Fotó 1: A medical fully dressed in PPE inside the high risk zone of the MSF Ebola Management Centre in Kailahun, Sierra Leone.
Fotó 2: A member of the burial team relays instructions at ELWA 3, MSFís Ebola Management centre in Monrovia.
Fotó 3: a Muslim burial
Fotó 4: A woman is admitted to the Ebola case management centre (CMC). An examination will be required to determine whether she is pregnant or suffering from another health issue. She was admitted with her brother and sister. Her sister, who arrived in an advanced state of fatigue, will die in the night.
Fotó 5: A woman is admitted to the Ebola case management centre (CMC). An examination will be required to determine whether she is pregnant or suffering from another health issue. She was admitted with her brother and sister. Her sister, who arrived in an advanced state of fatigue, will die in the night.
Fotó 6: Close up of a sprayer/hygieinist who plays a vital role as he is responsible fort he outreach teams to get disinfected properly while dressing and undressing.
Fotó 7: During an Ebola outbreak, funeral rituals are the most important contamination vectors. Here, body bags disinfected with chlorine to prevent further contamination are incinerated in a crematorium by MSF staff.
Fotó 8: F. arrived by ambulance to ELWA 3, the MSF Ebola management center in Monrovia, with her five children. Her oldest son died of Ebola two days ago, in West Point. A day after this picture was taken, she was admitted in the center along with her children, She lost her youngest son.
Fotó 9: Helena gets a chance to talk to her son Moses who is an Ebola confirmed patient. A MSF health promoter supports this difficult moment for the young mother as she is too overwhelmed with what to say. The health promoter advises her to say positive things such as ÑI am waiting here outside for youì or ÑI am thinking of you non Stopì
Fotó 10: Helena gets to see her daughter Princess through the security fence. She wants to give her child some soft drink and some food, which has to be sprayed first before handed into the high risk area.
Fotó 11: Medical staff give instructions to Deddeh for the feeding of Elijah.
Fotó 12: Medication round at ELWA 3, MSFís Ebola Management centre in Monrovia. Patients receive anti-malarial, a broad-spectrum antibiotic, anti nausea medication, paracetamol and multivitamins to support their immune systems to fight Ebola.
Fotó 13: MSF chief nurse Mary Jo Fowler (from USA), and nurse Junko Otaki (from Japan) in discussion with the medical team.
Fotó 14: MSF medical team leader Livia Tampelini (left) and epidemiologist Dr Gabriel Fitzpatrick (left) in adjusting the mask before entering the high-risk (isolation) area of the MSF Ebola treatment centre in Kailahun, Sierra Leone.
Fotó 15: Noah, a hygenist, suited up in his Personal Protective Gear enters the hot zone for the first time at ELWA3. Only staff dressed in PPEs are allowed past this point and nothing that goes in can come out. Already inside, Anneli Erickson, a nurse from Sweden, explains the patient observations on a sheet from her round to Veronique, a Canadian nurse on the outside, to rewrite the information on a new sheet of paper because the orginal sheet must be destroyed. ELWA3 is the Ebola Case Management Center run by MSF in Monrovia.
Fotó 16: The day does not end for the outreach team yet. The have to pick up a couple of patients including a 9 months pregnant women (who will later die of Ebola, and her baby as well in the CMC).
Fotó 17: The Ebola outbreak that was declared in August in the Equateur province of the Democratic Republic of Congo (DRC) has not yet been contained. The Ebola response teams, including 50 members of MÈdecins Sans FrontiËres (MSF), are currently working in very difficult conditions because of the lack of roads in the area, the misinformation in the local communities about the disease, and the risk of not treating those who might have been in touch with the virus.
Fotó 18: The Ebola outbreak that was declared in August in the Equateur province of the Democratic Republic of Congo (DRC) has not yet been contained. The Ebola response teams, including 50 members of MÈdecins Sans FrontiËres (MSF), are currently working in very difficult conditions because of the lack of roads in the area, the misinformation in the local communities about the disease, and the risk of not treating those who might have been in touch with the virus.
Fotó 19: The Ebola outbreak that was declared in August in the Equateur province of the Democratic Republic of Congo (DRC) has not yet been contained. The Ebola response teams, including 50 members of MÈdecins Sans FrontiËres (MSF), are currently working in very difficult conditions because of the lack of roads in the area, the misinformation in the local communities about the disease, and the risk of not treating those who might have been in touch with the virus.
Fotó 20: The Ebola outbreak that was declared in August in the Equateur province of the Democratic Republic of Congo (DRC) has not yet been contained. The Ebola response teams, including 50 members of MÈdecins Sans FrontiËres (MSF), are currently working in very difficult conditions because of the lack of roads in the area, the misinformation in the local communities about the disease, and the risk of not treating those who might have been in touch with the virus.
Fotó 21: The logistical teams proceed to the reorganisation of the Donka Ebola treatment center site. In a defined space, it consists in maximizing the available surface available to cope with the influx of patients. This work is done in difficult conditions and require meticulous decontamination of material and of each units.
Fotó 22: The team enters the house. For Jerome a difficult moment as he goes first. You never know what to find in there...ì (Recommendation 2127).
Fotó 23: There are many children in the GuÈckÈdou Ebola case management centre. Some are orphans, which makes caring for them more complex. Staff easily become attached to these patients, whom they are the only ones to touch and comfort through two pairs of gloves and a mask.
Fotó 24: This woman came by taxi to ELWA 3, the MSF Ebola management center in Monrovia. After being seen by an MSF doctor, she was admitted in the suspected area of the center, as she had fever, weakness and was vomitting ñ some of the Ebola symptoms.
Fotó 25: To make sure the burial is happening under strict procedures the outreach teams also bury bodies, while the include family members, so that the burials can be as human as possible.