Monday, March 8, 2021

Lessons from Ebola in the Time of Corona


    The Ebola presence in Guinea as of February 14, 2021 had placed the country into "an epidemic situation" after seven cases and 3 deaths had emerged. The virus popped up in Gouecke, a place where many people travel to the capital from and thus poses a risk for the spread of Ebola. Even though the patient zero has been identified, he previously traveled over 620 miles which motivates closure of borders. Health authorities are particularly cautious in present day as just five years ago, West Africa faced the frightening Ebola epidemic which left 11,000 dead.

    On a positive note, the deadly epidemic in 2016 led to the establishment of the National Health Security Agency (ANSS) to manage epidemics and health crises. 38 epidemic treatment centers for diseases with epidemic potential have been established in Guinea and 17 health centers were built to manage epidemic cases in local communities. Likewise, Guinea has established 5 laboratories in Conakry to detect diseases and transportation has been established to help mobilize intervention teams. Epidemic surveillance has improved as well-- with response teams set up on the regional scale as well as vaccination teams.

    The quick pace in responsiveness with regards to epidemic interventions as well as mitigating community reluctance is something that West Africa has learned with its devastating Ebola history. Interestingly in the wake of the COVID pandemic, it is seemingly something that globally needs work as well. In the United States, mask resistance and pandemic denial are factors which propagated the spread of COVID throughout the country. In West Africa, hiding the sick and refusing to part with community burial practices resulted in the spread of the disease. Ultimately, to address future epidemics and pandemics as well, a certain trust that outsiders (and even Presidents) often fail to establish must be established. Local cooperation in vaccine and surveillance distribution must be permitted and even encouraged. It is often said that public health succeeds when nothing is occurring. In order to get to that point, resources and money must be poured into public health initiatives and programs so that we don't have to continuously learn lessons from devastating viral outbreaks.  -Sammy

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