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Liberia, for instance, had fewer than 200 doctors in the entire country when the epidemic began, and Reuters estimates that fewer than 50 are still working – many stopped working out of fear, while others left the country. Only a few died as a result of working with Ebola patients.Even more significant, however, is the lack of knowledge about Ebola specifically. Because the disease had never been seen before in West Africa, health-care workers there initially struggled to identify, treat, and, most important, quarantine patients. Patients, meanwhile, have been skeptical of health-care workers telling them to abandon deeply rooted cultural practices in caring for the sick and washing the bodies of the dead.But the most crucial difference between present and past outbreaks is the transnational character of the disease’s spread. That Guinean village where the virus was first identified sits in a porous border zone with Liberia and Sierra Leone, allowing the disease to be transmitted easily between people in the three countries.“If people are able to cross borders then it doesn’t matter how hard one country works if the others don’t, too,” Kim Yi Dionne, a professor of African politics at Smith College, told the Monitor. “That’s a disincentive for anyone to do anything.”