{"id":230,"date":"2014-08-31T00:00:00","date_gmt":"2014-08-31T04:00:00","guid":{"rendered":"http:\/\/new-blog.sitata.com\/2014\/08\/31\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/"},"modified":"2020-09-08T09:41:41","modified_gmt":"2020-09-08T13:41:41","slug":"total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789","status":"publish","type":"post","link":"https:\/\/www.sitata.com\/fi\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/","title":{"rendered":"Ebola-tapauksia yhteens\u00e4 3000+, kuolemantapauksia 1500+: onko t\u00e4m\u00e4 koko tarina?"},"content":{"rendered":"

Ebola-tapauksia yhteens\u00e4 3000+, kuolemantapauksia 1500+: onko t\u00e4m\u00e4 koko tarina?<\/h3>\n

Maailman terveysj\u00e4rjest\u00f6 (WHO) on huolissaan siit\u00e4, ett\u00e4 Ebola-virustauti (Ebola) puhkeaa Guineassa, Liberiassa, Nigeriassa ja Sierra Leonessa. aliarvioitu virallisissa tilastoissa<\/a>. Miten t\u00e4m\u00e4 on mahdollista?<\/p>\n

Terveydenhuoltoviranomaiset uskovat nyt, ett\u00e4 tautitapauksia on paljon enemm\u00e4n kuin aiemmin luultiin. Nykyiset viralliset arviot eiv\u00e4t ehk\u00e4 anna oikeaa kuvaa tilanteesta useista syist\u00e4.<\/p>\n

Pelko<\/h4>\n

Monet ihmiset n\u00e4iss\u00e4 maissa pelk\u00e4\u00e4v\u00e4t sairaalaa ja uskovat, ett\u00e4 hoito eristysosastolla johtaa infektioiden levi\u00e4miseen ja varmaan kuolemaan. T\u00e4m\u00e4n vuoksi ihmiset saattavat suoralta k\u00e4delt\u00e4 kielt\u00e4\u00e4, ett\u00e4 heill\u00e4 tai heid\u00e4n l\u00e4heisill\u00e4\u00e4n voi olla Ebola. Jotkut ihmiset eiv\u00e4t my\u00f6sk\u00e4\u00e4n todenn\u00e4k\u00f6isesti ilmoita ep\u00e4illyst\u00e4 Ebola-tapauksesta, koska Ebola-diagnoosiin liittyy leimautumista ja sosiaalista hylk\u00e4\u00e4mist\u00e4.<\/p>\n

V\u00e4\u00e4r\u00e4\u00e4 tietoa<\/h4>\n

Koska parannuskeinoa ei ole, monet perheet ajattelevat, ett\u00e4 heid\u00e4n sairaat l\u00e4heisens\u00e4 kuolevat l\u00e4hes varmasti, vaikka eloonj\u00e4\u00e4mismahdollisuus on noin 50-60%. Niinp\u00e4 he pyrkiv\u00e4t piilottamaan tartunnan saaneet l\u00e4heisens\u00e4 kotiin siin\u00e4 uskossa, ett\u00e4 heid\u00e4n on mukavampi kuolla siell\u00e4 kuin sairaalassa.<\/p>\n

Monet ihmiset maaseutukyliss\u00e4 h\u00e4vitt\u00e4v\u00e4t ruumiit ilmoittamatta asiasta terveysviranomaisille tai tutkimatta kuolemantapauksia. He suhtautuvat ep\u00e4luuloisesti terveysviranomaisiin, jotka viev\u00e4t ruumiin pois perheelt\u00e4 tuhkausta tai turvallista hautausta varten. T\u00e4m\u00e4 on jyrk\u00e4ss\u00e4 ristiriidassa paikallisen kulttuurin hautausk\u00e4yt\u00e4nt\u00f6jen kanssa. Joissakin tapauksissa epidemiologit ovat matkustaneet kyliin ja laskeneet tuoreiden hautojen m\u00e4\u00e4r\u00e4n karkeana indikaattorina ep\u00e4illyist\u00e4 tapauksista.<\/p>\n

Muita komplikaatioita<\/h4>\n

Epidemia levi\u00e4\u00e4 hyvin nopeasti, eik\u00e4 kansainv\u00e4linen tuki henkil\u00f6st\u00f6n, tarvikkeiden ja laitteiden osalta pysy per\u00e4ss\u00e4. L\u00e4\u00e4kint\u00e4henkil\u00f6kunta, jonka on ty\u00f6skennelt\u00e4v\u00e4 l\u00e4heisesti Ebola-potilaiden kanssa, pelk\u00e4\u00e4 my\u00f6s itse sairastuvansa tautiin, ja monet ovat paenneet. Henkil\u00f6kuntaa ei ole riitt\u00e4v\u00e4sti Ebola-potilaiden kontaktien seurantaan, jotta taudin puhkeamista voitaisiin seurata. WHO arvioi, ett\u00e4 10 prosenttia Ebola-potilaan kontakteista saa Ebola-oireita. Monia n\u00e4ist\u00e4 kontakteista ei voida tutkia henkil\u00f6st\u00f6n puutteen vuoksi<\/a>.<\/p>\n

Sairaalat ja muut terveydenhuoltolaitokset ovat ylikuormitettuja Ebola-potilaista, ja monet yleisklinikat on suljettu. Joillakin alueilla, erityisesti Monroviassa, l\u00e4hes kaikki terveyspalvelut on suljettu. T\u00e4m\u00e4 rutiininomaisen terveydenhuollon puute lis\u00e4\u00e4 entisest\u00e4\u00e4n pelkoa.<\/p>\n

Liberiassa \u00e4skett\u00e4in avatut hoitolaitokset t\u00e4yttyv\u00e4t v\u00e4litt\u00f6m\u00e4sti uusista ebolapotilaista, mik\u00e4 viittaa siihen, ett\u00e4 yhteis\u00f6ss\u00e4 on paljon potilaita, joita nykyinen seurantaj\u00e4rjestelm\u00e4 ei tunnista. Esimerkiksi Liberian p\u00e4\u00e4kaupungissa Monroviassa avattiin 20 vuodepaikkaa k\u00e4sitt\u00e4v\u00e4 Ebola-hoitokeskus 15. elokuuta 2014, ja se t\u00e4yttyi v\u00e4litt\u00f6m\u00e4sti yli 70 potilaasta.<\/p>\n

On my\u00f6s niin sanottuja \"varjovy\u00f6hykkeit\u00e4\", joilla ep\u00e4ill\u00e4\u00e4n Ebola-tapauksia ja -kuolemantapauksia, mutta joita ei voida laskea tai tutkia asianmukaisesti, koska terveysviranomaisia kohtaan tunnetaan ep\u00e4luottamusta tai riitt\u00e4vien kuljetusten ja henkil\u00f6kunnan puutetta.<\/p>\n

Yhteis\u00f6ss\u00e4 vallitseva voimakas pelko ja terveydenhuoltopalvelujen saatavuuden heikkeneminen edist\u00e4v\u00e4t my\u00f6s ry\u00f6stely\u00e4 ja mellakointia, mik\u00e4 johtaa sek\u00e4 taudin levi\u00e4miseen edelleen ett\u00e4 ep\u00e4iltyjen tapausten valvonnan hankaloitumiseen. Esimerkiksi West Pointin kaupunginosaan Liberiassa perustettiin tilap\u00e4inen s\u00e4ilytyspaikka erityisesti Ebola-potilaita varten. Monet paikallisen yhteis\u00f6n j\u00e4senet kuitenkin uskoivat, ett\u00e4 t\u00e4m\u00e4 laitos oli itse asiassa klinikka yleist\u00e4 terveydenhuoltoa varten. Huhut levisiv\u00e4t l\u00e4hiyhteis\u00f6iss\u00e4, joilla ei ole juurikaan tai ei lainkaan mahdollisuuksia saada terveydenhuoltoa. N\u00e4ist\u00e4 muista yhteis\u00f6ist\u00e4 kotoisin olevat perheet toivat erilaisia sairauksia sairastavia l\u00e4heisi\u00e4\u00e4n laitokseen, jossa he joutuivat kosketuksiin ep\u00e4iltyjen ebolapotilaiden kanssa. West Pointin yhteis\u00f6 paheksui sellaisten potilaiden l\u00e4sn\u00e4oloa, jotka eiv\u00e4t olleet kotoisin West Pointin kunnasta, mik\u00e4 johti mellakoihin, ry\u00f6stelyyn ja mahdollisesti saastuneen materiaalin levi\u00e4miseen.<\/p>\n

Kuinka paha se on?<\/h4>\n

Epidemian t\u00e4ytt\u00e4 laajuutta ei viel\u00e4 tiedet\u00e4, mutta WHO:n epidemiologit ty\u00f6skentelev\u00e4t yhdess\u00e4 L\u00e4\u00e4k\u00e4rit ilman rajoja -j\u00e4rjest\u00f6n (L\u00e4\u00e4k\u00e4rit ilman rajoja) ja Yhdysvaltain tautienvalvonta- ja ehk\u00e4isykeskuksen kanssa l\u00f6yt\u00e4\u00e4kseen keinoja tuottaa tarkempia arvioita ebolatapausten m\u00e4\u00e4r\u00e4st\u00e4. Jotkut viranomaiset arvioivat, ett\u00e4 epidemia ei<\/strong> saatava hallintaan ennen kuin potilasluku saavuttaa 20 000 ihmist\u00e4 seuraavan vuoden aikana<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"

Ebola-tapauksia yhteens\u00e4 3000+, kuolemantapauksia 1500+: onko t\u00e4m\u00e4 koko tarina? Maailman terveysj\u00e4rjest\u00f6 (WHO) on huolissaan siit\u00e4, ett\u00e4 Guineassa, Liberiassa, Nigeriassa ja Sierra Leonessa puhjenneen Ebola-virustaudin (Ebola) laajuus on aliarvioitu virallisissa tilastoissa. Miten t\u00e4m\u00e4 voi olla mahdollista? Terveydenhuoltoviranomaiset uskovat nyt, ett\u00e4 tapauksia on paljon enemm\u00e4n [...]<\/p>","protected":false},"author":2,"featured_media":79913,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[155,20],"tags":[],"yoast_head":"\nTotal Ebola Cases 3,000+, Deaths 1500+: Is This The Whole\u00a0Story? - Sitata<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sitata.com\/fi\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/\" \/>\n<meta property=\"og:locale\" content=\"fi_FI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Total Ebola Cases 3,000+, Deaths 1500+: Is This The Whole\u00a0Story? - Sitata\" \/>\n<meta property=\"og:description\" content=\"Total Ebola Cases 3,000+, Deaths 1500+: Is This The Whole\u00a0Story? 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The World Health Organization (WHO) is worried that the extent of the Ebola virus disease (Ebola) outbreaks in Guinea, Liberia, Nigeria and Sierra Leone is underestimated by the official statistics. How can this be? 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