October 6 2014

SOS Medical Centre Monrovia:

A clinic that won't give up

Ever since the outbreak of the Ebola virus in Liberia, getting admission into any health care facility has become a major challenge. Most health facilities are reluctant to accept patients due to their fear of the deadly Ebola virus.

6 October 2014 - It is another day at the SOS Medical Centre in Monrovia, back open after a recent nine-day closure following the death of a nurse from Ebola.
Staff at the clinic are displaying extraordinary resilience, dedication and courage – treating over 50 patients a day.
Among the patients is Mariama Bary, a desperate mother, without any money. She has brought her three-year old daughter, Ariana*, to the SOS Medical Centre. Ariana has a high fever and has been vomiting.
Ever since the outbreak of the Ebola virus in Liberia, getting admission into any health care facility has become a major challenge. Most health facilities are reluctant to accept patients due to their fear of the deadly Ebola virus.
It is because of this rejection that a lot of families have lost their loved ones.
SOS to help Ebola orphans
Many children have lost one or both parents to Ebola. The statistics are staggering. Not just in Liberia, but in all the affected countries. According to the BBC, at least 3,700 children in Guinea, Liberia and Sierra Leone have been orphaned by Ebola.
Worse still, these orphans are being shunned. “A basic human reaction like comforting a sick child has been turned into a potential death sentence,” according to the UN.
It is against this backdrop that SOS Children’s Villages International is mobilising more support to help children who have lost parents, and those who are unaccompanied or separated from their caretakers, due to the Ebola epidemic and its consequences.

Many children are at risk
Back at the clinic, little Ariana is being assessed. She has a very high temperature: 40.2º Celsius.  This raises a red flag. As a general rule, any person with a temperature above 40º Celsius is considered a possible carrier of the Ebola virus. Ariana is also vomiting -- another symptom.
The SOS Medical Centre does not provide Ebola case management, but quarantine mechanisms are in place for referring cases.
Once the clinic receives a suspected case, the SOS health care workers call a team from the Ministry of Health (MOH), which is in charge of handling Ebola. The MOH team takes the patients to designated Ebola centres. 
The clinic staff are supported through the provision of personal protective equipment, medical supplies and disinfectants.
Brave health care workers

SOS nurse Klubo Mulbah (standing, centre right) caught the Ebola virus from a young patient. Ms Mulbah understood the contagion risks. She isolated herself from her family and colleagues and, luckily, made a full recovery from the disease. Photo: Nurudeen Sanni
It was a similar case that led to the infection of Klubo Mulbah – a Physician’s Assistant at the SOS facility. She became infected after treating a 5-year old child that had high fever.
“I was called up to the children’s ward to help out with this sick child. As we tried to administer IV [intravenous drip feed] we could not find any vein on the child. Before we could know, the child started vomiting blood, and later died”, said Klubo.
“After that incident, I came down with fever, and distanced myself from my husband and children. Later, I turned myself in for testing. When my results first came out, it was negative, but I was still sick. So, I waited for some days and when I did again, I had the Ebola virus.”
However, weeks of treatment at an Ebola Treatment Unit have cleared Klubo of the deadly Ebola virus. Klubo has now been discharged and rejoins her family back in Monrovia.
Despite her ordeal, Klubo says there’s no turning back in her profession. Her compassion is to reach out and save as many lives as possible.
Other diseases are also a danger
SOS health care workers continue to provide care services for many cases including that of little Ariana. Despite her high fever, she had a chance to get admitted and receive treatment at the SOS Medical Centre. Fortunately for Ariana, she ‘only’ had malaria.

SOS Children’s Villages is focusing its efforts in Liberia and other West African countries ravaged by the Ebola virus on supporting children who have lost or are at risk of losing parental care.

"We will be sending further support to those programmes on the ground so that they can respond to the growing needs of vulnerable children," said Richard Pichler, CEO of SOS Children's Villages International. "We are calling on all governments and stakeholders to place children at the top of the agenda, taking into account that this epidemic will leave emotional scars to be borne by future generations."

*For privacy reasons, the child’s name has been changed.