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research findings

Exploring the 2014 West Africa Ebola outbreak through several different lenses has allowed us to gain a broader view of how people experienced the outbreak and how it was portrayed in the news. It is important to note that we are focusing on outsiders’ perspectives as we did not have access to people who had contracted Ebola; this proved to be a significant limitation of our research. Some of the more interesting findings from this research are described below, while our various methods of research are described in other areas of this website.

Interview conclusions

Isolation was employed in different circumstances to prevent the transmission of Ebola. The two cases we explore here are the quarantine of Nurse Kaci Hickox and the quarantine of the population of West Point, Monrovia in Liberia. In both cases, this was involuntary quarantine and potentially had more harmful effects than if such measures were not taken. Isolating Hickox upon her return to the United States created a climate of fear regarding travel to Africa, and significantly deterred other people from volunteering to fight Ebola. As mentioned previously, the riots caused by the West Point quarantine also caused death and injury unrelated to contraction of the virus. Before implementing such drastic measures, it is vital to examine the complete possible effects of such methods and analyze the costs and benefits.

 

Both Dr. Noll and Dr. Nwangwu emphasized the influence of mass media and how what we consume will significantly influence our opinions. During the time of the outbreak, journalists were writing catchy headlines that were likely hyperbole or simply false information. People may not have read the entire article, just seen the headline and let their initial thoughts manifest into opinions about the outbreak. Dr. Nwangwu mentioned how it is the responsibility of journalists to get the information out, but that they have to be careful to focus on portraying correct information rather than influencing emotions. 

 

People only care when something will affect them. If Ebola was contained to Africa, then it would have been seen in America as “not our problem.” This leads to the bigger question in a society of what it takes to care about others and if others’ health is our responsibility. How do we ensure the optimal prevention measures without presenting bias in who gets the best care? Similarly, it is difficult to convince people that it is necessary to spend money in other countries to prevent an epidemic that could, in fact, cause them personal harm. How can we become better at conveying this information to the general public?

FOcus group conclusions

Our focus group goals were to learn about UConn’s students’ perspectives on the outbreak itself and what sources of information contributed to their knowledge and attitude towards the disease and the region affected. A constraint of our focus group was the fact that the outbreak took place while UConn students were in high school so it was not as familiar to them. Additionally, UConn students are among the educated population in the northeast which may not reflect the knowledge and views of the entire United States. 

There were some inconsistencies with how students believed the disease to be spread, the nature of the disease, and what causes the disease. The widespread information about the disease came mostly from the media or from our respondents’ classmates in school. There was a desensitization among half the group rather than a fear of Ebola in the group, because the majority believed the likelihood of the virus affecting them was very slim. This falls in line with many anthropologists’ research, including Dr. Paul Farmer, who has stated that developed countries like the United States have the “four S’s”: stuff, staff, space, and systems, to combat epidemics (Morris 542). West Africa in particular lacked these “four S’s”; they did not have the resources, the trained staff, the proper facilities to manage patients, and the structures in place to adequately contain the outbreak. A history of colonialism, government corruption, conflict, and economic experimentation are pointed out as the upstream determinants contributing to the lack of these elements.

 

The responses we received reflect an observation made in Sell et al.’s “Media Messages and Perception of Risk for Ebola Virus Infection, United States,” where news media perpetuated both risk-elevating and risk-minimizing messages (53% of coverage included both types), with a higher frequency of risk-elevating messages present in the media. This contributed largely to the social amplification of risk of the disease. Additionally, the findings were in line with the scientifically inaccurate responses we received from our focus group; only 32% of news media they surveyed had information on how the disease was spread (Sell 109), which indicates that the inaccuracies are due to the correct knowledge not being conveyed to the public. This is significant because this can mitigate unnecessary fear, prejudices, and the potential spread of disease in the case of Ebola, as well as other outbreaks. 

 

Along the lines of prejudicial thought, such as when one of our respondents caste a rather unsavory light on the traditional practices of West Africans as being “unsanitary”, we found that the media often twisted the element of culture in regards to the spread of Ebola, such as the consumption of bushmeat or the resistance and riot against quarantine and treatment due to belief in “sorcery” (Moris 542). Anthropologists state, however, that resistance is more so due to fear of aid workers given a history of inequality and abuse from foreigners that have come into their region. Given this misinformation circulating through the media, Americans are further given the wrong impression of factors that exacerbate disease.

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Overall, it was clear that any knowledge that was gained through media and peer interaction were generally the first and last sources that the respondents, and by extension, the average UConn student, would be in contact with. Based on the reports from our respondents, they did not pursue their own investigation into the outbreak or the disease, and we can assume that the average American would do the same as well, making the in depth, first-line communication of health issues and disparities all the more important. If populations are more educated on the actual risks on a disease rather than hyperbolic or incomplete information, the containment of outbreaks and reduction of health disparities can be accomplished. 

Overall analysis

 

A key theme that came up in every area of the project was that ignorance generates fear. This included the lack of knowledge of the reality of Ebola and this specific outbreak, as well as a general ignorance of other cultures. This is readily apparent in the fear spread by the media, which was able to be propagated so successfully because of the public’s general ignorance of the disease. This was especially present in the focus group respondents’ perspectives of the outbreak, because they didn’t know much other than what they had seen in the media, or had been told by peers. This ignorance was amplified by racist ideologies and misconceptions about West Africans, which led to placing the blame on cultural practices such as funerary rituals and consumption of wild meat.

 

However, the source of this ignorance cannot solely be blamed on the media surrounding the Ebola outbreak. Dr. Nwangwu’s team, which was quickly assembled before the news was widespread, had their own preconceived notions of Guineans, which stemmed from their individual prejudices of people from other countries or ethnicities. He also made sure to clarify that ignorance was not only present on the part of his team, but that the people of Guinea were also fearful of the Ebola workers as well. It was commonly thought among the Guineans that the outbreak containment teams were the vector that had brought Ebola to the area, and thus mistrust was widely spread. The medical imagery of the full-body suits is a widely known symbol of infectious disease containment and quarantine, and this was cited by our focus group respondents as one of the most memorable aspects of the outbreak. Likewise, the image of a typical Ebola worker is thought of as someone wearing full-body PPE and is often the image at the top of the page of an article. The suit symbolizes fear and contagion, and elicits a strong visceral reaction upon first glance. The combination of the West Africans’ lack of knowledge about the Ebola teams and the workers’ lack of cultural humility led to perceived noncompliance with Ebola workers’ requests, and the inhibition of disease containment.

Sources

Morris, C. D. (2015), Where It Hurts: 2014 Year in Review. AMERICAN ANTHROPOLOGIST, 117: 540-552

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Sell, Tara Kirk, et al. “Media Messages and Perception of Risk for Ebola Virus Infection, United States.” Emerging Infectious Diseases, vol. 23, no. 1, 2017, pp. 108–111

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