At seven a.m., Peyton stood at the podium in Auditorium A of Building 19 on the CDC campus. A fourth of the EIS officers were deployed at local and state health offices; they had dialed in to the presentation. The officers who worked at CDC HQ were assembled in the room. One hundred and twenty faces stared down at Peyton.
“Good morning. I’m about to brief you on an outbreak of what we believe is a viral hemorrhagic fever in a small town in Kenya. Pay close attention. Some of you will be deployed today; we’ll fly to Kenya this afternoon. Others will support our field operations from CDC HQ, for now. Depending on how things go, some of you may end up deployed to the field at a later date. Take notes, ask questions, and learn all you can. Your lives may depend on it. And so could someone else’s.
“Okay. Here’s what we know so far…”
Chapter 8
At eight a.m., the EOC’s conference room was overflowing. Employees from several CDC divisions as well as representatives from the State Department and the US Agency for International Development (USAID) were on hand.
Peyton sat at the table next to Elliott Shapiro. The EIS agents she’d selected for the deployment were in Auditorium A, watching the conference on a projection screen.
After introductions, Elliott led a briefing on the current situation. The State Department representative, Derek Richards, spoke next.
“From our perspective, this is an outbreak in the worst possible place at the worst possible time. Let’s start with some background.”
Richards clicked his mouse, and an image of a badly burned building appeared.
“August, 1998. Truck bombs exploded outside the US embassies in Nairobi, Kenya, and Dar es Salaam, Tanzania. In Nairobi, 213 people died. Four thousand were injured. The attack was linked to al-Qaeda. In fact, it’s what caused the FBI to put bin Laden on the ten-most-wanted list for the first time. Less than two weeks later, the Clinton administration launched cruise missiles at Sudan and Afghanistan in Operation Infinite Reach. The hit on bin Laden failed. In response, the Taliban renewed their commitment to harbor him, and the rest is history.
“State decided not to rebuild the embassy that was bombed in Nairobi. We built a new embassy directly across the street from the UN for security purposes.
“In the years since the Nairobi bombing, the security situation in Kenya has gotten worse. Crime is high everywhere in the country. It’s particularly bad in the larger cities: Nairobi, Mombasa, Kisumu, and the coastal resorts. In Nairobi alone, there are ten carjackings every day. In May 2014, the US, UK, France, and Australia began issuing travel warnings to their citizens in Kenya. The US went further, reducing our staff at the Nairobi embassy. The UK closed their consulate in Mombasa. The effects of the travel advisories were devastating to the Kenyan tourism industry. European travel to the country ground to a halt.
“Our main concern, however, is al-Shabaab. They’re an Islamic terror group based in Somalia, with cells and operatives throughout Kenya. They want to turn Somalia into a fundamentalist Islamic state. They’re essentially ISIS in East Africa. They’re brutal, organized, and relentless. The African Union has deployed twenty-two thousand troops to Somalia to try to contain them. They’re losing.”
Richards clicked the mouse again, and a map of Somalia and Kenya appeared. Areas with terrorist activity were highlighted.
“In March of 2016, we received intel that al-Shabaab was planning a large-scale attack on US and African Union forces in the region. The Air Force launched a strike in which manned aircraft and unmanned MQ-9 reaper drones hit an al-Shabaab training camp in northern Somalia. We killed about 150 of their fighters, including their number two. You can have no doubt that al-Shabaab is looking for any opportunity to retaliate. American personnel, of any kind, operating in Kenya will be pursued. For that reason, US embassy personnel must get express permission when traveling outside Nairobi, and in some neighborhoods in the city.
“Your status as non-combatants is likely to have no effect on al-Shabaab. In April 2015 they attacked students at Garissa University. They singled out Christians and shot them. They killed 147 people in the attack.
“Finally, I would like to present the recent decisions of medical and humanitarian organizations I know you respect.”
Richards flipped through his papers; he apparently hadn’t memorized this part of his presentation.
“In May of 2015, Doctors Without Borders evacuated personnel from the Dadaab refugee camp because of security concerns. In total, they evacuated forty-two staff members to Nairobi and closed two of their four health posts.
“In July of 2014, the Peace Corps suspended all activities in Kenya and evacuated all of its personnel because of the security situation.”
Richards looked up from the papers and focused on Elliott. His tone was firm, bordering on aggressive.
“At State, we realize this is a serious outbreak with the potential to spread. Our official recommendation is that American personnel remain in Nairobi, offering support and coordination from there. The Kenyans and WHO personnel will be at far less risk in the field, and, in fact, the presence of American personnel may endanger them.
“If you decide to venture outside Nairobi, we recommend only doing so with Kenyan military forces that include units with combat experience and heavy artillery at their disposal. We would also advise you to wait until the NRO can position a satellite in geosynchronous orbit with the area you’ll be operating in. And we strongly recommend you wait until the Navy can position a vessel with a rapid deployment force within striking distance of your theater of operations.”