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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 すたでぃ : Ebola N SD Crisis ˈkraɪsəs くらいしす V Damaged ˈdæməʤd ˈdæmɪʤd だみじどゥ Liberian N S Health hɛlθ へるす NVA SD Care kɛr けぁ N SD System. ˈsɪstəm しすたむ |
Study: Ebola Crisis Damaged Liberian Health Care System.
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A ə eɪ ぁ NVAR SD new nu nju ぬー NV S study ˈstʌdi すたでぃ NV says sɛz sɪz せず NVAR SD more mɔr もー RJPSD than ðæn じゃん 100,000 N malaria məˈlɛriə まれりぁ NV cases ˈkeɪsəz ˈkeɪsɪz けいしず NV D went wɛnt ぅえんとゥ A untreated ənˈtritɪd ぁんとりてぃど NVAR PSD in ɪn いん N Liberia laɪˈbɪriə らいびりぁ V PSD during ˈdʊrɪŋ でぃゅりんぐ R D the ðə(ði) ざ(じ) N D height haɪt はいとゥ N PSD of ʌv ぁゔ R D the ðə(ði) ざ(じ) Ebola N SD crisis. ˈkraɪsəs くらいしす |
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) ざ(じ) AR deadly ˈdɛdli でどり N virus ˈvaɪrəs ゔあいらす NVA SD spread sprɛd すぷれどゥ NVAR PSD in ɪn いん N AR S West wɛst ぅえすとゥ N Africa ˈæfrəkə あふりか JPSD for fɔr ふぉー N A D two tu とぅー N D years jɪrz jərz いらず NVA beginning bɪˈgɪnɪŋ びぎにんぐ NVAR PSD in ɪn いん 2014. |
The deadly virus spread in West Africa for two years beginning in 2014.
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R D The ðə(ði) ざ(じ) NV SD disease dɪˈziz でぃじーず VA killed kɪld きるどゥ AR PSD about əˈbaʊt ぁばうとゥ 11,000 NV SD people. ˈpipəl ぴーぷる |
The disease killed about 11,000 people.
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NV RJPSD But bʌt ばとゥ N A SD it ɪt いとゥ RJ SD also ˈɔlsoʊ おーるそう R severely səˈvɪrli さゔいぁり NVA affected əˈfɛktəd əˈfɛktɪd ぁふぇくてぃど N A basic ˈbeɪsɪk べいしく N S health hɛlθ へるす NVA SD care kɛr けぁ NV services. ˈsɜrvəsəz ˈsɜrvɪsɪz さーゔいしず |
But it also severely affected basic health care services.
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Ebola NV kills kɪlz きるず AR PSD about əˈbaʊt ぁばうとゥ NVAR PS half hæf はーふ N PSD of ʌv ぁゔ A D those ðoʊz ぞうず N A SD it ɪt いとゥ V infects. ɪnˈfɛkts いんふぇくつ |
Ebola kills about half of those it infects.
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N A SD It ɪt いとゥ NV causes ˈkɑzəz ˈkɔzɪz こーじず flu-like flu - laɪk ふるー - らいく NV effects ɪˈfɛkts ˈifɛkts いふぇくつ N AR SD first, fɜrst ふぁーすとゥ N ARJ SD then ðɛn ぜん vomiting NV RJ SD and ænd ぁんどゥ N D diarrhea. ˌdaɪəˈriə だいぁりーぁ |
It causes flu-like effects first, then vomiting and diarrhea.
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N A SD It ɪt いとゥ NV SD can kæn きゃん NVA SD lead lid lɛd れどゥ NV R PSD to tu とゥ A SD severe səˈvɪr さゔいぁ NVAR bleeding ˈblidɪŋ ぶりーでぃんぐ AR SD both boʊθ ぼうす N AR P D inside ɪnˈsaɪd ˈɪnˌsaɪd いんさいどゥ NV RJ SD and ænd ぁんどゥ N AR P outside ˈaʊtˈsaɪd あうとさいどゥ R D the ðə(ði) ざ(じ) NV S body. ˈbɑdi ばでぃ |
It can lead to severe bleeding both inside and outside the body.
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R D The ðə(ði) ざ(じ) NV SD disease dɪˈziz でぃじーず NV spreads sprɛdz すぷれず N AR PSD through θru するー NVAR SD contact ˈkɑnˌtækt かんたくとゥ N R PSD with wɪð wɪθ ぅいず N A JP D an ən ぁん VA infected ɪnˈfɛktəd ɪnˈfɛktɪd いんふぇくてぃど NV SD person's ˈpɜrsənz ぱーすんず NV S body ˈbɑdi ばでぃ N fluids. ˈfluədz ˈfluɪdz ふるーいず |
The disease spreads through contact with an infected person's body fluids.
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N A D Three θri すりー N countries ˈkʌntriz かんとりず NV D were wɜr わー R mainly ˈmeɪnli めいんり NVA affected əˈfɛktəd əˈfɛktɪd ぁふぇくてぃど NVAR PSD in ɪn いん R D the ðə(ði) ざ(じ) N AR S West wɛst ぅえすとゥ N A African ˈæfrəkən ˈæfrɪkən あふりかん NVA SD spread sprɛd すぷれどゥ : N Sierra siˈɛrə しえら N Leone, liˈoʊn りおうん N Guinea ˈgɪni ぎに NV RJ SD and ænd ぁんどゥ N Liberia. laɪˈbɪriə らいびりぁ |
Three countries were mainly affected in the West African spread: Sierra Leone, Guinea and Liberia.
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N AR D None nʌn のうん NV D were wɜr わー well-prepared wɛl - priˈpɛrd ぅえる - ぷりぺぁどゥ NV R PSD to tu とゥ NVA SD deal dil でぃーる N R PSD with wɪð wɪθ ぅいず R D the ðə(ði) ざ(じ) N S event. ɪˈvɛnt いゔえんとゥ |
None were well-prepared to deal with the event.
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N A SD Many ˈmɛni めに clinics V D did dɪd でぃど N RJ SD not nɑt なとゥ NVAR SD even ˈiv(ə)n いーゔん NV SD have hæv はゔ R D the ðə(ði) ざ(じ) N A protective prəˈtɛktɪv pərˈtɛktɪv ぷらてくてぃゔ NV tools tulz ず VA needed ˈnidəd ˈnidɪd にーでぃど NV R PSD to tu とゥ R safely ˈseɪfli せいふり NVA SD deal dil でぃーる N R PSD with wɪð wɪθ ぅいず Ebola N patients, ˈpeɪʃənts ˈpeɪʃənz ぺいしゅんつ NVARJPSD like laɪk らいく NV D gloves glʌvz ぐらゔず NV RJ SD and ænd ぁんどゥ NV SD face feɪs ふぇいす NV masks. mæsks みゃすくす |
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 わず R D the ðə(ði) ざ(じ) NVA SD lead lid lɛd れどゥ N researcher ˈrisərʧər りさーちゃ N PSD of ʌv ぁゔ R D the ðə(ði) ざ(じ) N A SD University ˌjunəˈvɜrsəti ゆーなゔぁーさてぃ N PSD of ʌv ぁゔ N Washington ˈwɑʃɪŋtən ˈwɔʃɪŋtən わしんぐたん NV S study. ˈstʌdi すたでぃ |
Bradley Wagenaar was the lead researcher of the University of Washington study.
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"Rightfully N ARJ SD so, soʊ そう NV SD people ˈpipəl ぴーぷる NV D were wɜr わー A SD afraid əˈfreɪd ぁふれいどゥ NV R PSD to tu とゥ NVA SD go goʊ ごう NV R PSD to tu とゥ R D the ðə(ði) ざ(じ) clinic RJPSD because bɪˈkɔz びこーず SD they ðeɪ ぜい NVA D might maɪt まいとゥ NV SD get gɛt gɪt げとゥ Ebola N RJ SD when wɛn ぅえん they're ðɛr ぜら N A PSD at æt あとゥ R D the ðə(ði) ざ(じ) clinic. " |
“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) ざ(じ) NV S team tim てぃーむ V looked lʊkt るくとゥ N A PSD at æt あとゥ NV records rəˈkɔrdz れかず A PSD from frʌm frɑm ふらむ 379 clinics N AR P outside ˈaʊtˈsaɪd あうとさいどゥ R D the ðə(ði) ざ(じ) Liberian N A SD capital, ˈkæpətəl ˈkæpɪtəl きゃぱとる Monrovia. |
The team looked at records from 379 clinics outside the Liberian capital, Monrovia.
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R D The ðə(ði) ざ(じ) NV records rəˈkɔrdz れかず VA covered ˈkʌvərd かゔぁどゥ a ə eɪ ぁ NVA SD period ˈpɪriəd ぴりぁどゥ A PSD from frʌm frɑm ふらむ 2010 N AR PSD through θru するー 2016. |
The records covered a period from 2010 through 2016.
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Wagenaar NV says sɛz sɪz せず R D the ðə(ði) ざ(じ) N researchers ˈrisərʧərz りさーちゃず NV D saw sɔ そー N AR SD what wʌt わとゥ N A SD he hi ひー V called kɔld こーるどゥ a ə eɪ ぁ A SD "huge, hjuʤ juʤ ひゅーじ A dramatic drəˈmætɪk どらみゃてぃく NV SD decrease" ˈdiˌkris dɪˈkris でぃくりーす NVAR PSD in ɪn いん N A basic ˈbeɪsɪk べいしく N S health hɛlθ へるす NVA SD care kɛr けぁ NV services ˈsɜrvəsəz ˈsɜrvɪsɪz さーゔいしず N AR SD early ˈɜrli ぁーり NVAR PSD in ɪn いん R D the ðə(ði) ざ(じ) NV outbreak. ˈaʊtˌbreɪk あうとぶれいく |
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 ぜい NVA D found faʊnd ふぁうんどゥ N measles ˈmizəlz みーずるず N vaccinations ˌvæksəˈneɪʃənz ゔあくしねいしゅんず V dropped drɑpt どらーぷとゥ N AR P D by baɪ ばい 67 N AR SD percent, pərˈsɛnt ぱせんとゥ N malaria məˈlɛriə まれりぁ N prevention priˈvɛnʃən ぷりゔえんしゃん NVAR D fell fɛl ふぇる N AR P D by baɪ ばい 61 N AR SD percent pərˈsɛnt ぱせんとゥ NV RJ SD and ænd ぁんどゥ 35 N AR SD percent pərˈsɛnt ぱせんとゥ A fewer ˈfjuər ひゅーぁ N women ˈwɪmən ぅいみん V got gɑt がとゥ N AR SD early ˈɜrli ぁーり N pregnancy ˈprɛgnənsi ぷれぐなんし NVA SD care. kɛr けぁ |
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) ざ(じ) N researchers ˈrisərʧərz りさーちゃず NV RJ SD say seɪ せい N A SD it ɪt いとゥ V took tʊk とぅく a ə eɪ ぁ NVAR SD full fʊl ふぅる N SD year jɪr いぁ NV RJ SD and ænd ぁんどゥ a ə eɪ ぁ NVAR PS half hæf はーふ JPSD for fɔr ふぉー N S health hɛlθ へるす NV services ˈsɜrvəsəz ˈsɜrvɪsɪz さーゔいしず NV R PSD to tu とゥ NVA SD return rɪˈtɜrn りたーん NV R PSD to tu とゥ R D the ðə(ði) ざ(じ) NV levels ˈlɛvəlz れゔるず SD they ðeɪ ぜい NV D were wɜr わー RJPSD before bɪˈfɔr ˌbiˈfɔr びふぉー R D the ðə(ði) ざ(じ) Ebola NV outbreak. ˈaʊtˌbreɪk あうとぶれいく |
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 ろーすとゥ N possibilities. ˌpɑsəˈbɪlətiz ぱーさびらてぃず |
Lost possibilities.
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R D The ðə(ði) ざ(じ) N researcher ˈrisərʧər りさーちゃ NV SD estimate ˈɛstəmət ˈɛstəˌmeɪt えすためいとゥ N ARJ SD that ðæt ざとゥ a ə eɪ ぁ NV D loss lɔs ろーす N PSD of ʌv ぁゔ a ə eɪ ぁ N A SD possible ˈpɑsəbəl ぱさぶる 750,000 clinic NV visits ˈvɪzəts ˈvɪzɪts ゔいじつ V took tʊk とぅく NV SD place pleɪs ぷれいす V PSD during ˈdʊrɪŋ でぃゅりんぐ R D the ðə(ði) ざ(じ) N SD crisis. ˈkraɪsəs くらいしす |
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 ざとゥ NV includes ɪnˈkludz いんくるーず NVAR SD more mɔr もー RJPSD than ðæn じゃん 5,000 NV births bɜrθs ばーすす N A PSD at æt あとゥ N S health hɛlθ へるす NVA SD care kɛr けぁ NV centers. ˈsɛntərz ˈsɛnərz せんたず |
That includes more than 5,000 births at health care centers.
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N Liberia laɪˈbɪriə らいびりぁ R S already ɔlˈrɛdi ɔˈrɛdi おーるれでぃ V suffers ˈsʌfərz さふぁず NVA D one wʌn わん R D the ðə(ði) ざ(じ) NVA SD world's wɜrldz わーるず AR highest ˈhaɪəst はいすとゥ A maternal məˈtɜrnəl またーんる N D death dɛθ です NV rates. reɪts れいつ |
Liberia already suffers one the world's highest maternal death rates.
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R D The ðə(ði) ざ(じ) NV SD research riˈsɜrʧ ˈrisərʧ りさーち V suggests səgˈʤɛsts さぐじぇすつ N ARJ SD that ðæt ざとゥ AR PSD about əˈbaʊt ぁばうとゥ 100,000 malarial N treatments ˈtritmənts とりーとまんつ NV D were wɜr わー NVA D lost, lɔst ろーすとゥ N RJPSD as æz あず NVAR SD well. wɛl ぅえる |
The research suggests that about 100,000 malarial treatments were lost, as well.
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Wagenaar NV says sɛz sɪz せず R D the ðə(ði) ざ(じ) NVA SD number ˈnʌmbər なむば V SD suggest səgˈʤɛst さぐじぇすとゥ R D the ðə(ði) ざ(じ) N D losses ˈlɔsəz ˈlɔsɪz らーしず RJ SD also ˈɔlsoʊ おーるそう N PSD of ʌv ぁゔ NVAR SD other ˈʌðər ぁざ N A SD usual ˈjuʒəwəl ˈjuʒuəl ゆーじゅぁる NV services, ˈsɜrvəsəz ˈsɜrvɪsɪz さーゔいしず NVARJPSD like laɪk らいく NV D mosquito məˈskitoʊ ますきーとう NV SD control kənˈtroʊl かんとろうる NV RJ SD and ænd ぁんどゥ N protection prəˈtɛkʃən pərˈtɛkʃən ぷらてくしゃん N devices. dɪˈvaɪsəz dɪˈvaɪsɪz でぃゔあいしず |
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 さむ N PSD of ʌv ぁゔ A D those ðoʊz ぞうず NVAR SD other ˈʌðər ぁざ N D things θɪŋz しんぐず didn't ˈdɪdənt でぃどんとゥ V R SD happen ˈhæpən はぱん V PSD during ˈdʊrɪŋ でぃゅりんぐ R D the ðə(ði) ざ(じ) Ebola NV outbreak ˈaʊtˌbreɪk あうとぶれいく RJPSD because bɪˈkɔz びこーず R D the ðə(ði) ざ(じ) N S health hɛlθ へるす N SD system ˈsɪstəm しすたむ NV RJ SD and ænd ぁんどゥ NVAR SD other ˈʌðər ぁざ NV partners ˈpɑrtnərz ぱーとなず NV D were wɜr わー NVA SD busy ˈbɪzi びじ N R PSD with wɪð wɪθ ぅいず NVAR SD other ˈʌðər ぁざ NV issues. ˈɪʃuz いしゅーず NV RJ SD And ænd ぁんどゥ NVARJ SD now, naʊ なう R D the ðə(ði) ざ(じ) NV cases ˈkeɪsəz ˈkeɪsɪz けいしず NV SD have hæv はゔ NV D been bɪn bən びん NVA increasing. ɪnˈkrisɪŋ いんくりーしんぐ " |
“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 いん N December dɪˈsɛmbər でぃせむば 2017, N malaria məˈlɛriə まれりぁ NV cases ˈkeɪsəz ˈkeɪsɪz けいしず NV D were wɜr わー 50 N AR SD percent pərˈsɛnt ぱせんとゥ N AR higher ˈhaɪər はいぁ RJPSD than ðæn じゃん SD they ðeɪ ぜい NV D were wɜr わー RJPSD before bɪˈfɔr ˌbiˈfɔr びふぉー R D the ðə(ði) ざ(じ) Ebola N SD crisis. ˈkraɪsəs くらいしす |
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 せず R D the ðə(ði) ざ(じ) NV SD research riˈsɜrʧ ˈrisərʧ りさーち NV shows ʃoʊz しょうず N RJ SD how haʊ はう N AR SD much mʌʧ まち NVAR SD more mɔr もー N SD attention əˈtɛnʃən ぁてんしゃん NV is ɪz いず VA needed ˈnidəd ˈnidɪd にーでぃど NV R PSD to tu とゥ NVA SD continue kənˈtɪnju かんてぃにゅー N A basic ˈbeɪsɪk べいしく NV services ˈsɜrvəsəz ˈsɜrvɪsɪz さーゔいしず V PSD during ˈdʊrɪŋ でぃゅりんぐ a ə eɪ ぁ N S health hɛlθ へるす N A SD emergency. ɪˈmɜrʤənsi ˈimərʤənsi いまーじゃんし |
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) ざ(じ) NV SD research riˈsɜrʧ ˈrisərʧ りさーち NVAR PSD on ɑn(ɔn) あん N Liberia's laɪˈbɪriəz らいぶ-りーぁず N S health hɛlθ へるす NVA SD care kɛr けぁ NV services ˈsɜrvəsəz ˈsɜrvɪsɪz さーゔいしず NV D could kʊd くどゥ NV SD be bi びー VA D used juzd just ゆーすとゥ V PSD during ˈdʊrɪŋ でぃゅりんぐ N A S future ˈfjuʧər ひゅーちゃ NV outbreaks. ˈaʊtˌbreɪks あうとぶれいくす |
The research on Liberia's health care services could be used during future outbreaks.
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Wagenaar's NV S team tim てぃーむ NV hopes hoʊps ほうぷす N A SD it ɪt いとゥ NVA D might maɪt まいとゥ NV SD help hɛlp へるぷ N S health hɛlθ へるす NVA SD care kɛr けぁ N officials əˈfɪʃəlz おうふぃしゅず V SD decide ˌdɪˈsaɪd でぃさいどゥ N AR SD what wʌt わとゥ NV services ˈsɜrvəsəz ˈsɜrvɪsɪz さーゔいしず NV D are ɑr あー N AR SD most moʊst もうすとゥ A S important ɪmˈpɔrtənt いむぽーとんとゥ NV R PSD to tu とゥ NVA SD continue kənˈtɪnju かんてぃにゅー NVAR PSD in ɪn いん N A JP D an ən ぁん N A SD emergency. ɪˈmɜrʤənsi ˈimərʤənsi いまーじゃんし |
Wagenaar's team hopes it might help health care officials decide what services are most important to continue in an emergency.
|
I'm aɪm əm あいむ N Rachel ˈreɪʧəl らしぇる N Dennis. ˈdɛnɪs でにす |
I'm Rachel Dennis.
|
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