Hopeful sign in Liberia's Ebola outbreak?

DAKAR, Senegal - The rate of new Ebola infections in Liberia appears to be declining and could represent a real trend, the World Health Organization said Wednesday, but the epidemic is far from over.

There are empty beds in treatment centers and the number of burials in the country has declined, Dr. Bruce Aylward, the assistant director-general for WHO, told reporters. He said there may be as much as a 25 percent week-on-week reduction in cases in Liberia. But experts are still trying to ensure their data is reliable.

Throughout the Ebola outbreak, WHO has warned that its data have been incomplete and the number of cases are likely vastly underreported. That is still a concern, Aylward said, but the trend nonetheless appears to be real.

So far, more than 13,600 people have been sickened in the outbreak, which has hit Liberia, Guinea and Sierra Leone hardest.

"The epidemic (in Liberia) may be slowing down," he said. But he cautioned: "A slight decline in cases in a few days versus getting this thing closed out is a completely different ball game."

Liberia's Red Cross said Tuesday that teams collected 117 bodies last week from the county that includes Monrovia, down from the high of 315 in September.

Benoit Carpentier, a spokesman for the International Federation of the Red Cross, warned that it was too early to celebrate those numbers, saying Ebola outbreaks come in waves. He noted that Red Cross figures show deaths are still increasing outside Monrovia.

Several times throughout this outbreak, including in Liberia, officials have thought the disease's spread was slowing, only to surge again later. They have often blamed those false lulls on cases being hidden because people were too afraid to seek treatment, wanted to bury their relatives themselves or simply weren't in contact with authorities.

Aylward said that this is not the time to let up: The response has to continue going full bore.

"I'm terrified the information will be misinterpreted," he said, and the international response will slow.

On Tuesday, the president of the World Bank, Jim Yong Kim, said more than 5,000 additional health care workers are needed to fight Ebola in the three most affected countries in West Africa.

World health officials have repeatedly said the transmission of the virus continues to outpace the international community's response.

"We need to have a steady stream of health care workers from Africa coming into the three affected countries. The head of the U.N. Mission for Ebola Emergency Response, David Nabarro, has told us that we need at least 5,000 health workers from outside the region," Jim said. "Right now, I'm very much worried about where we will find those health care workers. With the fear factor going out of control in so many places, I hope health care professionals will understand that when they took their oath to become a health care worker it was precisely for moments like this."

WHO director Aylward said the danger now "is that we will end up with an oscillating pattern where the disease moves up and down."

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