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MEDICAL: DISEASES: EBOLA VIRUS :
AFRICA :
COUNTRIES: SIERRA LEONE:
Sierra Leone: Fighting Ebola in the Slums of Freetown
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Sierra Leone: Fighting Ebola in the Slums of Freetown
29 April 2015
Mecins Sans Fronties (MSF)
http://www.msf.org/article/sierra-leone-fighting-ebola-slums-freetown
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This MSF team is responsible for contact tracing and surveillance in nine
areas of Freetown. When a new alert comes through the governments Ebola
hotline, the team pays a visit to the household affected. Their aim is to
map out everyone who has had any close contact with a suspected or
confirmed Ebola patient, as well as to determine how the patient became
infected.
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We try to link up new cases to existing chains of transmission, says Dr
Kieran. Most of the time now we are able to do that, which is a good sign.
We follow each chain carefully to find any contacts who are showing early
Ebola symptoms, and we send them to an Ebola management centre for further
investigation. This reduces the risk of cross-infection. A chain goes dead
when no new contacts develop the disease after 21 days of follow-up. Once
this happens the incidence of Ebola drops rapidly.
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Until the very last contact
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Health promoter Shekhu Jabbie says contact tracing is not as easy as
simply asking for the names of family members. We ask about their
occupation, whether theyre farmers, traders or traditional healers. We
interview them about their marriage background, their children, the people
they live with, the people they share a latrine with.
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Many of the people living in Moa Bay Wharf are traders at the local
market, and come into contact with hundreds of other people on a daily
basis. Elsewhere in Freetowns slum districts, hundreds of people may share
the same latrine, dramatically increasing the list of primary contacts.
The outreach team asks about any recent travel history, funerals attended
or visits to sick relatives or friends. It often takes several visits to
build up trust, and at that point previously hidden details may emerge.
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Sometimes people will remember, oh yes, she did visit her sick aunty last
week. At the end of the day the answers that people give us help us
determine how they got infected, says Shekhu.
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The complete article may be read at the URL above.
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
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