自刚果宣布疫情爆发以来已过去六个月，应对团队仍在努力控制疫情。联合国卫生官员周五表示，自疫情首次引发全球关注以来，埃博拉应对工作取得了进展，但警告称，该疾病仍在刚果更偏远、更危险的地区扩散。
Six months since the outbreak was declared in Congo, response teams are struggling to get ahead United Nations health officials on Friday hailed progress in the Ebola response six months after the outbreak first prompted global concerns, but cautioned that the disease continues to spread to more remote and dangerous parts of Congo. With the number of confirmed cases now surpassing 11,100, the outbreak is the second-worst for Ebola on record and has spread to parts of east, central and west Africa.
确诊病例数目前已超过11100例，该疫情是有记录以来第二严重的埃博拉疫情，并已蔓延至东非、中非和西非的部分地区。据非洲疾病预防控制中心（Africa CDC）称，迄今已有超过5400人死亡。
More than 5,400 people have died so far, according to the Africa Centres for Disease Control and Prevention (Africa CDC). Flagged by health authorities in mid-May, the outbreak is driven by the rare Bundibugyo species of the virus, for which there are no approved treatments or vaccines.
该疫情于5月中旬被卫生当局发现，由罕见的邦迪布吉奥病毒株引起，目前尚无获批的治疗方法或疫苗。
"We do see encouraging signs," said Chikwe Ihekweazu, head of the World Health Organization's Health Emergencies Programme, citing falling cases in former hotspots like Bunia in eastern Democratic Republic of Congo.
“我们确实看到一些令人鼓舞的迹象，”世界卫生组织卫生紧急计划负责人奇克韦·伊赫韦扎齐表示，他指出，刚果民主共和国东部的布尼亚等过去的热点地区病例数正在下降。
"But what we have seen now is the emergence of cases in more rural and more difficult-to-reach areas."
“但我们现在看到的是，病例正在出现在更多农村和更难到达的地区。”刚果埃博拉疫情病例超过11000例，疾病持续蔓延 刚果民主共和国最严重疫情中四分之一的埃博拉死亡者为儿童 独家报道：非洲顶尖医生警告称，随着埃博拉疫情激增至超过10000例，“没有人是安全的” 加拿大 他补充说，儿童占死亡人数的三分之一以上，而传播仍在继续，每周报告的病例多达500例。
Congo's Ebola outbreak tops 11,000 cases as disease keeps spreading 1 in 4 Ebola deaths are children in Democratic Republic of Congo's worst outbreak Exclusive 'No one is safe' as Ebola outbreak surges to more than 10,000 cases, Africa's top doctor warns Canada He added that children account for more than one third of deaths while transmission continues with up to 500 cases reported every week. "The biggest challenge the response faces right now is the rising insecurity," he said, citing WHO data showing 80 attacks on health sites and workers so far.
“应对工作目前面临的最大挑战是日益严重的不安全局势，”他说，他引用世卫组织的数据称，迄今已有80起针对医疗场所和工作人员的袭击。
"Violence restricts our access to people in need of help.
“暴力限制了我们接触需要帮助的人的途径。它扰乱了监测，扰乱了治疗，并迫使人们流离失所，从而扰乱了他们获得医疗服务的途径，”伊赫韦扎齐说。
It disrupts surveillance, it disrupts treatment and forces people to move, disrupting their access to care," said Ihekweazu.
上周，北基伍省一支反叛武装团体发动袭击，造成66名平民死亡，其中包括三名卫生工作者。三家卫生设施也遭到洗劫并被烧毁，暴力事件后，超过1000名正在接受监测的接触者失去了追踪。三名确诊感染埃博拉的患者也下落不明。
An attack last week by a rebel armed group in North Kivu killed 66 civilians including three health workers. Three health facilities were also looted and burned and more than 1,000 contacts that were being monitored were lost to followup after the violence. Three patients confirmed to have Ebola are also unaccounted for.
刚果民主共和国坎廷-阿洛亚，11月6日，刚果平民在携带财物逃离。伊斯兰国相关武装分子发动袭击，烧毁了房屋、卫生站和其他建筑。
Congolese civilians carry their belongings as they flee following an attack by Islamic State-linked militants, who burned homes, a health post and other buildings, in Cantine-Aloya, Democratic Republic of Congo, on Nov. 6. "We need an urgent halt in hostilities and violence," said Dr. Marie Belizaire, an emergency director with the WHO during a briefing.
“我们需要立即停止敌对行动和暴力，”世卫组织紧急事务主任玛丽·贝利扎尔博士在一次简报会上说。
Belizaire says the ongoing violence puts any progress made over the past six months at risk.
贝利扎尔表示，持续的暴力行为使过去六个月取得的任何进展都面临风险。
"Health workers and humanitarian teams need to be able to reach affected communities safely and patients will be able to seek care without fear," she said.
“卫生工作者和人道主义团队需要能够安全地到达受影响的社区，患者也能够无所畏惧地寻求医疗救治，”她说。
Surveillance still a challenge Since the outbreak was declared on May 15, Ebola has spread across eight provinces.
监测仍面临挑战 自5月15日疫情宣布以来，埃博拉已蔓延至八个省。
Africa CDC says there has been some progress.
非洲疾病预防控制中心表示，已取得一些进展。实验室检测能力和患者病床数量已大幅提升。最初只有两个实验室可用，如今受影响的卫生区已有30家检测实验室投入运行。
Laboratory testing capacity and patient beds have significantly scaled up. Initially there were only two labs available and now 30 testing labs are up and running across the affected health zones. "At the beginning of this response, we were only able to do testing for dozens of cases — with the capacity now for more than 4,300 samples per day," said Dr. Wessam Mankoula, a medical epidemiologist with the Africa CDC.
“在这场应对行动开始时，我们只能对几十例病例进行检测——如今每天的检测能力已超过4300份样本，”非洲疾病预防控制中心医学流行病学家韦萨姆·曼库拉博士说。
There are also 2,000 beds for patient admission and more than 3,000 people have recovered from Ebola.
还有2000张病床用于患者收治，超过3000人已从埃博拉中康复。
However, in a briefing, Mankoula said having more beds and testing will not control the outbreak.
然而，在一次简报会上，曼库拉表示，拥有更多病床和检测能力并不能控制疫情。
Dr. Toussaint Selemani, head of medical activities at the Ebola Treatment Center of the Kitatumba Reference Hospital, talks to his medical colleagues in Butembo in October.
基坦图姆参考医院埃博拉治疗中心医疗活动负责人图桑特·塞莱马尼博士，10月在布特恩博与他的医疗同事交谈。
"Surveillance is a big challenge — identifying all possible contacts," he said.
“监控是一项重大挑战——识别所有可能的接触者，”他说。“这对这场应对行动的成功至关重要。”只有11%的新病例来自接触者名单，近三分之二的死亡仍在医疗中心之外发生。
"This is very critical to the success of this response." Only 11 per cent of new cases are coming from contact lists and nearly two thirds of deaths are still occurring outside of health centres. Low access to funds contributing to 'dysfunctions' In a briefing, Africa CDC says according to its tracking, $3 billion US has been pledged to help with the crisis but only 45 per cent has been disbursed.
资金获取不足导致“功能失调” 在一次简报会上，非洲疾控中心表示，根据其追踪，30亿美元已承诺用于帮助应对这场危机，但只有45%已拨付。
Help is not reaching those who need it most, according to French medical charity Doctors Without Borders, pointing to untrained and unpaid staff, ambulances without fuel and a lack of surveillance teams and supplies to safely manage suspected cases.
据法国医疗慈善机构“无国界医生”表示，援助未能到达最需要的人群，该机构指出，工作人员未经培训且未领薪酬，救护车没有燃料，缺乏监控团队和物资来安全处理疑似病例。
"Despite the vast amounts of money provided for the response, many front-line responders are left trying to contain the outbreak with empty hands and empty pockets," Dr. Javid Abdelmoneim, international president for Doctors Without Borders, said on Thursday.
“尽管为应对行动提供了大量资金，许多一线应对人员仍只能空手空口地试图遏制疫情爆发，”无国际医生国际主席贾维德·阿卜杜勒莫内姆博士周四表示。
"Our teams are often left speechless by the dysfunctions they witness in many areas.
“我们的团队在许多地区目睹的功能失调常常让我们无言以对。应对行动已进行六个月，这种情况根本无法接受。”无国界医生呼吁刚果政府和联合国机构（包括世界卫生组织）确保已动员的资源转化为地面上的支持。本文参考了塔肖娜·里德的报道
Six months into the response, this situation is simply unacceptable." Doctors Without Borders called on the Congolese government and UN agencies, which include the World Health Organization, to ensure the resources that have been mobilized translate into support on the ground. With files from Tashauna Reid