I've just heard Dr. Joanne Liu's speech to the UN, and it was as tough as it reads. Her punchline: "To put out this fire, we need to run into the burning house."
Military teams should be sent to West Africa immediately if there is to be any hope of controlling the Ebola epidemic, doctors on the frontline told the United Nations on Tuesday, painting a stark picture of health workers dying, patients left without care and infectious bodies lying on the streets.
The international president of Médecins sans Frontières, Dr Joanne Liu, told member states that although alarm bells had been ringing for six months, the response had been too little, too late and no amount of vaccinations and new drugs would be able to prevent the escalating humanitarian disaster.
"In West Africa, cases and deaths continue to surge," she said. "Riots are breaking out. Isolation centres are overwhelmed. Health workers on the frontline are becoming infected and are dying in shocking numbers.
"Others have fled in fear, leaving people without care for even the most common illnesses. Entire health systems have crumbled."
She said Ebola treatment centres had been reduced to places where people went to die alone.
"It is impossible to keep up with the sheer number of infected people pouring into facilities. In Sierra Leone, infectious bodies are rotting in the streets," she said. "Rather than building new Ebola care centres in Liberia, we are forced to build crematoria."
The World Health Organisation estimated last week that 20,000 people in Guinea, Liberia and Sierra Leone have been infected over three months. Médecins sans Frontières has doubled its staff of volunteer doctors in the region but is unable to cope.
The epidemic can be stopped, said Liu, but only if governments send in their biohazard teams and equipment.
"Many of the member states represented here today have invested heavily in biological threat response," she said at the UN. "You have a political and humanitarian responsibility to immediately utilise these capabilities in Ebola-affected countries.
"To curb the epidemic, it is imperative that states immediately deploy civilian and military assets with expertise in biohazard containment. I call upon you to dispatch your disaster response teams, backed by the full weight of your logistical capabilities. This should be done in close collaboration with the affected countries. Without this deployment, we will never get the epidemic under control."
Money is no longer the main issue, according to MSF, and voluntary help is not enough. Skilled and well equipped teams are needed on the ground.
Governments should send in military and civilian experts who can scale up the numbers of isolation centres and deploy mobile laboratories that can be used to diagnose more cases.
Military-style operations are required to establish dedicated air bridges to move personnel and equipment around West Africa and a regional network of field hospitals must be built to treat medical staff who are infected or suspected of being infected. About a tenth of the deaths have been among health workers.
"We must also address the collapse of state infrastructure," Liu said. "The health system in Liberia has collapsed. Pregnant women experiencing complications have nowhere to turn.
"Malaria and diarrhoea, easily preventable and treatable diseases, are killing people. Hospitals need to be reopened and newly created."
Lastly, she said, there must be a change of approach by affected countries. "Coercive measures, such as laws criminalising the failure to report suspected cases, and forced quarantines, are driving people underground.
"This is leading to the concealment of cases, and is pushing the sick away from health systems. These measures have only served to breed fear and unrest, rather than contain the virus."
Liu was speaking as nurses in Liberia went on strike for better pay and equipment to protect themselves from Ebola.