Sunday January 25,
2014 - UK nurse laid low by the Ebola Virus
Disease has recovered. Fully. Pauline Cafferkey
tells the BBC that she is very happy to be
alive. She had given up hope at one point as she
waited for the inevitable. Welcome back to the
world of the living Pauline.
The first person
to be confirmed as an Ebola patient in the
United Kingdom has fully recovered.
UK nurse
Pauline Cafferkey admitted in
her first
broadcast interview with the BBC that she had
felt like giving up the fight after her defence
system was ravaged and savaged by the
unrelenting beast known as the Ebola Virus
Disease that wanted to claim her life. We give
thanks to the Good Lord that the medical team
that was with her never gave up and continued
the fight as she hung on doggedly to dear life.
Indeed many who had been following her case as
she lay in the UK treatment facility had quite
some nervous moments when after reports that she
was doing well and coping things appeared to
have been turned on its head with fresh reports
saying that she was critical.
Many have heard
that ominous statement before; many were led to
believe that it was another lost battle as had
been the case for those whose condition had been
described as critical while receiving treatment,
be it abroad or in Sierra Leone.
As the BBC
reminds us, Pauline is the second UK citizen to
recover from the ravages of the vicious killer
disease, the first being William Pooley who
after his recovery and the hours of pain and
anxiety before coming out safely gave an
impression of not wanting to ever get near
anywhere the disease was present, especially
Sierra Leone. But that was not to be for as he
himself had stated, he had seen people succumb
to the disease and knew what it was like after
his ordeal - and indeed went back to Sierra
Leone where he's now helping in the battle
against the devious and vicious killer disease.
The BBC has this on Pauline -
"Speaking after
being discharged from the Royal Free Hospital,
in London, Ms Cafferkey, from Cambuslang, in
South Lanarkshire, thanked staff who she said
had saved her life. "I am just happy to be
alive. I still don't feel 100%, I feel quite
weak, but I'm looking forward to going home,"
she added. Ms Cafferkey
- who had volunteered with Save the Children at
a treatment centre in Kerry Town, in Sierra
Leone - was diagnosed with Ebola on 29 December,
after returning to Glasgow via London. Her
temperature was tested seven times before she
flew from Heathrow to Glasgow and she was
cleared to travel, before later falling ill.
She
was placed in an isolation unit at Glasgow's Gartnavel Hospital after becoming feverish,
before being transferred by a RAF Hercules plane
to London on 30 December. She was then
transferred to the specialist isolation unit at
the Royal Free, where she has been treated
since. Speaking to BBC health correspondent
Branwen Jeffreys, she said: "My first few days I
was very well - I just couldn't understand all
the fuss."
Ms Cafferkey
travelled to Sierra Leone with a group of NHS
workers in November last year However, she said
she was "definitely frightened" having witnesses
the virus first hand in Sierra Leone.
"Obviously
at the back of my mind I had seen what could
happen and what could potentially happen to me."
After three or four days Ms Cafferkey said her
condition began to deteriorate, with the
hospital announcing she had become critically
ill on 4 January. Asked if there was a point she
felt she would not make it, Ms Cafferkey said:
"There was a point, which I remember clearly. I
do remember saying: 'That's it, I've had
enough'."
She said she had "no sense of time" in
hospital and cannot remember an entire week when
the virus took hold. She said she received
letters and cards from people around the world,
including people in Sierra Leone and from other
nurses who wrote to say she made them proud of
their profession.
Asked if she wanted to return
to Sierra Leone, she said: "I would have to
think seriously about it. I am definitely going
to give aid work a break for a while. "I just
want to go back to my normal job, my normal life
and I think my family will be happy with that as
well."
Dr Michael Jacobs, from the hospital's
infectious diseases team, said Ms Cafferkey had
now completely recovered and was "not infectious
in any way". He said Ms Cafferkey was treated
with blood plasma from an Ebola survivor and an
experimental treatment drug closely related drug
to ZMapp, which UK nurse Will Pooley was treated
with after he contracted Ebola.
The experiences
of UK nurse Pauline Cafferkey and Sierra Leonean
entrepreneur Junietta Ayodele Macauley again
highlight the importance of early diagnosis and
immediate treatment once confirmed and here we
have to once more call on all those involved in
helping to combat the menace that equipment for
conducting tests be up to standard and more
importantly manned by trained and selfless
personnel who are dedicated to the work at hand
- defeating the killer disease.
Here again we
must remind ourselves about the case of Dr
Martin Salia who felt unwell, tested and was found
negative. A few days later, knowing how he was
feeling, he again submitted himself to a test
and this time was proved positive for the virus.
It was from there, we believe that the battle
for the life of one of our good doctors started
with the virus already getting a grip on his
immune system and the delay in getting him out
of the country for treatment in the United
States added to the extremely vigorous killer
virus getting a stranglehold so that by the time
he was flown out of the country, he was
practically gone to the great beyond - with
vital organs like the kidneys already gone.
Recent figures
put out by the authorities in Sierra Leone
appear to indicate a slowing down of the rate of
infection and while this may be good news, we
would urge that true figures be published so
that those engaged in the fight would gear
themselves up for what appears to be a lull in
the battle against the disease.
This is the time
where contact tracing, testing and treatment
should be our priority and reports made as
transparently as possible for we fear that
political considerations by some ill-disposed
persons would witness the concealment of the
afflicted and with that the rise of secret
burials too. The lack of transparency and the
confusion that reigns over the cause of death of
many in especially the capital Freetown and
parts of the north of the country contributed in
no small measure to the rise in new cases as
well as deaths attributed directly or indirectly
to the Ebola Virus Disease.
Kindly allow us to
remind you of the observation of the World Health
Organisation on why overcrowded and health
delivery challenged Freetown the capital became
the new epicentre -
"The first confirmed case in
Freetown was reported to WHO
on 23 June. Cases in
Freetown and the adjacent
district of Port Loko
initially rose slowly, with
patients transferred to
Kenema for treatment.
Throughout July and August,
Kailahun and Kenema remained
the districts with the most
intense virus transmission,
and cases there continued to
occur at an alarming rate.
On 6 August, the President
declared a national state of
emergency, with quarantines,
enforced by the military,
imposed on the areas and
households hardest hit. Also
in August, the government
passed a law imposing a jail
sentence of up to two years
on anyone found to be hiding
a patient.
At the end of
that month, the country
reported a cumulative total
of 1,026 cases, compared
with 648 in Guinea and 1,378
in Liberia.
But the real surge in cases
began in September as the
virus gained a foothold in
Freetown. Teams were soon
struggling to bury as many
as 30 bodies per day. As the
situation rapidly worsened,
South Africa deployed a
mobile laboratory to
Freetown and work began to
construct Ebola treatment
centres, as Kenema’s
treatment capacity was
quickly overwhelmed.
By the third week of
September, the situation had
begun to stabilize in
Kailahun and Kenema, but
Freetown, Port Loko, Bombali,
and Tonkolili districts
showed a sharp and alarming
spike in a situation
described by WHO as
“continuing to deteriorate”.
Nationwide, WHO estimated
that more than 530
additional treatment beds
were needed.
The biggest challenges in
the densely populated
capital were limited
treatment and diagnostic
facilities and the
difficulty of undertaking
contact tracing. In parts of
Freetown, as many as three
families occupied the same
household in shifts,
increasing even further the
risks of disease spread
within these families.
In early October in Port
Loko, no treatment beds were
available in any health care
facilities. At one health
facility, nurses had no
personal protective
equipment, no food, and no
rehydration fluid. WHO
organized the transportation
of suspected cases to
treatment facilities and
provided a supply of
essential medicines and
equipment, but these did not
last long as cases continued
to mount and the demand
continued to overwhelm
existing capacities.
By mid-October, WHO
described virus transmission
in Freetown and the western
districts as “rampant”, with
more than 400 new suspected
cases being reported each
week.
All administrative
districts nationwide had
reported at least one case.
The impression of stability
in Kailahun and Kenema was
temporarily lost as cases
once again began to rise.
In Freetown, the government
and its partners recognized
an increasingly urgent,
almost desperate situation.
On 21 October, the World
Food Programme used its
unparalleled logistical
capacities, supported by
funding from the World Bank,
to airlift 20 ambulances and
10 mortuary pickup trucks to
Freetown to support the
government’s efforts to
shorten response times. An
additional 44 vehicles
followed a few weeks later
by sea. This support was in
addition to the delivery, by
that date, of food to more
than 300,000 Ebola-affected
people nationwide.
We would urge that care be
taken lest we get caught out by the disease
again. The recent
announcement
by the rat that travel restrictions are to be
lifted, trading in some parts resumed and
schools to get ready for re-opening though
sounding good has to be treated with caution.
The Ebola virus is very
treacherous and should it rear its head in areas
thought to be safe, then we would be in for the
long haul and care must be exercised lest we
become complacent.
"We are still in a very,
very dangerous situation with this virus,"
WHO's Bruce Aylward
said. "Especially now... that we are heading
into the rainy season very, very soon. "That's
going to hit us in April, May, and that will
make the response that much more complicated."
The warning echoed an
assurance by Mr Koroma that the crisis would not
be considered over until all three countries had
seen no new cases for 42 days. The relaxation
nevertheless marks huge progress against an
epidemic which has seen commerce all but grind
to a halt, with restrictions on movement halting
crop harvests and sparking warnings of a looming
food crisis. The president said the travel bans
on almost 3 million people would be removed on
Friday, while restrictions would be eased on
Saturday trading hours in the hard-hit Western
Area, which includes the capital Freetown.
Sierra Leone is targeting zero new cases by
March 31 of the deadly tropical fever that has
killed about 9,000 West Africans over the past
year, according to official data - although the
real toll is thought to be significantly
higher." We could
not agree more and the decision to reopen
schools must be taken with all caution as we
suspect that deep within certain inaccessible
villages could be a lurking virus ready to
pounce on the unwary.
Given the manner in
which figures are reported with political
leaders manipulating the figures to suit certain
hidden motives, we would again urge caution. We
would urge all and sundry to be very careful and
to be truthful reminding all of us again that
pretending that all is well when we know that
there could well be unreported cases will not
augur well for all of us.
When the Ebola Virus
Disease appears to get wiped out, be wary as it
has the tendency to reappear as was
witnessed in Uganda. |