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Interactive guide to an MSF Ebola management centre

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TRIAGE TENT Patients with Ebola symptoms are admitted to the zone for suspected cases.
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MORGUE When a patient dies, their body is taken to the morgue. After being enclosed in a special body bag, it is returned to the family for a traditional funeral.
HIGH RISK ZONE - SUSPECTED CASES Many of the early symptoms of Ebola are similar to diseases such as malaria and TB. “It’s really important that there are separate zones for suspected and confirmed cases, because you don’t want to contaminate someone with TB with Ebola – that’s basically a death sentence,” says emergency coordinator Henry Gray. A lab test takes as little as four hours to confirm the disease. Patients who test positive are admitted to the zone for confirmed cases.
CHANGING AREA Before entering the high-risk zone, staff help each other put on their protective suits, while respecting the strict ‘no body-to-body contact’ rule.
HIGH RISK ZONE - CONFIRMED CASES “The high-risk zone’s not an easy place to be – you’re isolated, you’ve got no access to the outside world. So we try and make it as friendly as possible, with a TV, radios, plastic chairs and shaded areas to sit,” says Henry.
EXIT FOR CURED PATIENTS When a patient is feeling better and has had two negative lab tests in a row, they are allowed home. Before leaving, they shower in chlorinated water and receive clean clothes and a package containing therapeutic food and vitamins to build up their strength.
RETURNING HOME Returning home isn’t always easy, due to the stigma and fear associated with Ebola. Survivors receive continued support from psychologists after they leave, while health promoters help educate their communities about the disease.
Following an outbreak in Guinea in March 2014, MSF worked to contain this deadly virus in projects across the country. Carissa and Rob were treating patients on a daily basis and saw first-hand what happens when someone is struck by this devastating illness. Despite the high mortality rate, Carissa and Rob saw a number of people leave our projects healthy. www.youtube.com Following an outbreak in Guinea March 2014, MSF doctors have been working to contain this deadly virus in projects across the country. Carissa and Rob have b...
PROTECTIVE CLOTHING “The suits are so stifling that it’s hard to stay inside for more than 40 minutes. You sweat a lot - up to two litres each time - but you don’t cool down because the sweat doesn’t evaporate,” says logistician Pascal Piguet.
INCINERATOR Everything used in the high-risk area which can’t be disinfected is burnt.
STAFF ENTRANCE TO HIGH RISK ZONE “Each time we go in, we have to plan it down to the finest detail. To prepare, we have a 30-minute briefing about what we are going to do, and we get all the equipment ready beforehand.” says Pascal.
HIGH RISK ZONE - CONFIRMED CASES After doing their rounds in the zone for suspected cases, staff enter the zone for confirmed cases. “There’s a gradation of risk all the time – you don’t want to recontaminate a zone,” says emergency coordinator Henry Gray.
LAUNDRY All recyclable items of clothing are washed in chlorinated water every day and reused.
VISITORS' AREA Family members talk with patients through the fence, local religious leaders offer moral support, and MSF psychologists provide counselling.
TREATMENT WARD “With a mortality rate of up to 90 percent, we know that most people in the treatment ward will not come out. We do the most we can for them: whatever the patient wants, the patient gets –special food, new items of clothing... It’s easy to do and it does them good,” says logistician Pascal Piguet.
STAFF EXIT FROM HIGH RISK ZONE On leaving the high-risk area, staff remove their protective suits and disinfect themselves.
The 2014 Ebola epidemic in West Africa is unprecedented. Usually only found in remote villages in areas close to forests, the spread of the virus to the densely packed capital city of Guinea, Conakry, is very worrying indeed. Deaths have been confirmed in Liberia and the disease has also spread to neighbouring Sierra Leone. In this video, the MSF team in Guéckédougou kit up in full protective suits to treat people affected by the virus. instagram.com See this Instagram video by @doctorswithoutborders • 636 likes
MSF emergency coordinator Henry Gray explains the protective clothing healthcare workers must wear when responding to an Ebola outbreak. vimeo.com Henry Gray, MSF water and sanitation coordinator, explains to the national staff how to use the personal protection equipment in the Kagadi hospital (Western Uganda),…
The body of an Ebola #patient who passed away is returned to their family for their #funeral after being decontaminated by the #MSF teams. As of today, Guinean #health authorities have reported 134 suspected cases and 84 deaths from the deadly #outbreak of #Ebola in #Guinea. “Our efforts are aimed at containing the outbreak, which is accomplished by detection of the sick and isolating them from the rest of the population,” says Anja Wolz, emergency coordinator in #Conakry. “Although there is no cure for this disease, we can reduce its very high mortality by addressing the symptoms. This includes administering a drip to patients who have become dehydrated from diarrhoea and by confirming that they do not have a different disease, such as malaria or a bacterial infection like typhoid”. Guinea 2014 © Amandine Colin/MSF instagram.com See this Instagram photo by @doctorswithoutborders • 607 likes
Find out more about the deadly Ebola virus with our in-depth guide and latest news. www.msf.org.uk