Sierra Leone: Ebola Improvement in Kailahun?

[gsgs]

Kailahun was hardest hit by ebola in July,August.
Now they are the best.
Similar in Kenema.

Why is it ?
The measures were also taken in other regions
but there is not so much improvement in those.

http://news.sl/drwebsite/publish/article_200526301.shtml


Sep.03 : http://health.gov.sl/wp-content/uploads/2014/09/Ebola-Situation-Report_Vol-99.pdf
Oct.04 : http://health.gov.sl/wp-content/uploads/2014/10/Ebola-Situation-Report_Vol-130.pdf

map: https://upload.wikimedia.org/wikipedia/commons/d/d9/Sierra_Leone_Districts.png

 

[gsgs]

Re: Kailahun

Re: Kailahun

here are the Bye-laws from Kailahun:

snip

CHIEFDOM BYE-LAWS TO ERADICATE EBOLA VIRUS DISEASE

I. Nobody shall conceal any person who is sick from any disease or lie about the nature or progression of the disease. All illnesses must be reported to competent health officials promptly. Any person(s) guilty of such concealment or untruth shall be liable to a fine of up to Le300,000 (Three Hundred Thousand Leones).

II. It is an offence for any sick person in the community, who has been judged by competent health authorities and a representative of the Paramount Chief to warrant testing for the Ebola Virus, to refuse such tests. Any such person and any accomplice who aid in the frustration of public health intervention, shall be liable for a fine of up to L300,000 (Three Hundred Thousand Leones) per person.

III. No person shall use vulgar language or engage in any act calculated to intimidate or obstruct Contact Tracers, Community Mobilizers, Ebola Burial Teams, or any other healthcare personnel. Any person guilty of this offence shall be liable to a fine of up to Le100,000 (One Hundred Thousand Leones) for each offence, with each instance of each healthcare personnel so intimidated counting as a separate offence.

IV. All strangers arriving in each residential area shall be immediately reported by their hosts to competent authorities having the rank of at least a Quarter Chief or Speaker, who shall assign that stranger to a Contact Tracer for monitoring up to a period of 3 weeks. Such a stranger, whether a family member or not, must be hosted as a possible carrier of the Ebola virus until the end of the 3-week monitoring period. Any person who knowingly harbors an unregistered stranger is liable to a fine of up to Le300,000 (Three Hundred Thousand Leones) for each day the stranger remains unreported. Any stranger who deliberately refuses to cooperate in this monitoring program shall be liable to a fine of up to Le300,000 (Three Hundred Thousand Leones), immediate expulsion from the community and/or isolation in community detention facilities for the required monitoring period.

V. All Chiefs including Quarter Chiefs, Town/Village Chiefs, Section Chiefs and their Speakers are required to ensure strict compliance with the provisions of these emergency Bye-Laws within their jurisdiction. Any Chief of the ranks listed above who has been found negligent in the enforcement of these laws within his jurisdiction, is liable to a fine of up to Le300,000 (Three Hundred Thousand Leones) and/or summary suspension from office.

VI. All patients successfully treated for the Ebola Virus Disease shall, upon return to their home communities, report and present their Discharge Cards to the Paramount Chief or his designee within 12 hours of return. Failure to do so shall attract a fine of up to Le50,000 (Fifty Thousand Leones).

VII. Patients treated and recovered from Ebola Virus Disease shall be welcomed within their home communities without any stigma. Any person performing an act calculated to stigmatize such a recovered patient shall be liable to a fine of up to Le100,000 (One Hundred Thousand Leones).
3 Kailahhun Chiefdoms Ebola Bye Laws

VIII. Any person testing positive for the Ebola virus shall be placed in isolation away from other members of the community, including family members. The members of any household from which such a person resided or visited in the period immediately prior to being diagnosed, shall be placed under strict medical surveillance for a period of 21 days.

IX. Anyone found guilty of knowingly misinforming the public or healthcare workers or Chiefdom Authorities of any matter related to Ebola Virus Disease, is guilty of an offence punishable by a fine of up to L300,000 (Three Hundred Thousand Leones).

X. Notwithstanding the fines and other punishment described for offences in the foregoing paragraphs (I through IX), Chiefdom Authorities reserve the right to pursue further legal action in the Local Courts or courts of higher jurisdiction, for particularly flagrant violations of these Bye Laws.



http://news.sl/drwebsite/publish/article_200525884.shtml

The inhabitants think, they were the main reason for the
successful eradication of ebola in Kailahun.

I think this may be true, although the health infrastructure
and international aid were also strengthened, especially
in Kailahun.

Other success-stories are from the neighboring province of Kenema
and from Lofa in Liberia and maybe also Nimba in Liberia
and the original outbreak-region of Gueckedou in Guinea.

 

[Emily]

Re: Kailahun

Re: Kailahun

The Bye-Laws look good. They allow strangers in the community, but they have a personal contact tracer with them for 3 weeks. And they protect recovered patients by fining people who stigmatize them.

 

[gsgs]

Re: Sierra Leone: Ebola Improvement in Kailahun?

here the Nimba - rules


The County Taskforce on Ebola of Nimba County has decided on these measures
that should be strictly adhered to without compromise:

1. Checkpoints are to be mounted at the borders between Nimba and Bong
Counties on one hand and Nimba and Grand Gedeh Counties on the other
hand and these will be done:
i. All passengers fever levels are to be tested using thermo flash provided by
Arcerlor Mitall Liberia
ii.All passengers must disembark their vehicles and wash their hands very cleanly
with chlorine or Clorox and soap at the checkpoints
iii All passengers must be logged with details of where they come from, where
they are going, passengers? contact, whom they are visiting, contacts of persons
from where they come and where they go to prepare for what needs to happen
when contact tracing becomes necessary
1. All motorcyclists and their passengers are asked to wear long sleeves shirts and
long trousers or skirts to avoid contacts and to avoid talking walking riding to
avoid sending out spit from one person to the other person unintentionally;
2. Swallowing GB and eating together generally have been declared unsafe and
should be avoided;
3. Sharing the same cup, glass or utensils for drinking has also been declared
unsafe and should be avoided;
4. All video clubs, stores, shops, tea shops, entertainment centers, workplaces,
residences, mosques and churches must ensure that hand washing facilities are
at their entrances and exits to allow any and all persons entering and leaving to
wash their hands;
5. All parking stations must ensure that all passengers are logged with details of
where they come from, their contacts, where they are going, whom they are
visiting, contacts persons from where they come and where they go to prepare
for what needs to happen when contact tracing becomes necessary;
6. All other checkpoints have been instructed to have hand washing facilities to
make passengers/ travelers to watch their hands before passing through;
7. Village, town, city and county inspectors have been instructed to ensure
compliance;
8. All suspects are being moved to the holding center in Ganta City, while all
confirmed cases are transferred to Monrovia at the treatment center;
9. Non-essential staffers at the County Administration have been determined and
sent home;
10. Local officials are instructed to hold town hall type meetings to create
awareness about Ebola;
11. Local radio stations are being effectively utilized to spread awareness about
Ebola; and
12. County Authority currently taking inspection tours across the county to create
awareness and ensure that local structures are functioning accordingly;


[the headline of this thread is not from me, no "?" needed, IMO]

 

[gsgs]

Re: Sierra Leone: Ebola Improvement in Kailahun?

Telemile:
https://translate.google.com/transl...-la-lutte-contre-ebola-a-telimele/&edit-text=

------------------------------------------------------------------------------------

Lofa:
https://twitter.com/DocEdH
http://www.thetakeaway.org/story/who-has-power-stop-ebola/

According to D'Harcourt, it's more effective to focus on instructing individuals in proper
cleaning techniques, and teaching them how to properly use what they have. In many
cases, he said, residents have utilized chlorine and plastic bags to wash things and
protect themselves.

The good news is we're seeing more and more Liberians empowered and realizing the solution
is not coming from outside, it's coming from them," he said, emphasizing that discussions
about involving the community needs to move beyond superficial talk. "No amount of treatment
is going to be able to stop transmission, only Liberian people can stop it."


I had a story with/from him about Lofa, can't find it now
link from below: http://www.who.int/features/2014/liberia-stopping-ebola/en/

--------------------------------------------------------------
firestone:
http://www.nbcnews.com/storyline/eb...ompanys-fight-liberia-shows-how-do-it-n230961
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6342a6.htm?s_cid=mm6342a6_w

----------------------------------------------------------------------

------edit-2014/11/05-----------
Nigeria story in German
http://www.aerztezeitung.de/medizin...la-epidemie-wurde-ebola-nigeria-gestoppt.html

Professor Oyewale Tomori, president of the Nigerian Academy of Science, on an international
conferenz in Vienna, titel: "transmission,prevention and documentation of new emerging
infectious diseases"
On 2014/07/20 an acute sick patient landed on Lagos airport
On july,17 he had been with typical symptoms in Monrovia in a clinic for ebola suspects.
He left against doctor-advice and flew over Ghana and Togo to Lagos.
In a private hospital he was treated for malaria.
Then ebola was detected, they found 72 contacts, an ebola-emergency was announced.
On July 23, the Emergency Operations Center EOC was established
The patient died on July,25. 20 further infections occurred, none of them HCWs, 8 died later,
all could be traced back to the index-patient.
900 contacts of these were being kept under control.
1289 employees in Lagos and Port Harcourt EOC were involved.
More than 300 for identification and control of contacts.
More than 500 for social mobilization and communication
More than 300 for border control
More than 100 for clinical care
More than 20 for laboratory
More than 20 for management

--------------------------------------------------------
Bruce Aylward, Nov07:
In key areas in Guinea and Sierra Leone, we're also seeing the disease dropping very quickly,
and this is mainly because populations are starting to understand the risks associated with
Ebola and how to protect themselves and their families from the disease. So that's very
encouraging, it's going to slow the disease down. but it's not going to stop it."
---------------------------------------------------------------


post other ebola success-stories here

 

[Sollydog]

Re: Sierra Leone: Ebola Improvement in Kailahun?

Telemile:
https://translate.google.com/transl...-la-lutte-contre-ebola-a-telimele/&edit-text=

------------------------------------------------------------------------------------

Lofa:
https://twitter.com/DocEdH
http://www.thetakeaway.org/story/who-has-power-stop-ebola/

According to D'Harcourt, it's more effective to focus on instructing individuals in proper
cleaning techniques, and teaching them how to properly use what they have. In many
cases, he said, residents have utilized chlorine and plastic bags to wash things and
protect themselves.

The good news is we're seeing more and more Liberians empowered and realizing the solution
is not coming from outside, it's coming from them," he said, emphasizing that discussions
about involving the community needs to move beyond superficial talk. "No amount of treatment
is going to be able to stop transmission, only Liberian people can stop it."


I had a story with/from him about Lofa, can't find it now

--------------------------------------------------------------
firestone:
http://www.nbcnews.com/storyline/eb...ompanys-fight-liberia-shows-how-do-it-n230961

----------------------------------------------------------------------

post other ebola success-stories here

Might this be the story you are thinking of:

http://www.who.int/features/2014/liberia-stopping-ebola/en/

 

[BoomerCoop]

Re: Sierra Leone: Ebola Improvement in Kailahun?

It's hard to make sense of the numbers.

This report from MOH in Sierra Leone says no cases in Kailahun as October 22.

http://health.gov.sl/wp-content/uploads/2014/10/Ebola-Situation-Report_Vol-148.pdf

However, if you look at MSF report for Oct 23, you get a very different story:

http://www.doctorswithoutborders.org/our-work/medical-issues/ebola

It says patients coming in daily, maybe they're not tested, or not an ebola case?

I wonder where MOH get their numbers for their updates. If they come from gov't sites, and don't include MSF numbers?

 

[gsgs]

Re: Sierra Leone: Ebola Improvement in Kailahun?

I think, these are admissions to the hospital in Kailahun,
but the patients come from other regions.

they list 900 admissions to that hospital in the latest report
on page 2:
http://health.gov.sl/wp-content/uploads/2014/10/Ebola-Situation-Report_Vol-151.pdf