The low rates with localized treatment in our study may be described by our usage of eardrops comprising both antibiotics and glucocorticoids and by our evaluation of the treatment effect at 14 days rather than at 1 week.24 A Finnish trial comparing the potency of oral antibiotics with placebo in children with acute tympanostomy-tube otorrhea showed a shorter duration of otorrhea in children treated with oral antibiotics.20 During the study, the hearing canal in participating children was cleaned through daily suction. From uncertainty about the advantages of this extra daily intervention Apart, the scholarly study outcomes may not be applicable to daily clinical practice, in which it is neither practical nor accepted to execute daily suction.About 50 percent of the people infected have died. The death toll includes many doctors and nursing staff and an end to the outbreak is not in sight. From the beginning, the local healthcare systems have already been supported by international help organisations: Doctors Without Borders and the European Mobile Laboratory Task were the first ever to come to the region in March 2014. From very early on, these organisations have repeatedly said that the outbreak will not be contained without a massive upsurge in medical and epidemiological aid.