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Guest post: Ebola - dispatches from the front line

17 replies

MumsnetGuestPosts · 17/10/2014 16:35

It's pretty grim here. Ebola got to Sierra Leone in around March. Rather, that's when it was confirmed in Sierra Leone - it was probably in the country long before then. There is a huge gulf between the number of cases that are confirmed by the labs, and the number of cases that are actually out there. Very few of the cases will make it past family homes, and even fewer will end up in hospitals. At the moment there is a demand for about 700 beds to treat the Ebola victims. Sierra Leone has about 300 beds. The British Army are putting in another 700 bed hospital. But by the time it is ready, in December, we will need 1000 beds. And so it goes on.

Although there was a chance to contain the disease in April and May, it was, sadly, not taken. This is not just the government's fault. The problem is that it's no single person's fault, and there are so many features that have made the disease get so bad: the lack of government response; the inability of the health service to do what is asked of it because there are not enough doctors, nurses and hospital beds; the inability of the army or police to effectively enforce quarantine areas; the slowness of the response of the international community.

But at the same time there was a massive problem in simply getting Sierra Leoneans to accept that the disease was real, posed a threat, and could get as bad as it has. Initially there was huge scepticism. People refused to believe Ebola was anything more than a scam to get money from aid flows, or to kill people for their body parts.

So the challenge has been to get the government to accept the threat and respond accordingly, and to get the people to accept the threat and respond accordingly. Finally, we are seeing some signs of this. But now, months in, the opportunity to effectively contain the disease has passed and it has really taken a hold.

This has meant such horrible tragedy unfolding. Everything has shut down. The already weak services have been completely decimated. In the main hospital in Kenema, which was the first epicentre of the outbreak but is now, sadly, just one of many epicentres, there were 18 nurses at the beginning of the outbreak. Now, there is one left. 14 have died of Ebola, and the remainder have fled. And who could blame them? The appointed chair of the Ebola response team, a doctor, died of Ebola. His successor, and his successor after that, also died of Ebola - the numbers are terrifying, and working in the health sector at the moment is like a death sentence.

There is now a horrible and terrible hopelessness amongst our friends and colleagues in Sierra Leone. The risks are obvious: Ebola is strengthening its hold over the country and needs serious measures to counter it. We are hopeful that the vaccine will help. Schools and all businesses have shut down whilst everybody waits for the worst to pass, and for a light at the end of the tunnel to emerge.

We need food, water, materials. We also need things to do. We are not allowed to re-start our school term, or our factory, or our businesses. But we will not stop paying our staff. All around us people are pulling out, and the dreadful effects of this horrible outbreak are being made worse and worse.

Last week, the second biggest company in Sierra Leone – London Mining – went into administration. The last thing Sierra Leone needs is to lose the few valuable employers and sources of revenue for the country.

So: it's tough and difficult. We need all the help we can get. We need to get back on our feet after the outbreak, and we need to survive until then.

Planting Promise is a social enterprise based in Sierra Leone that runs farms and then funds schools with the profits. They are currently running an Ebola Crisis Appeal, and you can find out more here.

OP posts:
Middleagedmotheroftwo · 17/10/2014 16:40

Hi
Fascinating post. I would like to read more about day to day life in Liberia. Who are you though?

Middleagedmotheroftwo · 17/10/2014 16:41

Sorry, Liberia, Sierra Leone and all countries affected (pressed enter too soon)

Gunznroses · 17/10/2014 17:14

In what way can a small NGO in the U.K help?

HeySoulSister · 17/10/2014 17:18

The link is to donate to charity

Abra1d · 17/10/2014 17:47

Thank you for posting this. It is so tragic to read of the nurses and doctors dying while trying to help other people.

Safmellow · 17/10/2014 18:31

Thanks for posting this, it's important for people to understand how things are from someone who is actually there and affected rather than just media reports. I think reading it in a newspaper takes some of the realism out of it. Hope that makes sense.

ColdCottage · 17/10/2014 22:31

It makes me feel so worthless. There is so much pain in the world and it seems the most bunk vulnerable seem to pay the price more often than not

Waitingonasunnyday · 18/10/2014 08:11

God it's just awful isn't it. Awful.

bronya · 18/10/2014 16:52

I think the vaccine is the only hope. I will keep praying that it works, is in mass production asap, and that people will accept it in the countries affected.

climbthatmountain · 18/10/2014 18:42

very thought provoking - did you know you can help Planting Promise tackle Ebola in Sierra Leone via eepurl.com/3NFGf

CatherineJLackey · 18/10/2014 19:59

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Paddlinglikehell · 18/10/2014 22:09

My DD's school has links with a school in Waterloo and the reports from there are harrowing, we have been having cake sakes, non uniform days etc., to raise money for them, but it is a drop in the ocean.

My dd has been writing to a young boy there and no letters have come for four months now, we have no idea if him or his family are OK and because all the schools are shut no one knows.

Heartbreaking, thank you to all of you who are still there, you are amazing people.

OhYouBadBadKitten · 19/10/2014 12:32

Thank you for posting this. I've read it a couple of times and not known what to say.

tweetypie37 · 19/10/2014 16:52

Hi I lost my son Sept last years. It was 2 weeks before his 21 st birthday. He had a motorbike accident. I ran there as fast as I could but no-one would let me near him. I miss him so much everyday and find it so hard without him. He was not only my son but also my best friend. I don't know how to carry on not being able to see his lovely face and smile. He is my beautiful big Brown eyed boy. X x

ATruthUniversallyAcknowledged · 19/10/2014 17:37

TweetyPie - I'm very sorry for your loss. Your son sounds lovely. Did you mean to post on this thread though? You may find more support in the Bereavement topic.

sleepyhead · 20/10/2014 11:10

This is another good first-hand account.

Protego · 20/10/2014 12:12

It is simply not true that we are helpless victims to a virus! If governments bothered to educate us rather than pour funds into Big Pharma who pretend that they have all the answers we would be able to limit the virus.
The fact is that viruses use us to infect ourselves and each other - they may be invisible but we now know how they work thanks to the research done be science in the past couple of decades.
The BBC did a super programme with Michael Moseley on colds and the 'flu - remember the nursery class? Essentially we humans touch things ALL the time and we touch our faces ALL the time. If the surface we touch - tap, door handle, escalator button, grip in a bus or tube - has been touched by someone with a virus who has just rubbed their nose (or sneezed of course!) then our fingers will lift the virus up to our nose, mouths or eyes. The wash hands advice should not be randon - do it a lot - but after touching things and before touching one's face. this is where a mask and goggles physically prevents us from depositing virus when out and about. Nail biters beware! Wearing gloves can help - we tend not to touch our faces when wearing gloves. Opening a door with an elbow or shoulder means virus is in totally the wrong place to be able to hijack our cells. Now Ebola is a messy disease and the flippant comments about kissing strangers and comparing it to HIV AIDS do us all a disservice. Any surface contaminated by saliva, vomit, blood or diarrhoea or contaminated by someone touching it with virus on their hands puts us straight on a par with colds and 'flu. Also Ebola can hijack far more human cells than cold & 'flu viruses that can only enter cells in the membranes of our noses, mouths and sometimes eyes. In that respect it is opportunist and the point of entry determines the course of the disease.
We are all soldiers in the battle against viruses - our actions can thwart or promote the virus so we can slow down the exponential spread BUT only if we understand our enemy. Vaccines always come six months too late, may not be very effective and can have side effects. It has proved impossible to make an effective vaccine for both Hong Kong and Saudi SARS!
We really ought to teach our children to be aware of their hands and the dangers they pose...

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