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Epidemics and related cultural factors for Ebola hemorrhagic fever in Gabon

This resource collected information about Ebola hemorrhagic fever (EHF) epidemics from the Gabon Ministry of Health, district hospitals and other facilities and conducted in-depth interviews with 20 villagers and 2 traditional healers in the village where the third epidemic occurred. This study suggests that cultural factors might be very crucial to EHF outbreaks in developing countries. Quick intervention with health education is needed to disseminate appropriate knowledge and persuade people that traditional practices could carry a high risk of infection

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Review of cases of nosocomial Lassa fever in Nigeria: The high price of poor medical practice

This resource reviewed medical records in hospitals and clinics in rural and urban areas of Imo State, Nigeria, and reports on its investigation into two hospital outbreaks. In this study, patients with presumed and laboratory confirmed Lassa fever were identified and contracts traced. Hospital staff, patients, and local residents were questioned, records were carefully reviewed, and serum samples were taken. Serum samples were assayed for antibody specific to Lassa virus, and isolates of Lassa virus were obtained.

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A hospital epidemic of Lassa fever in Zorzor, Liberia

This resource describes the epidemic of Lassa fever at a missionary hospital in Zorzor, Liberia, and clinical features and diagnostics. It then goes on to examine both the index case and the subsequent search for further cases. 

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Lassa Virus Hemorrhagic Fever in Benin in 2014 in an Ebola Context: An Epidemic Revealing the Weakness of the Health System

This resource aims to understand the social conditions of the outbreak and evolution of the Lassa haemorrhagic fever epidemic in Benin, 2014, and the technical, political and institutional processes of its management by the state and international alert network and health response. It reports on the results of a qualitative survey conducted at several sites: at the Ministry of Health in Cotonou, in the health services (including the Saint-Jean de Dieu Hospital in Tanguiéta in the north of the country), and in the families of the geographical area of ​​the epidemic.

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Organizational Culture: The Anthropological Approach

This resource provides an overview of anthropology and organizational culture consulting. It discusses practical issues for consultants such as how to define organizational culture, what method and theory in anthropology to use in doing consulting, and what literature is available in anthropology.

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The process and practice of diagnosis: Innovations in diagnostics for Lassa fever in Sierra Leone

Chapter 5 of Annie Wilkinson’s PhD thesis, provides a detailed description of health seeking behaviours for Lassa Fever in rural Sierra Leone. In this context, people interpreted and managed Lassa Fever in light of their familiarity with a wide range of other diseases, some of which were viewed as dangerous and others less so; in contexts where sickness, health and treatment were marked by uncertainty; and where hospitals were not necessarily perceived to be sites of good care.  An important insight is that people differentiated ‘big sick’ or ‘hospital sick’ from an ordinary or ‘small’ sick and it was partly on the basis of this distinction that people would choose to access care.

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Healthcare providers on the frontlines: A qualitative investigation of the social and emotional impact of delivering health services during Sierra Leone’s Ebola epidemic

This paper describes the stigma experienced by health care workers during the Ebola epidemic in Sierra Leone, and recommends psychological support mechanisms for medical staff working in epidemic contexts.

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Lassa fever outbreak in Southwestern Nigeria: The Ekiti state response amidst economic recession

This article describes part of the response to an outbreak of Lassa fever in Nigeria in 2016.  The paper underlines the importance of Intersectoral collaboration and political will in response to outbreaks at the provincial or state, but also records challenges to control efforts including inadequate local laboratory capacity and fear among health workers, panic response among the general populace as well as deficient emergency preparedness.

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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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