Re: Nurses warn U.S. not ready for Ebola outbreak
Someone mentioned online that Nigerian healthcare workers did not become infected caring for the healthcare workers infected by Patrick Sawyer--intimating that perhaps care/PPE etc better in Nigeria and perhaps (like MSF) they could teach US a thing or two about Ebola transmission. This is from a blog post written by a physician in Nigeria who survived her Ebola infection about conditions where she was isolated. It highlights the differences between developed world care and developing world care.
"I was taken to the female ward. I was shocked at the environment. It looked like an abandoned building. I suspected it had not been in use for quite a while. As I walked in, I immediately recognized one of the ward maids from our hospital. She always had a smile for me but not this time. She was ill and she looked it. She had been stooling a lot too. I soon settled into my corner and looked around the room. It smelled of faeces and vomit. It also had a characteristic Ebola smell to which I became accustomed. Dinner was served ? rice and stew. The pepper stung my mouth and tongue. I dropped the spoon. No dinner that night.
Dr. David, the Caucasian man who had met me at the ambulance on my arrival, came in wearing his full protective ?hazmat? suit and goggles. It was fascinating seeing one live. I had only seen them online. He brought bottles of water and ORS, the oral fluid therapy which he dropped by my bedside. He told me that 90 percent of the treatment depended on me. He said I had to drink at least 4.5 litres of ORS daily to replace fluids lost in stooling and vomiting. He said good night and left.The sanitary condition in the ward left much to be desired. The whole Ebola thing had caught everyone by surprise.
Lagos State Ministry of Health was doing its best to contain the situation but competent hands were few. The sheets were not changed for days. The floor was stained with greenish vomitus and excrement. Dr. David (American from Virginia) would come in once or twice a day and help clean up the ward after chatting with us.
He was the only doctor who attended to us. There was no one else at that time. The matrons would leave our food outside the door; we had to go get the food ourselves. They hardly entered in the initial days. Everyone was being careful. This was all so new. I could understand, was this not how we ourselves had contracted the disease? Mosquitoes were our roommates until they brought us mosquito nets."
After she recovered, she goes on to say that more doctors in PPE came to the ward.
http://www.bellanaija.com/2014/09/1...-ada-igonoh-survived-ebola-this-is-her-story/