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1 | Are Madagascar's Health Care Facilities Ready for Possible Ebola Outbreak? | Inona avy no Mety Hahazoana ny Aretina Ebola Eto Madagasikara ary efa Misy Ve Rafitra Ara-Pahasalamana Iatrehana Izany ? |
2 | Madagascar bat via Wikipedia Public Domain | Ramanavy eto Madagasikara - valam-bahoaka wikipédia |
3 | The fight against the Ebola epidemic is increasingly turning into an international emergency. | Efa mihamitoetra ho vaindohan-draharaha eo amin'ny sehatra iraisampirenena hatrany ny valan'aretina Ebola. |
4 | The number of victims is growing rapidly in the three most severely affected countries in West Africa: Guinea, Liberia and Sierra Leone. | Mitombo haingana dia haingana ny isan'ny marary any amin'ny firenena telo efa misy azy any Afrika andrefana : Ginea, Liberia ary Sierra Leone. |
5 | Patients have also died in the Democratic Republic of Congo and Nigeria. | |
6 | The World Health Organization reports that the most serious epidemic in the history of this hemorrhagic fever has already killed more than 2,800 people out of 5,833 cases as of 20 September. | Nanamarika ny Firenena Mikambana fa efa namono olona mihoatra ny 2 400 amin'ny 4 784 efa tratrany (tamin'ny 15/09) ity fanaviana mibabarà ratsy indrindra teo amin'ny tantara ity. |
7 | The United Nations Security Council has adopted Resolution 2177 to deal with the public health crisis. | Nandany ny drafi-pandaminana laharana faha-2177 hiatrehana ilay krizy ara-pahasalamana ny vaomieran'ny fandriampahaleman'ny Firenena Mikambana. |
8 | On 18 September, 131 countries co-sponsored the resolution, which recognizes “the unprecedented extent of the Ebola epidemic in Africa” and describes the creation of a special mission, the United Nations Mission for Ebola Emergency Response (UNMEER). | Ny 18 septambra, firenena 131 no nandany ny didy mankatoa ny “hagoavan'ny valan'aretina Ebola mihoampampana eto Afrika” sy ny fananganana iraka manokana antsoina hoe UNMEER (United Nations Mission for Ebola Emergency Response = Iraky ny Firenena Mikambana Hamonjy ny Voina Ateraky ny Ebola ). |
9 | US President Barack Obama has announced that he is sending 3,000 American troops to West Africa, in view of the worsening crisis, with the virus spreading exponentially. | Nanambara ny handefasana miaramila etazoniana 3000 ny filohan'i Etazonia Barack Obama satria heveriny fa misavoana mihitsy ny fitombon'ilay krizy. |
10 | Other countries in Africa are concerned about the possibility that the epidemic will spread to them as well, although their health facilities are not ready to deal with it. | Manahy ny amin'ny mety hianahan'ny valan'aretina ho tonga any amin-dry zareo ny firenena afrikana hafa nefa tsy manana fitaovana ara-pahasalamana hiatrehana izany akory. |
11 | A study states that 15 African countries are potentially at risk, due to having the same environmental conditions as the affected countries. | Nisy fanadihadiana nanamafy fa misy firenena afrikana 15 ahiana ho mora tratrany satria mitovitovy toetra ara-pahasalamana amin'ireo firenena efa tratrany. |
12 | This is the case for Madagascar, where a boat from Liberia suspected of carrying the Ebola virus docked recently in the port of Toamasina. | Ao anatin'izany i Madagasikara izay vao nahita sambo iray avy any Libéria sy ahiana hitondra ny tsimok'aretina Ebola niantsona tao amin'ny seranantsambon'i Toamasina. |
13 | An emergency meeting was held in Antananarivo on 5 August to look closely at the precautions that need to be taken. | Nisy fivoriana maika natao teto Antananarivo tamin'ny 5 aogositra ahafahana mandinika akaiky ny fepetra tokony horaisina. |
14 | Secretary General of the Madagascar Ministry of Health Philémon Tafangy recognized the risk: | Tsy voaaron'ny loza tahaka itony ny firenena tahaka ny antsika, na dia lavidaviatra antsika ihany aza ny faritra iitaran'ny viriosy |
15 | A country such as ours isn't safe from the risks [of Ebola], despite our distance from the affected region | hoy i Philémon Tafangy, seketera jeneralin'ny Minisiteran'ny fahasalamam-bahoaka eto Madagasikara. |
16 | Prime Minister Kolo Roger, however, has stated that the health system is ready to deal with such an eventuality and has a contingency plan in place: | Vao nanamafy indrindra anefa ny Praiminisitra Kolo Roger fa efa vonona amin'ny fiatrehana amin'izany tranga izany ny rafitra ara-pahasalamana amin'ny fametrahana drafi-piatrehana ny tsy ampoizina eto an-toerana : |
17 | This plan incorporates the scenarios and steps required to tackle epidemics of viral hemorrhagic fevers such as the viral disease Ebola. | Ahitana ny tranga rehetra mety hisy sy ny fepetra (sy fitaovana) ilaina hiatrehana indrindra fa ny valan'aretina mahatratra ny rà tahaka ny aretina ateraky ny viriosin'ny Ebola. |
18 | Hospital room in Mandritsara, Madagascar - CC BY 2.0 | Efitranon'ny hopitaly iray any Mandritsara, Madagasikara - CC BY 2.0 |
19 | But it appears that the Malagasy health infrastructures will not be able to cope if the disease spreads dramatically. | Raha jerena anefa dia tsy afaka ny hiatrika ny fianahan'ny aretina haingana dia haingana akory ny fotodrafitrasa ara-pahasalamana eto Madagasikara. |
20 | The PM is choosing to ignore the warnings of scientists, relying instead on airport controls, noting that Madagascar's public health environment is protected by the lack of flights from the areas affected by the virus. | Nisafidy ny tsy hiraharaha ny fanairan'ny manampahaizana ara-tsiantifika ny praiminisitra fa manankina ny fitokisany any amin'ny fanarahamaso ny seranana sy ny seranam-piaramanidina, ary nanamarika fa voaaro amin'ny alalan'ny tsy fisian'ny zotram-piaramanidina mifandray mivantana any amin'ireo faritra efa tratran'ny tsimok'aretina ny faritra ara-pahasalamana malagasy. |
21 | Scientists point out that the virus can spread in a different way. | Nanantitra ny manampahaizana fa efa-mifindra amin'ny fomba samy hafa ny tsimok'aretina. |
22 | Indeed, a recent publication explains how the disease could be spread from the animal kingdom to humans: fruit bats can carry the disease without displaying any signs of it, and are able to migrate and transfer it to other animals, such as monkeys and rodents. | Nisy tokoa fandinihana nivoaka vao haingana nanazava ny mety ho fielezan'ny aretina avy any amin'ny tontolon'ny biby mankany amin'ny olombelona: mety hitondra ny aretina tsy ahitana izay fisehon'aretina izay akory ny fanihy (sy ny ramanavy) mpihinana voankazo, afa-mifindra monina sy mamindra aretina amin'ny biby hafa, amin'ny gidro na amin'ny biby mpikiky hafa ohatra. |
23 | Monkeys are sometimes eaten as bushmeat in Madagascar. | Misy anefa ny mihinana gidro any ambanivohitra any. |
24 | Although consumption of meat may not necessarily cause Ebola, preparation of raw infected meat increases the risk of infection. | Raha tsy voatery hahazoana ny aretina Ebola ny fihinana azy, dia mety hahazoana ny aretina kosa ny eo am-pikarakarana ilay hena manta. |
25 | Ilaym, an Antananarivo-based blogger for the DailyMg, explains why Malagasy people are specifically vulnerable to an Ebola outbreak. | |
26 | He lists a few reasons: Some Malagasy people hunt and eat bats and lemurs; and the practice of famadihana, a tradition that consists of exhuming the deceased from their tombs. | Miahiahy amin'ny fahafahan'ny firenena miatrika hanoherana ny mety ho fahatongavan'ny Ebola eto Madagasikara i Léa Ratsiazo avy eto Antananarivo raha mijery ny zava-nitranga vao haingana tao amin'ny hopitaly iray eto an-drenivohitra : |
27 | Léa Ratsiazo in Antananarivo questioned in a column for newspaper the Madagascar Tribune the country's real ability to counteract the potential arrival of Ebola in Madagascar, in the light of a recent event in a hospital in the capital: | |
28 | That takes some believing, because almost at the same time as he was issuing that press statement, a team of foreign surgeons engaging in humanitarian work inadvertenlty contradicted it. | Aleo dia hinoana izay lazainy fa tamin'io toerana nanaovany ny fanambarana an-gazety io indrindra, nisy ekipam-bahiny mpandidy miasa ao amin'ny asa fanasoavam-bahoaka nanohitra izay nolazainy tsy nahy. |
29 | This was a team made up of 11 surgeons, doing humanitarian work across several countries in the world, including Madagascar. | Ekipa iray ahitana mpandidy 11 manao asam-panasoavana mitety firenena maro ka ao anatin'izany i Madagasikara. |
30 | They carry out surgical procedures free of charge for patients that need them in the countries they visit, in partnership with local hospitals. | Manao fandidiana maimaim-poana amin'ireo marary izay mila izany any amin'ny firenena tsidihiny amin'ny alalan'ny fiaraha-miasa amin'ny hopitaly ao an-toerana ry zareo ireo. |
31 | The HJRA hospital of Antananarivo, which is the largest health care centre in Madagascar, was chosen for this partnership, but the HJRA officials forgot to inform the public of this fact. | Nofidiana hanaovana izany fiaraha-miasa izany ny hopitaly HJRA eto Antananarivo, izay ivon-toeram-pitsaboana lehibe indrindra eto Madagasikara saingy noadinoin'ny tompon'andraikitra ao amin'ny HJRA izany fiaraha-miasa izany. |
32 | As a result, no patients turned up. | Vokany : tsy nisy ny marary tonga. |
33 | They ended up with just two HJRA patients instead of the 25 anticipated daily. | Nisy ihany marary roa ao amin'ny HJRA nodidiana fa tsy 25 isan'andro araka ny efa niomanana. |
34 | These surgeons were annoyed, stating that they had not come here for a holiday, but to help others, and that the least the hospital should have done was to inform the public and raise awareness. They were also concerned that patients requiring an operation have to pay for all the drugs and other supplies needed for the procedure. | Tezitra ry zareo ka nolazainy mazava tsara fa tsy hanao vakansy no hahatongavany fa hanampy ny hafa, ny zavatra kely indrindra tokony natao dia ny nanao ny filazana sy nanentana ny olona, ankoatra izany dia tsy azon-dry zareo ny antony iantohan'ny marary ny fanafody sy ny fitaovana rehetra handidiana. |
35 | In addition, it was noted that the HJRA had an acute shortage of basic materials for surgical procedures. | Voamariky ry zareo ihany koa fa tsy manana ny fitaovana fototra hanaovana fandidiana ara-pahasalamana tsotra indrindra ny HJRA |
36 | Le Mouvement des Citoyens Malagasy de Paris MCM (The Coalition of Malagasy citizens in Paris) also wonders whom to believe regarding the risk of an Ebola outbreak in Madagascar: the Prime Minister Kolo who says the risks are minimal or the research scientists who included Madagascar in the nations at risk? | |
37 | So, while a contingency plan exists, it remains to be seen if Madagascar has been able to put in place the resources needed to implement it. | Efa misy izany ny drafi-piatrehana ny tsy ampoizina eto Madagasikara fa ho hita eo raha voapetraka any amin'ny toerana misy azy ny fitaovana ahafahana mampiasa azy. |