Sierra Leone is racing to construct Ebola treatment centers to
treat existing Ebola patients and the many new cases that are expected
to arise in the coming months (see Ebola Chart 4). Many of the new beds
are slated to be in the Western Area, which is currently reporting the
highest number of new infections. On Thursday, October, 23, we took a
trip around the region's Ebola treatment centers.
Our first stop was at the Emergency Ebola Treatment Center,
run by
staff from the Italian-led Emergency Hospital. The Emergency Ebola
Treatment Center is a 22-bed tented facility erected within the grounds
of the Lakka Tuberculosis
Hospital on the Peninsula Rd west of
Freetown. We found basic tarpaulin structures crammed into one end of
the compound. Nevertheless the facility appeared to us to be well run,
with good infection control protocols in place and courteous,
experienced and well-motivated staff (see Inside an Ebola treatment center).
A scenic drive over the peninsula mountains along the new
Regent-Grafton Highway took us to the other side of town and eventually
to Kerry Town, some four miles from Waterloo along the Peninsula Rd to
the East of Freetown. For an ebola treatment center, the site is
suitably remote from population centers and other human activity. We
found a tented facility, but spacious and professionally laid out.
We were surprised to find
construction far from complete, despite pronouncements by the Sierra
Leone government and the project's sponsors, the British government
that the facility would be open by the end of October. This appeared
unlikely, as workmen, heavy machines and building materials were much
in evidence about the compound. The 100-bed facility is the first of
Britain's promised sponsorship of 700 beds to fight the Ebola outbreak
in Sierra Leone.
Retracing our steps back along the
Freetown-Waterloo Highway, we arrived at the Hastings Ebola Treatment
Center. This is currently the only Ebola treatment center in the
country being run by the government, and government officials have been
keen to point out its successes (see Hastings Ebola Treatment Center
Discharges 49 Survivors). It is housed in single-storey concrete
structures, part of pre-existing buildings on the spacious grounds of
the Police Training School. We entered the facility without
encountering any infection control protocols and observed staff
lounging about the compound apparently without assigned duties. We were
unable to speak to anyone in authority, as permission from the Minister
of Health was required.
A short drive from the Hastings center found us at the
Chinese
hospital at Jui. This is a large, impressive, multi-storey building
recently constructed and opened by the Chinese government. Initially a
general hospital, the Ebola outbreak has forced the transformation of
the facility to an Ebola center.
However, as we found out, it is not a treatment
center but a holding center, designated to keep suspected Ebola cases
for short periods of time whilst their Ebola lab tests are being
conducted. Those confirmed positive are sent on to one of the treatment
centers. The facility does have an Ebola testing laboratory on site, so
lab results can be expedited.With the size of this facility, though,
and the fact that for now it is not operating as a general hospital, we
wonder whether it could not be transformed from a holding center to a
treatment center.