The Ebola outbreak in conflict-hit regions of the Democratic Republic of the Congo (DRC) has presented unprecedented challenges that require immediate action, particularly in community engagement, according to a public health specialist.
Ahmed Ogwell is president and CEO of VillageReach, a Seattle-based organization that works internationally to develop programs that improve health outcomes across Africa. In an interview with China Global Television Network (CGTN) that aired Wednesday, he outlined several factors that make this Ebola outbreak particularly dangerous and difficult to control.
"This outbreak is special in several ways. First is that it was detected late, after it has been in circulation for some time. And that means that the numbers from the beginning were more than we were counting. Second is that it's in a conflict area, and therefore, deploying health workers, engaging with the communities, is much more difficult, much more unsafe than in a non-conflict area. And also, dealing with the different entities that are controlling the different parts of the area is also complicated. Third is, we don't have any licensed therapeutic or vaccine, and that means that we only use the usual public health measures to try and bring this under control," he said.
"And finally is, it is an area which is near other countries, and therefore, with all the movements, cross-border importation becomes a concern. And therefore, there is a need for us to act a little bit faster than we are doing now so that we can be able to contain this within the space where it started," said Ogwell, who is also the former deputy director-general of the Africa Centers for Disease Control and Prevention.
The number of confirmed Ebola cases in the DRC has risen to 837, including 196 deaths, according to the latest figures released by the DRC health ministry.
When asked about the necessary immediate action to bring the Ebola outbreak under control, Ogwell stressed that community engagement must be the top priority.
"My advice that we need to do and right now is community engagement. The community needs to be spoken to in the language they understand, context-specific messaging and appreciating and accommodating their cultural practices," said the public health specialist.
Ebola outbreak in DR Congo requires urgent community engagement: public health expert
