Clinical First Responders and Facilities

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People with suspected Ebola virus lie on the ground after arriving by ambulance and just before being admitted to ELWA 3 in Monrovia. Photograph by John Moore, Getty Images

Médecins Sans Frontières (MSF) had a longstanding malaria project in Guéckédou, Guinea and within 10 days of the initial diagnosis, it opened an Ebola isolation ward there, followed by others throughout the region. Throughout the early days of the epidemic, MSF communicated loudly the urgency of the situation to the international community.

Early Efforts of CDC and Partners

On March 31, 2014, CDC sent an experienced team of five people to assist the Guinean Ministry of Health and Public Hygiene and the World Health Organization in their response to the Ebola outbreak. The team, which primarily came from CDC’s Viral Special Pathogens Branch, helped to educate government officials and the public about Ebola, implement a system for tracking Ebola cases, train contact tracers, and develop communication tools. In April, CDC sent a team to Liberia—where most of the cases were concentrated just south of the border with Guinea—and to Sierra Leone in June, working with partners such as UNICEF.

ELWA 3 in Monrovia, Liberia

On August 17, 2014, MSF opened an Ebola Treatment Unit with 120 beds known as ELWA 3, on the grounds of Monrovia’s Eternal Love Winning Africa Hospital. (Christian NGO Serving In Mission established the first two Ebola Treatment Units at ELWA). It was eventually expanded to 250 beds, making it the largest ETU ever built. Despite its huge scale, the facility was unable to keep pace with the overwhelming demand during the peak in August and September.

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Women and a child stand in a cordoned-off area for patients confirmed to have Ebola at MSF’s ELWA 3 treatment center in Monrovia on August 29, 2014. Photograph by Kieran Kesner, UNICEF

Redd, John (Interview 1)

Dr. John Redd

In the audio file below, Dr. John Redd of CDC's Division of Global Health Protection discusses the lack of initial resources when he first arrived in Sierra Leone.

1. How the Outbreak Began
Ebola in West Africa
Clinical First Responders & Facilities