Sunday
June 29, 2014
- Deadly Ebola virus ravages Sierra Leone. Total
deaths still unknown as World Health
Organisation fears the scourge could spread to
neighbouring countries. With people confused
about the symptoms and what should be done, the
rat criminalises the scourge.
As true Christians prepare
to head for places of worship to give thanks to
the Almighty and Muslims start the holy month
of Ramadan, we urge all and sundry to pray for
Sierra Leone. Indeed never before had the
country been hit by such a deadly disease though
there were warning signs in the air after Guinea
became the epicentre of the disease.
Reports say that after
the media and other concerned citizens expressed
fears over our preparedness should the deadly
plague use the porous borders to cross into
Sierra Leone, the ministry of health is reported
to have ordered the much-needed
reagents/chemicals that would help in
identifying whether those expressing the
symptoms of Ebola were indeed victims or not.
The initial tests showed
that those in fear were not positive, but as
cross border movements increased with those
affected by the disease crossed into Sierra
Leone through ever porous borders, it was not
long for health officials to confirm that indeed
the deadly disease was in the country with
deaths reported as victims who had no idea of
the ravages of the scourge succumbed to the
disease.
With pressure mounting
on the government of the rat and the death toll
rising, it came out with an announcement on
Friday last week which effectively criminalises
Ebola in a country where the necessary education
of the people on the scourge was yet to be made
countrywide.
There were reports that
relations of the dead washed those bodies before
burial with no protective clothing, that those
diagnosed as Ebola-infected leaving isolation
centres and others feeling abandoned by
relations staggering into bushes to breath their
last providing avenues for the further spread of
the disease.
Ebola, according to
health experts is a severe acute viral illness
often characterized by the sudden onset of
fever, intense weakness, muscle pain, headache
and sore throat. This is followed by vomiting,
diarrhoea, rash, impaired kidney and liver
function, and in some cases, both internal and
external bleeding.
People are infectious as
long as their blood and secretions contain the
virus. Ebola virus was isolated from semen 61
days after onset of illness in a man who was
infected in a laboratory. The incubation
period, that is, the time interval from
infection with the virus to onset of symptoms,
is 2 to 21 days. What we have in bold
letters should be of great concern and worry to
everyone and we would urge that men in areas
harbouring the scourge be advised to take extra
care given what we have now learnt from health
experts.
From the symptoms
described, it is quite easy to discern the
challenges facing health workers in Sierra Leone
where people living in small communities could
never have heard of the disease nor would they
be able to get in touch with health officials to
help them out in suspected cases. And so when we
saw this report on how the government of
the rat intends to combat the disease, we got
even more worried - "Sierra Leone has warned it
is a serious crime to shelter patients infected
with the Ebola virus who are in hiding. The
Health Ministry said several patients had
discharged themselves from hospital in Kenema
district, the heart of the country's outbreak."
The BBC adds
- "Dr Shek
Moar Khan,
who is
working with
Ebola
patients at
Kenema
government
hospital,
said his
team met
resistance
when trying
to inform
people about
the disease.
Health
workers have
been trying
to explain
to people in
the areas
affected
that Ebola
"is not a
mystery, but
simply it is
a disease
that
somebody can
acquire, and
if only they
could listen
appropriately
to our
advice, then
we could
break the
chain of
transmission",
he said.
The question that should
be considered is - why would patients discharge
themselves from hospital? Have the authorities
considered the social implications from the
perspective of the affected and infected? We
think not and we would request health workers to
imagine being in an isolation ward where
relations are prevented from getting close to
their loved ones. We would urge them to take a
second look and see the bigger picture of the
atmosphere of fear the outbreak has already
created as well as having to talk to and deal
with a health official who is all covered up and
masked. It creates panic and increases fears of
looming death.
And we would dare to ask
- just how much support are the victims
receiving? Are there provisions for their daily
requirements for food, nutrition and medication?
What about logistics for the health workers and
other staff of the health ministry? Simply put -
are victims getting enough food for their frail
bodies as well as the duty of care needed in
such situations? Any counselling teams?
We would urge those
brave workers who have to deal with victims and
suspected victims to be trained in how to go
about it using moral suasion and not the
enforcement of a clearly flawed criminalisation
regime as proposed by the government of the rat
even as we wonder the legal basis of this
action. Even though the World Health
Organization (WHO) has called for "drastic
action" to contain the Ebola outbreak in West
Africa, which has killed almost 400 people, we
do not think that the criminalisation of the
disease is what the world body is thinking
about.
We would urge the health
and associated ministries as well as State House
where the smoke and mirrors rat operates from to
keep calm and take a good look at what obtains
on the ground with a view to tackling what is
clearly a challenge. The WHO has also noted -
"It is the largest outbreak in terms of cases,
deaths and geographical spread.There have been
more than 600 cases in Guinea - where the
outbreak started four months ago - and
neighbouring Sierra Leone and Liberia. Around
60% of those infected with the virus have died."
In what looks like a
desperate bid to control the disease amid fears
that countries like Mali, Guinea Bissau and
others could be at risk, the WHO has convened a
meeting in Ghana that is meant to put the cards
on the table for a number of threatened
countries. It is hoped that common sense would
prevail and that the initial panic created by
the government of the rat among a people
uneducated about the horrors of the Ebola
disease would be controlled.
The World Health
Organisation states that - "As
the number of deaths and cases of Ebola virus
continues to rise in Guinea, Liberia and Sierra
Leone, the World Health Organization is warning
that drastic action is needed. The World Health
Organization has so far provided technical
assistance through the deployment of over 150
multidisciplinary team of experts involved in a
range of outbreak response activities such as
surveillance, communication and social
mobilization, infection control, logistics, data
management.
Despite this, there has
been significant increase in the number of daily
reported cases and deaths of Ebola as well as
newly affected districts over the last three
weeks. As of 23 June 2014, the total cumulative
number of cases reported was 635 out of which
399 died. This makes the on-going Ebola
outbreak, the largest in terms of the number of
cases and deaths as well as geographical spread.
“This is no longer a country specific outbreak
but a sub-regional crisis that requires firm
action by Governments and partners. WHO is
gravely concerned of the on-going cross-border
transmission into neighbouring countries as well
as the potential for further international
spread. There is an urgent need to intensify
response efforts; to promote cross-border
collaboration and information sharing of
suspected cases and contacts in line with WHO
guidelines and to mobilise all sectors of the
community to ensure unhindered access to
affected areas. This is the only way that the
outbreak will be effectively addressed”, said Dr
Luis Sambo, WHO Regional Director for Africa.
In an effort to interrupt further spread of this
virus in the shortest possible time, the World
Health Organization is convening a special
meeting of Ministers of Health of eleven (11)
countries and partners involved in the Ebola
outbreak response in Accra, Ghana from 2-3 July
2014 to discuss the best way of tackling the
crisis collectively as well as develop a
comprehensive inter country operational response
plan. Decisions taken at this meeting will be
critical in addressing the current and future
outbreaks.
What is now needed is a
cool head and a strategy that would help those
already struck down by the disease and those at
risk. Let us not go the way of the headline of
the
UK Daily Mail
that writes about a flesh-eating scourge.
Keep calm we
say...please keep calm and do not criminalise
nor politicise this new tragedy even though we
are tempted to ask - Where are all the resources
the rat used for his 2012 re-election campaign?
Let's have them deployed including the
helicopters.
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