GENEVA (美联社) — 六个月前宣布的刚果（金）伊波拉病毒疫情仍未受控，确诊病例已超过11000例，许多感染可能未被发现，美国医学无国界组织（Doctors Without Borders，简称MSF）表示。
Congo Ebola outbreak still out of control after six months: Doctors Without Borders Congo’s Ebola outbreak is still out of control after six months, with over 11,000 confirmed cases and many infections likely missed, MSF said.
MSF指责资源匮乏、工作人员未发工资、监测薄弱以及医院内病毒传播，呼吁政府和联合国机构采取行动。
Doctors Without Borders blamed poor resources, unpaid staff, weak surveillance and hospital spread, and urged the government and UN agencies to act.
流行病学家尼尔·费格森（Neil Ferguson）表示，仅能发现约半数病例，因此传播可能持续一年，甚至超过2014至2016年西非疫情规模。
Epidemiologist Neil Ferguson said only about half of cases are being found, so transmission may last a year and could exceed the 2014-2016 West Africa outbreak.
据美联社11月12日报道，MSF在日内瓦表示，在刚果伊波拉疫情六个月内，许多病例可能未被发现，部分地区医院内病毒传播严重，病毒仍在失控蔓延。
AI generated GENEVA – Six months into Congo’s Ebola outbreak, many cases are likely being missed, transmission in hospitals in some areas is rife and the virus is still spreading out of control, Médecins Sans Frontières said on Nov 12.
随着确诊病例数超过11000例，此次疫情 — — 于5月中旬宣布，由罕见的布迪布瓜伊病毒株引发，目前无批准治疗或疫苗 — — 已成为有记录以来第二严重的疫情。
With the number of confirmed cases now surpassing 11,000, the outbreak – declared in mid-May and caused by the rare Bundibugyo species of the virus, for which there are no approved treatments or vaccines – is the second-worst on record.
MSF指出，援助尚未到达最需要的人群，原因包括工作人员未受培训且未发工资、救护车缺乏燃料，以及缺乏监测团队和安全管理疑似病例所需的物资。
Help, however, is not reaching those who need it most, the medical charity said, pointing to untrained and unpaid staff, ambulances without fuel and a lack of surveillance teams and supplies to safely manage suspected cases.
“尽管为应对提供了巨额资金，但许多一线医护人员仍在空手无力、空口无财的状态下尝试遏制疫情，”MSF国际主席贾维德·阿卜德尔莫伊姆（Javid Abdelmoneim）于11月12日表示。
“Despite the vast amounts of money provided for the response, many frontline responders are left trying to contain the outbreak with empty hands and empty pockets,” MSF’s international president Javid Abdelmoneim said on Nov 12.
“我们的团队在许多地区目睹的功能失常让人哑然无语。六个月内，这种局面简直是不可接受的，”他补充说。
“Our teams are often left speechless by the dysfunctions they witness in many areas. Six months into the response, this situation is simply unacceptable,” he said.
MSF（即Doctors Without Borders）呼吁刚果政府及联合国机构，包括世界卫生组织（WHO），确保动员的资源真正转化为现场支援。刚果政府未立即回应路透社置评请求。
MSF, also known as Doctors Without Borders, called on the Congolese government and UN agencies, which include the World Health Organization, to ensure the resources that have been mobilised translate into support on the ground. The Congolese government did not immediately respond to Reuters requests for comment.
在11月11日的一次单独简报会上，英国流行病学家尼尔·费格森表示，病例检测仍是一个重大挑战。
Only half of cases likely detected, epidemiologist says At a separate briefing on Nov 11, British epidemiologist Neil Ferguson, who has been working to model the outbreak in real time, said case detection remained a major challenge.
费格森说，鉴于此，他认为病毒传播可能在未来一年内仍在继续，且疫情可能超过2014至2016年西非最大规模疫情——该疫情超过28600例，致超过11000人死亡。
For that reason, he said it was likely transmission would still be ongoing a year from now and the outbreak could outstrip the 2014-2016 West African outbreak – the biggest ever – which saw more than 28,600 cases and killed more than 11,000 people.
“在整个疫情期间，我们估计实际发生的病例中，我们只能检测到大约一半，”费格森说，他是伦敦帝国学院公共卫生学院的流行病学家兼公共卫生总监。他的团队估计，目前刚果有2000至3000名埃博拉患者。
“Throughout the outbreak, we think we’re probably only detecting about half of cases which are occurring,” said Ferguson, an epidemiologist and director of public health at Imperial College London. His team estimated there are currently between 2,000 and 3,000 Ebola patients in Congo.
挑战：从物资短缺到致命袭击，医生无国界称，刚果各地，部分为冲突区，面临不同挑战。
Challenges: From lack of supplies to deadly attacks MSF said different regions of Congo, some of which are conflict zones, faced varying challenges.
例如，在伊图里省，仅有9%的由医生无国界治疗的埃博拉患者是已有病例的已知接触者。
For example, in Ituri province, only 9% of Ebola patients treated by MSF were known contacts of existing cases.
过去一个月，接近三分之二的埃博拉相关死亡发生在社区，而非治疗中心，医生无国界称。
Over the last month, close to two-thirds of reported Ebola-related deaths have occurred in communities rather than in treatment centres, MSF added.
缺乏从水到医疗机构氯的物资也是风险，医生无国界称，北基伍省本尼地区近三分之二的埃博拉患者被认为在该类地点感染了疾病。
A lack of supplies from water to chlorine in healthcare settings was also a risk, MSF said, citing the Beni health zone in North Kivu, where almost three-quarters of Ebola patients are believed to have contracted the disease in such locations.
当被路透社询问医生无国界的批评时，世卫组织指出，其总干事特德罗斯·阿达诺·阿姆布雷亚斯于10日承认存在如医护人员薪酬延迟等问题。
Asked by Reuters about MSF’s criticisms, the WHO pointed to remarks made by its Director-General Tedros Adhanom Ghebreyesus on Nov 10 in which he acknowledged issues like health worker payment delays.
他表示，世卫组织正与刚果当局、非洲疾病控制与预防中心及其他合作伙伴协作，加强应对，但警告称，不安全局势，特别是对医疗机构的袭击，已成为遏制疫情的最大障碍。
He said the WHO was working with Congolese authorities, the Africa CDC and other partners to strengthen the response, but warned that insecurity, notably attacks on health facilities, had become one of the biggest obstacles to containing the outbreak.
他表示，上周北基伍省坎蒂内-阿洛亚镇发生的一起袭击事件造成66名平民死亡，其中包括三名医护人员，这一数字是当地当局最初报告的死亡人数的两倍。
An attack in the town of Cantine-Aloya in North Kivu last week killed 66 civilians, including three health workers, he said, double the initial death toll reported by local authorities.
此次袭击还导致1000多名接触者失去联系，三名确诊埃博拉患者下落不明。
It also led to more than 1,000 contacts being lost to follow-up and three confirmed Ebola patients left unaccounted for.