Princess Christian Maternity HospitalPrincess Christian Maternity Hospital | |
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Geography | |
Location | Freetown, Sierra Leone |
Coordinates | 8°29′25″N13°13′08″W / 8.490337°N 13.218968°W Coordinates: 8°29′25″N13°13′08″W / 8.490337°N 13.218968°W |
Organisation | |
Type | Specialist |
Services | |
Emergency department | Yes |
Speciality | Maternity hospital |
Helipad | No |
Links | |
Lists | Hospitals in Sierra Leone |
Princess Christian Maternity Hospital is a hospital in Freetown, Sierra Leone nicknamed the 'Cottage Hospital'. In May 2006 Ahmad Tejan Kabbah re-opened the hospital alongside Connaught Hospital. [1] [2]
Princess Christian Maternity hospital came under severe pressure during the 2014 Ebola virus epidemic in Sierra Leone. Scientific studies have shown that pregnant women are among the least likely to survive an onset of ebola, most likely because the mother's body lowers its immune response to prevent it rejecting the baby. [3] In a previous outbreak in Zaire, 14 out of 15 pregnant women who contracted the disease died. [3] With the country's health facilities completely overrun and already unable to cope with the patient numbers, the authorities decided to place pregnant women last in the queue for treatment, and also segregated them from other ebola patients, under the assumption that there was little that could be done to save them. [3] Most of the pregnant ebola patients were sent to Princess Christian, but with health resources committed elsewhere, the hospital was severely neglected and conditions were so bad that the United Nations proposed closing the hospital altogether. [3]
Emergency is a humanitarian NGO that provides free medical treatment to the victims of war, poverty and landmines. It was founded in 1994. Gino Strada, one of the organisation's co-founders, served as EMERGENCY's Executive Director. It operates on the premise that access to high-quality healthcare is a fundamental human right.
Partners In Health (PIH) is a Boston-based nonprofit health care organization founded in 1987 by Paul Farmer, Ophelia Dahl, Thomas J. White, Todd McCormack, and Jim Yong Kim.
Connaught Hospital is the principal adult referral hospital in Sierra Leone.
In terms of available healthcare and health status Sierra Leone is rated very poorly. Globally, infant and maternal mortality rates remain among the highest. The major causes of illness within the country are preventable with modern technology and medical advances. Most deaths within the country are attributed to nutritional deficiencies, lack of access to clean water, pneumonia, diarrheal diseases, anemia, malaria, tuberculosis and HIV/AIDS.
Wellbody Alliance is a 501(c)(3) registered nonprofit organization working to provide healthcare as a human right in Kono District, Sierra Leone. In addition to running a primary care facility, Wellbody operates a women's center and will open a birth center in 2015. They also focus on the prevention and treatment of HIV/AIDS and tuberculosis and provide medical services to amputee victims from the 11-year Sierra Leone Civil War. Their response effort during the Ebola virus epidemic in West Africa has received widespread media attention. These efforts include supporting four treatment facilities in rural Kono, house-to-house contract tracing and surveillance, the large-scale distribution of protective gear throughout Sierra Leone and an emphasis on sensitive community engagement to help stop the spread of the virus.
Masanga Hospital or Masanga Leprosy Hospital is a NGO supported government hospital that provides healthcare in paediatrics, maternity, general medicine and surgery. It is located in Tonkolili district, Northern Province, Sierra Leone, West Africa. The hospital was ransacked and used as a rebel stronghold during the Sierra Leone Civil War, but having reopened in 2006 it is now a functioning rural hospital once more. The hospital is run by a partnership between several European charitable organisations: Masanga UK, Sierra Leonean Adventists Abroad (SLAA), Masanga Netherlands and Masanga Denmark. Though in the long-term the hospital aims to be fully government-funded, presently it currently subsists on charitable donations. Free healthcare is offered to under fives and pregnant women, and also to locals of limited means.
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.
Healthcare in Sierra Leone is generally charged for and is provided by a mixture of government, private and non-governmental organizations (NGOs). There are over 100 NGOs operating in the health care sector in Sierra Leone. The Ministry of Health and Sanitation is responsible for organizing health care and after the end of the civil war the ministry changed to a decentralized structure of health provision to try to increase its coverage.
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. On March 18, 2014 Guinean health officials announced the outbreak of a mysterious hemorrhagic fever "which strikes like lightning." It was identified as Ebola virus disease and spread to Sierra Leone by May 2014. The disease was thought to have originated when a child from a bat-hunting family contracted the disease in Guinea in December 2013.
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.
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.
The following lists events that happened during 2014 in Sierra Leone.
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.)
Cases of Ebola virus disease in the United Kingdom include an aid worker returning from treating victims of the Ebola virus epidemic in West Africa who contracted the disease. No domestic transmission of Ebola has occurred in the United Kingdom to date.
In late October 2014, the United Kingdom sent a hospital ship, the Royal Fleet Auxiliary's Argus, to help the aid effort against the Ebola virus disease epidemic in Sierra Leone. By late October Sierra Leone was experiencing more than twenty deaths a day from Ebola.
Cases of the Ebola virus disease in Nigeria were reported in 2014 as a small part of the epidemic of Ebola virus disease which originated in Guinea that represented the first outbreak of the disease in a West African country. Previous outbreaks had been confined to countries in Central Africa.
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.
The effect of COVID-19 infection on pregnancy is not completely known because of the lack of reliable data. If there is increased risk to pregnant women and fetuses, so far it has not been readily detectable.