EBOLA IN CONGO WEB SCRIPT- PBS NHWE - MORAN - 10/20/18
BENEDICT MORAN: In this clinic in the city of Beni, in the
Democratic Republic of the Congo, doctors are treating a new patient. It’s a
13-year-old girl who recently tested positive for Ebola virus disease. Ebola
can cause headaches, fever, and severe hemorrhaging. Without treatment, it’s
nearly always fatal. So time is of the essence.
PATRICIA KABUNI: I’m in the process of helping my colleague in the cube
regulate the patient’s IV drip. We are working together. I can help from the
outside.
BENEDICT MORAN: Nearby are more patients. Janine in the white shirt and
her two sisters have been here for three weeks. Seven members of their family
are already dead.
JANINE MBUKA: When mother died of Ebola we didn’t know what it was. We
thought she was poisoned. My uncle died. My cousin. My aunt. My mom. My own
brother, and my own sister. They all died.
BENEDICT MORAN: Treating Janine and other Ebola patients is difficult.
They need to be closely monitored. Doctors and nurses need to be able to help
without putting themselves at risk.
BENEDICT MORAN: Before this outbreak, most hospitals in this region
didn’t have facilities that were capable of treating Ebola patients. This year,
health workers have introduced a new tool. They call it the cube.
BENEDICT MORAN: Ebola is spread through contact with bodily fluids. And
the cube allows additional health workers to treat patients from the outside
without wearing cumbersome protective gear.
DR OUMMANI ROUAFI: Before, it would take 15 minutes to be able to enter
the room. Now, in a couple minutes we can be helping a patient.
BENEDICT MORAN: There are medical personnel here from all over:
Congolese physicians, international humanitarian organizations, the World Health
Organization and others. Just a couple years ago, they could give no medicines
for Ebola. This year they are using new experimental drugs. Now, patients can
receive donated medicine within hours of being admitted. Because of the crisis,
a Congolese and international panel of experts approved the use of the new
drugs before they ordinarily would. The W.H.O. Call this a paradigm shift.
WILLIAM FISCHER: On one hand, you are incredibly nervous because not
many people were given these drugs before and not many people have received
them. But on the other hand, there is a sense of excitement and a sense of hope
because for the first time we have something that we can use to directly fight
against the virus.
BENEDICT MORAN: There’s also a new vaccine. A 2015 field trial in West
Africa found the vaccine to be quote “effective.” So though it, too, isn’t yet
fully approved by global health authorities, more than 15-thousand people in
this region have been vaccinated on compassionate grounds. The goal is to
forestall an epidemic, one that could sweep the region and beyond.
BENEDICT MORAN: When a patient tests positive for Ebola one of the first
things health workers do is to track down everyone in their immediate
environment, that includes family and friends. People who may have been in
touch with the sick person and who may be infected themselves. They are brought
here to the central hospital, given a consultation as well as a vaccination.
BENEDICT MORAN: Health workers say it’s crucial to make sure no one slips
through the cracks. An Ebola response team made up of local and international
health workers has put up checkpoints on major roads entering Beni. They take
the temperatures of all going in and out of the city. They also make sure
everyone washes their hands. But this outbreak has other challenges. This part
of the Congo is an active conflict zone. Well over 100 armed groups are
fighting for influence. Violence has forced nearly a million people from their
homes. And Ebola has spread to neighborhoods like this one, near Beni, where
armed groups regularly operate.
BENEDICT MORAN: Less than a kilometer behind me, in that forest, armed
groups are fighting against the central government. And during periods of
intense fighting, this area can be a no-go zone for health workers.
BENEDICT MORAN: While we were reporting from Beni, the perfect storm.
This is the sound of anti-government fighters attacking Beni on the night of
September 21. They were stopped just a half a mile from the center of town. 21
People were killed, most of them civilians. As their bodies were brought to the
morgue, civilian activists took their frustration to the streets, calling for
the government and the international community to do more to stop the killings.
ESAÏE LIKO: We have called for a two-day strike in Beni, to
demand that the central government does something about what’s happening here.
People are dying and they leave us here like we’re animals. Just like the
international community has deployed here to fight Ebola, they need to also fight
to stop the massacres.
BENEDICT MORAN: Because of the unrest, vaccinations and the crucial
tracking of suspected Ebola cases were called off. Streets usually crowded with
white government and world health organization vehicles were empty. UN Peacekeepers
patrolled the streets.
BENEDICT MORAN: After last night’s attack, international health workers
and Congolese doctors have been told to stay inside. Patients in this
hospital’s Ebola ward are still receiving treatment. But all activities outside
have been put on hold.
BENEDICT MORAN: Dr N’djoloko Tambwe is in charge of the Congolese Government Ebola
response.
BATHÉ N’DJOLOKO TAMBWE: After a night like last night, health workers
are exhausted, since there were shots fired all night. There are people who
have never experienced that before. So you need to give them moral support so
they can get back to work.
BENEDICT MORAN: He tells me that after years of fighting and neglect,
mistrust of local and international institutions and authority runs deep.
BATHÉ N’DJOLOKO TAMBWE: The Congolese government is criticized for not
doing enough to make it safe. The UN is judged to be complicit in the massacres
here, and for not protecting the population except for a few battalions. And
NGOs, people think they are here just to make money.
BENEDICT MORAN: Then, there’s politics. The Congo is set to hold
Presidential elections in December. That adds yet another degree of
unpredictability. Since gaining independence from Belgium in 1960, the country
has never known a peaceful transfer of power. And some populist politicians
have spread conspiracy theories about the Ebola virus. This audio clip was
broadcast over the radio.
CRISPIN MBINDULE MITONDO: We want the Minister of Health to tell us the
real origins of [this] Ebola [outbreak]. As long as we’re not told its real
origin, we’ll [have no choice but to] believe that it was manufactured in a
laboratory and then spread to the population of Beni. What have we done
[to deserve this]? We’re killed everyday.
BENEDICT MORAN: In an atmosphere of violence,
mistrust, and misinformation, some Ebola patients have refused treatment. Red
cross volunteers have even been attacked by community members. It all makes the
already huge task of eliminating Ebola even more difficult. Still, health
authorities persevere, promoting, better communication and education. Nurses
from a local union are spreading a message: ebola
kills.
VOX: We want to tell people here that Ebola exists, so they can protect
themselves.
BENEDICT MORAN: Posters are plastered across the city. And inside
classrooms, children are given lessons on what’s true and what’s false. But
they can’t take the message everywhere they’d like to. With fighting just
outside Beni, at times many areas are still too dangerous for health workers to
access. So part of the response means training health workers from the
dangerous areas, so that even if they’re on their own, they’ll be ready. Here
the International Rescue Committee is teaching one nurse how to properly wear
protective gear.
DR. RAPHAEL OKUM: Local health workers are the first line of defense.
All of the sick people who arrive, they come here first. So if these nurses
don’t know how to protect themselves, they’ll be exposed to the disease. And
once they are exposed, there’s a strong chance of being infected, and of dying
of Ebola.
BENEDICT MORAN: Back at the ebola treatment
center in Beni’s Central Hospital, there’s a moment of happiness. Today doctors
have the results of Janine’s latest blood test. It shows there’s no more Ebola.
After 22 days near death, she’s cured. Now, she can go home.
JANINE MBUKA: I’m going to tell others how terrible this disease is and
encourage them to come receive care and get cured.
BENEDICT MORAN: Her two sisters will stay behind. Janine says she plans on returning here every day until they too are cured.
##
|
TIMECODE |
LOWER
THIRD |
1 |
0:24 |
DR. PATRICIA KABUNI ALIMA |
2 |
0:46 |
JANINE MBUKA EBOLA PATIENT |
3 |
01:02 |
BENI, DEMOCRATIC REPUBLIC OF THE CONGO BENEDICT MORAN SPECIAL CORRESPONDENT |
4 |
01:21 |
DR. OUMMANI ROUAFI ALIMA |
5 |
01:57 |
WILLIAM FISCHER WORLD HEALTH ORGANIZATION |
6 |
04:01 |
ESAÏE LIKO STRUGGLE FOR CHANGE |
7 |
04:28 |
BENI, DEMOCRATIC REPUBLIC OF THE CONGO BENEDICT MORAN SPECIAL CORRESPONDENT |
8 |
05:03 |
DR. BATHÉ N’DJOLOKO TAMBWE D.R. CONGO MINISTRY OF HEALTH |
9 |
07:02 |
DR. RAPHAEL OKUM INTERNATIONAL RESCUE COMMITTEE |