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the effort to stop the latest outbreak of Ebola the second largest in history is hitting a Baria despite huge medical advances in controlling the spread of the disease health officials say it's society the human factor that is proving in some ways the most difficult Reuters health correspondent Kate Kelland the societal issues we're talking about here really all %HESITATION about the way people behave and the way people feel is about mistrust or confidence about FIA is about habits and customs I'm more public health officials are saying is that you can have all the best scientific tools in the Welsh and have a vaccine you can have drugs you can have treatment you can have clinics maybe call bringing people with you and you caught wind that confidence in the trust then you call put those tools into action to stop the outbreak , scientists worked quickly to develop cutting edge treatments that they had hoped would prevent all hopes future outbreaks of the virus after a boat that devastated parts of West Africa between twenty thirteen and twenty sixteen but the current epidemic in the Democratic Republic of Congo is continuing to spread relentlessly despite the scientific advances and it's now claimed lives in neighboring Uganda , the World Health Organization says mistrust of authorities in the Congo even attacks on healthcare workers and patients avoiding treatment centers avoid exacerbating the problem what %HESITATION express is saying is that global public health has changed %HESITATION and mainly that's to do with connectivity is about more trade and travel which means people move around small nationally and internationally and it also means that there's more information flowing does get information on this bad information but there's a lot more of a town and what this means in terms of public health is that now more than ever it's important to win public trust said that the scientific advances that are being made can be put to use to protect public health , making matters worse some of the affected regions are hot beds of militant activity treatment centers have been repeatedly attacked by armed militiamen and community members who think Ebola is a conspiracy against them and to undermine efforts to contain it the key thing is to get into the communities that are affected and when that trust try to understand whether phase a coming full form try to give them good information on what the public health officials in this outbreak at trying to do is get local communities %HESITATION to to engage with leaders with also people who have been directly affected by the disease or have been vaccinated who can then help that P. is understands that vaccination can protect you treatments can help I'm not coming forward if you're feeling ill is the best way to stop spreading the disease and your best chance of surviving it the challenge of containing a boat or in the Congo has been compared with controlling the spread of cholera in Yemen and measles in the United States the barriers are often more social than scientific