spring in trish newport here she's from doctors without borders in geneva switzerland and she's coordinating the organizations of boulder response in the democratic republic of congo thank you very much for being with us this morning 1st of all how big is the risk of the boulder spreading in goma and beyond there's definitely the risk so after one year's a break there have been more than 2700 cases more than 1700 deaths but it's not just those numbers that are concerning it's the fact that every week about 40 percent of the new cases were never identified before it's people at risk of having ebola what that means is that we don't know who to be monitoring and we don't know where the people are that could be at risk of developing ebola that means we have no visibility over the epidemiological situation and it definitely increases the risk of spread of the disease talking about the disease spreading the world health organization does not recommend any restrictions on travel saying that that can actually hamper the fight against the boulder can you explain that to us. definitely so when you clo

to contain the virus it must better predict where it might go next the and we're joined now by trish newport from doctors without borders in geneva switzerland she is coordinating the organization's ebola response trisha's good to have you on the program talk to me how big is the risk of ebola spreading within and beyond goma at this point. there's definitely a risk so right now there have been in the past year more than 2700 people in cases with over 1700 deaths so that's a lot but what's even more concerning is that every week of all the new cases that are identified only 40 percent are people 40 percent were never identified as people that were risk of having the disease and because of this we have no visibility over the at the dimia logical situation we don't know who has been in contact with confirmed cases and that means that there's always the risk of spread and one year on the fight. far from over what makes it so difficult to contain this epidemic. it's extremely challenging it's the 1st time there's ever been in the bullet in an area with active conflict and it's not so much the co

brett: we are joined by trish newport from doctors without borders in geneva, switzerland. e is coordinating the response. good to have you. how big is the risk of ebobola spreading within and beyond goma? trish: there is a risk. righght now therere have been ie past year more than 2700 ebola cases with over 1700 deaths. that is a lot. what is more concernining is evy week of all o of the new cases that a are identified, only 40%- 40% never identified were people at risk of having the disease. because of this we have no visibility over the situation. we donon't knowow who haseeeen n contactt with confirmed cases. that means there is the risk of spread. brbrett: one year on, the fight against ebola, it is hard -- far from over. what makes it so difficult t to contain thisis epidemic? trish:h: it is challenging. the first time there has been an ebola outbreak in an area with active conflict. it is not t the conflicict, it s the lack of t trust the p people have towards thehe response. from the beginning, there was very little community engagement with the communities. since th

us it's very difficult to keep calm at this moment catherine soy al-jazeera nairobi kenya well trish newport is deputy program manager for the boehner response at doctors without borders she says a strong screening process especially along the border is needed to stop the spread . the situation is really critical you know there have been over 2600 cases since the beginning of the outbreak a year ago over 1700 deaths but what's really concerning is is the characteristics of this data so right now every week about 40 percent of all the new cases were never identified as people at risk of having the disease so you need to be able to have a good contact tracing system in place or else you don't know who's at risk and where they are and that creates a big concern and a big risk of spread that border in goma is extremely busy there are about 15000 people that pass through the border every day but the concern is if you close the border it's not going to stop people from crossing the border they're going to find other ways so what's really important is that the borders are reinforced with proper scr

criticize what he called outside pressure to roll out a new experimental ebola vaccine trish newport is the deputy program manager for the response for doctors without borders she says it's been a challenge to identify the initial signs of the outbreak. well the situation is extremely concerning to morrow is the one year anniversary of the start of this outbreak and we don't see the situation getting any better more than 2600 cases of ebola have been identified in the past year and more than 1700 people have died but it's not just that it's concerning it's the characteristics of these numbers so more than 40 percent of all of the new cases were never identified as people that were risk of developing the disease it means that we have no visibility over the epidemiological situation and that's really concerning because that's how we end up with cases in goma that we weren't expecting it's hell week and up with the cases in uganda that happen in june or the case in any water that was just south of so sudan in june as well it's a really concerning situation this question of trust is the

situation is now a lot of fear people very concerned that this might spread well let's bring in trish newport she's the deputy program manager for it polar response with the international humanitarian aid group doctors without borders she joins us via skype from geneva the world health organization has now declared this latest about the outbreak in the global emergency yet it seems that your soldiers are losing the battle to contain the disease what's gone so badly wrong. well the the situation is extremely concerning tomorrow is the one year anniversary of the start of this outbreak and we don't see the situation getting any better more than 2600 cases of ebola have been identified in the past year more than 1700 people have died but it's not just that it's concerning it's the characteristics of these numbers so more than 40 percent of all of the new cases were never identified as people that were risk of developing the disease it means that we have no visibility over the epidemiological situation and that's really concerning because that's how we end up with cases in goma that we weren't ex

this disease may spread or at a conference in nairobi catherine thank you well let's bring in trish newport she's deputy program manager for a burner response and the humanitarian agency doctors without borders and she joins us via skype from geneva trish good to have you back on the program so reports of this young child in goma just a year old we understand contracting the disease this just underlines how difficult it is for aid groups and the authorities to stop the spread of ebola. so the situation is really critical you know there have been over $2600.00 cases since the beginning of the outbreak a year ago over $1700.00 deaths but what's really concerning is is the characteristics of this data so right now every week about 40 percent of all the new cases were never identified as people at risk of having the disease so you need to be able to have a good contact tracing system in place or else you don't know who is at risk and where they are and that creates a big concern and a big risk of spread interest only a rwanda had closed the border with the d r c we now hear that it's open but w