Tag: Ebola

How Ebola challenges the ‘Africa Rising’ narrative  

A medical worker checks his protective clothing  at an MSF facility in Kailahun, Sierra Leone. (Pic: AFP)
A medical worker checks his protective clothing at an MSF facility in Kailahun, Sierra Leone. (Pic: AFP)

A Cameroonian friend shares a conversation between two of his fellow nationals in an airport. One of them remarks that he is not feeling too well. The immediate, and hysterical, reaction of the other is that he must have Ebola.

“Maybe you’ve been infected with Ebola from those Lagos passengers at the arrival hall,” my friends recounts one of them saying.

On Twitter, a Kenyan user notes that passengers on flights from Entebbe to Nairobi are not being screened for Ebola. The checks are inconsistent, he notes, meaning the disease can be brought in to the nation via Uganda.

Last week, a hoax did the rounds on Whatsapp as Zimbabweans shared a Photoshopped version of a local newspaper with a headline claiming that the country had confirmed its first Ebola patients.

With news that the DRC has reported its first two cases of Ebola, fear and panic is set to deepen if the virus continues to spread outside of west Africa. A meme doing the rounds on social media shows a surge of people running in all directions from a central location with a caption to the effect, “When Pastor says someone in the congregation has Ebola and he’s going to heal them.”

It may all seem a joke, especially for Africans who are geographically distanced from the epidemic’s epicentre, but a scenario as posited in that meme is probably not far from becoming a reality. With inadequate health response mechanisms bedevilling many parts of the continent, death from Ebola remains a real threat. 

But as West African nations seal their borders to protect their nationals, as international airlines abandon routes that ply nations worst affected by the epidemic, and as western nations claim and evacuate their citizens affected by the disease, a larger problem beyond the virality of Ebola – both physical and mediated – is festering.

Over the last few years, meticulous work has gone into crafting the ‘Africa Rising’ narrative; a narrative founded upon the continent’s rising economies (like South Africa and Nigeria), the emergence of tech and innovation (think Kenya) and the growth of a middle class that we might call ‘post-African’; savvy, urban, cosmopolitan with no flies to swat off their faces and no begging bowls in their manicured hands.

In a May editorial, David Brooks of the New York Times wrote about ‘The Real Africa’ wherein he cited various economic measures – trade and mobile phone growth among others – to show why Africa has become “the test case of 21st-century modernity”.

The challenge I have always had with this narrative is that while the statistics do point to a truth, another truth, a truth of lack, still prevails.

Across the different parts of Africa I have had the privilege to visit in the west, east and south of this continent, I have seen the consumerist dream (high-end malls, cars, mansions and general financial exuberance) coexist with abjection, poverty and depleted social services. The rich do exist, but they are not the majority.

In many ways, the spread of Ebola shows up this suitable Africa Rising narrative. It shows hysteria, fear and othering, things which many Africans in poverty already have to live with daily, away from the narratives of luxury. Quite instantly, Ebola has become ‘the great leveller’ among Africans, reperpetuating stereotypes of barbarism and savagery; that Africans eat ‘strange foods’ like fruit bats and bush meat and other ‘filthy creatures’, that we are unclean, diseased and therefore dangerous.

A photograph taken from the window of a bar in Seoul, South Korea, aptly shows how collective and inclusive this othering has become. “We apologize, but due To Ebola virus, we are not accepting Africans at the moment,” the notice reads. The Daily Beast reports that in Italy, some schools have warned that pupils of African origin will require additional health certification before returning to school; something which has not been deemed necessary for white pupils who may have travelled to Africa over the summer vacation.

In palpable ways, Ebola has opened up way for the ‘dark continent’ narrative to re-emerge, if it ever really disappeared. And in its inclusivity, Africa is collapsed into one territory, one country, one race, even if the fatality of Ebola represents about 0.15% of the continent. Through these short-cut understandings emerges a dominant global hysteria that lends itself to racial profiling and generalisations that make me wonder just how far, if at all, the discourse around blackness has progressed. 

But the converse of this argument shows us, as Africans, being complicit in this typecasting in many ways. Ebola is serving to deepen regionalism (west Africa versus the rest of Africa) and the dangerous sort of nationalism that has often led to ineffectual collaboration across the continent; a superiority complex we tend to develop when we buy too deeply into the Africa rising ideology. Therefore, it is a ‘them’ that is diseased, a ‘them’ that must be avoided at all costs. And the great irony of it all is that a few months ago, the continent banded together to support African teams at the World Cup, the majority of them from the region that has since been affected most deeply by Ebola.

As we rail against news channels like CNN getting the geographical locations of Niger and Nigeria wrong, let us not forget the challenges we face beyond the semantics, which I agree are essential to get correct. If Africa – given its wealth of human and natural resources – cannot contain Ebola, then we must sober up and accept that we haven’t risen to where we should be, given the accompanying discourse of booming economies and commodity markets.

The truth, for me, is somewhere between the dichotomies (“rising” and “darkness”) that have been constructed for easy navigation of, and interaction with, Africa. The continent has great promise and developments, but it also has many challenges to overcome. For how do we term it rising if we must constantly fall to our feet in failure to respond to our own problems?

Fungai Machirori is a blogger, editor, poet and researcher. She runs Zimbabwe’s first web-based platform for womenHer Zimbabweand is an advocate for using social media for consciousness-building among Zimbabweans. Connect with her on Twitter

Survivors enlisted in Sierra Leone’s Ebola battle

An MSF medical worker feeds a child at an MSF facility in Kailahun on August 15 2014. Kailahun along with Kenama district is at the epicentre of the world's worst Ebola outbreak. (Pic: AFP)
An MSF medical worker feeds a child at an MSF facility in Kailahun on August 15 2014. Kailahun along with Kenama district is at the epicentre of the world’s worst Ebola outbreak. (Pic: AFP)

Hawa Idrisa was visiting her father-in-law in an Ebola ward in eastern Sierra Leone when his drip snapped out and his atrophying veins spurted thin, uncoagulated blood into her eyes and mouth.

She had been carrying her infant daughter Helen but luckily she had laid the child down, otherwise the baby would almost certainly be dead by now.

A single droplet of blood smaller than a full stop can carry up to 100 million particles of the deadly Ebola virus, yet one is enough to end a human life.

“The blood got all over me, and people were running away. So I took a bucket of chlorine and poured it over myself,” Hawa said.

She returned home to forget her ordeal, but a week later she began experiencing fever and headaches, the early symptoms of the Ebola.

Her 12-month-old mercifully tested negative, but her husband Nallo was infected and he and Hawa checked into the Doctors Without Borders’ (MSF) treatment facility in the eastern district of Kailahun.

Hawa spent four weeks drifting between life and death at the centre, in the district capital Kailahan city, a trading post of 30 000 in the Kissi triangle linking to Liberia and Sierra Leone.

“I didn’t know what was happening to me. I didn’t even know where I was. I don’t remember anything from that time,” she told AFP of the ordeal she survived.

Ebola kills more than half of the people it infects, putrifying their insides in the worst cases until their vital organs seep from their bodies.

It is highly infectious but not particularly contagious, meaning that once you are exposed, your chances of escaping the fever are extremely low, although it can only be passed on through bodily fluids.

The good news is that when patients are caught early enough, given paracetamol for their fevers, kept rehydrated and nourished, their chances of survival increase dramatically.

Hawa proudly shows off a certificate saying she has recovered fully, and she is preparing to return home.

“I know there is nothing wrong with my daughter, but my mind and heart will be at the centre with my husband,” she says.

Hardest-hit districts
Already more than 2 100 people have been infected across four west African countries, and 1 145 people have died, dwarfing previous Ebola outbreaks.

The epidemic is perhaps worst of all in Sierra Leone, which has registered 810 cases, more than any other country.

A sign warning of the dangers of Ebola outside a government hospital in Freetown on August 13 2014. (Pic: AFP)
A sign warning of the dangers of Ebola outside a government hospital in Freetown on August 13 2014. (Pic: AFP)

The hardest-hit districts, Kailahun and the diamond trading hub of Kenema next door, have been sealed off to ordinary members of the public.

Around a million people in the two districts are in effective lockdown, and locals say soaring food prices are pushing the region towards a crisis.

Local doctors and nurses are fighting not just the disease, but also the distrust of locals who fear modern medical practices.

Relatives have been known to snatch infected loved-ones from clinics to die in their own villages, exacerbating the spread of the virus.

They have even attacked treatment centres – as armed men did in neighbouring Liberia at the weekend – convinced that Ebola is a Western conspiracy against traditional African communities and that foreign healthworkers are in on the secret.

Some 1 500 police and soldiers have been deployed to prevent raids, but they are powerless faced with the suspicion and fear of poorly educated traditional communities.

Many tribespeople at the epicentre of the outbreak either don’t know how to prevent and treat Ebola or do not believe it exists at all.

This, says MSF, is where the survivors come in.

Survivors returning home
Ella Watson-Stryker (34), a health promoter with the aid agency, is part of a team taking Hawa and other survivors home to their villages.

She will gather their neighbours and family members around, answer their questions about the virus and try to reassure them that Hawa poses no danger.

“This is very exciting for us. It’s also really beneficial to the overall response to the outbreak because when survivors go home, they can explain about their stay at the centre.

“They give people hope that it is possible to survive and it really builds trust between the community and MSF,” she says.

Watson-Stryker also says that when survivors go back to their communities, people begin to understand that treatment centres are not just “a place where people go to die”.

They are surprised to learn that patients are fed, given unlimited soft drinks, access to toilets, showers and medicine, and that their families are encouraged to visit.

“We try to assuage the fears of the community, because there are a lot of rumours out there, that as soon as you come to the treatment centre you will just be left to die.”

Back at the MSF centre, Nallo enthuses about his future with Hawa and their baby girl, despite remaining in grave danger in the high risk area.

“At first people thought that when they got here, they were going to have all their blood removed and they would die,” he says.

“They have been giving me drugs and I am much better, so when I get back to my community I will tell people that if it ever happens that they get Ebola we advise them to come here.”

Ebola epidemic sparks state of emergency across West Africa

A fast-spreading Ebola epidemic sparked a state of emergency in overwhelmed West African nations on Thursday as the death toll neared 1 000.

In Liberia, where the dead lay in the streets, lawmakers gathered to ratify a state of emergency while Sierra Leone sent troops to guard hospitals and clinics handling Ebola cases. Nigeria held out hope it could receive an experimental US-developed drug to halt the spread of the virus.

Since breaking out earlier this year, the epidemic has claimed 932 lives and infected more than 1 700 people across west Africa, according to the World Health Organisation.

Staff and volunteers at the ELWA hospital in the Liberian capital Monrovia wearing protective gear. (Pic: AFP)
Staff and volunteers at the ELWA hospital in the Liberian capital Monrovia. (Pic: AFP)

Ebola causes severe fever and, in the worst cases, unstoppable bleeding. It is transmitted through close contact with bodily fluids, and people who live with or care for patients are most at risk.

Spanish priest, nun evacuated
As African nations struggled with the sheer scale of the epidemic, Spain flew home a 75-year-old Roman Catholic priest, Miguel Pajares, who contracted the disease while helping patients at a hospital in the Liberian capital Monrovia.

The missionary was the first patient in the outbreak to be evacuated to Europe for treatment.

A specially equipped military Airbus A310 brought him to Madrid’s Torrejon air base along with a Spanish nun, Juliana Bonoha Bohe, who had worked at the same Liberian hospital but did not test positive for the deadly haemorrhagic fever, the Spanish government said.

Immediately after landing Thursday morning, ambulances took the pair to Madrid’s Carlos III Hospital, which specialises in tropical diseases.

The priest was stable and showing no sign of bleeding while the nun appeared to be well but would be re-tested for Ebola just in case, health officials said.

Two Americans who worked for Christian aid agencies in Liberia and were infected with Ebola while taking care of patients in Monrovia were taken back to the United States for treatment in recent days.

They have shown signs of improvement after being given an experimental drug known as ZMapp, which is hard to produce on a large scale.

The vast majority of those infected face a far inferior level of health care at home.

State of emergency in Liberia, Sierra Leone
There is no proven treatment or cure for Ebola and the use of the experimental drug has sparked controversy as Ebola experts call for it to be made available to African victims.

Liberia President Ellen Johnson Sirleaf declared a state of emergency of at least 90 days on Wednesday, saying extraordinary measures were needed “for the very survival of our state”.

“The scope and scale of the epidemic, the virulence and deadliness of the virus now exceed the capacity and statutory responsibility of any one government agency or ministry,” she said.

Liberia’s Parliament is to ratify the decision on Thursday.

In Sierra Leone, which has the most confirmed infections, 800 troops including 50 military nurses were sent to guard hospitals and clinics treating Ebola patients, an army spokesman said. The Parliament was to meet to ratify a state of emergency declared last week.

Nigeria
Fears are growing that the disease is also taking hold in Nigeria after the death of a nurse in Lagos, a megacity of more than 20 million. It was the second Ebola death in Nigeria, where another five people have tested positive for the disease.

Nigeria’s Health Minister Onyebuchi Chukwu told reporters he was in contact with the US Center for Disease Control on the possibility of getting drugs from them.

“I said we are getting reports that this experimental drug seems to be useful. Is it also possible that we can have access for our people presently being treated and under incubation?” he said Wednesday.

Chukwu said all seven confirmed cases in his country had “primary contact” with a Liberian finance ministry employee who brought the virus to Lagos on July 20 and died later in hospital.

US President Barack Obama said it was too soon to send experimental drugs for the treatment of Ebola to west Africa, however, urging officials instead to focus on building a “strong public infrastructure”.

“I think we have to let the science guide us. And I don’t think all the information is in on whether this drug is helpful,” Obama said on Wednesday.

WHO emergency session
The World Health Organisation is meeting in emergency session behind closed doors in Geneva to decide whether to declare an international crisis. It is not expected to make a decision until Friday.

A Saudi Arabian who had travelled to Sierra Leone and developed Ebola-like symptoms died on Wednesday of a heart attack while being treated in hospital in Jeddah, the Saudi health ministry said.

First discovered in 1976 and named after a river in what is now the Democratic Republic of Congo, Ebola spreads through contact with bodily fluids such as blood, saliva and sweat.

It has killed around two-thirds of those it has infected over the last four decades, with two outbreaks registering fatality rates approaching 90 percent. The latest outbreak has a fatality rate of around 55 percent.

West Africa Ebola outbreak grabs attention of UK

Lagos health commissioner Jide Idris (centre), Nigerian Centre for Disease Control director Professor Abdulsalam Nasidi (left) and special adviser to Lagos state governor Yewande Adeshina discuss the Ebola outbreak during a briefing in Lagos on July 28 2014. (AFP)
Lagos health commissioner Jide Idris (centre), Nigerian Centre for Disease Control director Professor Abdulsalam Nasidi (left) and special adviser to Lagos state governor Yewande Adeshina discuss the Ebola outbreak during a briefing in Lagos on July 28 2014. (AFP)

The Ebola outbreak in West Africa poses a “very serious threat” to Britain, Foreign Secretary Philip Hammond said on Wednesday, as England’s public health authority warned that the virus was out of control.

Hammond was to chair a meeting of Cobra, the government’s crisis response committee, to assess Britain’s preparations to cope with any possible outbreak of the disease.

The department of health confirmed that one person in Britain has been tested for Ebola, but the tests proved negative. Reports suggested he had travelled from West Africa to central England.

Health professionals have been warned to be vigilant for signs of the deadly virus.

“As far as we are aware, there are no British nationals so far affected by this outbreak and certainly no cases in the UK,” Hammond told Sky News television.

“However, the prime minister does regard it as a very serious threat and I will be chairing a Cobra meeting later today to assess the situation and look at any measures that we need to take either in the UK, or in our diplomatic posts abroad in order to manage the threat.

“We are very much focused on it as a new and emerging threat, which we need to deal with.”

There have been 1 201 cases of Ebola and 672 deaths in Guinea, Liberia and Sierra Leone since March, according to the US Centers for Disease Control and Prevention.

Ebola can kill victims within days, causing severe fever and muscle pain, vomiting, diarrhoea and, in some cases, organ failure and unstoppable bleeding.

Dr Brian McCloskey, director of global health at Public Health England, said the body was closely monitoring developments in West Africa.

“It’s clear the outbreak is not under control,” he said.

“The continuing increase in cases, especially in Sierra Leone, and the importation of a single case from Liberia to Nigeria, is a cause for concern as it indicates the outbreak is not yet under control. We will continue to assess the situation and provide support as required.

“We have alerted UK medical practitioners about the situation in West Africa and requested they remain vigilant for unexplained illness in those who have visited the affected area.”

But he added that “the risk of a traveller going to West Africa and contracting Ebola remains very low, since Ebola is transmitted by direct contact with the blood or bodily fluids of an infected person”. – AFP