Sierra Leone faces criticism over Ebola shutdown

FREETOWN, Sierra Leone (UPDATED) – Sierra Leone began the second day of  a 72-hour nationwide shutdown aimed at containing the spread of the deadly Ebola virus on Saturday, September 20, amid criticism that the action was a poorly planned publicity stunt.

Most of Sierra Leone’s 6 million people have been confined to their homes from midnight (0000 GMT) on Friday, September 19, with only essential workers such as health professionals and security forces exempt. (READ: Ebola: Sierra Leone streets deserted as shutdown begins)

Almost 30,000 volunteers are going door-to-door to educate locals and hand out soap, in an exercise expected to lead to scores more patients and bodies being discovered in homes.

But independent observers have voiced concerns over the quality of advice being given out, deeming the shutdown a “mixed success” in the Western Area, the region that includes the capital Freetown.

“While the supervisors were well trained, the visiting teams to families in some parts in the Western Area had poor training and could not deliver the information properly,” said Abubakarr Kamara, from the Health for All Coalition, a local charity.

“From my observation, many of them were too young to be involved in the exercise and in one or two households where I witnessed their intervention, there were hardly messages given to the families which were beneficial to the households.”

Ebola fever can fell its victims within days, causing severe muscle pain, vomiting, diarrhea and – in some cases – unstoppable internal and external bleeding.

The outbreak has killed more than 2,600 people in Guinea, Liberia and Sierra Leone this year, cutting a swathe through entire villages at the epicenter and prompting warnings over possible economic catastrophe from the World Bank. (READ: UN says $1B needed to fight Ebola)

“Ose to Ose Ebola Tok” – “House-to-House Ebola Talk” in the widely-spoken Krio language – will see more than 7,000 volunteer teams of 4 attempting to reach the country’s 1.5 million homes before the end of Sunday, September 21.

‘Publicity stunt’

Joe Amon, health and human rights director at New York-based advocacy organization Human Rights Watch, described the shutdown as “more of a publicity stunt than a health intervention”.

“Publicity – or really crisis communication – is what is urgently needed in this epidemic, but it should focus on spreading information and building trust with the government. The shutdown is the wrong approach,” he told Agence France-Presse.

Steven Gaoja, head of the government’s emergency Ebola operation center, admitted the first day was “really very rocky” at the start, but said organization had improved throughout the day. (READ: Sierra Leone readies for controversial Ebola lockdown)

“On the whole we came out successful. We feel confident that the initial problems we encountered have been slashed,” he said.

He said the center had received 886 calls on a variety of Ebola-related issues by 3:00 pm, 102 reporting suspected cases but 238 of which were pranks.

“We have a target to reach every household in the country and the goal is to ensure that families have the right information about Ebola,” said ministry of health spokesman Sidi Yahya Tunis.

“We are certain we will reach the target so people have to be a little patient.”

Some complaints continued into Saturday, although there was also praise for the campaign.

“The campaign teams are not being rapid in their calls. They kept my family of 6 sitting the whole of yesterday and didn’t show up,” said Ghanaian fisherman Kwaku Adophy in Goderich, an affluent seaside suburb of 3,000 in the west end of Freetown.

“When they came this morning, nobody entered the compound but one member stood at the gate and shouted for us to come out and receive a bar of soap. No other information was given to us. We are very disappointed.”

Isatu Koroma, a resident of Hill Station some 6 kilometers (4 miles) away, said however that a door-to-door team had spent “a useful 30 minutes giving my family much needed information”.

A spokesman for the World Health Organization said on Friday a contingent of Cuban doctors and nurses from a 165-strong delegation expected in Sierra Leone would be arriving over the weekend.

From the first week of October, the doctors and nurses would remain for 6 months. – Rappler.com