After loosing about 40 patients when the facility first opened in mid-September, the staff at the facility realized they needed a new strategy for dealing with the dreadful disease.
"We said, 'No, this cannot continue. We need to do something,' " says Dr. Santigie Sesay, who coordinates treatment at the center.
At a brainstorming session, staff zeroed in on a key problem: dehydration. People with Ebola are wrecked with diarrhea. They vomit. They may bleed.
"So we said, 'If we can replace the fluids that are being lost, we can definitely help these people,' " Sesay says.
But the usual way to replace fluids is an intravenous drip. And it can be dangerous to insert a needle into an Ebola patient. All it takes is one prick to infect a health worker. Plus, running IVs takes careful monitoring.
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Isatu Koroma baths the patients at the Hastings Ebola Treatment Center and helps to clean the facility. She wears full protective gear during her rounds. David P Gilkey/NPR hide caption
itoggle caption David P Gilkey/NPR
Isatu Koroma baths the patients at the Hastings Ebola Treatment Center and helps to clean the facility. She wears full protective gear during her rounds.
David P Gilkey/NPR
So Sesay was advised against IVs. "During our training, we were told that we are not supposed to to go into the vein," he says.
Still, the staff at Hastings resolved to give IVs a try — with their most experienced nurses inserting them.
To date none of the workers have gotten infected. And the effect on patients has been dramatic, Sesay says.
It's difficult to pinpoint survival statistics for any one center when the overall number of patients is small, and the outbreak is still unfolding. But based on the data so far, Sesay says, Hastings' death rate is way down.
"Out of every 10 patients, four will die and six will come out," he says.
Sesay has also noticed another effect. The medical staff at the center realize the patients have a fighting chance.
"Everybody has become very, very enthusiastic," he says. The staff started interacting with the patients more, even helping the weakest ones eat.
"We started talking to the patients," Sesay says. "We even started bed-bathing our patients ... we became so motivated, and things changed drastically."
Isatu Koroma, who cleans the inside of the ward, says she's been pulling for an older patient — a woman who reminds her of an aunt, who died recently died of Ebola.
"I fell in love with her," Koroma says. "I love her like my Aunt."
The woman was in bad shape when she arrived.
"She was so sick, so weak," Koroma says. "I encouraged her: 'Please you have to for you family. You have your daughter.' "
Now that woman is among about sixty patients who have been moved to the recovery area, just across the yard.
At the area, a worker is calling out the names of people who will be released soon from the treatment center.
The moment is bittersweet. These people have survived Ebola, but a lot of them have lost close relatives.
One women in the area lifts up a baby high into the air. He's tiny.
"This baby has no have mother or a father," the woman says.
Both of the baby's parents have died of Ebola. The woman has been caring for him even though she doesn't know the little boy's name. "I call him Mohammed," she says.
The woman has two children of her own, waiting on the outside of Hasting's treatment center. Her kids, at least, will be getting their mom back soon.
Sierra Leone
ebola
Infectious Disease
Global Health