Is there Life After Ebola?

Some documentation of Jamaican responses to the possiblity of an Ebola outbreak here.

Clovis, Jamaica Observer

I hope someone somewhere is keeping track of the way different countries and cultures have reacted to the news of a possible Ebola pandemic. I will do my bit by documenting a representative sample of some Jamaican responses here. In general there has been an air of barely controlled hysteria, perhaps understandable in a population already ravaged by a pestilential disease called Chikungunya which crept up on us virtually unannounced about two months ago. The entire months of September and October were lost to Chik V as the mosquito-borne illness is nicknamed and perhaps November too, so long-lasting are the effects of this peculiar virus.

The word Ebola first started being bandied about by Jamaican media in August and escalated in frequency after news broke that a Texas hospital in the United States was housing an Ebola patient who had just returned from Liberia. In early August Trinidad and Tobago entered panic mode and isolated a flight from London because it was carrying a Nigerian doctor married to a Trinidadian. It was later discovered that the doctor had not set foot in Africa in the last five years. In mid-September the permanent secretary in the Ministry of Health here was forced to issue a statement denying that Jamaica had received its first Ebola case.

“I want to dispel the rumours surrounding a patient who was admitted to the University Hospital yesterday afternoon. The person is in fact a 65-year-old senior physician who travelled to Trinidad and returned to the island feeling ill. The person fell and was admitted to the hospital. There is absolutely no travel history to any Ebola-affected country or possibility of contact.”

The hysteria continued to build with Jamaican doctors announcing that in the absence of appropriate protective gear they would not be turning up to treat Ebola patients. Meanwhile neighbouring Cuba announced that it was sending nearly 500 medics to West Africa to help fight the deadly disease.

Shortly after that all hell broke loose at a hospital in Mandeville, a bougy hill station in the centre of Jamaica. What caused the panic was a resident Nigerian suffering from food poisoning who sought help at the Mandeville Hospital. As the newspapers had it:

“…the Nigerian presented himself at the hospital at 5 o’clock yesterday morning, sweating profusely and vomiting. He was reportedly placed in isolation in one of the rooms in the Accident and Emergency Department and was seen by a nurse, who was not told of the man’s history.

The source said the nurse took the man’s temperature without wearing any protective gear. Panic quickly broke out at the hospital as that nurse and other medical personnel refused to tend to the man on hearing that he was from Nigeria.”

Another news report some days later carried the Nigerian doctor’s response to his ordeal:

“Dr Bob Banjo, who has resided in Jamaica for the last 28 years, blasted nurses and other employees at the hospital as being ill-prepared for an Ebola outbreak and described how some became hysterical after he revealed that he had travelled to his homeland in July.

Banjo, in recounting his ordeal to The Gleaner yesterday, admitted that he had dizzy spells and was sweating profusely when he turned up at the hospital and said the doctor on duty assigned a nurse to take his temperature and blood pressure.

He said the test showed that his blood pressure was high, prompting the nurse to ask him if he had travelled overseas this year.

Banjo said he admitted to visiting Nigeria from July 16 to August 27 and recounted the panic and hysteria that followed.

“The moment I told the nurse I travelled to Nigeria, she ran out and told the doctor [and] the whole hospital – even patients and the staff. They went haywire,” he recounted.

“Because they claimed, ‘This is somebody from Nigeria; he has Ebola’,” he asserted.”

In recent days Jamaicans have been somewhat reassured by offers from Cuba to help train medical personnel here in the treatment of Ebola.  But not all Jamaicans have been so pusillanimous in the face of Ebola. One doctor is in Liberia already ministering to the afflicted and urging other Jamaicans to join her:

“Jamaican medic Dr Coril Curtis-Warmington has urged colleagues in Jamaica to join her in Liberia, one of the countries at the epicentre of the Ebola outbreak, to get first-hand experience in treating the deadly virus which has already claimed more than 5,000 lives.

Curtis-Warmington made the call last Friday as she spoke by Skype from Liberia to the 10th annual scientific symposium and general meeting of the Caribbean Association of Clinical Microbiologists, held at the University Hospital of the West Indies.

“It is not easy, but even short term, just for two weeks. Please consider it because we really need you,” she begged in her final comments at the end of the 45-minute link.

Whispers of “who, me?” were immediately heard from medical professionals following the plea, but Professor Marvin Reid – who chaired the live interview session – promised that as vice-chair of the Medical Association of Jamaica, he would present her call to his colleagues.”

Finally, yesterday the island’s leading newspaper, the Gleaner, published a cogent editorial arguing that Jamaica has a moral responsibility to help Ebola-hit nations:

“Nonetheless, we believe that Jamaica – which used to pride itself as a leader among developing countries – has the capacity, and indeed an obligation, to do more – even if only symbolically. First, the vast majority of Jamaicans have their roots in that part of Africa, the region of the Gold Coast, from where most of the slaves to the New World arrived. In that sense, the victims of Ebola on the African continent are Jamaica’s kith and kin, claimed in popular culture and strategically embraced as part of a geopolitical insulation against the buffeting by the powerful of the world.

Yet, in stark contrast to neighbouring Cuba, which has sent hundreds of health workers to the three worst-hit countries, and from which this country has sought help in crafting an Ebola plan, the Jamaican authorities have offered them nothing – at least nothing that the country has been told about.

A public declaration of sympathy is the least that the Government could do. Moreover, Jamaica, which has responsibility for foreign relations within the Caribbean Community, would be expected to be mobilising the Community to a shared response, including, possibly, medical assistance and/or logistical and security support.

At a private level, there is no sense of Jamaican health workers – neither doctors nor nurses – volunteering, like their counterpart in other countries, to work in Liberia, Sierra Leone or Guinea. They, as one Jamaican doctor resident in Liberia told this newspaper, are needed and would be welcomed.

Nor are there any projects to raise money to help these governments finance their anti-Ebola efforts or for relief for the survivors of the disease.

With regard to the latter idea, Jamaican musicians/entertainers, especially dancehall deejays, should be at the forefront. They are often in the media boasting about their exploits in Africa – the adulation they enjoy and the large audiences at their concerts. They often wear their Africanness like badges. It can’t be too difficult and be too much of a burden for such artistes to organise benefit concerts for the Ebola-hit countries and to contribute a portion of the sale of their albums or concert income to this project.”

Surely a people that pride themselves on having the most churches per square foot in the world should have a more humane, enlightened and charitable response toward sufferers of this latter day plague?

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