Surgery in the time of Ebola: how events impacted on a single surgical institution in Sierra Leone
Open Access
- 19 January 2016
- journal article
- research article
- Published by BMJ in Journal of the Royal Army Medical Corps
- Vol. 162 (3), 212-216
- https://doi.org/10.1136/jramc-2015-000582
Abstract
Introduction The mortality and morbidity of Ebola extends far wider than those contracting the disease. Surgical activity in Sierra Leone has been severely disrupted by the epidemic. Method This is a retrospective study examining the effect of the 2014–2015 Ebola virus epidemic on surgical activity in a Sierra Leone’s main teaching hospital. Results The impact of national and local events on surgical provision is illustrated by the experience of Connaught Hospital, Freetown Sierra Leone. Surgical activity fell dramatically in August 2014, the month when the most health care workers died and continued to fall to just 3% of expected activity. Two of eight surgeons at Connaught Hospital died of Ebola. Discussion The example of Connaught Hospital serves as a graphic and poignant illustration of the difficulties faced by surgeons in low resource settings when dealing with the acute effects of a natural disaster. In any future epidemic, high levels of preparedness, training and protection, in addition to liaison with public health teams early in an epidemic, may allow surgeons to carry out at least some of their duties without the very high levels of personal risk seen here. In a country with so few specialists the loss of 25% is disastrous and will result in long term capacity reduction.Keywords
This publication has 10 references indexed in Scilit:
- An Assessment of Surgical and Anesthesia Staff at 10 Government Hospitals in Sierra LeoneJAMA Surgery, 2015
- Communicating Uncertainty — Ebola, Public Health, and the Scientific ProcessThe New England Journal of Medicine, 2015
- Ebola Virus Disease in Health Care Workers — Sierra Leone, 20142014
- Ebola in Africa: beyond epidemics, reproductive health in crisisThe Lancet, 2014
- Transmission dynamics and control of Ebola virus disease outbreak in Nigeria, July to September 2014Eurosurveillance, 2014
- Assessing the quality of record keeping for cesarean deliveries: results from a multicenter retrospective record review in five low-income countriesBMC Pregnancy and Childbirth, 2014
- Ebola and Indirect Effects on Health Service Function in Sierra LeonePLoS Currents, 2014
- The incidence and clinical presentation of infantile rotavirus diarrhoea in Sierra Leone.2009
- Quantifying Surgical Capacity in Sierra LeoneArchives of Surgery, 2009
- Epidemiology of paediatric surgical admissions to a government referral hospital in the Gambia.2000