent them from getting aid workers and medical assistance to and from Africa.
Meanwhile, the fight over funding for anti-Ebola efforts has turned political. Five Democratic House members on Wednesday called for hearings into budget cuts at the National Institutes of Health and CDC.
The lawmakers said NIH has lost $1.2 billion in funding over the last four years and that a CDC program that supports public workers was slashed 16 percent during the past four years, while a hospital preparedness program lost 44 percent of its funding.
