Last weekend there was a lockdown. Technically I’m not
supposed to call it a lockdown. It was a “Stay-At-Home” which meant that from
Friday at 3pm to Sunday at 6pm, people (not all people though…our staff who
have vehicle passes used them to come visit us at the compound multiple times
over the weekend without being stopped by the police) were restricted to their
houses and all businesses were closed. The point of the “Stay-At-Home” was to
allow surveillance, contact tracing and social mobilization teams to go from
house to house to actively search for cases and promote important messages. Unfortunately, nobody visited us at the compound to share any of these important messages with us. As far as I know, the lockdown resulted in an increase in reported cases, but I haven't seen any increase in the number of confirmed cases on the NERC website which is concerning because it's likely that there are, in fact, a lot more confirmed cases now. There were also some reports of "corpse smuggling" coming in. Basically, some of the people who went for treatment died and, although they had been willing to be treated at a medical facility, it would appear that their families were unwilling to allow them to be safely buried. So these families smuggled the bodies of their loved ones out of government run morgues so that they could perform traditional burials as opposed to the safe and dignified burials that are needed to prevent the spread of Ebola. You can see just how spiritually significant traditional burials are thought to be if people are resorting to corpse smuggling to ensure that they happen.
Anyway, the lockdown weekend was actually a pretty stressful though (I was remarkably unproductive on Friday so that probably contributed to
the stress experienced over the next two days). Annisha and I were working hard
to complete the training manual for our Social Mobilization Rapid Response
Teams as well as the flipbook of pictures they will be using to share a story
about Ebola with the communities they visit. It required a lot of work, but the
final product looks great!! On Saturday we had a compound lockdown BBQ. There was
food, swimming and good company so naturally it was a blast. Friends from the
other compound (which is about a three minute walk away from our compound) came
as well. I made Rice Krispie treats which apparently aren’t a common thing in
either Europe or Africa so I forced everyone to try them and pretty much
everyone loved them. I was convinced I was going to mess them up because I don’t
know how to cook anything at all, but they were pretty good. Success.
This week has been a whirlwind. Annisha and I held
training for our Social Mobilization Rapid Response Teams. On Wednesday I led a
few of the sessions. I spoke about the details of Ebola with an emphasis on transmission,
symptoms, treatment and prevention. I also led a session where we discussed the
concepts of surveillance, contact tracing, swabbing, the difference between a
confirmed and a suspected Ebola case and frequently asked questions about Ebola
and how to respond to them. The teams are great. Many of them were far more
knowledgeable about Ebola than I expected them to be. I had been trying to keep
things simple, but then they started asking me about different strains of the
virus and talking about how bats are the host and I realized they knew a lot
more than I thought they would. So I got to talk about Ebola at almost the same
level as I would if I were talking to my classmates at BUSPH and it was
awesome. One guy in particular, Mohamed, is easily one of the nicest people around. Today before he left he started talking to me about my time in Sierra Leone and wanted to make sure I felt welcome here. He's really a stand up person and I'm so glad he's working with us. I think he will be very beneficial to have in the field.
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