So these 109 countries...what did they do?

109 attempts of the host to shake off a parasite without addressing the weakness that attracts a parasitic reaction.

Is there hope here?

All hope (want) or fear (not want) towards suggested outcomes tempts the living to ignore the need to resist perceivable origin (process of dying).

The many seeking solutions tempts the few to suggest solutions; while ignoring to be (living) within the solution (process of dying) aka being temporary growth within ongoing loss.

Is it too far gone?

a) everything represents "ongoing"; each one thing within "temporary" experiences the whole (perceivable) as the partial (perceiving).

b) both near-sight (ignorance) and far-sight (comprehension) are shaped by partial perceiving choice at the center of whole perceivable balance.