According to Leber in her article published in 2014,The Centers for Disease Control and Prevention thinks that about 70 percent of patients should be isolated in hospitals, but in Liberia only 18 percent of patients are isolated. Most families in Africa tend not to be able to afford the proper care, "roughly four in five Guineans also mentioned that there had been times in the last year when they were unable to pay for medicine (82%) or medical expenses (77%) that they or their families needed." (Loschky, 2014) Paul Farmer, an infectious disease specialist at Harvard believes that the higher death rate in Africa is impacted by "the four S's: Staff, stuff, space and systems. Except in the most developed areas, the clinics and hospitals don't have access to even routine medications, common to any American emergency room, let alone newfangled medicines like ZMapp."(Cohn, 2014) Although Ebola may seem to be uncontrollable, "it took nearly five months for the World Health Organization to declare the outbreak a public health emergency, there are signs that the international community is awakening to the seriousness of the outbreak."(Loschky, 2014) Although Ebola is beginning to be acted upon in the affected countries," the failure to address the poor state of healthcare infrastructure and training in Guinea, Liberia, and Sierra Leone will continue to leave these countries vulnerable to future outbreaks and public health emergencies in the future."(Loschky, 2014).
Between both countries, there has been a major difference in fatality rates. The United States has had about "nine people have received treatment for the disease in American hospitals. Seven have fully recovered. One, Craig Spencer, is undergoing treatment at Bellevue Hospital in New York City. The one patient who died was Duncan" (Cohn, 2014).