Marie Claire Tchecola is a nurse and Ebola survivor from Guinea. She is an activist who educates about disease and fights stigma against those who suffer from disease. In 2015 she was awarded the International Women of Courage Award by the US State Department. [1]
Tchecola grew up in a small Guinean village near the Senegalese border. She was the first woman in her family to obtain an education. She earned her nursing credentials and was working as a nurse at Donka Hospital in Conakry, Guinea.
In July, 2014 she contracted Ebola, while treating a severely ill patient. [2] A shortage of healthcare workers [3] and basic protective equipment [4] created a situation in West Africa where the disease was spreading rapidly. Recognizing the symptoms, she checked herself into a treatment center to prevent the spread of the disease. [1] She recognized from her own experience that denial, doubt, and misinformation can prohibit people from getting proper treatment and taking proper precautions. [2] After recovering from the disease, Tchecola returned to her job as an emergency room nurse at Donka Hospital, but her troubles were not over. [1]
Tchecola's landlord evicted her, because of fear and misinformation about the disease. [1] Others who survived have similar stories: friends stop visiting, employers won't let workers return, [3] communities believe that Ebola is a death sentence and that victims will eventually die so they shun survivors, [2] children and adolescents are rejected by family members and fear inhibits other placement for them. [5] The situation with children is especially troubling. More than 4,000 children are registered as orphans in Guinea. [6] Because survivors appear to have an immunity to the disease, they are being recruited by UNICEF to help with children. Survivors are able to touch and provide comfort to the traumatized children in a way that personnel in protective gear cannot. [3]
Tchecola is committed to raising awareness, educating about Ebola prevention, and fighting discrimination against survivors. She is a member of the Ebola Survivors Association of Guinea, which provides a support network for those who survived the disease. [1]
Matthew Lukwiya was a Ugandan physician and the supervisor of St. Mary's Hospital Lacor, outside of Gulu. He was at the forefront of the 2000 Ebola virus disease outbreak in Uganda until he died from the disease.
The Donka Hospital is a publicly owned hospital in Conakry, Guinea. It has inadequate facilities to handle demand, and many Guineans cannot afford its services. More than once in recent years the hospital has had to deal with a major influx of patients wounded in civil disturbances.
Guinea faces a number of ongoing health challenges.
Ebola, also known as Ebola virus disease (EVD) and Ebola hemorrhagic fever (EHF), is a viral hemorrhagic fever in humans and other primates, caused by ebolaviruses. Symptoms typically start anywhere between two days and three weeks after infection. The first symptoms are usually fever, sore throat, muscle pain, and headaches. These are usually followed by vomiting, diarrhoea, rash and decreased liver and kidney function, at which point some people begin to bleed both internally and externally. It kills between 25% and 90% of those infected – about 50% on average. Death is often due to shock from fluid loss, and typically occurs between six and 16 days after the first symptoms appear. Early treatment of symptoms increases the survival rate considerably compared to late start. An Ebola vaccine was approved by the US FDA in December 2019.
The 2013–2016 epidemic of Ebola virus disease, centered in Western Africa, was the most widespread outbreak of the disease in history. It caused major loss of life and socioeconomic disruption in the region, mainly in Guinea, Liberia and Sierra Leone. The first cases were recorded in Guinea in December 2013; later, the disease spread to neighbouring Liberia and Sierra Leone, with minor outbreaks occurring in Nigeria and Mali. Secondary infections of medical workers occurred in the United States and Spain. In addition, isolated cases were recorded in Senegal, the United Kingdom and Italy. The number of cases peaked in October 2014 and then began to decline gradually, following the commitment of substantial international resources.
Sheik Umar Khan was the chief Sierra Leonean doctor attempting to curb the country's Ebola outbreak in 2014.
An Ebola virus epidemic in Sierra Leone occurred in 2014, along with the neighbouring countries of Guinea and Liberia. At the time it was discovered, it was thought that Ebola virus was not endemic to Sierra Leone or to the West African region and that the epidemic represented the first time the virus was discovered there. However, US researchers pointed to lab samples used for Lassa fever testing to suggest that Ebola had been in Sierra Leone as early as 2006.
An epidemic of Ebola virus disease in Guinea from 2013 to 2016 represents the first ever outbreak of Ebola in a West African country. Previous outbreaks have been confined to several countries in Sub-Saharan Africa.
An epidemic of Ebola virus disease occurred in Liberia from 2014 to 2015, along with the neighbouring countries of Guinea and Sierra Leone. The first cases of virus were reported by late March 2014. The Ebola virus, a biosafety level four pathogen, is an RNA virus discovered in 1976.
Four laboratory-confirmed cases of Ebola virus disease occurred in the United States in 2014. Eleven cases were reported, including these four cases and seven cases medically evacuated from other countries. The first was reported in September 2014. Nine of the people contracted the disease outside the US and traveled into the country, either as regular airline passengers or as medical evacuees; of those nine, two died. Two people contracted Ebola in the United States. Both were nurses who treated an Ebola patient; both recovered.
Thomas Eric Duncan was a Liberian citizen who became the first Ebola patient diagnosed in the United States on September 30, 2014.
Organizations from around the world responded to the West African Ebola virus epidemic. In July 2014, the World Health Organization (WHO) convened an emergency meeting with health ministers from eleven countries and announced collaboration on a strategy to co-ordinate technical support to combat the epidemic. In August, they declared the outbreak an international public health emergency and published a roadmap to guide and coordinate the international response to the outbreak, aiming to stop ongoing Ebola transmission worldwide within 6–9 months. In September, the United Nations Security Council declared the Ebola virus outbreak in the West Africa subregion a "threat to international peace and security" and unanimously adopted a resolution urging UN member states to provide more resources to fight the outbreak; the WHO stated that the cost for combating the epidemic will be a minimum of $1 billion.
This article covers the timeline of the 2014 Ebola virus epidemic in West Africa and its outbreaks elsewhere. Flag icons denote the first announcements of confirmed cases by the respective nation-states, their first deaths, and their first secondary transmissions, as well as relevant sessions and announcements of agencies such as the World Health Organization (WHO), the U.S. Centers for Disease Control (CDC), and NGOs such as Doctors Without Borders; medical evacuations, visa restrictions, border closures, quarantines, court rulings, and possible cases of zoonosis are also included.
Ebola virus disease in Mali occurred in October 2014, leading to concern about the possibility of an outbreak of Ebola in Mali. A child was brought from Guinea and died in the northwestern city of Kayes. Mali contact traced over 100 people who had contact with the child; tracing was completed in mid-November with no further cases discovered. In November, a second unrelated outbreak occurred in Mali's capital city, Bamako. Several people at a clinic are thought to have been infected by a man traveling from Guinea. On January 18, Mali was declared Ebola-free after 42 days with no new cases. There had been a cumulative total of eight cases with six deaths.
The Womey massacre was a deadly attack on and murder of eight members of a team of healthcare workers, journalists, and government officials who were affiliated with the conflict resolution non-profit Search for Common Ground and WHO in mid-September 2014, traveled to the village of Womey in Guinea's southwest region to educate the local population during the West African Ebola virus epidemic outbreak. The team had come to warn the village about dangers of the Ebola virus disease. By 24 September 2014, Ebola disease was reported to have killed over 600 people in Guinea during previous months.
The Ebola virus epidemic in West Africa has had a large effect on the culture of most of the West African countries. In most instances, the effect is a rather negative one as it has disrupted many Africans’ traditional norms and practices. For instance, many West African communities rely on traditional healers and witch doctors, who use herbal remedies, massage, chant and witchcraft to cure just about any ailment. Therefore, it is difficult for West Africans to adapt to foreign medical practices. Specifically, West African resistance to Western medicine is prominent in the region, which calls for severe distrust of Western and modern medical personnel and practices.(see Ebola conspiracies below.)
Ebola virus disease in the United Kingdom has occurred rarely in four cases to date, namely three health workers returning from treating victims of the Ebola virus epidemic in West Africa in 2014 and 2015, and a single case in 1976, when a laboratory technician contracted the disease in a needlestick injury while handling samples from Africa. All cases recovered. As of 2022, no domestic transmission of Ebola has occurred in the United Kingdom.
Pauline Cafferkey is a Scottish nurse and aid worker who contracted Ebola virus disease in 2014 while working in Sierra Leone as part of the medical aid effort during the West African Ebola virus epidemic. She survived the illness.
Salomé Karwah was a Liberian nurse who was named co-Person of the Year by Time magazine in 2014 for her efforts to combat the West African Ebola virus epidemic. She appeared on the cover of Time in December 2014 with other health care workers and colleagues working to end the epidemic. Karwah survived ebola herself, before returning to work with Médecins Sans Frontières to help other patients afflicted with the disease. The actions of Karwah and other health care professionals are believed to have saved lives of thousands. However, two years later, Karwah died from complications of childbirth; her widower suggested that this might have been due to the widespread, mistaken belief that ebola survivors can still transmit the virus. Even before the ebola outbreak, Liberia had one of the highest rates of maternal mortality in the world.
Syra Madad is an American pathogen preparedness expert and infectious disease epidemiologist. Madad is the Senior Director of the System-wide Special Pathogens Program at NYC Health + Hospitals where she is part of the executive leadership team which oversees New York City's response to the Coronavirus disease 2019 pandemic in the city's 11 public hospitals. She was featured in the Netflix documentary series Pandemic: How to Prevent an Outbreak and the Discovery Channel documentary The Vaccine: Conquering COVID.