Let me begin with a number that should keep every leader awake tonight.
As of 28 October, the Ebola outbreak in the Democratic Republic of Congo had reached 10,305 confirmed cases and 4,996 deaths. It is now the second-largest Ebola outbreak in recorded history. It has crossed borders. Kenya has confirmed cases, including health workers who treated the first patient. Nigeria reported a confirmed case on 20 October. Here in Ghana, the Ministry of Health has raised its alarm and tightened surveillance.
This is not a story happening "over there." This is West Africa's story, East Africa's story, and the world's story.
And what I want to say loudly, from Accra to anyone who will listen, is this: how we recover from this crisis will tell us whether we believe in the right to health, or only in the right to health for those who can pay for it.
The Right to Health Is Not Charity
The Constitution of the World Health Organization, written in 1946, declares that enjoying the highest attainable standard of health is a fundamental right of every human being, regardless of race, religion, political belief, or economic status. The International Covenant on Economic, Social and Cultural Rights and the African Charter on Human and Peoples' Rights say the same.
These are not slogans. They are promises that governments signed.
A promise that is kept only when it is cheap is not a promise.
It is a marketing line.
Health Is Being Defunded While the Virus Spreads
Look at what has been happening behind the headlines.
Health aid is projected to fall by between 29 and 46 per cent from 2024 to 2026, pushing it back toward where it stood in 2008. The OECD projects malaria funding down nearly 60 per cent, tuberculosis down 57 per cent, and reproductive health services down 54 per cent.
The WHO has cut its own budget and shed a large part of its workforce, and its Director-General described 2025 as one of the most difficult years in the organisation's history.
Gavi, which delivers vaccines to children in the poorest countries, entered its 2026-2030 funding cycle short of its target. Over 14 million infants were still "zero-dose", meaning they had received no vaccines at all, in 2024.
Now put that beside the Ebola response.
In July, the WHO said it had received less than half of the funding it needed. Health workers in the DRC have gone on strike over unpaid wages, slowing the very response that keeps all of us safe. And the strain behind this outbreak, Bundibugyo, has no approved vaccine or specific treatment.
Let me be fair, because truth gives my voice its power.
Some governments have stepped up. The United States has committed more than half a billion dollars to the Ebola response and says it is the largest single contributor. That should be acknowledged.
But emergency pledges are not a health system.
You cannot fight a fire with a bucket while selling the fire station.
Recovery Must Not Rebuild the Old Inequality
There is a dangerous idea in the air: that "recovery" means returning to normal.
For millions of Africans, normal was a clinic with no medicine, a nurse paid late, and a district with one doctor.
Normal was unequal.
If we rebuild that, we have recovered nothing.
Recovery must mean something harder and better. It means treating the most excluded first: the displaced, refugees, the poor, women, children, people with disabilities, and those in prison or conflict zones, where in Sudan alone the WHO has verified nearly two hundred attacks on healthcare since 2023.
It means health workers who are paid, protected, and respected.
It means communities that trust the response, because outbreaks are not stopped by decrees.
They are stopped by neighbours who believe the nurse.
The Equity Test the World Is Failing
Here is the sharpest proof that equity is still not a priority.
In 2025, the world adopted a Pandemic Agreement, a treaty meant to prevent the injustice witnessed during COVID-19, when wealthy countries hoarded vaccines.
But the heart of that treaty, the system for sharing pathogens and fairly distributing the vaccines, tests, and treatments developed from them, remains unfinished.
The annex was supposed to be agreed in May. It was not.
Talks were extended, and the treaty cannot open for signature without it.
Developing countries, with South Africa speaking forcefully, warned that a hollow annex would be worse than none. Wealthy countries with large pharmaceutical industries argued that mandatory benefit-sharing could discourage research.
Both sides claim to want a better world.
But while diplomats argue, Ebola is moving through Africa.
If a vaccine for this strain is found tomorrow, who will get it first?
That is not a technical question.
It is a human rights question.
And the answer will reveal who we are.
What I Am Demanding
1. Fully Fund the Ebola Response
Fully fund the Ebola response now, and pay every health worker on time, with adequate protective equipment and hazard compensation.
The people risking their lives in isolation wards are the front line of the whole planet.
2. Complete the Pandemic Agreement
Finish the pathogen access and benefit-sharing annex with binding, enforceable commitments.
Equity written in vague language is equity that will be ignored.
Any vaccine, test, or treatment for this outbreak must reach the people living through it first, not last.
3. Reverse Health Funding Cuts
Reverse the cuts to health financing and make funding predictable and multi-year.
Programmes for malaria, tuberculosis, HIV, child immunisation, and maternal health cannot be abandoned in the middle of a crisis.
Health is not a project with an expiry date.
4. Protect Health Spending
No country should be forced to choose between paying creditors and paying nurses.
Debt agreements must protect health spending because, in nearly four-fifths of sub-Saharan African countries, interest payments already exceed spending on health or education.
5. African Governments Must Honour Their Own Commitments
The Abuja Declaration committed African governments to allocating 15 per cent of national budgets to health.
Most countries have still not reached that target.
We cannot demand justice from the world while neglecting our own clinics.
I say this to my own government and to every African government: fund health, publish the numbers, and confront waste and corruption in health spending.
6. Guarantee Equal Access
No user fees in an emergency.
Collect data disaggregated by gender, age, location, disability, and income so we can see who is being left behind.
What is not measured is not protected.
7. Protect Healthcare in Conflict Zones
Protect health workers and hospitals during war.
A doctor in a besieged town is part of the same fight as a nurse in an Ebola ward.
8. Demand Accountability
To every reader in Accra, Kumasi, London, Toronto, or Berlin:
Ask your health ministry what your country's plan is.
Ask how much it spends on health and how much it spends on debt.
Ask who gets the vaccine first.
A government that fears questions has already answered them.
The Last Word
I am a human rights defender, not a doctor.
But I know what the doctors know.
A health system is only as strong as the weakest community it protects.
A virus does not read a country's credit rating.
It does not check a passport.
It does not care who is rich.
So the question for our age is simple:
Will we build a world where care follows need, or one where care follows wealth?
I know which world I am fighting for.
Health is not a gift from the powerful.
It is a fundamental freedom, and no budget cut, treaty delay, or political calculation can negotiate it away.
Health for all. No exceptions. No delays. No excuses.



Mahama Defends Gold Export Restrictions, Signals Ban on Raw Mineral Exports by 2...
Judicial Secretary Urges JUSAG to Suspend Planned Strike
Education Ministry Orders Probe into Alleged Assault at Techiman SHS
Chief Inspectors’ Amnesty Promotion: Supreme Court grants Police Administration ...
Police deploy officers and cameras nationwide as TraffiTech-GH enforcement begin...
Govt to fund travel expenses of mother of murdered Ghanaian teenager to US funer...
Stop labelling menopausal women as witches – Public told
Ghana woos investors for US$100million vaccine manufacturing project
Eight killed, 21 rescued in bus collision on Elubo–Takoradi Highway
NPP asks US Embassy to suspend recognition of Ghanaian diplomatic and service pa...
