I. Background In recent years, Liberia, Guinea, and Sierra Leone have launched major healthcare initiatives in order to expand and improve access to services. However, the state of health systems for the last 20 years is difficult to overcome. Liberia and Sierra Leone were each embroiled in civil wars until the mid-2000s. Porous borders and a shared diamond belt meant that their conflicts were often shared, as political strife, violence, looting, armed forces, and refugees moved to neighboring countries. , Guinea in particular was on the receiving end of refugees. During that time in all three countries, health systems were uniformly poor, with under-staffed and under-resourced facilities, significant health disparities, and almost no systematic infectious disease surveillance or control. The formal end of the conflicts in the mid-2000s allowed increased political will for investment in health systems. The Basic Package of Health Services (BPHS) in Liberia and the Free Health Care Initiative (FHCI) in Sierra Leone initiated a slow improvement in health indicators. Then, in early 2014, the Ebola virus crossed the border from Guinea into Liberia and Sierra Leone, producing the worst Ebola epidemic in history. Despite modest health improvements in the decade or so following the end of active conflict, the 2014-2015 Ebola epidemic revealed ongoing systemic issues. The global involvement in the Mano River region countries, and particularly the role of the World Health
If a health clinic providing basic services to the world’s most vulnerable people is withheld the large amount of foreign assistance that currently comes from the United States government, all diseases will flourish, including epidemics such as Zika and Ebola (Barry-Jester, 2016). We contribute to more unstable political environments (Crimm, 2007, p.615) and more refugees that we increasingly refuse to help when we take away aid that would countries meet the needs of their citizens.
I was born in Monrovia, Liberia. Liberia is a country on the west coast of Africa that had endured a civil war from 1989 -2005. Liberia infrastructures are in ruins because of the civil war. Mostly, Importantly the Liberian medical infrastructure is non-existent. Liberia has only one medical school, and there are only 173 doctors in Liberia, a country with about 2.8 million citizens. Liberia medical infrastructure put to the test during the Ebola outbreak of 2014. The world watched as the Liberian medical apparatus collapse under its own weight. For example, there weren't enough medical facilities to facilitate Ebola patients. The Liberian government shut down schools, so they could be just as makeshift clinics. An estimated 5000 Liberians
UNICEF officer, Suzanne Mary Beukes provided a clearer insight to how poor the country of Guinea is when she wrote, "The world has virtually quarantined a country in which 43 percent of people were already living on less than $1.25 a day prior to this health crisis” (Gholipour, 2014). The countries of Guinea, Liberia, and Sierra Leone (the countries where outbreaks primarily occurred), are some of the poorest countries in the world as a result of their recent civil war and the damaged health and education infrastructures that followed. (“Factors that Contributed to the Spread of Ebola,” n.d., para. 10). The poor infrastructures led to the delayed transportation of patients and lab work to labs and hospitals in addition to the lack of communication between health facilities. In addition to the lack of health facilities, there was shortage of healthcare workers. “Prior to the outbreaks, the three countries (Guinea, Liberia, and Sierra Leone) had a ratio of only one to two doctors per nearly 100,000 population” (“Factors that Contributed to the Spread of Ebola,” n.d., para. 15). The poverty in these cities and countries lead people to want to move to a better standard of living, be treated for the virus, and look for food &
The residents of Africa are suffering from preventable, treatable, and fatal diseases everyday at a higher rate compared to developed countries. The healthcare crisis in Africa is the primary cause of all these deaths, and includes inefficient healthcare systems. Consequently, African's inefficient healthcare systems results in poor delivery of care and a shortage of health professionals. The healthcare crisis in Africa is a current issue impacting the lives of many African's who don't have the same access to resources as developed countries such as the United States. These resources can save the lives of many African's dying of preventable and curable disease, and understanding why the African continent has little access to them
Hospitals The most evident cases of the Ebola virus outbreak and poor medical infrastructure have been noted in hospital settings alone. If a hospital isn’t able to provide patients with quality and rapid treatment, then one can assume that the population it serves is indeed in danger. A hospital is where the sick look to when diseases such as Ebola leave them helpless. While developed nations with remarkable healthcare infrastructure are able to both diagnose and treat patients in clean and life supporting conditions, many poor regions like Africa struggle to create these resources for patients within
The 2014 Ebola epidemic was a multifactorial issue. The disease was able to spread rapidly from one country to the other due to “porous borders” as a result of the lack of geographic boundaries, and fluid and constant
Since March 2014, in excess of 3,000 individuals have passed from the unstoppable spread of the Ebola infection all through the West African nations of Guinea, Sierra Leone, Liberia and Nigeria. Notwithstanding the colossal and miserable loss of human life, the Ebola broad sickness is having shocking and ruinous consequences for these West African economies in a mixed bag of greatly imperative parts/territories by ending exchange, harming cultivating and startling speculators.
In 2014 the world watched in horror as West Africa experienced the largest Ebola epidemic in history. Affected countries in Africa included Guinea, Liberia, and Sierra Leone and the epidemic, having begun in December 2013, went on for a full year, with additional cases occurring throughout 2015. Over 19,000 cases were reported by December 2014 and of those, 7,518 lost their lives. Today, we know that in total, over 11,000 people lost their lives ("Previous case counts", 2016). There were many factors at play in this outbreak, such as the emergence of a new strain Ebola virus; a lack of preparedness in West Africa, where Ebola had not been seen prior to 2014; a shortage of health care workers and subsequent death of many more them, leading
Care of people with Ebola is difficult and varied due to the highly infectious and often fatal nature of the disease. For instance, care can occur through traditional healers, the home, primary health care facilities and hospitals (Manguvo, A & Mafuvadze, B 2015, p. 2). Where a individual seeks care depends on the level of trust in the healthcare system, accessibility and abundance of healthcare facilities, financial and economic stance and cultural beliefs (WHO 2016). There was considerable difference in the ability of health care services to deal with infectious diseases due to scarcity in supplies and training. When the Ebola epidemic began in 2014 Sierra Leone 's government health care system was built on rigid foundations. There were scant resources, limited infrastructure, poor training on infection prevention and control and a severe shortage of health care workers with a ratio of 1.9 workers for every 10,000 people. (Michaels-Strasser et al. 2015, p. 61). The lack of IPC training lead to ‘health care workers being 100 times more likely than the general population to contract Ebola’ (Ratnayake et al. 2016, p. 2). When healthcare workers became infected colleges became frightened further reducing community trust in the healthcare system.
In 1991 Sierra Leone entered into a period of civil war that lasted until 2002, killing over 50,000 people, devastating the economy and heavily damaging the country’s infrastructure. (About Sierra Leone,” n.d.). More recently, Sierra Leone is one of three countries most seriously impacted by a deadly Ebola epidemic. The Ebola outbreak created a financial drain on government resources due to the immediate, costly requirements to handle population health and medical needs.
The 2014 Ebola outbreak was the first occurrence of Ebola in West Africa, killing thousands of people. The epidemic caused panic worldwide as the World Health Organization (WHO) struggled to contain what it claimed would be a brief outbreak. It was through this unsuccessful response that the WHO came under increased scrutiny. Investigations into the WHO revealed deficiencies across many aspects of the organization. Most notably, the WHO was criticized for its lack of emergency preparedness, its ineffective implementation of the International Health Regulations, and its failure to respond to the outbreak with the necessary force. While these criticisms questioned
Every illness begins at a single source that can rapidly spread to susceptible individuals who are completely unaware of what is occurring before them. This infection sparks a chain of events that can quickly transform a small illness into an epidemic. On March 25, 2014 the World Health Organization(WHO) announced the outbreak of a new strain of the Ebola virus disease with 86 suspected cases[15]. From this point onward, constant updates have been documented, and until the end of November 2014 the condition grew in number and prevalence[7]. With additional efforts and protocols instituted by organizations such as the Center for Disease Control and Prevention, the virus began to fall until the present day. Fortunately, a pharmaceutical company
The Ebola virus made Sierra Leone one of it’s biggest victims as it spread across West Africa. It is no doubt due to the Ebola epidemic that Sierra Leone’s demographic pressure remained fragile according to the index. According to the World Health Organization, Sierra Leone acted according to protocol, yet outbreak was eminent. It is here where the deficiency in public services correlating with the demographic pressures in Sierra Leone becomes most evident. The quality healthcare in Sierra Leone might have improved but it is still in need. Although control was implemented eventually, lives were still taken due to the severe shortage of public services and the lack of quality health care in Sierra Leone. Infection spread to nearly 23,000 in West Africa since the outbreak in March 2014. A handle has been taken on the epidemic, mostly contributed to the slight improvement in Sierra Leone recently as well as foreign intervention- ironically enough from former colonizer Great Britain. Unfortunately, controversy has plagued Sierra Leone on behalf of Ebola outbreak efforts. Not only does the WHO claim that “today, Sierra Leone’s most urgent needs include opening up more Ebola care facilities- which means more trained staff to meet a severe shortage” but CNN reports that there has been a severe misappropriation of funds regarding Ebola aid. Although it may be appropriate to acclaim the audits of Sierra Leone for recognizing such misappropriation, one cannot neglect to understand that corruption and capacity failure in the structure of Sierra
Every time you turn on the news or pick up a newspaper, there is something being reported about the spread of Ebola. The Ebola outbreaks occurring in Guinea, Sierra Leone and Liberia are growing larger and larger. This is the largest outbreak with more cases and deaths since Ebola was first discovered nearly four decades ago. United States doctors and missionaries have traveled to these countries to help treat infected people. However, there have now been cases where U.S. citizens have contracted the disease and have been brought back to the United States to be treated. This has caused raised concerns about the disease spreading in the U.S. as well. The physical, cultural, economic, political and religious geography of Africa have all played
The FRONTLINE documentary, Outbreak, tells the story of the Ebola outbreak of 2014. They trace the disease way back to where the very first cases of it were scene. The outbreak of ebola originated in the West African country of Guinea. It quickly begins to spread to other countries like Sierra Leone and Nigeria. The spreading was a result of individuals who contracted the disease moving and traveling across Africa. Many of these countries believe that they could control the disease at a small-scale, but they surely underestimated the severity of the outbreak. As more and more cases arose, and the disease spread even within the hospitals and quarantine sites, it seemed liked there was no resolution. With so many unanswered questions and no solution