People set fire to an Ebola treatment center in a town at the heart of the outbreak in eastern Congo on Thursday after being stopped from retrieving the body of a local man, a witness and a senior police officer said, as fear and anger grow over a health crisis that doctors are struggling to contain.

The arson attack in Rwampara reflects the challenges of health workers trying to curb a rare Ebola virus by using stringent measures that might clash with local customs, such as burial rites. The disease has been spreading for weeks in a region lacking in health facilities and where armed conflict has displaced many people.

The dangerous work of burying suspected victims is being managed wherever possible by authorities because the bodies of those who die from Ebola can be highly contagious and lead to further spread when people prepare bodies for burial and gather for funerals.

That policy can be extremely unpopular with victims’ families and friends, who aren’t given the chance to bury their loved ones.

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[–] 40 points 5 months ago (11 children)

ebola virus and the spread by local burial tradition been a thing for a decade now. was the prevention or mediatory unsuccessful?

i have no doubt the science works but looking back at covid and future diseases there is def a human aspect thats clearly still lacking.

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  • [–] 30 points 5 months ago (3 children)

    It's not quite as easy as "stop kissing corpses" though. It's more like "don't go near your loved ones as they slowly die in terrible pain", which is very easy to say, but probably a LOT harder to do.

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  • [–] 7 points 5 months ago

    My best friend died of COVID. His loved ones weren't able to be by his side in those last moments, for obvious reasons, and that left a wound that really disrupted my ability to grieve in the wake of his death. If I had been allowed to be there with him, I know that to actually do so would expose myself to a lot of risk, even though it was likely that we had been infected with the same strain of COVID (due to us being bubbled together and falling ill at the same time — me and his housemate had recovered by the time he died, but it would've still been risky for us to be there).

    Despite this, I honestly don't know whether I would have been able to stop myself from being there with him at the end. It's easy to have disdain for people being foolish in this way, but I also have a lot of sympathy for people who make this choice — it's not necessarily a case of people being unaware of the risk.

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  • [–] -1 points 5 months ago (1 child)

    “don’t go near your loved ones as they slowly die in terrible pain”

    If what they have is contagious then no. That wouldn't be very difficult at all. I don't want to slowly die in terrible pain. And i don't want to spread this slow death in terrible pain to others either. Really not that complicated.

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  • [–] 19 points 5 months ago (1 child)

    Ebola is endemic in the region (I think bats carry it). As a result, there will be contagion sometimes, specially more so with climate change and destruction of habitats. Until a cure is developed, we need to treat the sick and try to prevent spread. There is no easy solution to this problem, or MERS, or Hantavirus, or…. Well, you get the point.

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  • [–] 12 points 5 months ago

    And this isn't just a case of more exposure to the source zoonotic exposure vector thanks to climate change or humans encroaching on their habitats, this is a concerning strain that had more cases discovered in the first 48 hours than the worst previous cases of spread have at their max after weeks or months of spread. That makes these containment efforts very necessary and very smart.

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  • [–] 14 points 5 months ago (3 children)

    I was in this region in the 90s at the height of HIV working with NIH and CDC.

    None of this is surprising. There is a very common belief in witchcraft and a distrust of foreigners explaining viral transmission. People will avoid doctors and hospitals and seek churches first and local healers who claim to cure everything with herbs. It's where parts of US are heading.

    For HIV, we did not anticipate that Africans in some regions have sex differently. In that culture, they practice vaginal drying prior to penetration, which led to a very high HIV transmission rate between men and women. Nothing we did to educate likely made any difference.

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  • [–] 4 points 5 months ago (2 children)

    What exactly is vaginal drying and why does it lead to higher transmission rates?

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  • I can answer the 2nd, but also curious about the first.

    HIV transmits easiest through blood, so if two people both bleed during intercourse, that gives a much higher transmission rate.

    Same reason why it has a higher transmission rate among gay men.

    Edit: did some extra research, its not just because of blood, also other fluids make transmission easier through thin rectal tissue. So the gayen part doesn't really apply

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  • [–] 5 points 5 months ago

    I appreciate this being a reply that engages with the human experience folks are having there as much as the need for treatment and containment measures

    Obviously its not helpful to burn treatment clinics. And also, very clearly theres a large cultural and human need that needs to be addressed in some way to manage the current crisis.

    Kinda just a sad situation all around. Burial traditions and the grieving process are really important, and being denied the ability to participate in them must be deeply painful. I hope that medical and cultural practices can somehow adjust over time and find something more stable long term

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  • [–] 60 points 5 months ago (1 child)

    Ebola outbreak brought to you by donald trump, elon musk, and DOGE. Cut out all of USAID and ended up costing Americans more without saving any money and killed/will kill a shit load of people.

    The GOP is a pedophile death cult.

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  • [–] 11 points 5 months ago (3 children)

    Damn. I wish there was a way for them to sterilize the body and then hand it over to relatives. However, I'm sure just drowning the corpse in bleach first is just not an option for many reasons. What a mess.

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  • [–] 4 points 5 months ago (1 child)

    I feel like the ideal world would be if there could be collaboration between healthcare workers and members of a community to find a compromise solution that would allow burial practices to be preserved as much as possible, whilst also minimising risk of transmission. I imagine this might look like healthcare workers being involved in the process, rather than simply handing the body over to the family members as would happen if someone died from something other than an infectious disease. It seems like something that should be possible, in theory.

    Of course, the problem is that healthcare workers and services are already stretched thin enough as it is, and I don't imagine they'd have the capacity to even consider doing something like this. I was reading the other day that Trump's cuts to things like USAID has really impacted the ability to respond to this epidemic

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  • [–] 7 points 5 months ago

    The problem with ebola is that it is contagious and deadly that you would be asking healthcare workers to both endanger their own lives and lives in the community by accommodating any kind of burial rights. You basically have to use impermeable ppe and have no skin exposure at all. You can get ebola just from improperly taking off your ppe, let alone handling a body that's been bleeding from everyhere possible.

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  • [–] 29 points 5 months ago (1 child)

    I'm sure that'll help stop the disease from spreading. Fucking idiots.

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  • [–] 19 points 5 months ago (2 children)

    Ignorant people do stupid things.

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    [–] 11 points 5 months ago

    That's not good, right? The whole burning the buildings thing. That's bad, right? I've seen movies.

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  • [–] -4 points 5 months ago

    People set fire to an Ebola treatment center in a town at the heart of the outbreak in eastern Congo on Thursday after being stopped from retrieving the body of a local man, a witness and a senior police officer said, as fear and anger grow over a health crisis that doctors are struggling to contain.

    I heard of a country where they're trying to burn down the entire government; even as it, too, is their only hope of survival.

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  • [+] -20 points 5 months ago (17 children)

    I would just pull out and quarantine the area. It may sound heartless, but it's not worth the lives of others.

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  • [–] 36 points 5 months ago* (last edited 5 months ago) (9 children)

    Very dumb to believe you can just let the virus spread and it won’t reach new regions. And once it spreads to non-African nations, it may find new animal hosts and become endemic in those new continents.

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  • [–] 10 points 5 months ago (3 children)

    become endemic those to new continents.

    that's the definition of pandemic.

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  • [–] 6 points 5 months ago (2 children)

    That’s true, but most people associate that word with a mass disease outbreak (basically a synonym for plague), vs a disease that infects a small number of people in multiple places.

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  • [–] -2 points 5 months ago (1 child)

    So we change medical terms based on most people making mistakes due to poor education?

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  • [–] 0 points 5 months ago* (last edited 5 months ago) (2 children)

    Once it starts killing white people it will turn out the cure is not that expensive after all.

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  • [–] 1 point 5 months ago (1 child)

    I wish that were true, but whites love to rob each other over healthcare, at least in the United States. And more and more the upper classes seek to dismantle universal healthcare in the UK and Europe.

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  • [–] 31 points 5 months ago* (2 children)

    How brave of you to suggest the world should once again turns their back on the African people. Ideas like that take true courage and wisdom. You are true a visionary speaking truth "just let 'em die". They are only Congolese, not like "others" that might have actual intrinsic value.

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  • [–] 4 points 5 months ago

    We're not the ones storming hospitals to retrieve contaminated corpses. We're not the ones burning down treatment centers.

    How do you help those that don't want to be helped? Setting up a quarantine isn't turning your back. It's doing what you can with the tools you have to save those you can.

    Turning your back would be to do nothing at all, and just let them keep spreading ebola.

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