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Fighting Ebola is hard but in the Congo mistrust is making it harder



When the ambulances came to take people away – they would never see you again.

"Fear makes it difficult to break."

Fear makes good to break the chain of transmission says Zongwe.

It's this extreme mistrust, along with simmering conflict and many responses on the ground -biggest Ebola outbreak on record to continue unabated more than 10 months after the first case were found.

In addition to millions of dollars in funding, and effective vaccines, Ebola's North Kivu and Ituri provinces and re-infecting areas are rid of the virus. This month, it also made the long-feared jump across the border to neighboring Uganda, though at this stage those isolated cases appear to be contained.

Butembo's residents live at the frontier of a conflict.

Hemmed in by multiple nationalities, they are famously and understandably distrustful of newcomers.

Earlier this year, unknown assailants destroyed Ebola treatment centers in Butembo. In April, a World Health Organization epidemiologist was killed in an attack on the University Hospital. In total there have been attacks on health facilities between January and mid-May.

Because of these security concerns, the White House is the world-renowned specialist of the US-based Centers for Disease Control Similarly, Doctors Without Borders (Medecins Sans Frontieres) closed its treatment centers in some Ebola hit areas and retreated to Goma.

Ebola.

During the first seven months of the epidemic we had more than 1,000 "Antoine Gauge, a response specialist with Doctor's Without Borders" (MSF).

A draft internal World Bank assessment on th e response from late

"Alarmed by the huge and unexpected surge in recent months in the number of new cases, a number of aid agencies and implementing partners have expressed concerns over many aspects of the response, "it reads.

More than half of the WHO budget for strategic response plan. At the same time, it also shows WHO what 40 million dollars short of its requested funding.

"We are absolutely outraged about how this response is going," one senior humanitarian official based in North Kivu told CNN, saying that WHO would be better served by more nimble expert teams, that cost less, do the work.

Christian Lindmeier, a spokesman for WHO, says the organization is committed to the DRC labor-intensive.

"WHO has stepped in and absorbed their duties," he said in an emailed statement.

"We have a great deal of gratitude to the 700 brave WHO Personnel who are working in partnership with the DRC Ministry of Health and their National Health Workers, […]

Community care [19659008] Alima, the French NGO, believes it has found a solution to the mistrust that has stopped people seeking treatment. It's both hidden and in plain sight.

Ebola cases from other patients are partially injured, and their Ebola reception center is in the process of being opened.

Community members were brought in and consulted at the beginning of the construction.

Ebola warning signs and posters. It just looks like part of the existing clinic. And that was the point: It's not a scary place, hidden away. It's in the community, as part of a system that treats all ailments.

"As soon as we fixed our approach, the results were there," says Zongwe.

But to the frustration of Alima, it is the only reception center of his child in Butembo. Plans to build more have stalled. And, while innovative, it is not nearly enough to stem the spread.

"This could have been controlled earlier in the outbreak, when it was in a rural area, but letting it go harder underground with unknown chance of transmission, has really prolonged it, and we need to make sure we do it we can to stamp it out now, "says Dr. Ben Dahl, a leader of the CDC response based in Goma.

Innovation in treatment means that patients with HIV / AIDS are rapidly becoming addicted to treatment centers. 19659002] Alima has developed what they call "the cube." Separated by a thin layer of transparent plastic, patients are able to interact more directly with doctors.

Major reset

Ebola outbreak that spanned several countries in West Africa from 2014 to 2016 and killed more than 11,000 , WHO faced scathing criticism for acting too slowly and warning the world too late.

In response, the global health agency reorganized its emergency response structure and strengthened its operations.

Responding to Ebola Tsar of Sorts, said the Ebola emergency response has just come back

"If the virus continues to circulate, it remains a constant threat to spread to other provinces in this country and to neighboring countries and one day it says Gressly, who previously manages the region's UN peacekeeping operations.

 A motorcycle taxi driver gets his hands washed with a chlorine solution at a checkpoint between Beni and Butembo in eastern Democratic Republic of Congo. Temperatures are therefore checked and possible Ebola isolated. Still, many Ebola victims have traveled north and Kivu and Ituri provinces.
CDC's Dahl says that the existence of the vaccine, which has been experimentally tested, has not been done successfully thoroughly.

"We were very fortunate to have this vaccine. It has probably reduced some of the cases and without it," he says.

"He says around half of cases are."

"But they have not been doing the public health fundamentals of quickly following all the contacts, listing all the contacts, and isolating them as soon as it becomes symptomatic," he says still unknown to the contact lists and a large number of positive cases are deaths in the communities – from people who would not trust or could not get to early treatment.

Contact lists allow epidemiologists to ring-fence to outbreak. When a positive case of Ebola is identified, the victim is interviewed to find out who they were in contact with.

To get this outbreak under control, the CDC says more than 70% of cases need to seek treatment early and upwards of 80% of cases need to be on the contact lists. Otherwise, it will continue to spread.

Beaten up and stoned for taking temperatures

Samuel Mutahwa was unemployed when the virus hit.

Armed only with a thermometer, he leads his contact tracing teams through the neighborhoods of Butembo.

Mutahwa said: "A friend of ours has visited us." in hospital. The friend later died.

 A worker has been designated as an experimental vaccine. Contacts of Ebola victims and health workers have been vaccinated in this outbreak. But it has not stopped the spread.

"36.8 – she is fine," says Mutahwa, holding a thermometer up to the smiling woman.

But earning the trust of his own community has been a hard fought and dangerous process. In the early months, Mutahwa says that's up and stoned.

"They said they were going to kill me." But I said no, I know what I'm doing. "he says.

Survivor's part of the solution

Ebola is an intimate disease that is highly contagious but only contracted through direct contact.

It's often the personal choices of Ebola.

It's often the personal choices of Ebola victims that can have an outsourced impact on the transmission chain.

When the sister of Roger Mumbere Wasukundi, 17, got sick earlier this year, he said he had not wanted to Ebola. They did not even believe that Ebola existed.

After they are buried his sister, his aunt got sick and quickly died. Roger, his mother, and his father all contracted the virus. Only Roger and his survived survivor.

"I said I would like to go to the treatment center because I did not want to give it up." his classroom in Butembo.

He still dreams of being a lawyer, but the virus still affects his health, his eyes clouded by the after effects of Ebola.

He believes that survivors like him can help turn the tide in the fight against Ebola and dispel the mistrust so hard to beat.

"Ebola survivors (need to) go talk to communities Because this epidemic is very real," he says.


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