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Social pathways for Ebola virus disease in rural Sierra Leone, and some implications for containment.

Richards P, Amara J, Ferme MC, Kamara P, Mokuwa E, Sheriff AI, Suluku R, Voors M - PLoS Negl Trop Dis (2015)

Bottom Line: Funerals are known to be a high-risk factor for infection.A concluding discussion relates the information presented to plans for halting the disease.Local consultation and access are seen as major challenges to be addressed.

View Article: PubMed Central - PubMed

Affiliation: School of Environmental Sciences, Njala University, Njala University Campus, Njala, Sierra Leone.

ABSTRACT
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. A concluding discussion relates the information presented to plans for halting the disease. Local consultation and access are seen as major challenges to be addressed.

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Related in: MedlinePlus

Case study villages.Figure plots case study villages, and main rivers and roads. S1 Dataset.
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Related In: Results  -  Collection

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getmorefigures.php?uid=PMC4401769&req=5

pntd.0003567.g002: Case study villages.Figure plots case study villages, and main rivers and roads. S1 Dataset.

Mentions: Fogbo is a Kpa-Mende settlement located on the Taia river about 12 km. north of Taiama, the headquarters town of Kori chiefdom, in Moyamba District (Fig 2). Reachable only by track, the village has a population of about 500 people, larger than average for the region. Reports of Ebola in Fogbo filtered into Taiama in early August. The Community Health Officer visited the village and took a blood sample from a man suspected of having the disease.


Social pathways for Ebola virus disease in rural Sierra Leone, and some implications for containment.

Richards P, Amara J, Ferme MC, Kamara P, Mokuwa E, Sheriff AI, Suluku R, Voors M - PLoS Negl Trop Dis (2015)

Case study villages.Figure plots case study villages, and main rivers and roads. S1 Dataset.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4401769&req=5

pntd.0003567.g002: Case study villages.Figure plots case study villages, and main rivers and roads. S1 Dataset.
Mentions: Fogbo is a Kpa-Mende settlement located on the Taia river about 12 km. north of Taiama, the headquarters town of Kori chiefdom, in Moyamba District (Fig 2). Reachable only by track, the village has a population of about 500 people, larger than average for the region. Reports of Ebola in Fogbo filtered into Taiama in early August. The Community Health Officer visited the village and took a blood sample from a man suspected of having the disease.

Bottom Line: Funerals are known to be a high-risk factor for infection.A concluding discussion relates the information presented to plans for halting the disease.Local consultation and access are seen as major challenges to be addressed.

View Article: PubMed Central - PubMed

Affiliation: School of Environmental Sciences, Njala University, Njala University Campus, Njala, Sierra Leone.

ABSTRACT
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. A concluding discussion relates the information presented to plans for halting the disease. Local consultation and access are seen as major challenges to be addressed.

Show MeSH
Related in: MedlinePlus