Despite Aid Push, Ebola Is Raging in Sierra Leone - NYTimes.com - 0 views
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Discouraged, scared and furious, Sierra Leoneans are taking matters into their own hands. Laid-off teachers (all schools in this country are closed) race around on motorbikes, monitoring the sick.
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Sierra Leone has an elaborate Ebola response system — on paper. It starts with a call to 117, the toll-free number for central dispatch. A surveillance team is sent out, then an ambulance takes a patient to a holding center, then blood tests and a proper treatment center where the patient might receive intravenous fluids or other special care.
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“You can have as many helicopters, ships and kit here as you’d like,” said Lt. Colonel Matt Petersen, a British adviser. “But unless you change behavior, it’s not going to stop transmission.”
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Public health professionals are beginning to look harder at Sierra Leone’s culture, which is dominated by secret men’s and women’s societies that have certain rituals, especially around burials. Many people here — just like in other cultures — believe that the afterlife is more important than this one. A proper burial, in which the body is touched and carefully washed, is the best way to ensure a soul reaches its destination.
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Seventy percent of new cases here, Western officials said, are directly linked to traditional burials.
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Another issue are strikes. This week, burial workers in eastern Sierra Leone dragged corpses from a morgue and dumped them outside to protest delays in being paid. In Freetown last week, some surveillance workers — the emergency medical workers to suspected cases — refused to work, demanding back pay, which added to the problems of dispatching ambulances.