A Deadly Chain: Tracing Ebola In A Sierra Leone Village : Goats and Soda Why is Sierra Leone reporting an uptick in Ebola cases while Liberia's outbreak is slowing? The chain of events in one village points up the obstacles that the country is facing.

A Deadly Chain: Tracing Ebola In A Sierra Leone Village

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In Sierra Leone, there is a new surge in Ebola cases. We're going to visit a community that might tell us why. NPR's Nurith Aizenman found a village called Ruyail where a 4-year-old boy set off a deadly chain of infections. Nurith wanted to find the house where this began.

NURITH AIZENMAN, BYLINE: We're walking with the headman of this village on a dirt road. The headman is pointing to this.

UNIDENTIFIED MAN #1: (Foreign language spoken).

AIZENMAN: This is the house?


AIZENMAN: Neighbors crowd around. A youth leader, Samuel Bangura, tells the story. The child was from a neighboring village, but he was feeling sick. So he was sent to this house where his grandmother lived so she could take care of him. Her name was Sinnah Turay. Almost immediately, her grandson's symptoms got really serious.

SAMUEL BANGURA: Before they die, we see blood coming out of their nose, toilet - blood and then the vomit.

AIZENMAN: Vomit, a bloody nose, bloody diarrhea - all classic signs of Ebola. The other villagers were alarmed. On their insistence, Turay sent her grandson back home. He died there a week ago. But by then, Turay had already started to feel sick. She had the same symptoms. The villagers called an ambulance. Turay's son, Alpha Fofanah, says when it arrived, his mother refused to get in.

ALPHA FOFANAH: She refused to go thinking that all she had was just basic body pain and not Ebola, so she wouldn't go.

AIZENMAN: All last week Turay grew weaker. Finally, another ambulance came for her. Once again, she resisted. She said, I'd rather die at home. And right then, right there, that's what she did, with the ambulance still parked outside.

FOFANAH: Mommy died.

AIZENMAN: But Ebola wasn't done with this village. A traditional healer named Baby Sesay had treated the 4-year-old boy. Now she was feeling sick. When the ambulance first came for her, she hid in the jungle. Villagers say it's not surprising. There are a lot of myths about Ebola.

BANGURA: That if you fall sick and they take you to the hospital for Ebola, they're going to inject you and you'll die.

AIZENMAN: But earlier this day, Sesay changed her mind and asked for help. The problem, right now there are only a few Ebola treatment centers for the whole country. So the local official will only refer people with the most severe symptoms, the wet cases, for treatment. The dry cases - people like Sesay, who only present with a fever or body aches - they're sending those people to a newly built community care center to wait until they can be tested for Ebola. We drive out there and come upon a low cement-block building surrounded by two rows of tarp fencing. The man who runs this nine-bed center is Alfred Kamara. He's the local chief. He says Sesay is feeling well enough to speak.

ALRED KAMARA: (Foreign language spoken), Baby?

AIZENMAN: A middle-aged woman in a cloth, print dress walks out. She moves very slowly and grips a pole to steady herself. We speak to her from the other side of the fence - about 12 feet away. How do you feel?

BABY SESAY: (Foreign language spoken).

AIZENMAN: My body is weak, she says. I have a headache. And suddenly, her body seizes up for several seconds. She's rigid, hands locked on that pole, eyes wide and frozen. Just as suddenly, she's back. Still, it's clear she's in no condition to give an interview.

KAMARA: (Foreign language spoken).

AIZENMAN: Go lie down? Tell her to go lie down.

KAMARA: Yes. (Foreign language spoken).

AIZENMAN: Is she going to go lie down?

KAMARA: (Foreign language spoken) Yes, she's going down.

AIZENMAN: She needs to lie down.

KAMARA: (Foreign language spoken) Hey.

AIZENMAN: She staggers back towards the building. Another patient watches nervously. He came in with a mild fever to get checked out, but it's taking days to get his test results. Now his fever is gone, but stuck in a small room with Baby Sesay, he's worried he could get Ebola from her.

UNIDENTIFIED MAN #2: Yeah. I don't want to be so close with them. Yeah. That's why I'm just very careful.

AIZENMAN: The chief, Alfred Kamara, agrees this is a dangerous situation. Instead of stemming Ebola, this place could be spreading it. He gets on the phone with a local official to tell him Sesay's condition is deteriorating. He wants her sent to a treatment center. He says she can't wait.

KAMARA: The Ebola is not waiting. He's aggressively destroying your important system in your body.

AIZENMAN: But when he finally hears back, it's not the answer he wants. There are no free beds. Baby Sesay will have to stay. Nurith Aizenman. NPR News, in northern Sierra Leone.

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