Updates on Ebola

For a time, all was calm. It seemed like all cases had been contained and the number of new cases were dropping off. Peace Corps Volunteers were allowed to re-enter their health centers and continue their work. Conakry, and the richer enclaves up country (for example, the banks) became more lax in their initial surge towards preventative hand-washing. Travel became less of a scary prospect, and everyone simply adjusted to the idea that Ebola is in country, but is extremely hard to catch and is going to affect a very, very small number of extremely unfortunate individuals.

Recently, though, it seems like Ebola has made a resurgence. Many new cases have sprung up (according to the WHO, 37 between May 29th & June 1st), in a range of locations. New cases in Boke, Boffa, & Telimele, with alerts in Dubreka, show that containment wasn't entirely successful in the Basse Cote. Fortunately, new cases have been linked to old ones- this thing is still following the routine and understood mechanisms of transfer. There aren't any cases of new animal to human infection. In light of these events, Volunteers have once again been told to stay away from their medical centers, one of the few places where they could come into contact with the extremely ill (again, Ebola is rarely contagious until patients become extremely ill).

In general, Volunteers feel pretty safe. Some Volunteers continue to deal with the extremely disconcerting fact that Ebola is not only present in their region, but sometimes in their very village. Others deal with the difficulties of educating the populace about Ebola. Many Guineans feel that Ebola is a conspiracy, perhaps made up by President Alpha Conde to delay certain political processes, or introduced (or fabricated) by the West to tamper with Guinea (in the same vein as the prevalent Guinean myth that condoms actually contain HIV in the packaging). I myself was informed by a fellow teacher that Ebola did not exist, and then that it perhaps did exist but could be cured by eating frogs (proven by the fact that this teacher himself ate frogs and did not, indeed, have Ebola).

The message to take home is that the crisis isn't over, but it is still under control. Peace Corps responded rapidly and appropriately to the evolving situation. Our staff in Conakry are more than capable of keeping Volunteers safe. Send your thoughts and prayers instead to the rare and unfortunate few who will have to suffer through this horrible disease.

[FOG News] New Blogger From Guinea

Friends of Guinea,

My name is Shreyan Sen, PCV Guinea '12-'14. I'll be your second new blogger writing live from Guinea. Some background about myself- I'm an Ed Volunteer from the Haute region, stage G22. I'll be COS'ing in September, but until then I hope to shed some light on contemporary Guinea, for old Guinea hands, new invitees, and anyone else who loves this quixotic country.

My beautiful site goes by the name Djelibakoro (cryptically telling us that the griot is below)- it's a new site, but it's also the twin site to older Niandankoro, over on the Niger where Kankan Prefecture turns into Siguiri Prefecture. Years ago the two prefectures were separated by that river, but today Djeliba/Niandan is host to Guinea's largest bridge, connecting the two villages and the shiny, perfect road that passes from Kankan all the way to Bamako.

At site, when I'm not teaching, I like to invest time in my secondary projects, several of which involve my school (WASH-Friendly Schools & School Garden projects). My favorite project by far though is the solar drying project, because mangoes are Allah's apology for hot season, and they're even better during cold season. Food transformation is awesome, am I right?

Writing about Guinea is fun, and it's even better when you can actually answer people's questions and talk about what really interests them. So if curiosity ever calls, leave a comment on the blog detailing what you'd like to know about contemporary Guinea and I'll try to answer. And especially for RPCVs, comment back and tell us what Guinea was like back during your service!

Awa, An Be Koffe!

Ebola: A Volunteer's Perspective

In the past few weeks, the entire world has heard of Guinea’s Ebola outbreak. Ebola, a deadly virus with a death rate of up to 90% (although it’s at around 60% here), is honestly a terrifying neighbor. Many Volunteers found out through friends and family, during concerned calls, texts, and facebook posts. As per usual, Volunteers were out of the loop on the international news side. While Peace Corps had its hands tied (though they did quite a bit to ensure Volunteer safety as we’ll discuss later), it was a bit troubling that PCVs heard about Ebola through their international connections before their local connections.

Volunteers have had outbreaks near or at their sites. Some Volunteers responded to this by barricading themselves at their sites, refusing to travel. Others were told to stay at the regional capitals temporarily while policies were being verified.

Perhaps scarier than the idea of Ebola by itself, is the feeling of distance between Volunteers and their medical support structures. Even with the best PCMO teams out there, the fact remains that Volunteers often live in isolated and remote places, and responses to medical problems are never as certain as calling 911 and expecting an ambulance.

Despite the panic, the reality on the ground is not nearly so precarious. The death rate is holding steady, at around 80 dead in a country of 10 million. The truth is, malaria is still far more likely to kill a Volunteer than Ebola is. The CDC, Doctors Without Borders, the Guinean Government, and other organizations are all working together to quarantine all cases, actual and suspected, of Ebola. Isolation is the best tool we have against a more widespread outbreak. While it’s true that the range of the virus has been troublingly large, much of the spread has been traced to specific families that transported their sick and dead. Those families themselves have been quarantined.

Part of the reason Ebola hasn’t spread that dramatically is due to its high mortality rate- but part of it is also due to the relative difficulty involved in catching the virus. It’s not airborne, and probably won’t be passed through casual contact during the incubation period. Only when the patient is really sick are they highly contagious. Avoiding the extremely ill and the deceased puts Volunteers at low risk of catching the deadly disease. Nonetheless, Peace Corps is closely monitoring the situation, at times instituting travel restrictions and restrictions on health center work (anything that can bring Volunteers into proximity with the sick). The main risk to Volunteers actually comes from hospitals, where proper isolation techniques can be questionable and the disease can actually spread. If a Volunteer falls ill, perhaps unconscious, and is taken to a medical center also hosting an Ebola patient, they are at risk. To ensure a rapid response, an emergency Peace Corps vehicle has been installed near the Volunteers closest to the outbreaks. Peace Corps Guinea also invited the CDC to analyze their Ebola response plan- the CDC recommended no changes. Don’t worry- we’re being taken care of!

Guinean responses to the outbreak vary. In the villages, little has changed. Ebola hasn’t taken on a menacing reality yet. The government’s texts encouraging hand washing have boosted some PCV hand washing projects- not much else has changed (except for those public health Volunteers who can’t go to work).

In Conakry though, paranoia has taken root. People are washing their hands with pure bleach. I even saw a Guinean using hand sanitizer- I had no idea it existed in Guinea (outside of Volunteer care packages). The high vigilance towards hygiene can’t be a bad thing. Hopefully it will persist after the epidemic passes away, as it will. 

[Guinean news] Bissau cocaine traffickers moving into Conakry

Guinea-Bissau is widely described as Africa's first narco-state. But this article in Mmegi Online is the latest to express the concern that narcotraffickers are increasingly moving south into Conakry and may begin to destabilize Guinea as well.

[Guinean news] EU to send observer mission to legislative elections

The European Union will deploy a 24-person observer mission to monitor Guinea's oft-delayed legislative elections schedule (for the moment) for this September 24.

[Guinean news] One shot dead in anti-government rally after new election date set

At least one person was shot and two wounded at an anti-government rally in Guinea. President Alpha Conde set June 30 as the date for legislative elections without agreeing to opposition demands that he strip a South African company, Waymark, of its contract to manage the voter list and allow the mostly pro-opposition diaspora to vote. 

A government spokesman promised an international inquiry into the incident.

[FOG news] New website!

Friends of Guinea has a spiffy new website. Check it out! www.friendsofguinea.org

[Guinean news] New date for legislative elections set

Guinea's Independent National Electoral Commission has announced that long-delayed legislative elections have been scheduled for May 13, 2013. Though an opposition spokesman expressed disapproval. Guinea has been without a functioning National Assembly as a result of the delays.

[Guinean news] Rioting kills three in Guéckédou

Reuters is reporting that three people have died in rioting in the southern Guinean town of Guéckédou. Clashes broke out between government supporters and opposition activists over alleged abuse of power by the military préfet. There has been tension in the area since October when the agriculture minister, who hails from the area, was removed from office amid corruption allegations.

[African news] 'Alarming' rate of domestic violence in West Africa

The International  Rescue Committee recently issued a report highlighting what it calls an 'alarming' rate of domestic violence in West Africa (Voice of America news article here; more info from IRC here). The IRC stated that primary threat to women in many West African nations was not war but domestic abuse. The NGO noted that 2/3 of the women who sought help from them had been battered by their husband or partner.