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Old 08-14-2014, 07:17 PM   #26
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LOL - which version? I can take almost any situation, any day I'm in public, (like today) & describe a dozen ways how I potentially gave myself Ebola within an hour.
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Old 08-26-2014, 10:55 AM   #27
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"After our assessment, they will return."- translation "When we figure out WTF is going on, they will return."

Quote:
WHO withdraws staff from Sierra Leone Ebola lab after doctor became infected

Published 26/08/2014 | 15:11

The World Health Organization has withdrawn staff from a laboratory testing for Ebola at Kailahun in eastern Sierra Leone after one of its medical workers there was infected during the worst ever outbreak of the disease, a WHO spokesperson said.

"It's a temporary measure to take care of the welfare of our remaining workers," WHO spokesperson Christy Feig said. "After our assessment, they will return."

The WHO has sent nearly 400 people from its own staff and partner organisations to fight the outbreak in West Africa. It said on Sunday that a foreign health worker it had deployed in Sierra Leone had been infected.
http://www.independent.ie/world-news....pdh8L2nG.dpuf
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Old 08-26-2014, 11:18 AM   #28
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So much for the WHO.
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Old 08-27-2014, 05:37 AM   #29
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Canadians pulled from Sierra Leone as precaution

Diagnoses at WHO lab, hotel have Canadian workers on the move

Aug 26, 2014 10:45 PM ET CBC News
The Public Health Agency of Canada said in a statement late Tuesday it is finalizing plans to bring the three-person mobile team from Winnipeg's National Microbiology Laboratory home from Sierra Leone.

The team is being recalled after three people staying at their hotel were diagnosed with the Ebola virus. None of the team members had direct contact with those diagnosed, and they are not displaying any signs of illness, officials said.

The team members will remain in voluntary isolation and will be monitored as they travel back to Canada. Those plans have not yet been firmed up, PHAC said.

The three Canadians were among six workers at the lab.

There will be an investigation to see whether it was a routine infection, or something to do with the lab's processes or equipment, WHO said.

"This was the responsible thing to do. The field team has been through a traumatic time through this incident," said Dr Daniel Kertesz, WHO Representative in Sierra Leone, in a release. "They are exhausted from many weeks of heroic work, helping patients infected with Ebola. When you add a stressor like this, the risk of accidents increases."

http://www.cbc.ca/m/news/world/ebola...-lab-1.2746945
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Old 08-27-2014, 07:28 AM   #30
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The exodus has started.....

The Dark Continent is being re-born
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Old 08-27-2014, 10:49 AM   #31
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Excuse my french concerning the last bolded paragraph, but no shit Sherlock.

Quote:
Further Ebola death in Sierra Leone

27 AUGUST 2014

A third top doctor has died from Ebola in Sierra Leone, a government official said, as health workers tried to determine how a fourth scientist also contracted the disease before being evacuated to Europe.

The announcements raised worries about Sierra Leone's fight against Ebola, which has killed more than 1,400 people across West Africa.

The World Health Organisation said it was sending a team to investigate how the epidemiologist now undergoing treatment in Germany may have contracted the disease that kills more than half its victims.

"The international surge of health workers is extremely important and if something happens, if health workers get infected and it scares off other international health workers from coming, we will be in dire straits," said Christy Feig, director of WHO communications in West Africa.
http://www.belfasttelegraph.co.uk/ne...-30540369.html
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Old 08-27-2014, 10:55 AM   #32
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Air France suspends flights to Ebola-hit Sierra Leone

Last updated Wed 27 Aug 2014

Air France has suspended flights to Sierra Leone after advice from the French government.

The airline has stopped services to the capital of Freetown, following a discussion of the Ebola epidemic at a cabinet meeting in Paris.

The government has also urged all French citizens to leave the country if they can. (Good luck, since we just shut down the planes...)
http://www.itv.com/news/update/2014-...-sierra-leone/
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Old 08-27-2014, 11:44 AM   #33
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Your stuck if you were foolish enough to stay thinking you could get out at the last moment.

Sort of like being on the Titanic, without a life jacket watching the last lifeboat leave.
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Old 08-28-2014, 12:18 AM   #34
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Default Face to Face with Ebola — An Emergency Care Center in Sierra Leone

Published in The New England Journal of Medicine Today. Not terribly long, stark but worth the read for some excellent descriptions of routine & detail:


http://www.nejm.org/doi/full/10.1056...featured_home&
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Old 09-01-2014, 09:46 AM   #35
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Default Excellent Independant Article - Yesterday

***Ebola virus: It's ripped through towns – now the deadliest ever outbreak of the virus is heading for Africa's teeming cities


The dreaded Ebola virus came to the children’s hospital in the form of a four-year-old boy.

His diagnosis became clear three days after he was admitted. The Ola During hospital — the nation’s only pediatric center — was forced to close its steel gates. Fear swelled. The boy died. The 30 doctors and nurses who had contact with him were placed in quarantine, forced to nervously wait out the 21 days it can take for the virus to emerge. And remaining staff so far have refused to return to work. They, along with millions of others, are facing the worst Ebola outbreak in history. Already, the hardest-hit West African nations of Guinea, Liberia and Sierra Leone have reported more than 3,000 cases, including the infections of 240 health-care workers.

Ebola is now spreading from the remote provinces and into the teeming cities such as Freetown, where 1.2 million people jostle for space. Previous outbreaks had been limited to remote vil*lages, where containment was aided by geography. The thought of Ebola taking hold in a major city such as Freetown or Monrovia, Liberia’s capital, is a virological nightmare. Last week, the World Health Organization warned that the number of cases could hit 20,000 in West Africa.

“We have never had this kind of experience with Ebola before,” David Nabarro, coordinator of the new U.N. Ebola effort, said as he toured Freetown last week. “When it gets into the cities, then it takes on another dimension.”***


More at link:


http://www.independent.co.uk/news/wo...s-9702252.html
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Old 09-01-2014, 10:19 AM   #36
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Default Ola During Childrens' Hospital - Sierra Leone

A bit dated - this got to ProMed late apparently or they missed it but it's a stark reminder of the scope of problems & how the nature of problems continues to evolve... not for the better:

***[2] Pediatric hospital (again)
Date: Sun 24 Aug 2014 [ProMED apologizes for the delay]
From: Daniel Lucey <[email protected]> [edited]


[Re: Ebola virus disease - West Africa (143): Senegal, Sierra Leone pediatric crisis Archive No. 20140829.2735183]

Status report - Critical situation regarding disintegration of pediatric care during the EVD crisis in Sierra Leone:

Under normal conditions in Sierra Leone, pediatric medical care available is substandard. There is only one tertiary-level facility in the country -- Ola During Children's Hospital (ODCH) -- which is capable of providing basic inpatient pediatric care. As the hospital normally requires significant support from expatriate pediatricians, and there are only a few national pediatricians in the whole country, the available resources were already overburdened. Baseline health statistics are dismal, with an under-5 mortality in 2012 of 140 children/1000. One year ago, in August 2013, the ODCH admitted close to 1000 children, with 600 admissions due to malaria and almost 200 due to pneumonia.

Due to the massive outbreak of EVD and lack of concrete actions to control it, the ability to care for these children has been seriously compromised. This has been evidenced by a decrease in patient numbers seeking medical care due to fear of isolation and widespread fear of health care workers acquiring Ebola virus disease when caring for infected patients, whether confirmed, suspected, or unsuspected, without appropriate protective equipment and training in its use.

The most serious event was the recent and immediate closure of ODCH on 18 Aug 2014, when 127 inpatient children were abandoned by local hospital staff. This was due to a positive EVD test result in a young child admitted to the emergency department for 2 days, with close contact to other patients, parents and staff. The impact of this event was compounded by a Ministry of Health decision to immediately order a 21-day quarantine for 6 of 8 junior doctors. Even though screening was in place, due to deception by the child's father, the identification and isolation of this child was too late.

Now that there is active transmission in Freetown, with limited/incomplete contact history, the only way to identify suspected cases of Ebola in children is based on clinical symptoms. These mimic many other common pediatric illnesses, such as malaria and typhoid. Therefore, the only acceptable way to be able to reopen ODCH is to establish a 40-bed "fever" or isolation ward, requiring rapid lab turn-around time for EVD confirmation and a significant logistic and human resource commitment, neither of which are currently accessible. In addition, the lack of good-quality personal protective equipment (PPE) and adequate PPE training both for health care providers and support staff such as cleaners, counselors, technicians, water and waste management personnel, makes a safe reopening of the children's hospital virtually impossible.

Finally, a secure waste-disposal system, capable of coping with a large volume of waste for an EVD epidemic in an overcrowded, poor, urban area must be established. As long as the ODCH remains closed, thousands of children with treatable diseases, such as malaria and pneumonia, will die at home, without receiving essential treatment they require. The implications will also be severe for services such as outpatient pediatric HIV/AIDS and tuberculosis treatment, as these patients are either afraid to come to the hospital to receive their medications, or health care staff are placed at high risk without proper PPE to allow them to safely conduct consultations. These children will never be accounted for in national EVD mortality statistics. The only possible way to re-establish any form of pediatric care in Freetown requires a substantial and immediate international clinical and logistic intervention in order to support and instill confidence among national health care workers who are still willing to contribute to maintaining basic health care services and contribute to the fight against EVD.

--
Dr. Vanessa Wolfman, MD/MPH
Pediatric Care Manager/PMTCT Coordinator
Solthis-Sierra Leone

Daniel Lucey
<[email protected]>

[I'm sure that everyone would like to see the UN, WHO and the World Bank health division address this emergency immediately.

It will take weeks to establish safe conditions for working at this hospital. Meanwhile, there are a lot of sick orphans needing treatment for non-EVD diseases.

The world should recognize the dedication of the pediatric hospital and orphanage staff putting their lives on the line while waiting for PPE supplies and a preventive vaccine to arrive from international aid. - Mod.JW***


http://www.promedmail.org/?p=2400:1000
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Old 09-05-2014, 06:04 PM   #37
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This is just insane, not to mention completely unrealistic and impossible to enforce.

Sierra Leone to impose 4-day, countrywide anti-Ebola "lockdown"

Quote:
FREETOWN, Sept 5 (Reuters) - Sierra Leone will impose a four-day, countrywide "lockdown" starting Sept. 18, an escalation of efforts to halt the spread of Ebola across the West African nation, a senior official in the president's office said on Friday.

Citizens will not be allowed to leave their homes between Sept. 18-21 in a bid to prevent the disease from spreading further and allow health workers to identify cases in the early stages of the illness, said Ibrahim Ben Kargbo, a presidential advisor on the country's Ebola task force.

"The aggressive approach is necessary to deal with the spread of Ebola once and for all," he told Reuters. As of Friday, Sierra Leone has recorded 491 of the total of 2,097 deaths blamed on Ebola in West Africa since March, U.N. figures showed.
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Old 09-05-2014, 08:45 PM   #38
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Okay, so they're starting this in 13 days... when the average incubation period for Ebola ia 10-11 days. ON the 'positive' side, that lets the government plan, (hah!), how to deploy 12K "enforcers". And... presumably, be prepared to feed & water the hungry & thirsty in quarantine. Uh huh.

FOUR days? FOUR DAYS??? Who picked that useless number & based on what rationale?

Okay, I'll sort of play nice here, for a bit. Everybody is at home for four days. What if you get sick? Really sick? Need medical care NOW, sick? How do you contact authorities to get to care or for care to come to you - be it Ebola, heart attacks, childbirth gone wrong, etc?

Is there going to be media - radio or something, talking to the country - giving them news, encouraging cooperation with the quarantine? How is that handled? Announcers would have to be AT work, not home.... right?

How do you get enough food in for 4 days if you're poor to the point where what you eat tonight is determined by what you earn TODAY?

Will 'stay at home' exemptions be made for those who could clean vbodies off the streets, those working the creamatoria?

Oh Gawd... who came up with this abortion of an idea?
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Old 09-06-2014, 12:16 AM   #39
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People are not going to stay home those four days, I can guarantee you that.
Many homes in countries like Sierra Leone have no indoor plumbing, toilets, water...
To plan this after 13 more days is just ludicrous.
It seems to me that this is a decision taken in panic, not knowing what else to do.

It looks more and more like this will become (has already become I think) the worst epidemic in living memory, with the potential of becoming a pandemic on the magnitude of the flu pandemic of 1918.
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Old 09-06-2014, 05:15 PM   #40
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BBC reporting MSF's comments that the lockdown will not help:

http://www.bbc.co.uk/news/world-africa-29096405

A three-day lockdown announced by Sierra Leone to combat Ebola will not help contain the virus, medical charity Medecins Sans Frontieres (MSF) says.

The charity said a lockdown would force people underground, destroy trust between doctors and the public and ultimately help spread the disease.

Sierra Leone officials say the measure, due to begin on 19 September, will let health workers isolate new cases.

---------- Post added at 10:15 PM ---------- Previous post was at 10:12 PM ----------

From the link above:

Umaru Fofana, BBC News, Freetown
Information Minister Alpha Kanu admits the lockdown is an extraordinary measure that will cause huge inconvenience, but he says it is needed to stem the spread of a disease which has killed over about 500 of his people.

Despite criticism from MSF, Mr Kanu insists that the measure "will minimise the spread of the virus", and he is urging people to stock up on food, telling them: "We did it during the war."

Never since the rebel invasion of Freetown in 1999 have I seen fear on the faces of people like in recent times. Even so, many people feel three days is too long to be asked to stay indoors. Many others feel three days is too short to achieve the government's aim of restricting the virus.
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Old 09-06-2014, 05:27 PM   #41
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Some of the specific reasons it won't work - those going door to door checking for cases need trsaining - what are they looking for?

No or too few facilities to treat casesor suspected cases.

That's just a few of the reasons - most of which have already been discussed.
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Old 09-06-2014, 05:41 PM   #42
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Quote:
Originally Posted by CanadaSue View Post
Okay, so they're starting this in 13 days... when the average incubation period for Ebola ia 10-11 days. ON the 'positive' side, that lets the government plan, (hah!), how to deploy 12K "enforcers". And... presumably, be prepared to feed & water the hungry & thirsty in quarantine. Uh huh.

FOUR days? FOUR DAYS??? Who picked that useless number & based on what rationale?

Okay, I'll sort of play nice here, for a bit. Everybody is at home for four days. What if you get sick? Really sick? Need medical care NOW, sick? How do you contact authorities to get to care or for care to come to you - be it Ebola, heart attacks, childbirth gone wrong, etc?

Doubtful most have cell phones to request help - help that would not be able to come to them.


Is there going to be media - radio or something, talking to the country - giving them news, encouraging cooperation with the quarantine? How is that handled? Announcers would have to be AT work, not home.... right?

Radios that might be available to limited numbers and whatever news there is would be delivered more broadly by word of mouth --- Yeah, that's going to work.

How do you get enough food in for 4 days if you're poor to the point where what you eat tonight is determined by what you earn TODAY?

Exactly! This is an area where malnutrition is edemic. Where just getting enough nutrition on a regular basis, is almost beyond the reach of most of the population. Chronic malnutrition, untreated water and a body racked with parasites, prone to passing fevers, weakened by chronic infections, is just that much more likely, IMO, to be vulnerable Ebola as it seems to be transmitting more readily.........

Will 'stay at home' exemptions be made for those who could clean vbodies off the streets, those working the creamatoria?

Oh Gawd... who came up with this abortion of an idea?

Inept politicians who are in place due to their skill at buying votes and lining their pockets and the pockets of their strong arms, with the foreign aid the world sends them?

Regardless of what one conceives as their deity of choice, or not; mercy please, for those souls in the wake of this most insidious and horrible disease.
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Old 09-06-2014, 06:16 PM   #43
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It's simply... bizarre. The move smacks of desperation. 12 days until it's enacted & in those 12 days, you'd better believe there will be LOTS of movement as people frantically try to secure food, water & other necessities. Wonder how long it will take for food prices to soar?

12 days means a lot more people break with symptoms, as well as infect others. In the last few days before the quarantine takes effect, I'd expect so much movement of people it would amplify infection... none of which will be noted in the quarantine period.

What a mess.
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Old 09-06-2014, 06:33 PM   #44
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I would expect there to be a lot of spread by those checking for infections. Again, during hoof-and-mouth disease long ago, human workers and inspectors spread the disease as they went from farm to farm.
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Old 09-06-2014, 06:39 PM   #45
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andy - I hadn't even considered that aspect of it.

Time for a several hour Ebola break - this is getting to be less & less interesting & more frightening all the time.
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Old 09-17-2014, 09:12 AM   #46
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Quote:
Fears amid new Sierra Leone Ebola strategy

Planned 'stay-at-home campaign' seeking to raise awareness about deadly virus leaves many wondering how they will cope.

Nina Devries Last updated: 17 Sep 2014 12:27

Freetown, Sierra Leone - Every week Bonnet Sesay comes to a local market in Lumley, a western suburban area of Freetown, the capital of Sierra Leone.

It is here she can buy her palm oil, onions, green peppers, and other tasty ingredients she uses to cook for her small family.

Sesay works as a housekeeper and makes just over $100 per month. She manages to get by, but lately things have been extra hard because of Ebola.

"I'm worried for my kids, for myself. I've stopped taking local transport because I don't want to come into close contact with people. I walk everywhere now, including this market," she told Al Jazeera.

The Ebola crisis, which has affected five countries in West Africa, has forced what the government is calling a three-day "stay-at-home campaign" or in the local krio dialect, "ose to ose" (house-to-house). The campaign will run September 19- 21.



The main goal is to create awareness and educate people about Ebola, which has killed more than 2,400 people in West Africa, according to the World Health Organization. The agency says 280 health workers have been infected across the region, and nearly 140 have died.

The virus has affected Guinea, Liberia, Sierra Leone, Nigeria, and Senegal, where no deaths have been reported so far.

In Sierra Leone alone, 1,432 people have died from the disease and the number of confirmed cases is at 459, according to the Ministry of Health and Sanitation.

Information sharing

During the stay-at-home campaign, a total of 21,000 people will be going around the country in teams of three, which will include a healthcare worker, an NGO worker, and a local community person.

The campaign was brought on by the WHO, UNICEF, and the Sierra Leone government.

Nyka Alexander, a spokeswoman for the WHO in Freetown, said that the point of sitting at home is so that residents are there when people come to share information about Ebola.
http://www.aljazeera.com/news/africa...542526942.html
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Old 09-17-2014, 10:11 AM   #47
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Quote:
Poor will die of hunger, not just Ebola, say Sierra Leoneans

REPORT from Plan Published on 17 Sep 2014

17 September 2014: Supplies of food are running so low in Sierra Leone that residents fear many could die of hunger if the Ebola virus is not contained soon.

Freetown residents say food prices are soaring out of control due to the lack of cross-border trade since the borders to Liberia and Guinea closed.

“There is food shortage in the market and the demand is high, and this has urged traders to increase their prices,” said Freetown resident Alpha Bah.

“The situation in the country is getting more difficult every day, and if this virus is not tackled as quickly as possible, many Sierra Leoneans are going to die of hunger, particularly the poor citizens.”

Soaring prices

Last week the UN warned of the effect of the Ebola crisis on food security in West Africa, citing soaring prices across the region.

It issued a special alert for Liberia, Sierra Leone and Guinea, the three countries most affected by the outbreak, which has killed at least 2,296 people since the virus was detected in the remote forests of Guinea in March.

Kadiatu Sesay, a female trader operating in Freetown, says she will soon run out of food to sell.

“I used to travel to Guinea to buy food items, but since the Ebola outbreak and the borders are closed, I am only selling the remaining food item in my store,” she explained.

“Things are getting worse every day, especially food items. All food items have increased from their normal prices due to scarcity. Also, most farmers have stopped farming due to the outbreak. Food items are now very expensive."

Restrictions on people's movements and the establishment of quarantine zones to contain the spread of Ebola have led to panic buying, food shortages and price hikes.

Lock down

The Sierra Leone government has also announced a countrywide ‘lock down’ in a bid to contain the virus.

Residents will be restricted to the areas around their homes for three days from 19 September in a bid to halt new infections and help health workers track down people suffering from the disease.

But people fear the lock down will have even more impact on rising food prices.
http://reliefweb.int/report/sierra-l...ierra-leoneans
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Old 09-17-2014, 11:45 AM   #48
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I suspect this is going to be a huge part of the effort - humanitarian assistance in the form of food. And boy, it's beyond needed at this point.
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Old 09-18-2014, 08:01 AM   #49
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MSF weighs in on ose-ose.

Quote:
Ebola lockdown in Sierra Leone: nationwide three-day curfew

Unprecented national shutdown, with health workers going house-to-house to identify Ebola cases; MSF raises concerns about capacity to cope

Monica Mark
The Guardian, Wednesday 17 September 2014 14.41 EDT


Residents across Sierra Leone, one of three countries at the centre of the biggest ever Ebola outbreak, scrambled on Wednesday to prepare for a three-day, unprecedented nationwide "lockdown" in a radical step intended to curb the spread of the killer virus, but which some health experts believe could worsen the epidemic.

Citizens will not be allowed to leave their homes from Thursday until Sunday. Known as "ose to ose" in the widely-used local Krio, health workers will also go house-to-house identifying cases and raising awareness. More than 2,300 have died across Guinea, Liberia and Sierra Leone in the nine-month epidemic that the World Bank warned this week could lead to deaths in the "tens of thousands" if unchecked by the end of the year.

snip

MSF, the medical charity leading the fight, said it had "concerns" about the proposed lockdown. "We support the idea of increasing awareness about Ebola but we're extremely concerned about the capacity," said Christina Falconi, country coordinator for Sierra Leone. "I'm standing in Kailahun right now and I can see all the wards we have here. Every single one is full. We're turning people away, so I can say that as of today there will not be enough beds for any new cases," she said, speaking from the 80-bed treatment centre in Kailahun.

President Ernest Bai Koroma is expected to give a speech before the lockdown's midnight start on Thursday; the government expects to identify up to 20% more cases. Those with suspected Ebola will be taken to "holding centres".

"It will be extremely difficult for health workers to accurately identify cases through door-to-door screening as this requires a certain level of expertise. But critically, even when potential patients are identified, there will not be enough Ebola management centres to care for them," MSF said in a press release. "It has been our experience that lockdowns and quarantines do not help control Ebola as they end up driving people underground and jeopardising the trust between people and health providers. This leads to the concealment of potential cases and ends up spreading the disease further."
http://www.theguardian.com/society/2...n-sierra-leone
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Old 09-18-2014, 08:07 AM   #50
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Quote:
Sierra Leone’s Ebola Burial Teams Struggle as Bodies Decompose

By Silas Gbandia Sep 17, 2014 7:00 PM ET

Ebola burial teams in Sierra Leone can’t keep up with the rising number of dead, and some bodies are left to decompose at home for days as test results for the virus are slow to arrive.

“We are overwhelmed as we bury between 20 to 30 corpses a day,” Sas Kargbo, head coordinator for Sierra Leone’s burial teams, said in an interview in the capital, Freetown. “We want capacity to determine the cause of death in 24 hours so that those who did not die of Ebola will be buried with dignity.”

President Ernest Bai Koroma on Aug. 7 ordered that corpses can’t be buried without the Ministry of Health’s authorization. The measure was meant to stop the virus from spreading by preventing people from organizing funerals for relatives. The virus is spread through direct contact with bodily fluids from an infected patient, including a deceased person, according to the World Health Organization.
http://www.bloomberg.com/news/2014-0...ecompose.html?
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