An Analysis of the International and Domestic Health Hazards Posed by the 2014 West African Ebola Virus Disease Outbreak

Introduction An epidemic of ebolavirus in West Africa, which was first identified in March 2014, is now the largest Ebola Virus Disease (EVD) outbreak on record. On 8 August 2014, the WHO declared the Ebola outbreak in West Africa a Public Health Emergency of International Concern (PHEIC). As of 4 September 2014, Guinea, Liberia, Sierra Leone, and Nigeria have reported 3,707 cases (2,106 confirmed, 1,003 probable, and 598 suspected) of EVD with 1,848 deaths (50% case fatality) to the World Health Organization (WHO). Five U.S. citizens have contracted the viral disease – one LiberianAmerican and four medical-aid workers working in Ebola-afflicted countries.