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Author Elie Kasindi Kabululu

This post was written by Élie Kasindi Kabululu, an infection control nurse who works in the Democratic Republic of Congo (DRC), where controlling the spread of the Ebola virus has been complicated by conflicts between the military and ethnic militias.

 

Death surrounds us. We bury those who have died from the Ebola virus and from the continuing conflict, most recently killings by Ugandan rebels.

The Ebola virus has claimed 511 lives in the DRC since the latest outbreak that started in August of 2018. And between January 16th and February 5th, 119 new cases have been reported. A couple weeks ago, we buried a patient who died after being hospitalized for a week in Nyankunde Hospital, a 150-bed acute regional hospital in the northeast corner of the DRC. The patient was suspected of dying from the Ebola virus. Burying patients is never easy but it becomes more difficult when the patient dies from Ebola because the bodies remain highly contagious for a period of time.

The photo shows a team of people who are taking the precautions necessary to handle and bury the corpse. The body was handled with standard precautions with the support of International Red Cross, including providing us with the minimum protective wear and equipment that is needed. However, some members of the team have experienced objections from family members who are concerned about the spread of Ebola and the attacks on body retrieval teams by people who are afraid of contracting the deadly virus.

Once the body was removed, we had to disinfect the hospital. Both the International Red Cross and the World Health Organization provide important assistance in disinfection and have also provided us with new equipment after the burning of equipment that was contaminated by the virus through use on the patient.

All members of our healthcare team have been vaccinated against the Ebola virus and are now taking care of all suspected cases of Ebola with the assurance of having the minimum protective garments and equipment that we need to protect ourselves. This has not always been the case. Early in this outbreak that started in 2018, we had little protective equipment. In addition, many of the workers are not receiving government pay for their work during this Ebola outbreak, despite our hospital being on the frontlines of seeing people from the community with Ebola before sending them to the Ebola Treatment Center.

But this is not the only cause of deaths in our community of Beni. The night of February 7th was another very sad time in our city when the rebels of Uganda, known as the Allied Democratic Forces (ADF) again attacked the city, killing and kidnapping many people. The ADF were forced out of Uganda and moved to the DRC, creating an ongoing conflict in our region. The photos I am sharing are difficult and heartbreaking but they are necessary to raise global awareness of the suffering we are experiencing. The photo below shows the body of an innocent woman who was killed, and the opening photo shows a little girl who was orphaned when her mother was killed. Many people have left their homes and are living in desperation—like Internally Displaced People, without assistance, wandering in the city and worsening the humanitarian crisis. Some are little older than the young orphaned girl.

The conflict has made containment of Ebola much more difficult. Sometimes I wonder how many more I can bear to bury.

[caption id="attachment_14864" align="alignleft" width="150"] Author Elie Kasindi

Elie Kasindi Kabululu is a nurse who lives and works in the Democratic Republic of the Congo. This is his second post on the current situation addressing the Ebola outbreak on the ground at Nyankunde Hospital in the city of Beni in north eastern Democratic Republic of Congo

This first image shows health workers of Nyankunde Hospital in protective gear transporting the bodies of two patients who died from complications of Ebola.  Since the beginning of the epidemic, this hospital has admitted and treated 27 cases of Ebola, these two patients did not survive. The health care workers have been working under very stressful conditions with limited staffing and supplies due to no government support. The hospital relies on philanthropy from outside the country, I can find no evidence of government.

 

 

In the above image, you see a gathering of the hospital staff praying together and sharing the daily challenges they face at the hospital this year during the Ebola crisis. The health care providers are working for free and have not no received salaries since patients being treated are no longer able to pay the fees. Most of them are forced to leave Nyankunde Hospital to work at another hospital covered by the government subvention also treating patients during the Ebola outbreak.

Daily, the Beni people face life-threatening events  – the Ebola outbreak and the orchestrated massacres by the rebels of the Ugandan Allied Democratic Forces (ADF) killing and kidnaping people.  On December 22, 2018, eight more people were killed in Beni by the Ugandan ADF increasing the difficulties of addressing the outreach to educate and identify new cases of Ebola and treat the people in Beni.  This article is by Elie Kasindi Kabululu, RN

Diana Mason will continue to be in touch with Elie Kasindi Kabululu, RN for updates from the region.

Elie Kasindi Kabululu is a nurse who

Almost one in 10 adults 65 years of age and older in the United States has dementia and 30% of all adults in this country own at least one gun. the mix of guns and dementia can increase the risk of unintentional death and injury. Kaiser Health News reported that, in Washington State alone, an estimated 54,000 people have dementia and guns in their homes. Unfortunately, health professionals, including primary care physicians, nurse practitioners and physician assistants, seldom ask patients with dementia and their families whether they have a gun in the home and how it is stored.

One of the Kaiser Health News reporters on this story is JoNel Aleccia. I had the opportunity to interview her for my radio program, HealthCetera in the Catskills on WIOX Radio in November. Here is that interview:

 

Almost one in 10 adults 65 years