The extent of the West African Ebola virus disease (EVD) epidemic and the role of inadequate preparedness at the national, regional, and international levels has been well documented. Reference Spengler, Ervin and Towner1,Reference Marston, Dokubo and van Steelandt2 Lack of communication and coordination among disaster preparedness and outbreak response agencies contributed to the toll of illness and death. Recent articles in this journal suggest that active efforts are underway in West Africa and Angola to enhance preparedness. Reference Morton Hamer, Reed, Greulich and Beadling3,Reference Owens and Rice4 A useful resource for response planning is available online, providing multiple measures of disease burden from the 2014–2015 EVD epidemic, as well as country-specific data for over 300 conditions and risk factors. 5 The Global Burden of Disease (GBD) provides a tool to quantify health loss. GBD has distilled large amounts of complicated information into a suite of interactive data visualizations. For example, the following data for Sierra Leone in 2013–2017 indicate the burden of EVD compared to malaria, the leading cause of death even during the EVD outbreak.
In 2017, in Sierra Leone, the population was 7.8 million, gross domestic product (GDP) per capita was US $1399, educational attainment was 3.8 years. Life expectancy at birth was 61.4 years in females and 59.5 years in males. The leading cause of death was malaria followed by lower respiratory infection, neonatal disorders, and diarrheal diseases. The leading causes of premature deaths were malaria, neonatal disorders, and diarrheal diseases. Total health care spending per person was US $82. The estimated number of deaths from all causes, malaria, and EVD, respectively, were 2013 (73 425, 11 190, 0); 2014 (77 362, 10 269, 5207); 2015 (74 220, 10 567, 2397); 2016 (71 398, 11 164, 2); and 2017 (71 227, 11 119, 0). In 2014, EVD caused 7.1% of total deaths and, in 2015, 3.2%. In comparison, malaria caused 13.3% in 2014 and 14.2% in 2015. When there was no EVD, in 2013, malaria caused 15.2% and, in 2017, 15.6% of deaths.
In conclusion, disaster preparedness and outbreak response agencies working jointly to prepare for future EVD epidemics can use GBD data to enhance the planning process.
Conflict of Interest Statement
The authors have no conflicts of interest to declare.
