To beat Ebola in Uganda, fund what worked in Liberia, says mfallah1969
When Ebola reached Kampala, the capital of Uganda, in September, I was reminded of a spine-chilling phone call I received in August 2014. “Leave everything and come down: Ebola has entered West Point.” West Point is a poor, densely populated peninsula, home to 70,000 people, in Liberia’s capital, Monrovia. From there, we feared the disease could explode across the country.
We also faced these issues in Liberia. We found that contact tracing alone was not enough. To succeed, we had to deputize members of the public — 5,700 of them at the peak of the crisis. We called them active case finders. When there was a confirmed case or high-risk contact, chiefs would ensure that local youths left rice and water for the household so that the members could voluntarily self-quarantine. To reduce stigma, local leaders hosted a community ceremony to welcome back anyone who had completed quarantine, with a reintegration package of food, cash and clothing.Secret burials are a major driver of Ebola spread, so cultural sensitivity was also key. The virus is at its peak in corpses.
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