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Lassa fever in post-conflict Sierra Leone

This resource presents observations of case fatality rates of Lassa fever in Sierra Leone after the civil war and compared to studies completed prior to the conflict. Peak presentation of Lassa fever cases occurs in the dry season, which is consistent with previous studies. This paper's studies also confirmed reports conducted prior to the civil war that indicate that infants, children, young adults, and pregnant women are disproportionately impacted by Lassa fever.

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Social consequences of Ebola containment measures in Liberia

This study of quarantine during the Ebola epidemic in Liberia also shows that state-enforced quarantine, with a mandatory prohibition of movement, raised condemnation, strengthened stigmatization and created serious socio-economic distress.

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Burials in times of Ebola: Do's and don'ts - issues of acceptability

This short guide was elaborated by the authors at the beginning of the Ebola Virus disease outbreak in May 2014 in Gueckedou base on a fieldwork in the area. It compiles the wishes collected from villages where people died from Ebola virus diseases.

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Improving burial practices and cemetery management during an Ebola virus disease epidemic — Sierra Leone, 2014

This piece is a summary of an assessment conducted in Sierra Leone on the acceptability of safe, nontraditional burial practices and cemetery management during the Ebola Outbreak. Both measures aimed the control of the virus transmission. Some of the findings were: scarce burial teams, miscoordination among Ebola response bodies, lack of systematic procedures for testing and reporting results on dead bodies from Laboratories, inadequate cementerie space, no acceptance of safe burial practices by communities. These finding informed a standard operating procedure (SOP) for safe, dignified medical burials.

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Treating corpses like bundles of firewood. On the social production of indifference in the time of Ebola (Guinea)

The authors reflect on the impacts of the declaration of global emergency on the way dead bodies were treated during the Ebola virus disease epidemic in Guinea: focusing on problems related to anonymous graves and the impossibility of organizing burial ceremonies.

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Community-centered responses to Ebola in urban Liberia: The view from below

The article presents information on community-based epidemic control priorities and identifies innovative local strategies for containing EVD in Liberia. The text also offers some suggestions from participants like the integration of families in the surveillance system and the declaration of National Memorial Day among others.

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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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Understanding the cryptic nature of Lassa fever in West Africa

In this article the authors give an overview of the current knowledge on Lassa fever (ecology, epidemiology and distribution) and the importance of future socio-ecological changes in the increase of Lassa fever burden.

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Using modelling to disentangle the relative contributions of zoonotic and anthroponotic transmission: The case of Lassa fever

The authors present the results of a modelling approach, using published data from outbreak and patients to Kenema governmental Hospital in Sierra Leone. They estimate the likely contribution to human to human transmission. They shed light on the need to better assess the human to human transmission.

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Culture and politics: The anthropology of an emerging disease

This book explores how indigenous people cope with the Ebola virus, addresses political, structural, psychological, and cultural factors, along with conventional intervention protocols as problematic to achieving medical objectives. It also aims to shed new light on a continuing debate about the motivation for human behavior by showing how local responses to epidemics are rooted both in culture and in human nature.

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