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The first deaths in Angola were misdiagnosed as food poisoning; the global emergency vaccine stockpile was depleted before even one city was fully protected; and diagnostic laboratories were so far away that it was months before the scope of the outbreak was clear and a worldwide alarm was raised.

Ultimately, the yellow fever outbreak was halted only by a huge vaccination campaign that stretched supplies by diluting doses, and even that succeeded only because some unusual donors stepped in.

Brazil contributed 18 million doses of yellow fever vaccine — three times the amount in the emergency stockpile — to contain the African outbreak. Even South Sudan, one of the world’s poorest nations, gave up 400,000 doses intended for its children.

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NY Times

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