This advisory brief aims to provide anthropologically informed guidance to governmental and humanitarian actors involved in the Ebola response at local, national and international levels, about clinical trials for Ebola treatments, therapies and vaccines. It serves to (1) clarify and demystify some of the scientific and technical discussions around the numerous clinical trials; (2) revisit issues surrounding the compassionate use of experimental medications and therapies in and after an emergency; and (3) provide a summary of the cultural, institutional and historical factors that impact the
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This report provides further output from an anthropological study of 25 villages affected by Ebola Virus Disease in eastern and central Sierra Leone, undertaken as part of the DFID-funded social mobilization initiative for Ebola prevention in Sierra Leone. Eight focus group transcripts for 3 villages in Kenema District are presented, covering local responses to health issues, and Ebola in particular. Supporting material from a matching questionnaire-based study of health behavior and perceived causes of Ebola is also provided. Of particular relevance are two summary tables
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Ebola’s reputation is fearsome. Its horrifying symptoms, quick human-to-human transmission, and exotic locale seem ready-made for a thriller movie. Indeed, in the midst of the largest Ebola virus outbreak ever, a real-time script is emerging. The story goes something like this: tribal habits, including archaic burial customs and a penchant for bush meat, have led to the emergence and spread of Ebola virus disease. The solution to the terrifying epidemic is to put patients in treatment centers, which are set up and staffed by foreign
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The limited evidence available on age-disaggregated fatality rates of Ebola Virus Disease (EVD) consistently highlights the poor survival rates of older people compared with young adults. The particular roles that older people play in societies put them at differing patterns of risk of contracting EVD compared with younger adults. While many older people will be less likely to undertake at-risk care and burial practices, those with for example fostering or non- formal caring roles may be at increased risk of transmission. Older people, in particular
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The scale of West Africa’s Ebola epidemic has been attributed to the weak health systems of affected countries, their lack of resources, the mobility of communities and their inexperience in dealing with Ebola. This briefing for African Affairs argues that these explanations lack important context. The briefing examines responses to the outbreak and offers a different set of explanations, rooted in the history of the region and the political economy of global health and development. To move past technical discussions of “weak” health systems, it
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The American Anthropological Association / World Council of Anthropological Associations/ Wenner-Gren Foundation Emergency Initiative on the Ebola Outbreak, is bringing together anthropologists from around the world with expertise in Guinea, Sierra Leone, Liberia, and Nigeria, other Ebola-affected regions, and in infectious disease management for a workshop to address critical issues in the current Ebola outbreak. The workshop will generate a series of short briefing papers that provide actionable guidance to real-time actors in the field for how to proceed with technical, political, social, and economic
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I’m trying not to make my commentary about the current Ebola outbreak about representation, but I’ve been a bit troubled by the political analyses accompanying the epidemiological and health systems ones. Specifically, I want to talk a bit about how Liberia’s and Sierra Leone’s civil wars have been deployed by these analysts to understand the response to the outbreak and how explaining existing tensions requires some deeper knowledge about local context. Laurie Garrett’s recent opinion piece on CNN and her appearance on Melissa Harris-Perry’s show are both examples of
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The growing Ebola virus outbreak not only highlights the tragedy enveloping the areas most affected but also offers a commentary on they way in which the political ecology in West Africa has allowed this disease to become established. The narrative goes that the virus appeared spontaneously in the forest villages of Guinea in December 2013. But this is debatable given that there is evidence of antibodies the Ebola virus in human blood from Sierra Leone up to five years previously. Previously only one case of Ebola had been
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Christopher J. M. Whitty and colleagues explain why the United Kingdom is funding many small community centres to isolate suspected cases in Sierra Leone. The UK government is leading the international response to Ebola in Sierra Leone, providing technical, financial and logistical help. This article sets out the scientific basis for the UK government’s strategy to assist Sierra Leone’s government to reduce transmission. In addition to substantially scaling up conventional capacities at hospitals, the UK plan to help to build and support community isolation centres where
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