Sierra Leone appealed to the United States on Wednesday to send military aid to help it battle Ebola as it falls behind its West African neighbors Guinea and Liberia in the fight against the virus.

The worst recorded Ebola outbreak has killed at least 5,689 people, the World Health Organization said on Wednesday, as the virus has overwhelmed African countries with weak infrastructure and health care systems.

While the outbreak appears to be coming under control in Liberia, thanks partly to a health operation run by U.S. troops, infection rates have accelerated in Sierra Leone.