Is that also the case in the affected countries in Africa?
Yes, The media has completely ignored the host of variables, other than the virus itself, that has profoundly
impacted the spread over there:
They get illness over there which mirror the symptoms so in the beginning they had not idea it was Ebola and continued with their death and burial rituals (touching, hugging, bathing the deceased). They were used to other illness so they hugged and held etc their loved ones while they were dying. Direct contact.
They sadly live in squalor, They have to urinate and defecate in like a river. Urine is a body fluid. They are washing their hair, their bowls etc etc in urine?Ebola infected water.
Obviously there health care system is.... well you know. It goes without doubt that would greatly impact intervention
Living conditions there are like 10 folks in a room. Envision someone dying from Ebola, vomiting etc in an 8 by 10 room with 9 others contact with body fluids in all reality would be impossible.
Once it started after all that, there was still some time before they caught on - during this time it continued to spread due at an abundance of opportunities for direct contact with body fluids that had very high viral loads.
Once outsiders started going over there to help -there was,widespread mistrust and fear of folks trying to help
Many refused to change their burial habits and continued to to do so
Some health workers were attacked
All this time it continues to progress
Once they got to the place where it slowly became to the awareness that this is another Ebola outbreak they then had no infrastructure in place to isolate. Sh##, in Dallas they messed it up - Bad imagine a third world country, with language barriers, limited educational backgrounds it continues to spread
They do a lot of moving around, walking or car, further spreading the virus. And when that happened we have to realize that in a new location all the above mentioned variables started from 0 in the new area- so in the new area in continued to blossom in another location.
In all western parts of the world we have seen in action how vital contact tracing is. Its a huge task for any country. The importance, to this date, of having the ability to do that remains a problem over there. What do you do, say hey, I last saw him by a tree. Where do you get the staff to do that.
Eve at this moment their are still huge obstacles made worse by NY NJ debacle down the road IMO
BBM. That's what we have observed in this country, with the extremely small number of cases that we've had here.
Is that also the case in the affected countries in Africa? I don't have any idea to what extent they have records of things like over there, but they certainly have a much larger sample size on which to base determinations like that.