Two and a half years after the Ebola outbreak officially began, Doctors Without Borders (MSF) is now closing its last projects dedicated to caring for survivors in West Africa. Although these projects are coming to an end, MSF continues to provide healthcare to the three countries which were severely affected by Ebola including Guinea, Sierra Leone and Liberia.
The Ebola outbreak swept across West Africa infecting more than 28,700 people and killing over 11,300 people. Families were ripped apart and communities devastated by the disease, which saw schools close, economies grind to a halt and health systems collapse.
Today we share with you an update on MSF activities and continued support to the three countries, collection of patient and staff storiesfrom various points throughout the outbreak including a powerful story of baby Nubia, who became known as a symbol of hope and resilience after she survived Ebola. Nubia is most likely the first newborn baby to ever survive Ebola and was the last patient to be discharged from MSF’s Ebola treatment centre in Conakry, Guinea.
The Ebola outbreak that swept across West Africa infected more than 28,700 people and killed more than 11,300 men, women and children. Whole families were ripped apart and communities were devastated by the disease, which saw schools close, economies grind to a halt and health systems collapse, leading to even greater loss of life. The shocking human toll of the outbreak was exacerbated by the painfully slow international response.
“The suffering caused by the Ebola outbreak was immeasurable,” says Brice de le Vingne, operations director for Doctors Without Borders (MSF). “It has left an indelible mark on every MSF staff member who travelled to work in West Africa. For our staff from the region, the impact was even greater – they were living with the daily threat of the disease, while at work they faced the devastating reality of Ebola head on. But for those who were infected with the disease, and for their families, it was nothing short of hell.”
Those who survived Ebola often found the battle was not over – many faced significant medical and mental health problems. However, because there had never before been an outbreak of this magnitude, there was limited understanding of what assistance people would need to pick up the pieces.
“As the outbreak subsided, it became apparent that Ebola survivors and their families would need significant support,” says Petra Becker, MSF head of mission in Liberia. “The majority of survivors experienced physical disorders such as joint pain and neurological or ophthalmological problems. At the same time, many survivors, as well as their friends, family and caregivers, experienced significant mental health problems, including post-traumatic stress disorder and depression, after being confronted so closely with death.”
“Over time and after treatment, the severity of people’s psychological and physical disorders has gradually diminished,” says Jacob Maikere, MSF head of mission in Sierra Leone. “Yet many survivors say that they are still deeply disturbed by the smell of chlorine, which immediately transports them back the horror of the Ebola management centres.”
Fight against discrimination and stigma
Ebola survivors and their families also faced stigma when they returned to their communities.
MSF, together with other organisations and alongside national initiatives, sent teams out into affected communities to spread health messages and to help reduce stigma and discrimination. In Guinea, for example, MSF reached 18,300 people through group and individual sessions.
Health workers hard hit
Health workers in the three worst affected countries paid a heavy price for responding to the disease, with many losing their lives. Those who survived witnessed countless deaths, and had to live with the fear that they too would be infected in their own communities as Ebola spread.
“Health workers in Sierra Leone, Guinea and Liberia saved many of their fellow citizens from Ebola,” says Ibrahim Diallo, MSF head of mission in Guinea. “But the virus created such fear in the country that many were viewed with suspicion or even discriminated against because of the contact that they had with people who were sick.”
MSF handing over post-Ebola care
In late-September, MSF ended its medical and mental health programmes for survivors in Guinea and Sierra Leone, while in Liberia, post-Ebola activities will finish before the end of the year. Most medical conditions affecting survivors, such as eye and joint problems, have now been treated, and MSF has arranged for those who need ongoing mental health support to receive continuing care within their national health systems or from other organisations.
Continued MSF care in West Africa
MSF will continue its efforts to provide services focusing on the unmet health needs of vulnerable people throughout the three affected countries.
“Any strengthening of health services in the three affected countries must include improving infection control measures, surveillance systems to ensure early monitoring of potential cases, and basic contingency plans allowing for a quick response to an outbreak of Ebola or other diseases,” says Mit Philips, health policy advisor for MSF. “The countries also need catch-up plans for services that lapsed during the epidemic, such as treatment for HIV and TB, as well as preventative services for which coverage remains low.”
In Monrovia, MSF has opened a paediatric hospital, Bardnesville Junction Hospital. Between January and August 2016, the hospital provided more than 3,280 emergency consultations and admitted 880 children as inpatients, mainly for malaria. The hospital’s neonatal unit has cared for 512 newborn babies.
MSF is also continuing to provide care to HIV patients in Conakry, the capital of Guinea, and maternity care in the Tonkolili and Koinadugu districts in Sierra Leone. The organisation has also positioned emergency supplies in the region to make sure that medical teams can respond quickly to a future outbreak of Ebola or to other epidemic threats.
Doctors Without Borders/MSF is an independent international medical humanitarian organisation working to bring emergency medical care to people caught in conflict, crises and disasters in more than 65 countries around the world including South Africa. We rely on the regular generous donations from individual donors to support our work.
AllAfrica 28 Oct 2016