The world is finally attempting to defend itself against a virus without borders. From Madrid to New York, from Conkary to Dallas to Freetown, a now familiar routine is being followed: quarantine, isolation, death.

The projections – the number of deaths from Ebola will double, and continue to rise, perhaps up to 1.4 million cases by January according to one estimate – inspire fear. Already 4,000 are dead, 3,700 children have become orphans. Many more have died but are not registered on World Health Organisation estimates.

Barely an hour passes without another body to bury in West Africa. Often, however, they go unburied: the dead are easy to find.

And yesterday, as the fear of Ebola continued to outpace its spread in the West, the first airport in the United States (John F Kennedy in New York) began to screen passengers arriving from West Africa.

"I would rather wait in a long line, and know that I'm not going to catch Ebola," said one passenger yesterday, interviewed by an excitable local television reporter on the concourse at JFK. Customs officials estimate that 150 people travel through JFK from Liberia, Sierra Leone or Guinea to the US per day.

This week, public health workers at JFK will use no-touch thermometers to take the temperatures of the travellers; those who have a fever will be interviewed and asked if they have had contact with a patient with Ebola. Each of the five airports in the US trying out the screening (JFK, Newark Liberty, Washington Dulles, Chicago O'Hare and Hartsfield-Jackson in Atlanta) have quarantine areas. However, the extra screening probably would not have identified Thomas Eric Duncan when he arrived from Liberia last month, because he had no symptoms while travelling. Duncan, the first person to be diagnosed with Ebola in the US, died on Wednesday in Dallas.

The epidemic is making plenty of headlines now. There have been the Texas patient, the Spanish nurse, the Briton in Macedonia (now proved not to have been an Ebola death), the protest over Excalibur, the "Ebola dog", in Spain.

Three more people were placed under observation at the Carlos III hospital in Madrid, bringing the total number to 16. A nursing assistant infected with the virus, Teresa Romero Ramos, remained in a serious but stable condition yesterday. Those recently quarantined were a nurse who had contact with Ms Romero, a hairdresser who attended to her and a hospital cleaner, a government statement said. None of the 16 in quarantine, who include Ms Romero's husband, as well as five doctors and five nurses, have shown any symptoms. Yesterday, some of them could be seen to be leaning out of windows on the fifth-floor of the hospital, giving victory signs to the assembled media below.

Ms Romero, 44, the first person known to have contracted the disease outside West Africa in the current outbreak, had cared for two Spanish priests who died of Ebola at the hospital, one in August and the other last month. State broadcaster TVE showed journalists asking Jesusa Ramos, Ms Romero's mother, if her daughter was making any improvements. "She seems to be," said Ms Ramos, from her hometown of Becerrea in north-western Spain.

In pictures: Ebola virus Show all 62 1 /62 In pictures: Ebola virus In pictures: Ebola virus Ebola virus A health worker from Sierra Leone's Red Cross Society Burial Team 7 carries the corpse of a child in Freetown In pictures: Ebola virus Ebola virus A health workers from the Sierra Leone's Red Cross Society Burial Team 7 is sprayed with desinfectant after removing a corpse from a house in Freetown In pictures: Ebola virus Ebola virus Health workers from Sierra Leone's Red Cross Society Burial Team 7 prepare to remove a body from a house in Freetown AFP In pictures: Ebola virus Ebola virus Health workers from the Sierra Leone's Red Cross Society Burial Team 7 place a body in a grave at King Tom cemetary in Freetown In pictures: Ebola virus Ebola virus Mustapha Rogers of the Red Cross talks as health workers from the Sierra Leone's Red Cross Society Burial Team 7 remove a corpse from a house in Freetown In pictures: Ebola virus Ebola virus A citizen from Mali arrives at a hospital in Murcia city, south-eastern Spain. The protocol for a possible case of Ebola has been activated as the man, who arrived from Mali to Jumilla town in Murcia province five days ago, presents clinical symptoms of high fever and vomiting EPA In pictures: Ebola virus Ebola virus Kenyan medical workers show how to handle an infected Ebola patient on a portable negative pressure bed at the Kenyatta national hospital in Nairobi Getty Images In pictures: Ebola virus Ebola virus A health worker sprays disinfectant onto a college in Monrovia, Liberia AP In pictures: Ebola virus Ebola virus A burial team in protective gear bury the body of a woman suspected to have died from Ebola virus in Monrovia, Liberia In pictures: Ebola virus Ebola virus Healthcare workers in protective gear work at an Ebola treatment center in the west of Freetown, Sierra Leone AP Photo/Michael Duff In pictures: Ebola virus Ebola virus A healthcare worker in protective gear is sprayed with disinfectant after working in an Ebola treatment center in the west of Freetown, Sierra Leone In pictures: Ebola virus Ebola virus A member of the NGO U Fondation leaves a house after visiting quarantined family members suffering from the Ebola virus in Monrovia In pictures: Ebola virus Ebola virus An Ebola sign placed infront of a home in West Point slum area of Monrovia, Liberia In pictures: Ebola virus Ebola virus A Liberian man carries his sick brother suspected of having Ebola after being delayed admission to the Island Clinic Ebola Treatment Unit due to a lack of beds at the clinic on the outskirts of Monrovia, Liberia In pictures: Ebola virus Ebola virus Health workers remove the body a woman who died from the Ebola virus in the Aberdeen district of Freetown, Sierra Leone In pictures: Ebola virus Ebola virus A health worker fixes another health worker's protective suit in the Aberdeen district of Freetown, Sierra Leone In pictures: Ebola virus Ebola virus Health workers spray themselves with chlorine disinfectants after removing the body a woman who died of Ebola virus in the Aberdeen district of Freetown, Sierra Leone In pictures: Ebola virus Ebola virus A woman crawls towards the body of her sister as Ebola burial team members take her sister Mekie Nagbe (28) for cremation in Monrovia, Liberia In pictures: Ebola virus Ebola virus Sophia Doe sits with her grandchildren Beauty Mandi, 9 months (L) and Arthuneh Qunoh, 9, (R), while watching the arrival an Ebola burial team to take away the body of her daughter Mekie Nagbe, 28, for cremation in Monrovia, Liberia In pictures: Ebola virus Ebola virus Varney Jonson (46) grieves as an Ebola burial team takes away the body of his wife Nama Fambule for cremation in Monrovia, Liberia In pictures: Ebola virus Ebola virus Family members grieve as Ebola burial team members prepare to remove the body of Nama Fambule for cremation in Monrovia, Liberia In pictures: Ebola virus Ebola virus A Liberian burial squad carry the body of an Ebola victim in Marshall, Margini county, Liberia In pictures: Ebola virus Ebola virus An Ebola burial team dresses in protective clothing before collecting the body of a woman (54) from her home in the New Kru Town suburb of Monrovia, Liberia In pictures: Ebola virus Ebola virus An Ebola burial team carries the body of a woman (54) through the New Kru Town suburb of Monrovia, Liberia In pictures: Ebola virus Ebola virus An Ebola burial team dresses in protective clothing before collecting the body of a woman (54) from her home in the New Kru Town suburb of Monrovia, Liberia In pictures: Ebola virus Ebola virus Health workers in protective gear carry the body of a woman suspected to have died from Ebola virus, from a house in New Kru Town at the outskirt of Monrovia, Liberia In pictures: Ebola virus Ebola virus Volunteers in protective suit bury the body of a person who died from Ebola in Waterloo, some 30 kilometers southeast of Freetown FLORIAN PLAUCHEUR/AFP/Getty Images In pictures: Ebola virus Ebola virus Nowa Paye (9) is taken to an ambulance after showing signs of the Ebola infection in the village of Freeman Reserve, about 30 miles north of Monrovia, Liberia In pictures: Ebola virus Ebola virus Medical staff members burn clothes belonging to patients suffering from Ebola, at the French medical NGO Medecins Sans Frontieres (MSF) in Monrovia PASCAL GUYOT/AFP/Getty Images In pictures: Ebola virus Ebola virus A medical staff member wearing a protective suit walks past the crematorium where victims of Ebola are burned in Monrovia In pictures: Ebola virus Ebola virus A Liberian burial team wearing protective clothing loads the body of a 60-year-old Ebola victim after retrieving him from his home Getty Images In pictures: Ebola virus Ebola virus Sick women rest while hoping to enter the new Doctors Without Borders (MSF), Ebola treatment center near Monrovia, Liberia Getty Images In pictures: Ebola virus Ebola virus Hanah Siafa walks in the rain with her children Josephine, 10, and Elija, six, while waiting to enter the new Doctors Without Borders (MSF), Ebola treatment center in Monrovia, Liberia Getty Images In pictures: Ebola virus Ebola virus UNICEF health workers walk through the streets, going house to house to speak about Ebola prevention in New Kru Town, Liberia. The virus has killed more than 1,000 people in four African countries Getty Images In pictures: Ebola virus Ebola virus Local residents watch as public health advocates stage an Ebola awareness and prevention event in Monrovia, Liberia Getty Images In pictures: Ebola virus Ebola virus Public health advocates stage an Ebola awareness and prevention event in Monrovia, Liberia. The Liberian government and international groups are trying to convince residents of the danger and are urging people to wash their hands to help prevent the spread of the epidemic Getty Images In pictures: Ebola virus Ebola virus Hanah Siafa lies with her children Josephine, 10, and Elija, six, while hoping to enter the new Doctors Without Borders (MSF), Ebola treatment center Getty Images In pictures: Ebola virus Ebola virus A health worker examines patients for Ebola inside a screening tent, at the Kenema Government Hospital AP In pictures: Ebola virus Ebola virus A health worker cleans his hands with chlorinated water before entering an Ebola screening tent at the Kenema Government Hospital, about 86 miles from Sierra Leone’s capital Freetown AP In pictures: Ebola virus Ebola virus Aid workers and doctors transfer Miguel Pajares, a Spanish priest who was infected with the Ebola virus while working in Liberia, from a plane to an ambulance as he leaves the Torrejon de Ardoz military airbase, near Madrid, Spain AP Photo/Spanish Defense Ministry In pictures: Ebola virus Ebola virus A Liberian money exchanger washes hands between customers as a precaution to prevent infection with the deadly Ebola virus while conducting business in downtown Monrovia, Liberia EPA In pictures: Ebola virus Ebola virus A Liberian health worker sprays disinfectant on a drivers boots to stop the spread of the deadly Ebola virus at the Christian charity Samaritan Purse head offices in Monrovia, Liberia. Over 660 people have died of Ebola in West Africa in 2014 making it the world's deadliest outbreak to date according to statistics from the World Health Organisation EPA In pictures: Ebola virus Ebola virus A Liberian taxi driver wears protective gloves as a precaution to prevent infection with the deadly Ebola virus whilst driving in downtown Monrovia, Liberia. Many Liberians have taken to wearing gloves and washing hands after every interaction in an attempt to curb the spread of the deadly virus EPA In pictures: Ebola virus Ebola virus A Liberian money exchanger wears protective gloves as a precaution to prevent infection with the deadly Ebola virus while transacting business with customers in downtown Monrovia, Liberia EPA In pictures: Ebola virus Ebola virus A woman from Liberia takes food to a sick relative in the Ebola isolation unit at the ELWA Hospital where US doctor Kent Bradley is being quarantined having contracted the Ebola virus. Over 660 people have died of Ebola in West Africa in 2014 making it the world's deadliest outbreak to date according to statistics from the World Health Organisation EPA In pictures: Ebola virus Ebola virus The disease has now spread to Liberia and, for the first time, Sierra Leone and Nigeria, killing at least 672 people in 1,201 cases, according to the World Health Organisation’s latest figures AP In pictures: Ebola virus Ebola virus Health specialists prepare for work in an isolation ward for patients at the Medecins Sans Frontieres facility in southern Guinea AFP/Getty Images In pictures: Ebola virus Ebola virus A Liberian street vendor wears protective gloves as a precaution to prevent infection with the deadly Ebola virus while transacting business with customers in downtown Monrovia, Liberia EPA In pictures: Ebola virus Ebola virus A nurse from Liberia sprays preventives to disinfect the waiting area for visitors at the ELWA Hospital where a US doctor Kent Bradley is being quarantined in the hospitals isolation unit having contracted the Ebola virus, Monrovia, Liberia EPA In pictures: Ebola virus Ebola virus Staff of the 'Doctors without Borders' ('Medecin sans frontieres') medical aid organisation carry the body of a person killed by the virus In pictures: Ebola virus Ebola virus A Liberia man (right) talks to a nurse (left) about the health of his relative who is in the isolation unit of the ELWA Hospital where a US doctor Kent Bradley is being quarantined having contracted the Ebola virus, Monrovia, Liberia EPA In pictures: Ebola virus Ebola virus A nurse from Liberia walks to spray preventives to disinfect the waiting area for visitors at the ELWA Hospital where a US doctor Kent Bradley is being quarantined in the hospitals isolation unit having contracted the Ebola virus EPA In pictures: Ebola virus Ebola virus Staff of the Christian charity Samaritan's Purse put on protective gear in the ELWA hospital in the Liberian capital Monrovia AFP In pictures: Ebola virus Ebola virus Lagos State Health Commissioner Jide Idris, speaks, during a news conference in Lagos, Nigeria. No one knows for sure just how many people Patrick Sawyer came into contact with the day he boarded a flight in Liberia, had a stopover in Ghana, changed planes in Togo, and then arrived in Nigeria, where authorities say he died days later from Ebola AP Photo/Sunday Alamba In pictures: Ebola virus Ebola virus Staff of the Christian charity Samaritan's Purse put on protective gear in the ELWA hospital in the Liberian capital Monrovia. An American doctor battling West Africa's Ebola epidemic has himself fallen sick with the disease in Liberia, Samaritan's Purse said AP In pictures: Ebola virus Ebola virus Protective gear including boots, gloves, masks and suits, drying after being used in a treatment room in the ELWA hospital in the Liberian capital Monrovia AFP In pictures: Ebola virus Ebola virus A Liberian man holding a Civet being sold on a roadside as bush meat in Lofa County. Bush meat is one of the major carriers of the Ebola virus. The Liberian government and International partners have warned people to not eat it. The World Health Organisation (WHO) reported that a total of 888 Ebola cases including 539 deaths have been recorded in West Africa since February AFP In pictures: Ebola virus Ebola virus People unload protection and healthcare material at Conakry's airport, to help fight the spread of the Ebola virus and treat people who have been already infected AFP/Getty Images In pictures: Ebola virus Ebola virus Body of evidence: health workers transport a casket of a nun whose death resulted from an Ebola infection in Zaire in 1995 Getty In pictures: Ebola virus Ebola virus Peter Piot in Yambuku, northern Congo (then Zaire), in 1976, where he was part of the original team to discover the Ebola virus J Breman In pictures: Ebola virus Ebola virus A member of Doctors Without Borders helps to unload protection and healthcare materials in Guinea Getty In pictures: Ebola virus Ebola virus Doctors in protective gear work inside the Medecins Sans Frontieres isolation ward as Guinea faced the worst ever outbreak of the Ebola virus Getty Images

The isolation Guinea, Liberia and Sierra Leone now experience risks plunging the countries – and their neighbours – into an unprecedented economic disaster. Ebola is predicted to cost West Africa up to £20bn by the end of next year, according to the World Bank. The consequences would be particularly pronounced if the epidemic spreads into neighbouring countries, some of which have much larger economies.

Prices will rise, food will become scarce, already desperately needed medicines will be less readily available. The World Bank last week warned of a catastrophe caused by "a slow-containment, High Ebola scenario". It was an opportune time, then, for Sierra Leone's Energy minister, Henry Macauley, to visit London last week, seeking private investment for a national initiative to cater for demand for energy in the country.

He did not, he told the Independent on Sunday, pass through any more stringent checks entering Britain, despite government plans to follow the US's lead and screen travellers. "We needed to come and let the world know that we do intend to look at the period beyond Ebola," he said. "The Ebola issue took the whole world by surprise.

"There is no doubt in my mind that if the world had known, had foreseen, that it would get to this level, from the first case the world would have rushed in to stop it."

He added: "Our government has very little means to fight against this disease … Had we known, we would have taken bigger steps to increase awareness … No one knew that this was looming."

West Africa still awaits medicine and a vaccine to halt Ebola's spread. Mr Macauley pondered the chances of such drugs being distributed. "There is no price on a human life, and I'm sure they will find a way to get it done."

As the western media became increasingly preoccupied with potential Ebola cases across Europe last week, aid workers called for some perspective. Vickie Hawkins, executive director of Médecins Sans Frontières in Britain, said: "Anyone reading the latest reports speculating on the chances that Ebola could reach our shores should spare a thought for the outbreak's real victims – the people of West Africa.

"Every day our teams see first-hand the dire consequences of the outbreak and the glacial pace of the international response … The best way to contain the outbreak is to lend resources, skills and support where they are needed most – in West Africa."

One fewer victim was the Briton reported to have died from the disease in Macedonia. After authorities sealed off a hotel he had stayed in, and put 35 people into isolation, it emerged the man who died last week had not, in fact, had Ebola, although he had symptoms including fever, vomiting and internal bleeding.