Ebola epidemic far worse than being reported: running out of space in cemeteries to bury bodies

Ebola Burial Teams
September 2014FREETOWN, Sierra Leone — The gravedigger hacked at the cemetery’s dense undergrowth, clearing space for the day’s Ebola victims. A burial team, in protective suits torn with gaping holes, arrived with fresh bodies. The backs of the battered secondhand vans carrying the dead were closed with twisted, rusting wire. Bodies were dumped in new graves, and a worker in a short-sleeve shirt carried away the stretcher, wearing only plastic bags over his hands as protection. The outlook for the day at King Tom Cemetery was busy. “We will need much more space,” said James C. O. Hamilton, the chief gravedigger, as a colleague cleared the bush with his machete. The Ebola epidemic is spreading rapidly in Sierra Leone’s densely packed capital — and it may already be far worse than the authorities acknowledge. Since the beginning of the outbreak more than six months ago, the Sierra Leone Health Ministry reported only 10 confirmed Ebola deaths here in Freetown, the capital of more than one million people, and its suburbs as of Sunday — a hopeful sign that this city, unlike the capital of neighboring Liberia, had been relatively spared the ravages of the outbreak.
But the bodies pouring in to the graveyard tell a different story. In the last eight days alone, 110 Ebola victims have been buried at King Tom Cemetery, according to the supervisor, Abdul Rahman Parker, suggesting an outbreak that is much more deadly than either the government or international health officials have announced. “I’m working with the burial team, and the first question I ask them is, ‘Are they Ebola-positive?’ said Mr. Parker, adding that the figures were based on medical certificates that he had seen himself. The deaths are carefully recorded by name and date in a notebook headed “Ebola Burials.” A burial team supervisor who drove up with fresh bodies echoed Mr. Parker’s assertion. “Anybody we collect is a positive case,” said Sorie Kessebeh. “All the bodies that we are bringing in are positive.” Beyond the many worrisome trends in the Ebola epidemic seizing parts of West Africa — the overflowing hospitals, the presence of the disease in crowded cities, the deaths of scores of health workers trying to help — another basic problem has stymied attempts to contain the disease: No one seems to know how bad the outbreak really is. The World Health Organization acknowledged weeks ago that despite its efforts to tally the thousands of cases in the region, the official statistics probably “vastly underestimate the magnitude of the outbreak.”
Here in Sierra Leone, the government just finished an aggressive national lockdown to get a handle on the epidemic, ordering the entire country to stay indoors for three days as an army of volunteers went door to door, explaining the dangers of the virus and trying to root out hidden pockets of illness. Still, the Health Ministry spokesman insisted that the epidemic was not as bad as the flow of bodies at the cemetery suggested. “It is not possible that all of them are Ebola-related deaths,” said Sidie Yahya Tunis, the Health Ministry spokesman, saying the corpses included people who died of other causes. But as the cemetery records show, the challenge facing the government might be of a different magnitude than previously thought. The majority of the recent deaths recorded at the cemetery were young people — young adults, people in early middle age, or children — with very few elderly people on the list. Several of the deaths also occurred in a concentrated area, sometimes in the same house, suggesting that a virulent infection had struck. 
At the house of Marion Seisay — the third name on the list — her son acknowledged she was a secretary at Wilberforce Hospital, had died of Ebola and was buried on Sept. 14. The house was now under quarantine, with some of its eight residents lingering on the cinder-block porch. “The way my Mummy died was pathetic,” said the son, Michael Foday, clearly frustrated by the quarantine. “How do you expect us to get food?” Other houses in Wilberforce Barracks, the village-like compound surrounding the hospital, were on the list of the dead and placed under quarantine, marked off from the surrounding jumble of shacks and cinder-block houses by a thin line of red or blue string. In one of them, the house of Momoh Lomeh, the residents said that a total of five people who lived there had died of Ebola — yet four of them did not even appear on the cemetery list. At another, the house of Andrew Mansoray, a family member said that the disease had been ruthless and unrelenting. –NY Times
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9 Responses to Ebola epidemic far worse than being reported: running out of space in cemeteries to bury bodies

  1. yamkin says:

    There has been a very big coverup. Ebola Virus is much worse than what is being reported. Ebola Virus WILL cover the four corners of Earth.

    There are also six other deadly viruses – WHO and others will be powerless to stop these viruses.

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  2. stevesmitty79 says:

    The plan to make most of Africa uninhabitable due to Ebola rages on as they bury permanently highly infected corpses instead of incinerating them to eliminate recurrence. This way only specialized teams can “work” to rob the natural resources of those lands and the surviving indigenous people will be moved for their “safety.”

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  3. Dennis E. says:

    Going to have start cremating them…….No choice……Should have really started this a while back.
    Also, the houses that they came from need to be torched also and the international community
    GIVE, not lend monies to rebuild and provide better housing……….

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  4. louiseagray says:

    This is truly a world crisis and one that needs all nations’ considerations and help. Perhaps cultural considerations in regard to burial of ebola victims may present problems, but why are they not incinerating the victims’ remains? Wouldn’t that be more sanitary that in ground burial and also address the problem of lack of burial space?

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  5. feedscrn says:

    somebody in a different forum said that you can’t just put the bodies on a bonfire – because ashes and pieces that did not totally burn can go into the atmosphere and spread Ebola. They need professional crematorium containers/machines (whatever they are called). They probably need some kind of burning agent, which may be expensive and hard to control (in way of people helping themselves) to use for this purpose.

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    • Yellow Bird says:

      some lab research i read seemed to indicate that ebola virus is very susceptible to heat– i believe it was asserted something like as low as 145f for i forget how many minutes– longer than a living human could tolerate before dying, but certainly far lower temps and shorter timeframe than required for full crematory.

      my understanding of the real difficulty with pyre burning in africa is that culturally it is considered a very bad, very dishonoring way to treat the dead. West African families are having a hard enough time coming to grips with forgoing all the traditional rites and being forced to permit mass burials. should this wretched disease arrive in India or many parts of western Europe, cremation would be an obvious choice, but burning of the dead in many other world cultures is still considered a form of desecration. even such dire circumstances doesnt make it an easy concept, if anything, it only seems an even worse desecration to willfully immolate the bodies of your loved ones whose lives were just destroyed before your eyes in this plague. especially so, to a people for whom the ancient burial preparations are the final, vital demonstration of love for their departed. these customs, which make little sense to many of us outside the region, are actually a kind of Love Offering and very valid in ordinary circumstances.

      though i fully agree that incineration is the right means of disposal of highly infectious bodies– also i understand why it feels so wrong to surviving family members. there needs to be a sudden paradigm shift across the entire culture! but, unlikely under mass duress… catch22😦

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  6. Diana Shugar says:

    Opinion: The populations of Guinea, Sierra Leone, and Liberia are about 22 million. So, 1.4 million cases of Ebola is about 6 percent of the total populations of these three west Africa nations. Home care by those who survive the Ebola Virus Disease (EVD) would be provided by a maximum of about 10% of 1.4 million, or about 140,000 persons. In my opinion, this is a very conservative estimate because it neglects those who survive who will not become home caregivers; it does not mention those who may contract the disease in countries outside of the three hardest hit nations so far, and the paradigm of isolation care is inadequate. “Nobody’s going to build 100,000 beds.” An estimate, that the figures given by the United Nations World Health Organization (WHO) and the United States Centers for Disease Control (CDC) may be 2.5 times more, is more likely to be closer to 25 times more.

    Ann Morrison, KD0EPB
    Homeland-Defense 4 U, Inc.

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