[applause] >> thank you dr. borio and thank you to your colleagues at the food and drug administration. our next speaker will be dr dr. jesse bump who teaches at georgetown at the department of health. he has a ph.d. from johns hopkins and a masters in public health and global health or he served as a fellow in international health policy prior to coming to join the faculty here at georgetown. dr. bomb's research focuses on the political economy of current and historical systems in countries humanity directed health plans health system design health services delivery and social science thierry. please join me in welcoming dr. bump. [applause] >> thank you very much. thank you for inviting me. we have about 10 minutes and i wanted to mention the historical and political dimensions. it's about how did we get here and where are we going to go? does anybody know if this is? this is the ebola virus. here is another pretty picture. this is the measles virus. some people talk about measles as a problem of low vaccine coverag

dr. luciana borio from the food and drug administration, dr.from georgetown university and dr. beth cameron from the white house. i would like to show you just a few slides primarily from the time we spent last august in sierra leon and we have strongly held opinions based on that experience and everything that i have done over the last 35 years in medicine and research and public health on what i think is happening and what needs to happen to respond to the ebola crisis which is now in west africa but soon maybe elsewhere. this is a sign from sierra leone find everywhere, signs and symptoms of ebola virus. early clinical parts of illness are tied to symptoms that are nonspecific fever diary of and that means they are very much parts of the illness. the signs and symptoms are nonspecific. that means that they are very much imitative of common diseases, much more common diseases in west africa like malaria or typhoid or gastroenteritis so it's hard to know if someone has ebola or they have a much more common diseases such as mar