Margibi County In Monrovia

In late 2013, Ebola virus disease (EVD), a deadly and lethal disease, remerged in West Africa spreading to various countries in the region. In humans, the disease is spread through contact with infected bodily fluids leading to haemorrhagic fever (World Health Organization [WHO], 2015). Originating in 1976 in equatorial Africa, past outbreaks with a few hundred cases had been contained within rural, forested areas in Uganda and Congo (Piot, 2012). In 2014, a total of 20, 206 cases and 7,905 deaths were reported to have occurred in up to eight countries worldwide. Of all cases and deaths resulting from the disease, 99.8% occurred in three neighbouring West African countries - Liberia, Sierra Leone and Guinea (WHO, 2014). With a case fatality rate from about 50% to 90%, and the absence of preventative or curative therapies, the Ebola epidemic has led to overall global alarm and further elucidated existing global health disparities that perpetuated the epidemic with these West African countries.

Ebola is a virus that is transmitted to other individuals through direct contact with blood and body fluids of those infected (Centers for Disease Control and Prevention [CDC], 2015). In the most recent outbreak in 2014, the video Ebola Outbreak (2014) illustrated that the virus quickly became a worldwide epidemic. As the virus became so widespread throughout Africa, Ebola-infected so many people in such a short time frame. While the organization, Doctors without Borders was intimately involved early on, they quickly learned that the manpower they had to offer was not nearly enough. The group identified that they had no way of performing contact tracing, which is a way of following patients that were contaminated and quickly led to additional cases of infection in astronomical numbers. According to the follow-up video, Outbreak (2014) the organization Doctors without Borders communicated to the World Health Organization (WHO) made a valiant

During my numerous trips to Nigeria to visit my extended family, I saw firsthand how international health disparities can affect communities. It is often challenging to make the highest standard of care available to all groups and individuals here, and I became increasingly motivated to devote myself to the mission of reducing health disparities in African countries. People in my family, regardless of societal class, suffered from various illnesses including HIV/AIDS, malaria, and polio because of poor access to quality healthcare services. My goal is to return to underserved communities in the United States and Nigeria after being armed with the training from the University of Michigan School of Information that will allow me make

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

Although Ebola caught the world’s attention during the 1995 outbreak in Zaire, the first outbreak occurred in 1976. As the chart below displays, 71% of the people infected died as a result of Ebola during this first outbreak (Bulletin of the World Health Organization, 56 (2): 247-270, 1978). With the current outbreak, this ratio has dramatically decreased as a result of scientific research leading to early detection, but the current infected population is more than 20 times the amount of any previous outbreak and this number continues to grow as no vaccine exists to prevent the disease.

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 &

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.

Ebola was first recognized in 1976 as the cause of outbreaks of disease in the Democratic Republic of the Congo (then known as Zaire) and in Sudan. About three hundred people in each of the two nations were infected with the virus, resulting in a mortality rate of 88% in Zaire, and 53% in Sudan (Bulletin of the WHO 1978). The disease as it was discovered spread through direct contact of unmans to humans, and then thought, from non-human primates to humans. The epidemic was a result of unsafe and unsanitary hospital practices, and non-sterilized medical equipment. The disease was then contained, however sporadic outbreaks of the Zaire and Sudan Ebola subtypes have risen in the Democratic Republic of the Congo, Gabon, Uganda, and Sudan; one of the latest outbreaks was in the Democratic Republic of the Congo in September of 2007.

The Liberian Government, through the Ministry of Health and Social Welfare (MoHSW), the caretaker of the nation’s health services and advocate for children’s health and welfare has prioritized improving its health sector. However, the colossal task of bringing the health system back to pre-civil war years has become a formidable challenge. Besides, the limitation of services to both the rural and urban poor, the health system lacks trained medical personnel, including technicians, nurses and doctors (Bertelsmann Stiftung, BTI. 2016).

Ebola Virus Disease (EVD) is a severe and often fatal disease that can occur in humans and nonhuman primates (such as monkeys and gorillas). The outbreaks of EVD occur predominantly in remote villages in Central and West Africa, near tropical rainforests and where contact with animals is more likely to take place. EVD is transmitted into the human population through close contact with the blood, secretions, organs or other bodily fluids of infected animals (typically nonhuman primates and fruit bats). Once a human is infected it spreads in the community through skin-to-skin contact, direct contact with the bodily fluids of an infected individual, or contact with environments that are contaminated with such fluids. The incubation

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

Sierra Leone is one of the poorest countries ranked 149th in 2014 but is experiencing rapid growth (World Bank, 2015). According to World Population Review (2015), 42% of Sierra Leone’s population is under the age of 15. The Republic of Sierra Leone struggles with the burden of infectious diseases, maternal, neonatal and nutritional issues, HIV, Tuberculosis, and Malaria (World Health Organization, 2015). Sierra Leone is focusing on improving health care access and affordability of care. Since the majority of health related problems in Sierra Leone are related to access of care, sanitation, and water supply, the focus should be at the national level to improve these aspects and increase life expectancy and health life

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

These factors were the focus on this study, but further research into the Sierra Leone healthcare system and the impact of NGOs are just two others that could continue to shed light on epidemic. More concrete conclusions could be drawn if more data, especially malnutrition data, was accessible from the pre-Civil War time period. This study did not show that malnutrition and a density packed population caused the Ebola outbreak, but instead demonstrated that the Civil War influenced these factors and how they in turn created a more susceptible environment for the outbreak to occur. This information could be used in a variety of ways with the main goal of preventing this situation from occurring in the future. Understanding the bushmeat industry and why it is used could used to influence a focus on food production. There is a pressing need to stop the eating of bushmeat and for this to occur, the population needs access to affordable food. In addition to malnutrition, an understanding on the impact of population density on the spread of the virus will be vital if another outbreak ever occurs in an urban area. If researchers combine knowledge of factors that contribute to population density increases as well as the impacts of the increased population density on disease, they have the ability to create a bigger

The symptoms of Ebola are a fever, headache, joint and muscle aches, vomiting, stomach pain, sore throat, diarrhea, weakness and occasionally read eyes, rashes, hiccups, and internal and external bleeding and since these symptoms are not specific to Ebola, it is difficult to clinically diagnose and can often be confused with other viruses. The ELISA testing, short for enzyme-linked immunosorbent assay, and virus isolation are a couple of examples of the types of laboratory testing that can be done to diagnose and Ebola patient. Because of how easily it can be transmitted, it is extremely difficult to treat and there is no approved, official treatment. As of now, there is not standard treatment but usually the patients are given fluids and oxygen, have their blood pressure monitored and other necessary treatment. To prevent transmission and spreading the virus, the doctors use extreme caution and wear head to toe protective gear and isolate the patient. Even though the Ebola virus is common in Africa, there has been no known outbreak in the United States. Another difficulty facing scientists and the treatment for Ebola is that the natural reservoir for the virus unknown. The natural reservoir of a virus is it’s long term host of the