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A tale of two viruses: HIV, Ebola and health systems.

Epidemics invariably generate calls for technical solutions such as drugs and vaccines, but gaining trust of communities, understanding and allaying their concerns, and forging effective coalitions between local and outside responders are first essentials. Many have expressed surprise at the ongoing outbreak of Ebola in West Africa, which, by mid-March 2015, had caused close to 25 000 reported cases and more than 10 000 registered deaths. Secondary spread in other West African countries, Europe, and the United States contributed to the alarm, and the epidemic has shaken the very foundations of global health and its institutions. Yet, it was a quarter century ago that the Institute of Medicine published its landmark report on emerging infections that discussed infectious disease spread in an increasingly interconnected world [1]. Albert Camus, in his epic ‘The Plague’, observed that wars and pestilences always take people equally by surprise.