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| 2018.MAR.05 : Study: Ebola Crisis Damaged Liberian Health Care System |
source-URL : https://learningenglish.voanews.com/a/ebola-crisis-damaged-liberian-health-care-system/4273753.html
NV S Study ˈstʌdi : Ebola N SD Crisis ˈkraɪsəs V Damaged ˈdæməʤd ˈdæmɪʤd Liberian N S Health hɛlθ NVA SD Care kɛr N SD System. ˈsɪstəm |
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Study: Ebola Crisis Damaged Liberian Health Care System.
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A ə eɪ NVAR SD new nu nju NV S study ˈstʌdi NV says sɛz sɪz NVAR SD more mɔr RJPSD than ðæn 100,000 N malaria məˈlɛriə NV cases ˈkeɪsəz ˈkeɪsɪz NV D went wɛnt A untreated ənˈtritɪd NVAR PSD in ɪn N Liberia laɪˈbɪriə V PSD during ˈdʊrɪŋ R D the ðə(ði) N D height haɪt N PSD of ʌv R D the ðə(ði) Ebola N SD crisis. ˈkraɪsəs |
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A new study says more than 100,000 malaria cases went untreated in Liberia during the height of the Ebola crisis.
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R D The ðə(ði) AR deadly ˈdɛdli N virus ˈvaɪrəs NVA SD spread sprɛd NVAR PSD in ɪn N AR S West wɛst N Africa ˈæfrəkə JPSD for fɔr N A D two tu N D years jɪrz jərz NVA beginning bɪˈgɪnɪŋ NVAR PSD in ɪn 2014. |
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The deadly virus spread in West Africa for two years beginning in 2014.
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R D The ðə(ði) NV SD disease dɪˈziz VA killed kɪld AR PSD about əˈbaʊt 11,000 NV SD people. ˈpipəl |
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The disease killed about 11,000 people.
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NV RJPSD But bʌt N A SD it ɪt RJ SD also ˈɔlsoʊ R severely səˈvɪrli NVA affected əˈfɛktəd əˈfɛktɪd N A basic ˈbeɪsɪk N S health hɛlθ NVA SD care kɛr NV services. ˈsɜrvəsəz ˈsɜrvɪsɪz |
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But it also severely affected basic health care services.
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Ebola NV kills kɪlz AR PSD about əˈbaʊt NVAR PS half hæf N PSD of ʌv A D those ðoʊz N A SD it ɪt V infects. ɪnˈfɛkts |
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Ebola kills about half of those it infects.
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N A SD It ɪt NV causes ˈkɑzəz ˈkɔzɪz flu-like flu - laɪk NV effects ɪˈfɛkts ˈifɛkts N AR SD first, fɜrst N ARJ SD then ðɛn vomiting NV RJ SD and ænd N D diarrhea. ˌdaɪəˈriə |
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It causes flu-like effects first, then vomiting and diarrhea.
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N A SD It ɪt NV SD can kæn NVA SD lead lid lɛd NV R PSD to tu A SD severe səˈvɪr NVAR bleeding ˈblidɪŋ AR SD both boʊθ N AR P D inside ɪnˈsaɪd ˈɪnˌsaɪd NV RJ SD and ænd N AR P outside ˈaʊtˈsaɪd R D the ðə(ði) NV S body. ˈbɑdi |
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It can lead to severe bleeding both inside and outside the body.
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R D The ðə(ði) NV SD disease dɪˈziz NV spreads sprɛdz N AR PSD through θru NVAR SD contact ˈkɑnˌtækt N R PSD with wɪð wɪθ N A JP D an ən VA infected ɪnˈfɛktəd ɪnˈfɛktɪd NV SD person's ˈpɜrsənz NV S body ˈbɑdi N fluids. ˈfluədz ˈfluɪdz |
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The disease spreads through contact with an infected person's body fluids.
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N A D Three θri N countries ˈkʌntriz NV D were wɜr R mainly ˈmeɪnli NVA affected əˈfɛktəd əˈfɛktɪd NVAR PSD in ɪn R D the ðə(ði) N AR S West wɛst N A African ˈæfrəkən ˈæfrɪkən NVA SD spread sprɛd : N Sierra siˈɛrə N Leone, liˈoʊn N Guinea ˈgɪni NV RJ SD and ænd N Liberia. laɪˈbɪriə |
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Three countries were mainly affected in the West African spread: Sierra Leone, Guinea and Liberia.
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N AR D None nʌn NV D were wɜr well-prepared wɛl - priˈpɛrd NV R PSD to tu NVA SD deal dil N R PSD with wɪð wɪθ R D the ðə(ði) N S event. ɪˈvɛnt |
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None were well-prepared to deal with the event.
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N A SD Many ˈmɛni clinics V D did dɪd N RJ SD not nɑt NVAR SD even ˈiv(ə)n NV SD have hæv R D the ðə(ði) N A protective prəˈtɛktɪv pərˈtɛktɪv NV tools tulz VA needed ˈnidəd ˈnidɪd NV R PSD to tu R safely ˈseɪfli NVA SD deal dil N R PSD with wɪð wɪθ Ebola N patients, ˈpeɪʃənts ˈpeɪʃənz NVARJPSD like laɪk NV D gloves glʌvz NV RJ SD and ænd NV SD face feɪs NV masks. mæsks |
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Many clinics did not even have the protective tools needed to safely deal with Ebola patients, like gloves and face masks.
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Bradley Wagenaar V was wʌz wɑz R D the ðə(ði) NVA SD lead lid lɛd N researcher ˈrisərʧər N PSD of ʌv R D the ðə(ði) N A SD University ˌjunəˈvɜrsəti N PSD of ʌv N Washington ˈwɑʃɪŋtən ˈwɔʃɪŋtən NV S study. ˈstʌdi |
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Bradley Wagenaar was the lead researcher of the University of Washington study.
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"Rightfully N ARJ SD so, soʊ NV SD people ˈpipəl NV D were wɜr A SD afraid əˈfreɪd NV R PSD to tu NVA SD go goʊ NV R PSD to tu R D the ðə(ði) clinic RJPSD because bɪˈkɔz SD they ðeɪ NVA D might maɪt NV SD get gɛt gɪt Ebola N RJ SD when wɛn they're ðɛr N A PSD at æt R D the ðə(ði) clinic. " |
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“Rightfully so, people were afraid to go to the clinic because they might get Ebola when they're at the clinic.”
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R D The ðə(ði) NV S team tim V looked lʊkt N A PSD at æt NV records rəˈkɔrdz A PSD from frʌm frɑm 379 clinics N AR P outside ˈaʊtˈsaɪd R D the ðə(ði) Liberian N A SD capital, ˈkæpətəl ˈkæpɪtəl Monrovia. |
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The team looked at records from 379 clinics outside the Liberian capital, Monrovia.
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R D The ðə(ði) NV records rəˈkɔrdz VA covered ˈkʌvərd a ə eɪ NVA SD period ˈpɪriəd A PSD from frʌm frɑm 2010 N AR PSD through θru 2016. |
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The records covered a period from 2010 through 2016.
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Wagenaar NV says sɛz sɪz R D the ðə(ði) N researchers ˈrisərʧərz NV D saw sɔ N AR SD what wʌt N A SD he hi V called kɔld a ə eɪ A SD "huge, hjuʤ juʤ A dramatic drəˈmætɪk NV SD decrease" ˈdiˌkris dɪˈkris NVAR PSD in ɪn N A basic ˈbeɪsɪk N S health hɛlθ NVA SD care kɛr NV services ˈsɜrvəsəz ˈsɜrvɪsɪz N AR SD early ˈɜrli NVAR PSD in ɪn R D the ðə(ði) NV outbreak. ˈaʊtˌbreɪk |
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Wagenaar says the researchers saw what he called a “huge, dramatic decrease” in basic health care services early in the outbreak.
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SD They ðeɪ NVA D found faʊnd N measles ˈmizəlz N vaccinations ˌvæksəˈneɪʃənz V dropped drɑpt N AR P D by baɪ 67 N AR SD percent, pərˈsɛnt N malaria məˈlɛriə N prevention priˈvɛnʃən NVAR D fell fɛl N AR P D by baɪ 61 N AR SD percent pərˈsɛnt NV RJ SD and ænd 35 N AR SD percent pərˈsɛnt A fewer ˈfjuər N women ˈwɪmən V got gɑt N AR SD early ˈɜrli N pregnancy ˈprɛgnənsi NVA SD care. kɛr |
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They found measles vaccinations dropped by 67 percent, malaria prevention fell by 61 percent and 35 percent fewer women got early pregnancy care.
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R D The ðə(ði) N researchers ˈrisərʧərz NV RJ SD say seɪ N A SD it ɪt V took tʊk a ə eɪ NVAR SD full fʊl N SD year jɪr NV RJ SD and ænd a ə eɪ NVAR PS half hæf JPSD for fɔr N S health hɛlθ NV services ˈsɜrvəsəz ˈsɜrvɪsɪz NV R PSD to tu NVA SD return rɪˈtɜrn NV R PSD to tu R D the ðə(ði) NV levels ˈlɛvəlz SD they ðeɪ NV D were wɜr RJPSD before bɪˈfɔr ˌbiˈfɔr R D the ðə(ði) Ebola NV outbreak. ˈaʊtˌbreɪk |
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The researchers say it took a full year and a half for health services to return to the levels they were before the Ebola outbreak.
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NVA D Lost lɔst N possibilities. ˌpɑsəˈbɪlətiz |
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Lost possibilities.
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R D The ðə(ði) N researcher ˈrisərʧər NV SD estimate ˈɛstəmət ˈɛstəˌmeɪt N ARJ SD that ðæt a ə eɪ NV D loss lɔs N PSD of ʌv a ə eɪ N A SD possible ˈpɑsəbəl 750,000 clinic NV visits ˈvɪzəts ˈvɪzɪts V took tʊk NV SD place pleɪs V PSD during ˈdʊrɪŋ R D the ðə(ði) N SD crisis. ˈkraɪsəs |
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The researcher estimate that a loss of a possible 750,000 clinic visits took place during the crisis.
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N ARJ SD That ðæt NV includes ɪnˈkludz NVAR SD more mɔr RJPSD than ðæn 5,000 NV births bɜrθs N A PSD at æt N S health hɛlθ NVA SD care kɛr NV centers. ˈsɛntərz ˈsɛnərz |
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That includes more than 5,000 births at health care centers.
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N Liberia laɪˈbɪriə R S already ɔlˈrɛdi ɔˈrɛdi V suffers ˈsʌfərz NVA D one wʌn R D the ðə(ði) NVA SD world's wɜrldz AR highest ˈhaɪəst A maternal məˈtɜrnəl N D death dɛθ NV rates. reɪts |
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Liberia already suffers one the world's highest maternal death rates.
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R D The ðə(ði) NV SD research riˈsɜrʧ ˈrisərʧ V suggests səgˈʤɛsts N ARJ SD that ðæt AR PSD about əˈbaʊt 100,000 malarial N treatments ˈtritmənts NV D were wɜr NVA D lost, lɔst N RJPSD as æz NVAR SD well. wɛl |
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The research suggests that about 100,000 malarial treatments were lost, as well.
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Wagenaar NV says sɛz sɪz R D the ðə(ði) NVA SD number ˈnʌmbər V SD suggest səgˈʤɛst R D the ðə(ði) N D losses ˈlɔsəz ˈlɔsɪz RJ SD also ˈɔlsoʊ N PSD of ʌv NVAR SD other ˈʌðər N A SD usual ˈjuʒəwəl ˈjuʒuəl NV services, ˈsɜrvəsəz ˈsɜrvɪsɪz NVARJPSD like laɪk NV D mosquito məˈskitoʊ NV SD control kənˈtroʊl NV RJ SD and ænd N protection prəˈtɛkʃən pərˈtɛkʃən N devices. dɪˈvaɪsəz dɪˈvaɪsɪz |
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Wagenaar says the number suggest the losses also of other usual services, like mosquito control and protection devices.
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N AR SD "Some sʌm N PSD of ʌv A D those ðoʊz NVAR SD other ˈʌðər N D things θɪŋz didn't ˈdɪdənt V R SD happen ˈhæpən V PSD during ˈdʊrɪŋ R D the ðə(ði) Ebola NV outbreak ˈaʊtˌbreɪk RJPSD because bɪˈkɔz R D the ðə(ði) N S health hɛlθ N SD system ˈsɪstəm NV RJ SD and ænd NVAR SD other ˈʌðər NV partners ˈpɑrtnərz NV D were wɜr NVA SD busy ˈbɪzi N R PSD with wɪð wɪθ NVAR SD other ˈʌðər NV issues. ˈɪʃuz NV RJ SD And ænd NVARJ SD now, naʊ R D the ðə(ði) NV cases ˈkeɪsəz ˈkeɪsɪz NV SD have hæv NV D been bɪn bən NVA increasing. ɪnˈkrisɪŋ " |
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“Some of those other things didn't happen during the Ebola outbreak because the health system and other partners were busy with other issues. And now, the cases have been increasing.”
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NVAR PSD In ɪn N December dɪˈsɛmbər 2017, N malaria məˈlɛriə NV cases ˈkeɪsəz ˈkeɪsɪz NV D were wɜr 50 N AR SD percent pərˈsɛnt N AR higher ˈhaɪər RJPSD than ðæn SD they ðeɪ NV D were wɜr RJPSD before bɪˈfɔr ˌbiˈfɔr R D the ðə(ði) Ebola N SD crisis. ˈkraɪsəs |
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In December 2017, malaria cases were 50 percent higher than they were before the Ebola crisis.
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Wagenaar NV says sɛz sɪz R D the ðə(ði) NV SD research riˈsɜrʧ ˈrisərʧ NV shows ʃoʊz N RJ SD how haʊ N AR SD much mʌʧ NVAR SD more mɔr N SD attention əˈtɛnʃən NV is ɪz VA needed ˈnidəd ˈnidɪd NV R PSD to tu NVA SD continue kənˈtɪnju N A basic ˈbeɪsɪk NV services ˈsɜrvəsəz ˈsɜrvɪsɪz V PSD during ˈdʊrɪŋ a ə eɪ N S health hɛlθ N A SD emergency. ɪˈmɜrʤənsi ˈimərʤənsi |
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Wagenaar says the research shows how much more attention is needed to continue basic services during a health emergency.
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R D The ðə(ði) NV SD research riˈsɜrʧ ˈrisərʧ NVAR PSD on ɑn(ɔn) N Liberia's laɪˈbɪriəz N S health hɛlθ NVA SD care kɛr NV services ˈsɜrvəsəz ˈsɜrvɪsɪz NV D could kʊd NV SD be bi VA D used juzd just V PSD during ˈdʊrɪŋ N A S future ˈfjuʧər NV outbreaks. ˈaʊtˌbreɪks |
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The research on Liberia's health care services could be used during future outbreaks.
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Wagenaar's NV S team tim NV hopes hoʊps N A SD it ɪt NVA D might maɪt NV SD help hɛlp N S health hɛlθ NVA SD care kɛr N officials əˈfɪʃəlz V SD decide ˌdɪˈsaɪd N AR SD what wʌt NV services ˈsɜrvəsəz ˈsɜrvɪsɪz NV D are ɑr N AR SD most moʊst A S important ɪmˈpɔrtənt NV R PSD to tu NVA SD continue kənˈtɪnju NVAR PSD in ɪn N A JP D an ən N A SD emergency. ɪˈmɜrʤənsi ˈimərʤənsi |
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Wagenaar's team hopes it might help health care officials decide what services are most important to continue in an emergency.
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I'm aɪm əm N Rachel ˈreɪʧəl N Dennis. ˈdɛnɪs |
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I'm Rachel Dennis.
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