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Power, fairness and trust : understanding and engaging with vaccine trial participants and communities in the setting up the EVOVAC-Salone vaccine trial in Sierra Leone

In this article the authors discuss the implementation of an Ebola vaccine trial in Kambia district in Sierra Leone during and after the epidemic. They analyze the role of social science research for the development of community engagement strategies. The authors give special attention to the analysis of rumours as source of information and explanation about resistance rooted in a much deeper sociopolitical context.

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Ebola: Limitations of correcting misinformation

In this resource, members of the Ebola Response Anthropology Platform call on all organisations involved in the response to the Ebola outbreak to question the assumption that biomedicine must correct local logics and concerns, and the effectiveness of using standardised advice for non-standardised situations.

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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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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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United States Environmental Protection Agency: Integrated pest management (IPM) principles

This information packet outlines the principles of pest management as put forward by the United States' Environmental Protection Agency. 

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New opportunities for field research on the pathogenesis and treatment of Lassa fever

This resource reviews the present literature on treatment and pathogenesis of Lassa fever and outlines priorities for future research in the field made possible by the improved research capacity of the Mano River Union countries of Sierra Leone, Liberia, and Guinea, Lassa fever network. 

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On the origin of Ebola: Biomedical discourse versus popular interpretations in Macenta in Guinea

This resource describes the use of participative observation, informal conversations and in-depth interviews to identify rumours surrounding Ebola, their sources, and to understand the local population’s perception and knowledge about the history and origin of the Ebola outbreak in Guinea. 

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Engaging ‘communities’: Anthropological insights from the West African Ebola epidemic

This resource reflects on the nature of community engagement during the Ebola epidemic and demonstrates a disjuncture between local realities and what is being imagined in post-Ebola reports about the lessons that need to be learned for the future. It argues that to achieve stated aims of building trust and strengthening outbreak response and health systems, public health institutions need to reorientate their conceptualization of ‘the community’ and develop ways of working which take complex social and political relationships into account.

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U.S. Centre for Disease Control (CDC): Lassa fever

Further information from the U.S. CDC in both English and French about the transmission, prevention, diagnosis and treatment of Lassa fever.

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Safe intensive-care management of a severe case of Lassa fever with simple barrier nursing techniques

This resource describes the case-management of Lassa fever in a specific patient and the difficulties encountered in repatriating her for diagnosis and management, which is unavailable in Sierra Leone, are described.The experience with this case has implications for the medical care and safe handling of Lassa fever in both endemic and nonendemic areas.

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