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You are here: Home › Africa › Social Pathways for Ebola Virus Disease in Rural Sierra Leone, and some Implications for Containment
← What Factors Might Have Led to the Emergence of Ebola in West Africa?
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Social Pathways for Ebola Virus Disease in Rural Sierra Leone, and some Implications for Containment

November 17, 2014 | Filed under: Africa, English, Peer reviewed, Sierra Leone, Society & Culture and tagged with: Beyond zoonosis, high-risk factor, human-to-human contact, PLOS Neglected Tropical Diseases, Social factors, social life, social pathways, Widespread Transmission

Published by PLOS Neglected Tropical Diseases, October 31, 2014

 

Abstract

The current outbreak of Ebola Virus Disease in Upper West Africa is the largest ever recorded.  Molecular evidence suggests spread has been almost exclusively through human-to-human contact.  Social factors are thus clearly important to understand the epidemic and ways in which it might be stopped, but these factors have so far been little analyzed.  The present paper focuses on Sierra Leone, and provides data on the least understood part of the epidemic – the largely undocumented spread of Ebola in rural areas.  Various forms of social networking in rural communities and their relevance for understanding pathways of transmission are described.  Particular attention is paid to the relationship between marriage, funerals and land tenure.  Funerals are known to be a high-risk factor for infection.  It is suggested that more than a shift in awareness of risks will be needed to change local patterns of behavior, especially in regard to funerals, since these are central to the consolidation of community ties.  A concluding discussion relates the information presented to plans for halting the disease.  Local consultation and access are seen as major challenges to be addressed.

 

Reference

Alexander, K. A., C. E. Sanderson, M. Marathe, B. L. Lewis, C. M. Rivers, J. Shaman, J. M. Drake, et al. “What Factors Might Have Led to the Emergence of Ebola in West Africa?,” 2014. http://blogs.plos.org/speakingofmedicine/files/2014/11/Alexander-et-al.pdf.

Read the full article
http://blogs.plos.org/speakingofmedicine/2014/10/31/social-pathways-ebola-virus-disease-rural-sierra-leone-implications-containment/

PDF file
http://blogs.plos.org/speakingofmedicine/files/2014/11/Alexander-et-al.pdf

 

 

 

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Written by Nathanael Cretin

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