Stories from Quick Reads and Guinea
Guinea medical personnel are fearful following the death of 28 of their number and the hospitalization of 50 additional staff since September 17. Compounding this situation, the lack of protective equipment is so serious that medical gloves are being sold on the black market. Highlighting the atmosphere among care personnel, Amadou Tham Camara wrote the following on Guinea News:
Déjà traumatisé par la mort de six collègues au mois d’avril dernier, le personnel soignant de l’hôpital sino guinéen de Kipé est dorénavant dans une sinécure paranoïaque : les médecins refusent de soigner. Et tous les jours, ils maudissent le17 mars, ce jour où ils ont reçu ce patient venu de Dabola qui a contaminé neuf de leurs collègues.
Dans les autres grands hôpitaux nationaux de Conakry, des services entiers ne sont plus ouverts à cause des nouveaux cas d’Ebola détectés. Ainsi, depuis deux semaines, le service de réanimation de l’hôpital Ignace Deen est fermé. Le service gynécologique du même hôpital est barricadé pour les mêmes raisons. De même la maternité de l’hôpital Donka, la plus grande du pays, ne fonctionne plus.
Dans ce pandémonium, le paludisme qui reste le premier problème de santé publique en Guinée, avec plus de 30% des consultations, et la première cause de décès en milieu hospitalier(14%), selon l’OMS, a encore de beaux jours pour améliorer ses chiffres macabres. Tout ceci, à cause du silence feutré provoqué par le tintamarre assourdissant autour d’Ebola.
Entire departments are closed in the other national hospitals of Conakry due to new cases of Ebola being detected. The intensive care unit of Ignace Deen has been closed for two weeks and the gynecology department of this hospital is currently barricaded. The Donka maternity hospital, the largest in the country, is no longer in service.
Malaria remains Guinea's major public health problem being responsible for over 30% of consultations and the primary cause of death in hospitals according to the WHO. All this pandemonium ensures these macabre statistics have had ample opportunity to worsen. A deadening silence caused by the deafening panic about Ebola.
A social anthropologist and sociologist Ginny Moony explains how Ebola outbreak strips off Africans of their humanity:
The way West-Africans care for their sick and deceased, supposedly differs significantly from that of the rest of the world. This is far from true. All over the world, the essence of care for the sick is practically the same: the touching of sick and dead relatives is a natural phenomenon. All over the world the deceased are cleaned up and the body is neatly laid out so that family members and acquaintances can say farewell. In the Netherlands, we have the possibility to lay out our dead loved ones in our parlour for days. And physical contact with the body of the deceased will take place until the coffin is sealed and put into the ground or taken to the cremation ovens.
In the case of the Ebola affected countries, normal human behavior is dismissed as “old-fashioned and undesirable practices” by the World Health Organization and experts analyzing the Ebola outbreak. Nobody questions whether it is reasonable to deny people the care for their loved ones and the right to be in charge of the mourning process. The solution to prevent people from getting infected with Ebola is clear: no touching, under any circumstances. More empathic solutions, like the provision of protective gear to family members so they can bury their loved ones themselves or with guidance, are not being considered. The population is pushed into the corner; if they do not cooperate, they will go to jail. These harsh measures alienate the people from the authorities even further. Ebola is a punishment. Not for the international community, not for the politicians, not for the elite, but only for the poor masses. The people feel alone. Deserted. Huge amounts of money are coming in, more and more reinforcements arrive and still the epidemic wins more ground every day….
On June 16, 49 new Ebola cases, 12 of them deadly, were reported by the WHO. Bart Janssens, director of operations of The international NGO Doctors without Borders (Medecins Sans Frontieres, or MSF)) released a statement saying that:
The epidemic is out of control, with the appearance of new sites in Guinea, Sierra Leone and Liberia, there is a real risk of it spreading to other areas. Ebola is no longer a public health issue limited to Guinea: it is affecting the whole of West Africa.
Since the onset of the outbreak in February 2014, 567 cases have been reported. 398 suspect and confirmed cases were suspected and confirmed in Guinea, 97 in Sierra Leone and 33 in Liberia. There is no specific treatment for the virus with a typical high death rate.
Serge Lamah reports on his blog[fr] that Oyé Guilavogui, the communication minister has pointed out the pressing needs for Guinea today :
Vous vous rappelez, en 2011, les avions en direction de Conakry ne désemplissaient pas. Les hôtels étaient pleins à tout moment, aujourd’hui, allez-y, il y a de la place toutes les saisons. Les avions viennent à moitié vides parce qu’il n y a pas eu de calme, on ne s’est pas acceptés. Donc on est obligé de tout remettre à plat pour faire revenir les investisseurs. Pour qu’un investisseur mette son argent dans un pays, le premier critère est qu’il faut qu’il y ait la stabilité, la paix.
You remember in 2011, planes bound for Conakry never emptied. Hotels were always but today, there are always empty rooms all year long. The planes are half empty because there is always uncertainty and we have yet to learn to live with each other again. So we are forced to get back to the drawing board and in order to appeal to investors again. For an investor to invest in a country, the first criterion is that there must be stability and peace.
Guinee News reports the latest death toll – 60 – from the killings in Nzérékoré, Guinea [fr] :
Les cinquante deux corps qui étaient non identifiables ont été enterrés dans une fosse commune hier. Les autres corps reconnaissables ont été remis à leurs familles.
52 non-identified bodies were buried in a mass grave yesterday. The other bodies were returned to their families.
United Methodist Communications, Chocolate Moose Media and iheed have collaborated to produce an animated video for use in West Africa that helps dispel myths about how Ebola is spread and promotes prevention of the disease. United Methodist Communications provided partial funding for Chocolate Moose Media to create the video, which will be produced in various languages, including English and French with West African voices and other West African languages. This is an international co-production, involving production in ten countries: Canada, Guinea, India, Cote d’Ivoire, Liberia, Nigeria, South Africa, Sierra Leone Switzerland and the United States.
“When will Ebola news go 24/7?,” asks a US/Canadian professor Crawford Kilian:
I have long been used to outbreak news dropping off on weekends. The media, government agencies, and NGOs all knock off on Friday afternoon and show up again Monday morning.
But after the last few weeks of Ebola, I'm losing patience with the folks who make a living covering the outbreak. Yes, good for them and the collective agreements that give them eight-hour days, weekends off, extended holidays, and excellent health benefits.
But if Ebola is as unprecedented as Dr. Chan says it is, how about finding the money to pay those folks overtime so Ebola news carries on over the weekend (not to mention statutory holidays)? Can you imagine news about Pearl Harbor waiting until some reporter sauntered in on the morning of Monday, December 8, 1941? Or JFK's death going unreported until the following Monday, November 25, 1963?
But the West African media, with a few exceptions, go into hibernation on Friday afternoons and revive sometime the following Monday. So do WHO and the other major health agencies. I know very well that they've suffered budget cuts by governments that still think austerity is the road to recovery from the crash of 2008.
An Ebola outbreak killed at least 59 people in Guinea and a few suspected cases near the Capital Conakry suggest that it may have spread to the Guinean capital. Barbara Krief provides the latest updates [fr]:
Au moins huit agents de santé ont été tués à ce jour. En collaboration avec le ministère guinéen de la Santé, l'Unicef a rapidement livré dans les zones les plus affectées cinq tonnes de médicaments et d'équipements médicaux tels que des gants, nattes plastiques, couvertures, protège-nez, et des solutions de réhydratation orale et intraveineuse pour protéger le personnel médical et traiter les malades
At least eight health workers have been killed so far. In collaboration with the Guinean Ministry of Health, UNICEF has delivered in most affected areas five tons of medicines and medical equipment such as gloves, plastic mats, blankets, nose guard, and rehydration solutions to protect medical staff and treat patients.
Here is a video providing information on how to protect oneself from the Ebola virus :
Boubacar Sanso Barry for Guinée Conakry Info wrote an in-depth report on the undercovered issue of violence against women in Guinea. Even though the National Agency on Gender reports that 80% of Guinean women were victims of psychological or physical abuse [fr], the topic seems to be too often ignored by national media. His report underlines one of the factor [fr] for the lack of coverage :
La question de la violence conjugale ne fait pas partie des politiques publiques. Je n’ai jamais entendu un homme ou une femme politique faire de cela un sujet de débat. Plusieurs informations non officielles font état de violences conjugales au sein des familles de ceux qui dirigent ou qui ont dirigé ce pays. En fait, dans le paquet des droits que les femmes de Guinée revendiquent, il n’y a pas la question des violences conjugales. On parle surtout de l’accès à des postes de responsabilité, de la représentativité au niveau des institutions..
The issue of domestic violence is yet to be fully integrated in the public policy discussion. I never heard of any politician make this a topic of debate. Several unofficial reports indicate that domestic violence exists within families of those who lead or have led this country. In fact, in the ensemble of women rights that Guinean women demand, there is no mention of the issue of domestic violence. The topics mentioned are mostly about rights such as access to positions of responsibility, representation in political institutions etc..
Diallo Thierno Sadou [fr] analyzes the political situation in Guinea where violence erupted between police forces and the opposition since February, 27. The fightings has led to multiple casualties and lootings in the capital city Conakry. The current governor of the city, officer Sékou Resco Camara [fr], was charged in October 2010 with commiting “Acts of torture”. Diallo writes about the current administration [fr]:
They must take notice that their biggest problem now is the unemployed, destitute youth without a hope for a better tomorrow. This youth has nothing to lose anymore and is ready to fight for better governance, an independent justice system, free and transparent elections and paying jobs.