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Avoiding Ebola – how this Chiefdom in Sierra Leone did it

UNICEF CONNECT blogs.unicef.org                                                         April 15, 2015

by Margaret James, a Health Officer with UNICEF, Sierre Leone

When I first heard in February that Lugbu chiefdom was one of the few in Bo District, Sierra Leone, that had not recorded a single case of Ebola, my interest was immediately triggered. On 2 March 2015 we got to visit the chiefdom’s main town, Sumbuya, for several hours of meetings with local leaders, youth, a traditional healer and business people to find out more.

Lugbu chiefdom has several entry points and can be accessed by both land and water. (c)UNICEF Sierra Leone

In our quest for answers, we got permission from the local Paramount Chief, (PC) Mohamed Allie Nallo, who gave his blessing and got in touch with key people to help us in our research. We held group meetings, one-on-one interviews and even carried out spot visits.

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Young people played a game-changing role in the battle against Ebola in Liberia

THE GUARDIAN   by 

 MONROVIA, Liberia -- Archie Gbessay, 28, stands at an intersection in Monrovia’s West Point neighbourhood next to a stall where mobile-phone recharge scratch cards are sold. Across the street is a school that, in August 2014, became the focus of Liberia’s Ebola crisis. It was being used as a holding centre for Ebola victims when enraged residents broke through its iron gate and released patients.

Youngsters in the township of West Point take a leading role in the effort to bring the Ebola outbreak in Liberia under control. Photograph: Ahmed Jallanzo/EPA

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Community-Centered Responses to Ebola in Urban Liberia: The View from Below

PLOS   by Saron Alane Abramowitz, Kristen E. McLean and others,                                          April 9, 2015

The West African Ebola epidemic has demonstrated that the existing range of medical and epidemiological responses to emerging disease outbreaks is insufficient, especially in post-conflict contexts with exceedingly poor healthcare infrastructures.

 In this context, community-based responses have proven vital for containing Ebola virus disease (EVD) and shifting the epidemic curve. Despite a surge in interest in local innovations that effectively contained the epidemic, the mechanisms for community-based response remain unclear.

This study provides baseline information on community-based epidemic control priorities and identifies innovative local strategies for containing EVD in Liberia.
Read complete study.

http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003706

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Ebola Outbreak in West Africa: Lessons Learned from Quarantine

THE ASSESSMENT CAPACITIES PROJECT (ACAPS)                     March  19, 2015

Ebola Outbreak in West Africa: Lessons Learned from Quarantine--Sierra Leone and Liberia (acaps) The use of quarantine in West Africa is debated by various stakeholders. Some INGOs have argued that quarantine can fuel panic and counterproductive behaviour. Others have defended quarantine as a vital complementary tool to prevent the spread of infection and facilitate contact tracing....

 See full study.

http://acaps.org/img/documents/t-acaps_thematic_note_ebola_west_africa_quarantine_sierra_leone_liberia_19_march_2015.pdf

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Watch closely and explain frequently: Liberia's Ebola lessons

REUTERS   By James Harding Giahyue and Emma Farge                                                   March 13, 2015

MONROVIA/DAKAR - Seven months after Ebola paralysed Liberia's capital, Friday marked 21 days since the country registered a case of the virus - offering lessons to its neighbors on the importance of surveillance and education in beating the deadly epidemic....

 A massive influx of international aid, including crucial U.S. military assistance, helped Liberia to turn the tide of the outbreak.

But, notes Tariq Riebl, Oxfam's Ebola response manager in Liberia, "What got us to the endgame is that communities took things into their own hands...."

Read complete story.
http://news.yahoo.com/watch-closely-explain-frequently-liberias-ebola-lessons-184507811.html;_ylt=AwrBJR6EmAVV3D0AbnTQtDMD

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Vaccines Face Same Mistrust That Fed Ebola

NEW YORK TIMES  by and         March 14, 2015

MONROVIA, Liberia — West Africa’s Ebola epidemic may be waning, but another outbreak in the future is a near certainty, health officials say.

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The fear of Ebola led to slayings — and a whole village was punished

Detailed account of the aftermath of murder by local villagers in Guinea of eight persons who came to teach about Ebola

WASHINGTON POST  by Amy Brittain                                                                             March 1, 2015
WOMEY, Guinea — The lecture about the dangers of Ebola had just begun, but the village had heard enough. A group of women started chanting, to warn the others against the visitors, “They are coming to kill you.” A mob of men masked their faces, waved machetes and rushed toward the speakers. Stones began to fly.

 

Thousands of Womey residents fled after the killings when Guinea’s military invaded and looted the vllage. More than a dozen died from malnutrition after living for months in the surrounding bushland. (Jane Hahn/For The Washington Post)

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