Simulation and/or exercise

The World Health Organization has joined the government of Sierra Leone in marking the end of the recent flare-up of Ebola virus disease in the country, but warned that the country, Liberia and Guinea are still at risk.

“As of today, March 17, 42 days have passed, two incubation cycles of the virus, since the last person confirmed to have Ebola virus disease in the country tested negative for a  second time,” a statement issued by the WHO and copied to the Ghana News Agency said.

“This latest flare-up of Ebola brings to 3,590 the number of lives lost in Sierra Leone to an epidemic that devastated families and communities across the country and disrupted every aspect of life. Today marks another milestone in the country’s effort to defeat Ebola,” it said.

Background

The outbreak of Ebola virus disease (EVD) that began in 2013 in West Africa had by December 2015, resulted in over 28,000 cases. Although estimates of the number of people affected during the outbreak vary, up to 10,000 EVD survivors may require convalescent care. A number of both short- and long-term medical problems have been reported in EVD survivors, including mental health issues for both survivors and other family and community members (1-19). In addition, increasing recognition that Ebola virus may persist in selected body compartments of EVD survivors, most notably in the semen of males, brings awareness of the possibility of reintroduction of the virus in areas where transmission has previously been eliminated. EVD survivors need comprehensive support for the medical and psychosocial challenges they face and also to minimize the risk of continued Ebola virus transmission, especially from sexual transmission. This document provides guidance on providing the necessary care and services for clinical care and virus testing, and should be used to guide the planning and delivery of ongoing health services to people who have recovered from EVD. 

When Abibatu and Lanphia finally returned home from the field treatment centre where they came close to losing their lives to Ebola, they hoped it was an end to the terrible price that the virus which had robbed them of their father and two brothers had exacted from their family.

Instead, what awaited them was a second battle for survival against the disease – this time the struggle against stigmatisation and rejection by a community which blamed them for bringing the disease into their midst in Sierra Leone and sought turn them into outcasts.