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In this segment Dr. Céline Gounder explains that simply adding more hospitals and beds will not halt Ebola transmission. She highlights a cascading testing backlog—described as a “Lucy in the Chocolate Factory” effect—where increasing test demand overwhelms capacity, making timely diagnosis difficult. Beyond testing, she stresses that effective contact tracing is essential but extremely challenging in the region due to a lack of community trust, the presence of multiple actors (government forces, rebel groups, transient miners), ongoing conflict, and rugged, hard‑to‑navigate terrain. These factors together impede the ability to identify and isolate cases, meaning that expanding hospital infrastructure alone cannot control the outbreak.

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