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Divernan

(15,480 posts)
3. One problelm: locals associate hospitals with dying, so don't take people there.
Mon Jul 28, 2014, 08:44 AM
Jul 2014

Another problem - people who die at home, i.e., have not been quarantined. Relatives prepare the body for funerals, and in doing so contact Ebola from touching the bodies.

I've seen both these problems discussed in articles on Ebola, and will look for some links.
On edit: Here's info from research on the cultural context of Ebola.

Funerals and Burials

National and international healthcare workers were concerned that burial practices contributed to the amplification of EHF. A brief study indicated that once a person died, his or her paternal aunt (father’s sister) was called to wash and prepare the body for burial. If the father did not have a sister, an older woman in the victim’s patriline was asked to prepare the body. Generally, the woman removed the clothes from the body, washed the body, and dressed the deceased in a favorite outfit. At the funeral, all family members ritually washed their hands in a common bowl, and during open casket all were welcome to come up to deceased person and give a final touch on the face or elsewhere (called a love touch). The body was then wrapped in a white cloth or sheet and buried. The person was buried next to or near their household. This practice is the normal system of burial.

However, when disease is classified as gemo, burial practices change. The body is not touched and is buried outside or at the edge of the village. The designated caregiver, someone who has survived the outbreak or an older woman, is responsible for washing and preparing the body for burial.

Various activities associated with burial practices contributed to transmission of EHF (Table 2). Washing the body was a possible means of infection for women only, while a touch was a more common means of infection among men. The fact that 63% of the survivors in this study had their first symptoms in October implies that they probably became infected before laboratory tests confirmed EHF and before the disease was designated as a type of gemo in many communities. Caregiving, especially by women, contributed substantially to many cases, which explains, in part, why 67% of all presumptive EHF cases in Uganda were in women.


WHO was also concerned that local persons were not coming to the hospital when symptoms first emerged. Healthcare workers theorized that patients were afraid of being buried at the airfield if they died. Persons were running and hiding when the ambulance arrived to take them to hospital. Later interviews indicated, however, that the airfield burial was not the problem. As described in the protocol, once an illness is identified as a killer epidemic, burial at the edge of the village is expected. Rather, sources indicated, many persons ran from the ambulance and did not seek treatment quickly because they feared they would never see their family once they were admitted to the hospital. This fear is common in many parts of central Africa but was especially pronounced in Gulu hospitals because bodies were placed in body bags and taken to the airfield to be buried without relatives being notified. Relatives were not always around at the time of death, and healthcare workers were required to dispose of the body as quickly as possible. The anger and bad feelings about not being informed were directed toward healthcare workers in the isolation unit. This fear could have been averted by allowing family members to see the body in the bag and allowing family members to escort the body to the burial
ground. http://wwwnc.cdc.gov/eid/article/9/10/02-0493_article
The WHO and CDC... ReRe Jul 2014 #1
One problelm: locals associate hospitals with dying, so don't take people there. Divernan Jul 2014 #3
Thanks so much for this info! ReRe Jul 2014 #14
Given the precautions Drs. take, I'm concerned it may have gone airborne. Divernan Jul 2014 #16
Airborne... ReRe Jul 2014 #18
I just edited my post to add info re a lot more medical personnel being treated/died Divernan Jul 2014 #19
Oh yes... ReRe Jul 2014 #21
Over 100 medical care providers!?!? Divernan Jul 2014 #23
In that you have to understand that the staff and facilities are not what we are used to here Marrah_G Jul 2014 #29
Will have to try to go listen to... ReRe Jul 2014 #31
100 medical workers of all types, including volunteers. herding cats Jul 2014 #38
They often have crappy equipment and mistakes do happen Marrah_G Jul 2014 #24
I certainly hope you are correct. Divernan Jul 2014 #25
I am in total agreement with that :) Marrah_G Jul 2014 #27
What about the possibility of a new vector, i.e, mosquito? Divernan Jul 2014 #20
That question is way... ReRe Jul 2014 #22
I don't think there is a new vector or that it's airborne Marrah_G Jul 2014 #26
I just found the answer to the... ReRe Jul 2014 #30
I think if Ebola was carried by mosquitoes, hedgehog Jul 2014 #44
Ebola is a virus, and as such hard to adapt to mutiple creatures, as needed with a vector. happyslug Jul 2014 #42
Thank you! ReRe Jul 2014 #46
WHO, CDC and MSF have been working hard at containing this. Marrah_G Jul 2014 #11
I know they have. ReRe Jul 2014 #15
The difficulty in containing it Aerows Jul 2014 #50
Worse problem Aerows Jul 2014 #49
I read a new report... ReRe Jul 2014 #53
Ugly. Aerows Jul 2014 #54
They're quarantining only the sick Warpy Jul 2014 #55
Survival rates vary among the different strains of Ebola. Divernan Jul 2014 #2
I know that there is no vaccine, but do you tblue37 Jul 2014 #5
Excellent questions which need to be thoroughly researched. Divernan Jul 2014 #7
Don't expect Big Pharma to get involved, no profits to be made here Hugabear Jul 2014 #17
Roll Back Malaria program (RBM) pinto Jul 2014 #32
Very interesting and encouraging program Divernan Jul 2014 #34
There are experimental vaccines. herding cats Jul 2014 #40
They *think* this falls within the Zaire Ebola eShirl Jul 2014 #6
In other words, similar but not identical? Divernan Jul 2014 #8
not "similar," but a subset of eShirl Jul 2014 #9
Each strain has variations Marrah_G Jul 2014 #13
And contracting one strain Aerows Jul 2014 #52
It's the Ebola Zaire strain Marrah_G Jul 2014 #12
The CDC on the strain herding cats Jul 2014 #39
Big fear is if Ebola mutates from bodily contact to airborne infection. Divernan Jul 2014 #4
How likely is that to happen? Hugabear Jul 2014 #43
For ebola, possible but not likely; HIV is a different story. Divernan Jul 2014 #45
Monclonal antibodies taken from survivors could provide vaccinations for strain variants. DhhD Jul 2014 #10
I highly suggest the book Spillover Marrah_G Jul 2014 #28
Thanks for that title... ReRe Jul 2014 #33
Not weird! It is one of my interests also! :) nt Mojorabbit Jul 2014 #47
Relatively long incubation and ease of airtravel make this very scary. McCamy Taylor Jul 2014 #35
on the bright side, eShirl Jul 2014 #36
The part I found most alarming Aerows Jul 2014 #51
Serious stuff. An average of 20 new *reported* cases per day between 6/24 and 7/23. Zorra Jul 2014 #37
As if Ebola, MERS, SARS and Biological Hazards of Unkown Origins...... DeSwiss Jul 2014 #41
Horrible news! Aerows Jul 2014 #48
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