Evening Ebola Update, Sat, 11/1: Status of EBOV Tx Ctrs./Rural villagers need educ. not orders   Leave a comment

11/1/14

Dear Colleagues:

l.  NY Times today has a graphic which shows the WHO EBOV treatment centers in West Africa built to date, the WHO planned treatment centers with foreign medical staff identified, and the WHO planned treatment centers with foreign medical staff not identified.  WHO has 15 EBOV treatment center open and 41 treatment centers planned. See: http://www.nytimes.com/interactive/2014/07/31/world/africa/ebola-virus-outbreak-qa.html for this graphic and many others.

2.  PLoS Currents Outbreaks has posted an article by Richards, et. al. on social pathways for EBOV in Sierra Leone.  Rural villagers have strong family ties so they are distrustful of strangers (white physicians and nurses).  They carefully clean the body of recently deceased so that the spouse may remarry.  The families are patrilineal, and widows are encouraged to marry brothers of the deceased.  Migration to other villages occurs for marriage, for education, and for work.  One village will only have contact with specified other villages.  Markets require villagers to migrate to sell there goods.  To contain EBOV in these rural villages requires face to face education about the cause of EBOV, how it is spread, why hospitals help, how care of the recently deceased should be done to avoid EBOV.  In summary, these rural villages have complicated societies and need to be educated, not simply ordered by their governments what to do and what not to do re: EBOV.  See: http://blogs.plos.org/speakingofmedicine/2014/10/31/social-pathways-ebola-virus-disease-rural-sierra-leone-implications-containment/ for the complete Richards, et. al. article.

RGL, MD

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Posted November 2, 2014 by levittrg in Ebola

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