West Africa risks being sucked into a devastating regional war, similar to that in central Africa. Liberia’s festering conflict, already almost a decade old, has continued to spread and consume its neighbours. The war has recently encompassed the Mano River Union countries of Guinea and Sierra Leone, it has now expanded east to Côte d’Ivoire and its impact has been felt as far away as Gambia and Ghana. Action is needed, especially from Washington, which has always had special links.