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Ebola hemorrhagic fever information packet. U.S. Department of Health and Human Services: Special pathogens branch

This information packet was created by the U.S Department of Health and Human Services to provide key, succinct information about Ebola hemorrhagic fever.

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When the field is a ward or a clinic: Hospital ethnography

This resource attempts to demonstrate the value of deeply embedded hospital ethnography as a means to offer a new level of data with which to synthesise critical medical anthropology. The author uses this collection to showcase how hospital-based ethnographic work offers a collaborative approach in which the ethnographer, of necessity, must take into account a broader range of experiences in hospital encounters.

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Nigeria Centre for Disease Control (NCDC): Standard operating procedures for Lassa fever case management

This resource describes the standard operating procedures for Lassa fever case management as outlined by the Nigeria Centre for Disease Control.

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World Health Organisation: Lassa fever in Sierra Leone

This is an update on Lassa fever in Sierra Leone from the 14th June 1996. 

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The process and practice of diagnosis: Innovations in diagnostics for Lassa fever in Sierra Leone

Chapter 5 of Annie Wilkinson’s PhD thesis, provides a detailed description of health seeking behaviours for Lassa Fever in rural Sierra Leone. In this context, people interpreted and managed Lassa Fever in light of their familiarity with a wide range of other diseases, some of which were viewed as dangerous and others less so; in contexts where sickness, health and treatment were marked by uncertainty; and where hospitals were not necessarily perceived to be sites of good care.  An important insight is that people differentiated ‘big sick’ or ‘hospital sick’ from an ordinary or ‘small’ sick and it was partly on the basis of this distinction that people would choose to access care.

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Use of protective gear and the occurrence of occupational Marburg hemorrhagic fever in health workers from Watsa health zone, Democratic Republic of the Congo

This paper shows how health workers used PPE in an outbreak of Marburg Virus in DRC.  The findings show that HWs protected themselves better during invasive procedures (injections, venepuncture, and surgery) than during noninvasive procedures, but the overall level of protection in the hospital remained insufficient, particularly outside of isolation wards. The reasons for inconsistent use of protective gear included insufficient availability of the gear, adherence to non-biomedical explanatory models of the origin of disease, and peer bonding with sick colleagues.

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Patients’ and healthcare providers’ perceptions and practices regarding hypertension, pharmacy-based care, and mHealth in Lagos, Nigeria

Although not focused on Lassa Fever, a recent publication on hypertension in Nigeria, provides a comprehensive review of contemporary health seeking behaviour in the country, underlining the important role that small-scale local pharmaceutical providers provide as the front line of medical care.  This study also describes what respondents call a ‘Nigerian Factor’; a reluctance to seek health care until very sick.

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Lassa fever: The politics of an emerging disease and the scope for One Health

As a rodent borne virus, Lassa fever is of particular interest from a One Health perspective. The interplay between security, public health and One Health approaches are explored through ethnographic and interview based research in Kenema, Sierra Leone, a long-term treatment and research hub. ‘Biodefence dollars’ have provided the majority of recent funding in Sierra Leone and have created opportunities for both local and international actors to address a neglected disease.

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Understanding the cryptic nature of Lassa fever in West Africa

In this article the authors give an overview of the current knowledge on Lassa fever (ecology, epidemiology and distribution) and the importance of future socio-ecological changes in the increase of Lassa fever burden.

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Using modelling to disentangle the relative contributions of zoonotic and anthroponotic transmission: The case of Lassa fever

The authors present the results of a modelling approach, using published data from outbreak and patients to Kenema governmental Hospital in Sierra Leone. They estimate the likely contribution to human to human transmission. They shed light on the need to better assess the human to human transmission.

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