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MEDICAL: DISEASES: EBOLA VIRUS :
AFRICA:
Preparing for Ebola Virus Disease in West African Countries
Not Yet Affected: Perspectives from Ghanaian Health Professionals
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Preparing for Ebola Virus Disease in West African Countries
Not Yet Affected: Perspectives from Ghanaian Health Professionals
Nyarko, Yaw
Journal: Globalization and health
ISSN: 1744-8603 Date: 2015
Volume: 11 Issue: 1 Page: 7
PMID: 25885772 DOI: 10.1186/s12992-015-0094-z
http://www.biomedcentral.com/content/pdf/s12992-015-0094-z.pdf
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Discussion:
Participants personal stories and the broader debates to define
fundamental issues and opportunities for preparedness focused on three
inter-related themes. First, the dangers of the fear response itself were
highlighted as a threat to the integrity and continuity of quality care.
Second, healthcare workers fears were compounded by a demonstrable lack of
societal and personal protections for infection prevention and control in
communities and healthcare facilities, as evidenced by an ongoing cholera
epidemic affecting over 20,000 patients in the capital Accra alone since
June 2014. Third, a lack of coherent messaging and direction from
leadership seems to have limited coordination and reinforced a level of
mistrust in the governments ability and commitment to mobilize an adequate
response. Initial recommendations include urgent investment in the needed
supplies and infrastructure for basic, routine infection control in
communities and healthcare facilities, provision of assurances with
securities for frontline healthcare workers, establishment of a
multi-sector, all-hazards outbreak surveillance system, and engaging
directly with key community groups to co-produce contextually relevant
educational messages that will help decrease stigma, fear, and the
demoralizing perception that the disease defies remedy or control.
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Summary:
The EVD epidemic provides an unprecedented opportunity for West African
countries not yet affected by EVD cases to make progress on tackling
long-standing health systems weaknesses. This roundtable discussion
emphasized the urgent need to strengthen capacity for infection control,
occupational health and safety, and leadership coordination. Significant
commitment is needed to raise standards of hygiene in communities and
health facilities, build mechanisms for collaboration across sectors, and
engage community stakeholders in creating the needed solutions. It would
be both devastating and irresponsible to waste the opportunity.
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The complete article may be read at the URL above.
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Sincerely,
David Dillard
Temple University
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