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Dealing with the unseen: Ffear and stigma in Lassa fever

This poster reports on research carried out with patients and caregivers at Irrua hospital.  It shows how many patients feared telling their family members that they were infected with Lassa Fever, and some were rejected by their family who refused to care for them.

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Stigma and the ethics of public health: Not can we but should we

This article examines the burdens which stigmatization can place on those who are already at a social disadvantage more generally across different public health interventions, and the ways in which stigmatization impacts on the human right to dignity and poses a potential threat to public health work.

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Hospital domestics: Care work in a Kenyan hospital

Though not about Lassa fever specifically, this paper explores the division of labour between medical staff and familial caregivers in Kenya.

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Perceptions of burden of caregiving by informal caregivers of cancer patients attending University of Calabar Teaching Hospital, Calabar, Nigeria

Though not about Lassa fever specifically, this study shows the burden experienced by informal caregivers of cancer patients in Nigeria. Most caregivers experienced this burden as moderate or severe.

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Use of protective gear and the occurrence of occupational Marburg hemorrhagic fever in health workers from Watsa health zone, Democratic Republic of the Congo

This paper shows how health workers used PPE in an outbreak of Marburg Virus in DRC.  The findings show that HWs protected themselves better during invasive procedures (injections, venepuncture, and surgery) than during noninvasive procedures, but the overall level of protection in the hospital remained insufficient, particularly outside of isolation wards. The reasons for inconsistent use of protective gear included insufficient availability of the gear, adherence to non-biomedical explanatory models of the origin of disease, and peer bonding with sick colleagues.

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Patients’ and healthcare providers’ perceptions and practices regarding hypertension, pharmacy-based care, and mHealth in Lagos, Nigeria

Although not focused on Lassa Fever, a recent publication on hypertension in Nigeria, provides a comprehensive review of contemporary health seeking behaviour in the country, underlining the important role that small-scale local pharmaceutical providers provide as the front line of medical care.  This study also describes what respondents call a ‘Nigerian Factor’; a reluctance to seek health care until very sick.

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Lassa fever: The politics of an emerging disease and the scope for One Health

As a rodent borne virus, Lassa fever is of particular interest from a One Health perspective. The interplay between security, public health and One Health approaches are explored through ethnographic and interview based research in Kenema, Sierra Leone, a long-term treatment and research hub. ‘Biodefence dollars’ have provided the majority of recent funding in Sierra Leone and have created opportunities for both local and international actors to address a neglected disease.

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Participation of women and children in hunting activities in Sierra Leone and implications for control of zoonotic infections

This paper underscores the challenges of interventions, surveillance, research and sensitization campaigns. To address such complexity, intervention strategies should become more diversified and context-specific. In particular the role of children should be recognised; specific intervention strategies should be tailored to children's specific hunting practices.

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Rat-Atouille: A mixed method study to characterize rodent hunting and consumption in the context of Lassa fever

This paper investigated the consumption of rodents, including the reservoir species of Lassa fever, and found this is widespread and does not neatly tally against generational or gender lines. Further, it found that the reasons for rodent consumption are multifactorial, including taste preferences, food security, and opportunistic behaviour.

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Hunting of peridomestic rodents and consumption of their meat as possible risk factors for rodent-to-human transmission of Lassa virus in the Republic of Guinea

This study comparing two regions in Guinea, Pita and Gueckedou, observed three major risks for Lassa virus transmission: rodent infestation, uncovered food and hunting of peridomestic rodents as protein source. Hunting and preparation of rodents was identify as a specific risk, however more research is needed to ascertain the age and sex-specific risk factors, sociocultural and economical leading to rodent consumption.

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