Health workers conducting a governmental, UN-supported house-to-house campaign as part of a nationwide three-day curfew, in Freetown.
AFP/Freetown
Sierra Leone began the second day of a 72-hour nationwide shutdown aimed at containing the spread of the deadly Ebola virus yesterday, amid criticism that the action was a poorly planned publicity stunt.
Most of Sierra Leone’s 6mn people have been confined to their homes from midnight (0000 GMT) on Friday, with only essential workers such as health professionals and security forces exempt.
Almost 30,000 volunteers are going door-to-door to educate locals and hand out soap, in an exercise expected to lead to scores more patients and bodies being discovered in homes.
But independent observers have voiced concerns over the quality of advice being given out, deeming the shutdown a “mixed success” in the Western Area, the region that includes the capital Freetown.
“While the supervisors were well trained, the visiting teams to families in some parts in the Western Area had poor training and could not deliver the information properly,” said Abubakarr Kamara, from the Health for All Coalition, a local charity. “From my observation, many of them were too young to be involved in the exercise and in one or two households where I witnessed their intervention, there were hardly messages given to the families which were beneficial to the households.”
Ebola fever can fell its victims within days, causing severe muscle pain, vomiting, diarrhoea and – in some cases – unstoppable internal and external bleeding.
The outbreak has killed more than 2,600 people in Guinea, Liberia and Sierra Leone this year, cutting a swathe through entire villages at the epicentre and prompting warnings over possible economic catastrophe from the World Bank.
“Ose to Ose Ebola Tok” – “House-to-House Ebola Talk” in the widely-spoken Krio language – will see more than 7,000 volunteer teams of four attempting to reach the country’s 1.5mn homes before the end of today.
Joe Amon, health and human rights director at New York-based advocacy organisation Human Rights Watch, described the shutdown as “more of a publicity stunt than a health intervention”.
“Publicity – or really crisis communication – is what is urgently needed in this epidemic, but it should focus on spreading information and building trust with the government. The shutdown is the wrong approach,” he told AFP.
Steven Gaoja, head of the government’s emergency Ebola operation centre, admitted the first day was “really very rocky” at the start, but said organisation had improved throughout the day.
“On the whole we came out successful. We feel confident that the initial problems we encountered have been slashed,” he said.
He said that the centre had received 886 calls on a variety of Ebola-related issues by 3pm, 102 reporting suspected cases but 238 of which were pranks.
“We have a target to reach every household in the country and the goal is to ensure that families have the right information about Ebola,” said ministry of health spokesman Sidi Yahya Tunis. “We are certain we will reach the target so people have to be a little patient.”
Some complaints continued yesterday, although there was also praise for the campaign.
“The campaign teams are not being rapid in their calls. They kept my family of six sitting the whole of yesterday and didn’t show up,” said Ghanaian fisherman Kwaku Adophy in Goderich, an affluent seaside suburb of 3,000 in the west end of Freetown. “When they came this morning, nobody entered the compound but one member stood at the gate and shouted for us to come out and receive a bar of soap. No other information was given to us. We are very disappointed.”
Isatu Koroma, a resident of Hill Station some 6km away, said however that a door-to-door team had spent “a useful 30 minutes giving my family much needed information”.
A spokesman for the World Health Organisation said on Friday that a contingent of Cuban doctors and nurses from a 165-strong delegation expected in Sierra Leone would be arriving over the weekend.
From the first week of October, the doctors and nurses would remain for six months.
India postpones Africa summit over Ebola outbreak
The deadly Ebola outbreak in west Africa has forced India to postpone plans for a December summit in New Delhi attended by representatives of more than 50 African nations, officials said yesterday.
The spread of the virus, which has killed more than 2,600 people in Guinea, Liberia and Sierra Leone this year, made it “logistically difficult given the public health guidelines to manage” the Third India-Africa Forum Summit, a foreign ministry official said.
India had been expecting nearly 1,000 delegates including ministers, government officials and business leaders for the meeting on December 4, expected to be one of the biggest international events in the country in years.
The government will work with the African Union on rescheduling the trade-focused summit for 2015, foreign ministry spokesman Syed Akbaruddin told a media briefing.
India’s airports went on alert in August to screen arrivals from west Africa as part of measures to prevent an outbreak of Ebola in the country of 1.25bn people.
India’s Health Minister Harsh Vardhan has said the country has “put in operation the most advanced surveillance and tracking systems” for the virus.
But health experts have voiced worries that India’s already overburdened health services could not cope with an Ebola outbreak.
They say setting up adequate isolation and containment facilities and equipping medical personnel with protective gear would be beyond the country’s capacity.
