As global concern about an Ebola outbreak in central Africa grows, hundreds of Kenyans have taken to the streets to protest a plan by the Trump administration to send American citizens who have been exposed to the virus to Kenya, rather than bringing them back to the US. Two people have been shot and killed during the protests.
The outbreak started in the Democratic Republic of Congo last month and has since spread to Uganda. There are currently no confirmed cases in Kenya, which shares a border with Uganda.
Kenyans are demanding to know why the US wants to send Ebola patients to their country, and why their government gave the US the initial approval to build a 50-bed quarantine facility at the Laikipia Air Base in central Kenya.
For now, the plan is on hold after a court ruling in Kenya; on Tuesday, the court extended the suspension to at least June 23 and also ordered the Kenyan government to provide details of its arrangement with the Trump administration, including financial agreements and measures put in place to protect Kenyans.
Between cuts to American foreign aid in the region, the sheer aggressiveness of this strain of the virus, and conspiracy theories that threaten public health workers, many public health workers fear that this Ebola outbreak has become a perfect storm.
To understand what’s going on — and why the US is trying to involve Kenya — Today, Explained co-host Noel King spoke to Sabrina Siddiqui, a national politics reporter for the Wall Street Journal who helped to break the story. They discussed the reactions from Kenyans and public health experts and what would happen if Kenya continues to rebuff the administration.
Below is an excerpt of their conversation, edited for length and clarity. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including Apple Podcasts, Pandora, and Spotify.
What is the plan?
The administration has been trying to set up a quarantine facility in Kenya at an air force base where they would essentially house Americans who have been exposed to Ebola and anyone who also tests positive.
They’re describing it as somewhat of a tent hospital. But there are various plans underway for also adding, if needed, isolation units and biocontainment units. That is, of course, if there are people who truly get sick or need further care.
I think they see this as an opportunity to have a place for Americans to quarantine while they’re evaluated, and they have deployed public health officers from the United States to assist with these efforts. They have also said that if Americans test positive, they would only perhaps stay at this facility for a couple days before being sent to another country. And they’re looking at facilities in Europe that could potentially accommodate Americans if they were to truly get sick.
What the US is saying is: We don’t want you coming back into the US. You look at the reaction to this here at home, and there’s a lot of shock. Ebola outbreaks have happened before. This is a very dangerous, dangerous virus. How does the US usually handle this when our citizens are affected?
That’s actually been very striking about the administration’s response to this particular outbreak. In previous outbreaks, Americans who had been exposed to Ebola or who had tested positive were allowed to return home and they were monitored and cared for at quarantine facilities here in the United States. And we do have biocontainment units as well. During this recent hantavirus outbreak, American passengers who were aboard the cruise ship where that outbreak occurred have been quarantining at one of those biocontainment units in Nebraska.
So it’s frankly been bizarre to a lot of public health officials and epidemiologists that Americans would not be allowed to come home. And it just appears to be the case that the Trump administration is taking a very hard line against letting anyone who is known to have Ebola to be allowed back here in the United States. What they’re saying is that they do not want any Ebola cases to exist in the United States during this outbreak.
So the plan is: send Americans to Kenya. And what is the status of that plan?
The Trump administration announced that the US and Kenya had reached an agreement to stand up this quarantine facility for Americans in Kenya. And then a Kenyan high court put a temporary hold on the Trump administration’s plan to set up that facility. So right now, the plan is very much in limbo. As of now, it’s not clear if the plan is even going to move forward.
How did people in Kenya respond when they were told the United States wants to send its citizens to you?
One of the lawyers who is part of the legal group that is arguing this case said, “Is Kenya being reduced to a dumping site?” I think that really captures the mood of many Kenyans who learned about this plan through news reports, and were critical of their government for agreeing to allow Americans who had been exposed to Ebola to be rerouted to Kenya when there are no known or suspected cases of Ebola in Kenya.
There are obviously a lot of concerns, including from medical groups in Kenya that there could perhaps be an outbreak in Kenya that stems from bringing Americans to the country who’ve been exposed to the virus.
Does anyone know why [the administration chose] Kenya?
The administration said that they were looking for somewhere in the region that is unaffected by the outbreak, where they don’t believe there is as high a risk of spread and that is not too far so that people could get there quickly. Obviously there are also politics involved and it seems like they were able to come to some kind of agreement with the government, even if it’s been halted by the courts.
Again, this is temporary for people who actually get sick. So it doesn’t even look like it was necessarily a long-term plan in terms of how they plan to actually use this facility, because at the same time that they’re saying Americans can quarantine in Kenya, they also said that anyone who truly gets sick would be evacuated to a tertiary care center and that they’re currently talking to partners in Europe to try and identify where sick patients can be taken.
These are just some of the questions that a lot of people have around the administration’s plans, which they haven’t been terribly forthcoming about, and which have drawn criticism not just from people in Kenya, but also from public health experts here at home who simply do not understand why they would not allow Americans to return to their home country.
Let me ask you what you’ve been hearing from public health experts, because there is, from the non-expert’s point of view, a knee-jerk sense in this. It’s: Ebola is dangerous, keep people where they are, or keep people elsewhere, so that they don’t bring Ebola into the United States.
You said public health experts say this does not make sense. Why doesn’t it make sense? What do they tell you?
I think there are a couple of things that are at play. One is that public health experts do say that it is the responsibility of the United States government to take care of its own people and to allow them to return home so that they could receive the highest quality of care and that they have these state-of-the-art facilities specifically designed for outbreaks and viruses like Ebola.
I also think that there is the component of mental health, and that, in addition to just needing to receive the appropriate care, that people should have access to their support system, that they should be allowed to be in closer proximity to their families if they were to get sick. And people see that as a moral responsibility that the United States has to afford Americans that opportunity.
There’s also just the fact that in previous outbreaks, Americans were brought home, and the Trump administration has not provided a medical rationale for why they’re so opposed to Americans coming back home other than saying that time is of the essence when someone has Ebola. Well, time was also of the essence in prior outbreaks, and the US did not stop Americans from returning home.
You’ve been covering the hantavirus outbreak as well. And I wonder whether you’re seeing a pattern here in the way this administration is responding to these public health crises where the public is inclined to freak out a bit and public health experts might have a different idea of what needs to happen.
Well, here’s what’s really fascinating about covering the hantavirus outbreak as well as the Ebola outbreak. The Trump administration has been willing to embrace these very aggressive quarantine and isolation measures despite the fact that this administration is full of people at the highest levels of leadership who were so critical of what they saw as heavy-handed social distancing and isolation guidelines during the Covid-19 pandemic.
And they’re going even further. There were a couple of passengers who wanted to leave the Nebraska facility where those who’ve been exposed to hantavirus have been quarantining. And the acting director of the CDC, Jay Bhattacharya, signed an order forcing them to stay there. And now, as those passengers are reaching the end of their quarantine period — these are those who are exposed to hantavirus, who have been asymptomatic and do not have hantavirus — they’re now returning to their home states. The Trump administration is essentially insisting on 24/7 monitoring and not allowing them to leave their homes.
So, oddly enough, it’s a very heavy-handed way that the Trump administration has responded to these outbreaks, even though they were the ones who used criticisms of public health institutions and of the scientific community during Covid as a way to appeal to voters who are frustrated by these exact kinds of guidelines and rules during that pandemic.
What are the stakes here? What happens if Kenya says, no, President Donald Trump, we’re just not going to allow this?
Well, that’s actually going to be a really interesting moment if it comes to pass because it is not entirely clear if the Trump administration has a plan B.
It just seems like this entire plan came together very quickly. Even the public health officers who were deployed to Kenya when they were called upon for this assignment only received about three days of training. And that’s something that some public health officials said simply isn’t enough for people who are going to go and try to staff a facility where you have this rare strain of a deadly virus.
When the Trump administration is talking about whether or not they would be able to send Americans to other facilities in Europe, they still haven’t identified where those care centers would be, which just signals that they haven’t really thought through what would happen if they are not allowed to stand up this facility in Kenya. And I suspect that while they’re still negotiating with the Europeans, it’s very likely that people in Europe would have the same reaction as those in Kenya: “Why are you sending potentially sick Americans here rather than allowing them to return home?”