Gert van der Hoek
In Memoriam - Editor, Senior Moderator
Ebola "Out Of Control" In Guinea, Experts Warn
- snipped -
Thu, 6th Nov 2014
Ten months into the outbreak, which started in December in a small village in Guinea's east, the country roughly the size of the UK has only two Ebola treatment centres.
One 85-bed facility is located in the capital, the other, with about 35 beds, is situated in the town of Gueckedou, at the opposite end of the country, a two-day car drive further east. There is no help for Ebola patients in-between.
Both treatment centres are run by medical charity Medecins Sans Frontieres (Doctors Without Borders), with some support from Guinean health workers.
The country's public hospitals don't have the know-how to treat Ebola patients. The only other facility for the population of 12 million is a transit centre in the south-eastern town of Macenta, the country's current Ebola hotspot.
"There should be a treatment centre in each . "This is just the beginning."
He believes the number of unreported cases is likely to be 10 times higher than the number recorded by the WHO.
The lack of treatment centres also means that most patients have to travel far, sometimes hundreds of kilometres, to reach help. Few Guineans own a car. Most rely on crowded, public transport.
Although the nation has a lower case load than neighbouring Sierra Leone and Liberia, experts believe the epidemic will be harder to contain here. Ebola cases are spread out across the country - and not concentrated in the capital, like in Liberia - and therefore harder to trace.
"In Guinea, Ebola is increasing exponentially in terms of case numbers as well as geographically. One or two cases in remote areas are enough to create a hotspot if systems are not in place," warns Scholtes.
With every new case, contact tracing gets more difficult. One Ebola patient has an average of about 100 potential contacts.
"The outbreak is completely out of control. Ebola is likely to become endemic in Guinea. It's depressing," says Scholtes.
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