• Cultural anthropologists fighting Ebola

National Public Radio (U.S.) reported on the role of cultural anthropology in efforts to prevent the spread of Ebola in Guinea.

Doctors, nurses and epidemiologists from international organizations are flying in to help, along with cultural anthropologists. Understanding local beliefs can help get communities to trust international health care workers, says Barry Hewlett, a medical anthropologist at Washington State University. Hewlett was invited to join the Doctors Without Borders Ebola team during an outbreak in Uganda in 2000. There are anthropologists on the current team in Guinea as well.

Before the World Health Organization and Doctors Without Borders started bringing in anthropologists, medical staff had a difficult time convincing families to bring their sick loved ones to clinics and isolation wards. In Uganda, Hewlett remembers, people were afraid of the international health care workers: “The local people thought that the Europeans in control of the isolation units were in a body parts business … Their loved ones would go into the isolation units, and they would never see them come out.”

Health care workers did not always promptly notify relatives of a death because of the need to dispose of the body quickly, Hewlett wrote in a report on his experiences in Uganda: “The anger and bad feelings about not being informed were directed toward health care workers in the isolation unit … This fear could have been averted by allowing family members to see the body in the bag and allowing family members to escort the body to the burial ground.” In addition, Hewlett points out that the large tarps surrounding isolation units were removed so family members could see and talk with a sick relative.

Efforts to contain such outbreaks must be “culturally sensitive and appropriate,” Hewlett says. “Otherwise people are running away from actual care that is intended to help them.” Medical anthropologists can help doctors and other medical experts understand how a local population perceives disease, death, and loss.
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