Culture

CDC  Morbid and Mortality Weekly Report   by Miwako Kobayashi, MD and others          July 10, 2015

To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings.

 First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2–17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90% of respondents indicated a fear of Ebola patients, >40% a fear of cured patients, and >50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence).

AFP                                                       June 7, 2015

Conakry, Guinea --The only possible place to encounter Ebola in Conakry is the main treatment unit, yet elsewhere in Guinea the virus is thriving in a febrile atmosphere of deep mistrust and swirling conspiracy theory....

It is in Guinea — the original epicentre but least-affected country — where the reaction to the fight against Ebola has been the most suspicious, however, manifesting itself in sporadic bloodshed.

Eight members of an outreach team in the southeastern town of Womey were killed by protesters who denied the existence of Ebola and denounced a “white conspiracy” in September last year.

Violence erupted last week in the country’s western provinces, where there are around 20 confirmed cases, with attacks targeting public institutions, ambulances and even health workers.

These examples of the “reluctance” of locals, to employ the official parlance, are igniting new transmission chains and so hampering efforts to stamp out the virus, say the authorities.

Read complete story.

http://gulfnews.com/news/africa/ebola-spreads-suspicion-and-rumours-in-guinea-1.1531265

PLOS     by Paul Richards and others                                                          April. 17,  2015                  
The current outbreak of Ebola Virus Disease in Upper West Africa is the largest ever recorded. Molecular evidence suggests spread has been almost exclusively through human-to-human contact.

 Social factors are thus clearly important to understand the epidemic and ways in which it might be stopped, but these factors have so far been little analyzed.

 The present paper focuses on Sierra Leone, and provides cross sectional data on the least understood part of the epidemic—the largely undocumented spread of Ebola in rural areas. Various forms of social networking in rural communities and their relevance for understanding pathways of transmission are described. Particular attention is paid to the relationship between marriage, funerals and land tenure.

 Funerals are known to be a high-risk factor for infection. It is suggested that more than a shift in awareness of risks will be needed to change local patterns of behavior, especially in regard to funerals, since these are central to the consolidation of community ties.

http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003567