Freetown, the capital of Sierra Leone, is now the centre of a cholera epidemic after the first confirmed case surfaced in the north of the country in February.
On 18 July, the first reported case in Freetown came from Marbella, a slum area near the centre of town where a high volume of people constantly visit and trade in the busy 24-hour market. The Ministry of Health says they are seeing 40 new cases a day in this area.
In Freetown and the surrounding Western Area, 410 cases and 9 deaths have been reported. The fatality rate is at 2 percent.
“The fatality rate is very high,” Sierra Leone’s Minister of Health, Zainab Bangura, told a press conference on Monday. “It is pretty serious. At the moment our strategy is to contain it [the disease] and to clean the environment.” Bangura said emergency measures were being put in place.
Dr Alemu Wondimagegnehu, Director of the World Health Organization (WHO) in Sierra Leone, told IRIN this is the biggest outbreak since 2007. “For a population of six million, 4,000 cases are significant - this is big.”
Since January, Sierra Leone has seen 4,249 cases of cholera and 76 people have died from the waterborne disease. Wondimagegnehu said the epidemic has not yet reached its peak. Critics say the Ministry of Health in Sierra Leone was slow to respond to the outbreak, and prevention efforts in the country are weak.
|WEST AFRICA: Cholera - what's working?|
|FREETOWN/DAKAR, 10 July 2012 (IRIN) - After years of cyclical cholera outbreaks in West Africa, water and sanitation standards are still notoriously low in most of the affected countries, but in some areas the cholera response is working better now than in the past. IRIN spoke to governments and aid agencies about innovations and traditional wisdom for preventing cholera. Full report|
The government has set up three emergency centres in hot spots around the city to handle new cases and all government clinics are providing free treatment for cholera.
But in Marbella, a high-density area that is not accessible by road and is packed with traders and dwellings, many residents do not have access to toilets and live close to each other.
“The situation in Marbella, with lack of sanitation and hygiene, lack of safe drinking water and the [poor] management of food in the market area - all these are risk factors for [the outbreak] to escalate,” Wondimagegnehu said.
This article was produced by IRIN News while it was part of the United Nations Office for the Coordination of Humanitarian Affairs. Please send queries on copyright or liability to the UN. For more information: https://shop.un.org/rights-permissions
It was The New Humanitarian’s investigation with the Thomson Reuters Foundation that uncovered sexual abuse by aid workers during the Ebola response in the Democratic Republic of Congo and led the World Health Organization to launch an independent review and reform its practices.
This demonstrates the important impact that our journalism can have.
But this won’t be the last case of aid worker sex abuse. This also won’t be the last time the aid sector has to ask itself difficult questions about why justice for victims of sexual abuse and exploitation has been sorely lacking.
We’re already working on our next investigation, but reporting like this takes months, sometimes years, and can’t be done alone.
The support of our readers and donors helps keep our journalism free and accessible for all. Donations mean we can keep holding power in the aid sector accountable, and shine a light on similar abuses.