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Acute sensorineural deafness in Lassa fever

This resource describes a prospective audiometric evaluation of 69 hospitalized febrile patients in Sierra Leone, West Africa, that revealed a sensorineural hearing deficit (SNHD) in 14 (29%) of 49 confirmed cases of Lassa fever and in 0 of 20 febrile controls. This study found that lassa fever is associated with an incidence of SNHD, which considerably exceeds that previously reported with any other postnatally acquired infection.

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Therapy management: Concept, reality, process

This resource described the two concepts of "therapy management" (diagnosis, selection, and evaluation of treatment, as well as support of the sufferer) and "therapy management group" (the set of individuals who take charge of therapy management with or on behalf of the sufferer) as developed in medical anthropology research in Central Africa. It explores their historical development, current use by researchers, and potential future uses in contextually sensitive analyses. 

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When the field is a ward or a clinic: Hospital ethnography

This resource attempts to demonstrate the value of deeply embedded hospital ethnography as a means to offer a new level of data with which to synthesise critical medical anthropology. The author uses this collection to showcase how hospital-based ethnographic work offers a collaborative approach in which the ethnographer, of necessity, must take into account a broader range of experiences in hospital encounters.

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Lassa fever–induced sensorineural hearing loss: A neglected public health and social burden

This resource summarises clinical findings of hearing loss in Lassa fever (LF) patients highlighting the association between Lassa virus infection and sudden-onset sensorineural hearing loss (SNHL), as well as the potential mechanism(s) for LF-induced SNHL. The study highlights that further research is necessary to identify the mechanism and the epidemiology of LF-induced SNHL.

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Sensorineural hearing loss in Lassa fever: Two case reports

This resource reports on two female patients aged 19 and 43 years old with clinical features suggestive of Lassa fever and confirmed by immunoserological/Lassa-virus-specific reverse transcriptase polymerase chain reaction. Both patients developed severe sensorineural hearing loss at acute phases of the infections.

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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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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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