who.int - October 2014

When Dr Peter Clements arrived in Lofa County, Liberia eight weeks ago, from the WHO country office in Monrovia, 20-30 patients were arriving at the MSF hospital with Ebola-like symptoms every day. People living in the community were afraid, civil unrest was simmering, and an ambulance and health workers were being targeted

Although UN security advised him not to, Dr Clements traveled the 12 hours over dirt roads to the area nearest the Guinea border. Once there, he walked into the hostile communities and went straight to the chiefs.

“In many years, you have not fought with these people,” he said. “Now you attack them. They are not the enemy, Ebola is the enemy. If we don’t chase Ebola, it will kill us. You have to know Ebola to fight Ebola. Mobilize your people. Let’s get to know Ebola.”

Dr Clements said the key to working with a hostile community is listening first. So he patiently listened to the community to understand their fears, then he started to explain about the virus and how people become sick, and people can prevent themselves.

Detailed description of Médecins Sans Frontières struggle to counter Ebola

NEW YORK TIMES
By SHERI FINK, ADAM NOSSITER and JAMES KANTER.  OCT. 10, 2014

But it, too, has been overwhelmed by the scale of this disaster. In Sierra Leone, it has been strained by the caseload, though it was wary of a decision by other health and government officials on Friday to treat most patients at home because of a shortage of clinic beds. In Guinea the day before, it reported that its two treatment centers were stretched to the limit....

ASSOCIATED PRESS                   Oct 10, 2014, 4:36 PM ET

MONROVIA -- Liberian lawmakers on Friday rejected a proposal to grant President Ellen Johnson Sirleaf the power to further restrict movement and public gatherings and to confiscate property in the fight against Ebola. One legislator said such a law would have turned Liberia into a police state.

The proposal's defeat came as the World Health Organization once again raised the death toll attributed to the Ebola outbreak. The Geneva-based U.N. agency said that 4,033 confirmed, probable or suspected Ebola deaths have now been recorded.

Liberians stage a protest yesterrday outside the National Assembly against the government not doing enough to fight Ebola virus in Monrovia, Liberia.  (AP Photo/Abbas Dulleh)

All but nine of them were in the three worst-affected countries, Liberia, Sierra Leone and Guinea. Eight of the rest were in Nigeria, with one patient dying in the United States....

THE WASHINGTON POST                               OCT. 10, 2014

By Todd C. Franke

... The last region in Sierra Leone untouched by Ebola sits in the rugged, mountainous north, in a place called the Koinadugu district. It is a poor place, dependent on small farms and gold mines, the largest of the country’s 14 districts by land size and home to 265,000 residents. The district borders Guinea, where the current Ebola outbreak began and first spilled over into Sierra Leone. Koinadugu is surrounded by districts dealing with hundreds of Ebola cases.

But Koinadugu has kept the virus at bay.

Momoh Konte, shown at his office in Freetown,  returned to Sierra Leone from Washington to help his home district fight against Ebola. (Photo by Tanya Bindra for The Washington Post)

It is a remarkable feat, a source of pride for district residents, a source of hope for the entire struggling nation, and a curiosity to epidemiologists tracking the worst Ebola outbreak in history...