{"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\/nl\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/","title":{"rendered":"Totaal aantal gevallen van ebola 3000+, 1500+ doden: is dit het hele verhaal?"},"content":{"rendered":"<h3 id=\"f0f1\" class=\"graf graf--h3 graf-after--figure graf--title\">Totaal aantal gevallen van ebola 3000+, 1500+ doden: is dit het hele verhaal?<\/h3>\n<p id=\"7bec\" class=\"graf graf--p graf-after--h3\">De Wereldgezondheidsorganisatie (WHO) vreest dat de omvang van de uitbraken van het ebolavirus (Ebola) in Guinee, Liberia, Nigeria en Sierra Leone <a class=\"markup--anchor markup--p-anchor\" href=\"http:\/\/www.who.int\/csr\/don\/2014_08_22_Ebola\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-href=\"http:\/\/www.who.int\/csr\/don\/2014_08_22_Ebola\/en\/\">onderschat door de offici\u00eble statistieken<\/a>. Hoe kan dit?<\/p>\n<p id=\"7fdc\" class=\"graf graf--p graf-after--p\">Gezondheidsautoriteiten geloven nu dat er veel meer gevallen van de ziekte zijn dan voorheen werd gedacht. Er zijn verschillende redenen waarom de huidige offici\u00eble schattingen geen juist beeld van de situatie geven.<\/p>\n<h4 id=\"af44\" class=\"graf graf--h4 graf-after--p\">Angst<\/h4>\n<p id=\"cc96\" class=\"graf graf--p graf-after--h4\">Veel mensen in deze landen zijn bang voor het ziekenhuis en geloven dat verzorging in een isolatieafdeling zal leiden tot verdere besmetting en een zekere dood. Als gevolg daarvan kunnen mensen ronduit ontkennen dat zij of hun dierbaren ebola hebben. Sommige mensen zijn ook niet geneigd een vermoeden van ebola te melden vanwege het stigma en de sociale afwijzing waarmee de diagnose ebola gepaard gaat.<\/p>\n<h4 id=\"15a4\" class=\"graf graf--h4 graf-after--p\">Desinformatie<\/h4>\n<p id=\"8aba\" class=\"graf graf--p graf-after--h4\">Omdat er geen behandeling is, denken veel families dat hun zieke dierbaren vrijwel zeker zullen sterven, ook al is er ruwweg een kans van 50-60% op overleven. Zij zijn dus geneigd hun besmette dierbaren thuis te verbergen in de overtuiging dat zij daar comfortabeler zullen sterven dan in een ziekenhuis.<\/p>\n<p id=\"a6a0\" class=\"graf graf--p graf-after--p\">Veel mensen in plattelandsdorpen ontdoen zich van lijken zonder de gezondheidsdiensten op de hoogte te stellen of onderzoek te doen naar de sterfgevallen. Zij hebben een aangeboren wantrouwen tegen de gezondheidsautoriteiten, die het lijk bij de familie weghalen om het te cremeren of op een veilige manier te begraven. Dit staat haaks op de plaatselijke culturele begrafenispraktijken. In sommige gevallen zijn epidemiologen naar dorpen gereisd en hebben zij het aantal verse graven geteld als ruwe indicator van vermoedelijke gevallen.<\/p>\n<h4 id=\"ef84\" class=\"graf graf--h4 graf-after--p\">Verdere complicaties<\/h4>\n<p id=\"a34f\" class=\"graf graf--p graf-after--h4\">De uitbraak verspreidt zich zeer snel en de internationale steun voor personeel, voorraden en apparatuur kan dit niet bijhouden. Medisch personeel dat nauw moet samenwerken met ebolapati\u00ebnten is ook bang om zelf de ziekte op te lopen en velen zijn gevlucht. Er is niet genoeg personeel om de contacten van ebolapati\u00ebnten te volgen om de uitbraak op te sporen. De WHO schat dat 10 procent van de contacten van een ebolapati\u00ebnt symptomen van ebola zal ontwikkelen. Veel van deze contacten kunnen niet worden onderzocht <a class=\"markup--anchor markup--p-anchor\" href=\"http:\/\/www.cnn.com\/2014\/08\/25\/health\/Ebola-contact-tracing\/?c=&amp;page=0\" target=\"_blank\" rel=\"noopener noreferrer\" data-href=\"http:\/\/www.cnn.com\/2014\/08\/25\/health\/Ebola-contact-tracing\/?c=&amp;page=0\">door gebrek aan personeel<\/a>.<\/p>\n<p id=\"0b46\" class=\"graf graf--p graf-after--p\">Ziekenhuizen en andere gezondheidszorgfaciliteiten worden overspoeld met ebolapati\u00ebnten en veel algemene klinieken zijn gesloten. In sommige gebieden, met name Monrovia, zijn vrijwel alle gezondheidsdiensten gesloten. Dit gebrek aan toegang tot routinegezondheidszorg leidt tot nog meer angst.<\/p>\n<p id=\"5711\" class=\"graf graf--p graf-after--p\">In Liberia worden pas geopende behandelingsfaciliteiten onmiddellijk gevuld met nieuwe ebolapati\u00ebnten, hetgeen erop wijst dat er veel pati\u00ebnten in de gemeenschap zijn die niet door het huidige surveillancesysteem worden ge\u00efdentificeerd. In Monrovia, de hoofdstad van Liberia, bijvoorbeeld, werd in de week van 15 augustus 2014 een ebolabehandelingscentrum met 20 bedden geopend en onmiddellijk overspoeld met meer dan 70 pati\u00ebnten.<\/p>\n<p id=\"6ba9\" class=\"graf graf--p graf-after--p\">Er zijn ook gebieden die bekend staan als \"schaduwzones\", waar gevallen en sterfgevallen van ebola worden vermoed maar niet adequaat kunnen worden geteld of onderzocht wegens wantrouwen jegens gezondheidsambtenaren of een gebrek aan adequaat vervoer en personeel.<\/p>\n<p id=\"a6db\" class=\"graf graf--p graf-after--p\">De intense angst binnen de gemeenschap en de slechte toegang tot de gezondheidszorg dragen ook bij tot plunderingen en mobbing-incidenten, hetgeen leidt tot zowel verdere verspreiding van de ziekte als verdere complicaties voor het toezicht op de verdachte gevallen. Zo werd in de township West Point in Liberia een tijdelijke opvangfaciliteit speciaal voor ebolapati\u00ebnten ingericht. Veel leden van de lokale gemeenschap geloofden echter dat deze faciliteit eigenlijk een kliniek voor algemene gezondheidszorg was. Geruchten verspreidden zich door nabijgelegen gemeenschappen die weinig tot geen toegang hebben tot gezondheidszorg. Families uit deze andere gemeenschappen brachten geliefden met verschillende ziekten naar de faciliteit, waar zij in contact kwamen met vermoedelijke ebolapati\u00ebnten. De West Point gemeenschap nam de aanwezigheid van pati\u00ebnten die niet uit de West Point township kwamen kwalijk, wat leidde tot rellen, plunderingen en de verspreiding van mogelijk besmette materialen.<\/p>\n<h4 id=\"fbad\" class=\"graf graf--h4 graf-after--p\">Hoe erg is het?<\/h4>\n<p id=\"39d5\" class=\"graf graf--p graf-after--h4 graf--trailing\">De volledige omvang van de uitbraak is nog onbekend, maar epidemiologen van de WHO werken samen met Artsen zonder Grenzen en het Amerikaanse Centers for Disease Control and Prevention om manieren te vinden om nauwkeurigere schattingen van het aantal ebola-gevallen te maken. Sommige autoriteiten schatten dat de epidemie <strong class=\"markup--strong markup--p-strong\">niet<\/strong> onder controle worden gebracht voordat het aantal pati\u00ebnten <a class=\"markup--anchor markup--p-anchor\" href=\"http:\/\/www.who.int\/mediacentre\/news\/Ebola\/22-august-2014\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-href=\"http:\/\/www.who.int\/mediacentre\/news\/Ebola\/22-august-2014\/en\/\">20.000 mensen in het komende jaar<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Totaal aantal gevallen van ebola 3000+, 1500+ doden: is dit het hele verhaal? De Wereldgezondheidsorganisatie (WHO) maakt zich zorgen dat de omvang van de uitbraken van het ebolavirus (ebola) in Guinee, Liberia, Nigeria en Sierra Leone wordt onderschat door de offici\u00eble statistieken. Hoe kan dit? Gezondheidsautoriteiten geloven nu dat er veel meer gevallen [...]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Total 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\/nl\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\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? 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? Health care authorities now believe that there are far more cases [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.sitata.com\/nl\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/\" \/>\n<meta property=\"og:site_name\" content=\"Sitata\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/sitata.goanywhere\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-08-31T04:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-09-08T13:41:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/storage.googleapis.com\/sitata-wp\/2014\/08\/1_xEgwVeGgPXyL_gNbhHH-jw.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"681\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Ronald St. John\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@_sitata_\" \/>\n<meta name=\"twitter:site\" content=\"@_sitata_\" \/>\n<meta name=\"twitter:label1\" content=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ronald St. John\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.sitata.com\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.sitata.com\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/\"},\"author\":{\"name\":\"Ronald St. John\",\"@id\":\"https:\/\/www.sitata.com\/en\/#\/schema\/person\/872db616375228d4a644d8f7e30c7211\"},\"headline\":\"Total Ebola Cases 3,000+, Deaths 1500+: Is This The Whole\u00a0Story?\",\"datePublished\":\"2014-08-31T04:00:00+00:00\",\"dateModified\":\"2020-09-08T13:41:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.sitata.com\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/\"},\"wordCount\":725,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.sitata.com\/en\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.sitata.com\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/storage.googleapis.com\/sitata-wp\/2014\/08\/1_xEgwVeGgPXyL_gNbhHH-jw.png\",\"articleSection\":[\"Health\",\"Travel\"],\"inLanguage\":\"nl-NL\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.sitata.com\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.sitata.com\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/\",\"url\":\"https:\/\/www.sitata.com\/total-ebola-cases-3-000-deaths-1500-is-this-the-whole-story-131d3b84f789\/\",\"name\":\"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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