A I Carrión Martín1, T Derrough2, P Honomou3, N Kolie3, B Diallo4, M Koné4, G Rodier4, C Kpoghomou5, J M Jansà2. 1. Global Outbreak Alert and Response Network (GOARN), World Health Organization (WHO), Conakry, BP 817, Guinea European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, 171 65, Sweden Public Health England (PHE), London, NW9 5EQ, United Kingdom Isidro.carrion@phe.gov.uk. 2. Global Outbreak Alert and Response Network (GOARN), World Health Organization (WHO), Conakry, BP 817, Guinea European Centre for Disease Prevention and Control, (ECDC), Stockholm,171 65, Sweden. 3. Global Outbreak Alert and Response Network (GOARN), World Health Organization (WHO), Conakry, BP 817, Guinea. 4. World Health Organization, Conakry, BP 817, Guinea. 5. Ministry of Health of Guinea, Conakry, BP 585, Guinea.
Abstract
BACKGROUND: During the Ebola outbreak in Guinea, community resistance obstructed case investigation and response. We investigated a cluster of Ebola cases that were hiding in the forest, refusing external help, to identify sociocultural determinants related to community resistance. METHODS: Participant observation, interviews and focus group discussions were carried out. RESULTS: Most villagers feared the Ebola treatment centre (ETC) as there was the belief that people were killed in ETCs for organ trade. Four survivors accompanied back to the village from the ETC shared their experiences and reassured their neighbours. Subsequently, community compliance with contact tracing improved, leading to the timely detection of cases. CONCLUSIONS: Engaging Ebola virus disease survivors improved community compliance. Understanding the sociocultural context and community perceptions may improve community engagement and prevent Ebola virus transmission.
BACKGROUND: During the Ebola outbreak in Guinea, community resistance obstructed case investigation and response. We investigated a cluster of Ebola cases that were hiding in the forest, refusing external help, to identify sociocultural determinants related to community resistance. METHODS: Participant observation, interviews and focus group discussions were carried out. RESULTS: Most villagers feared the Ebola treatment centre (ETC) as there was the belief that people were killed in ETCs for organ trade. Four survivors accompanied back to the village from the ETC shared their experiences and reassured their neighbours. Subsequently, community compliance with contact tracing improved, leading to the timely detection of cases. CONCLUSIONS: Engaging Ebola virus disease survivors improved community compliance. Understanding the sociocultural context and community perceptions may improve community engagement and prevent Ebola virus transmission.
Authors: Pierre-Stéphane Gsell; Anton Camacho; Adam J Kucharski; Conall H Watson; Aminata Bagayoko; Séverine Danmadji Nadlaou; Natalie E Dean; Abdourahamane Diallo; Abdourahmane Diallo; Djidonou A Honora; Moussa Doumbia; Godwin Enwere; Elizabeth S Higgs; Thomas Mauget; Diakite Mory; Ximena Riveros; Fofana Thierno Oumar; Mosoka Fallah; Alhassane Toure; Andrea S Vicari; Ira M Longini; W J Edmunds; Ana Maria Henao-Restrepo; Marie Paule Kieny; Sakoba Kéïta Journal: Lancet Infect Dis Date: 2017-10-09 Impact factor: 25.071
Authors: Cordelia E M Coltart; Benjamin Lindsey; Isaac Ghinai; Anne M Johnson; David L Heymann Journal: Philos Trans R Soc Lond B Biol Sci Date: 2017-05-26 Impact factor: 6.237
Authors: Stephen R Kodish; Fabian Rohner; Jean-Max Beauliere; Mamady Daffe; Mohamed Ag Ayoya; James P Wirth; Ismael Ngnie-Teta Journal: PLoS One Date: 2018-08-23 Impact factor: 3.240