Tag Archives: health

An American Doctor in Sierra Leone Explains How to Fight Ebola

Mother Jones

With Ebola’s arrival in the United States, some health care workers are questioning how prepared their state-of-the-art hospitals are for the disease. Despite these problems, and some serious missteps in Dallas that led to the infection of two nurses, it’s unlikely that there will be a widespread outbreak here.

More MoJo coverage of the Ebola crisis.


These Rules Can Protect Doctors and Nurses From Ebola—If They’re Followed


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Liberia Says It’s Going to Need a Lot More Body Bags


How Long Does the Ebola Virus Survive in Semen?


Liberians Explain Why the Ebola Crisis Is Way Worse Than You Think

But in the Ebola-ravaged countries of West Africa, where the disease has infected more than 9,900 people and killed more than 4,800, health workers are facing a much more daunting task. They aren’t simply adapting an existing health care system to deal with the crisis—in many ways, they actually have to build one from the ground up.

Sierra Leone, which has a population of 6 million, only recently emerged from a 10-year civil war and has been rebuilding ever since. From 2009 to 2013, the country spent just $96 per person on health care, according to the World Bank. (The United States spent $8,895 per person during the same period.) So when the virus struck in March, a health system that hardly existed to begin with was stretched to the point of collapse.

Dan Kelly, an American doctor with the University of California, San Francisco, has been working in Sierra Leone for eight years at a health organization called Wellbody Alliance that he co-founded. And he’s been fighting Ebola there since shortly after the start of the outbreak. In an interview with Indre Viskontas on this week’s Inquiring Minds podcast, he said that the first order of business in fighting the disease has been the creation of a “pseudo health care system” with support from international aid groups and agencies like the World Health Organization.

But that new system has to be managed by skilled health care workers—often from developed countries—and Kelly says there simply isn’t enough manpower to go around.

“The crux of this crisis is the human resource issue and staffing,” Kelly explained from Freetown, Sierra Leone’s capital. “We don’t have enough people on the ground here to mentor Sierra Leoneans to show them leadership, to accompany them on the way forward, to even provide our own expertise to manage Ebola patients and staff these treatment units.”

Kelly says that as the disease has overwhelmed efforts to control it, doctors and other health workers have been reluctant to come to West Africa to help out. As the outbreak gives way to panic, he says, some worry that border closings or other obstacles could leave them stranded. With so many cases in the region today, would-be volunteers are also fearful of being infected themselves. (On Thursday, several days after Kelly spoke to Inquiring Minds, Craig Spencer, an American doctor who had been working with Ebola patients in Guinea, was diagnosed with the disease after returning to New York.)

Kelly’s organization is teaming up with Partners In Health, an NGO that provides health care to poor people around the world, to recruit medical professionals who are willing to accept the risks of treating Ebola patients in West Africa. Potential volunteers can sign up on the recruitment page of the Partners In Health website. After an interview and training with the Centers for Disease Control and Prevention, they are sent to the Kono District of Sierra Leone or Grande Gedeh County in Liberia to help fight the disease.

“We’ve thought through, carefully, a lot of the challenges in getting staff,” Kelly says. “It’s not like I’m just sitting here saying, ‘Oh, we need staff, we need boots on the ground, we need technical expertise, but I have no idea how you’re going to get there.’ We know, it’s just that other people need to know as well.”

You can listen to the full interview with Kelly below (starting at roughly 2:40).

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An American Doctor in Sierra Leone Explains How to Fight Ebola

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All that light pollution is wasting energy AND making you sick

All that light pollution is wasting energy AND making you sick

23 Oct 2014 8:23 PM

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All that light pollution is wasting energy AND making you sick

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If you stood at the heart of Hong Kong in the middle of the night and looked up, the sky would be about 1,000 times brighter than it’d be in the countryside.

Not all of us are living in cities that huge, or that utterly blinding — Hong Kong has been dubbed “the most light-polluted city in the world.” Still, researchers claim “light pollution” is not only wasting a lot of energy, but it could also be impacting our health.

According to Harvard Medical School neuroscientist Steven Lockley, this whole life-after-dark habit we’ve got is really messing with our natural rhythms. “Every day we don’t go to bed at dusk, we experience what Lockley calls ‘mini jetlag,’” reports The Guardian. And prolonged mini jetlag could even be “carcinogenic;” one study found that female workers on the night shift are more likely to develop breast cancer.

To add insult to injury, a lot of the excess light is superfluous:

“As a society we need to think, do we really need some of these amenities that are putting light pollution into the environment?” Lockley says. “Do we need 24/7 garages, do we need 24/7 supermarkets, do we need 24/7 TV? It was only in 1997 that the BBC turned off and there was the national anthem and we all went to bed.”

OK, so maybe everything would be a lot more beautiful and a lot less cancer-causing if we didn’t live in these blazing urban centers and instead went to bed with the sun like our well-rested ancestors. But since most of us do live in cities, then perhaps more places should take a page from Los Angeles, whose fleet of LED street lamps save the city almost $10 million annually in energy and maintenance costs.

Because LED technology also makes it easier to install smart things like color-changing lights and motion sensors, it could both reduce our carbon footprint and make it a little less likely to have that annoying streetlamp flooding our bedroom window. But would it make us less likely to be up ’til the wee hours eating cookies and watching Netflix? Hmmmm.

Source:
Urban light pollution: why we’re all living with permanent ‘mini jetlag

, The Guardian.

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All that light pollution is wasting energy AND making you sick

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New York City Doctor Tests Positive for Ebola

Mother Jones

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The New York Times reports Craig Spencer, a Doctors Without Borders physician who had recently been to West Africa to help treat Ebola patients, has tested positive for the disease. Spencer is the first person in New York to be diagnosed.

As Spencer’s identity had been confirmed late Thursday afternoon, it became known he had been bowling in Brooklyn on Wednesday, traveling via an Uber ride to and from Manhattan.

“Ebola is very difficult to contract, being on the same subway car or living near someone with Ebola does not put someone at risk,” de Blasio told reporters at a news conference Thursday evening.

Since coming back to the United States on October 14th, the city’s health commissioner, Dr. Mary Bassett, confirmed Spencer used the subway’s A, 1, and L lines and bowled at The Gutter in Williamsburg. Bassett said the city has been preparing for the possibility of an outbreak for the past few weeks, with Cuomo emphasizing healthcare workers have been well-trained for such an event.

Earlier Thursday, Spencer was taken to Bellevue Hospital in Manhattan after suffering from Ebola-like symptoms, including a 103-degree fever and nausea.

The New York City Health Department released a statement indicating Spencer had returned to the United States within the past 21 days.

The patient was transported by a specially trained HAZ TAC unit wearing Personal Protective Equipment (PPE). After consulting with the hospital and the CDC, DOHMH has decided to conduct a test for the Ebola virus because of this patient’s recent travel history, pattern of symptoms, and past work. DOHMH and HHC are also evaluating the patient for other causes of illness, as these symptoms can also be consistent with salmonella, malaria, or the stomach flu.

The New York Post first identified Spencer, who returned from Guinea on October 14 and reported his fever this morning.

CNN producer Vaughn Sterling tweeted the following:

This post has been updated throughout.

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New York City Doctor Tests Positive for Ebola

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Rwanda Hits Back at America’s Ebola Paranoia

Mother Jones

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Rwanda will be begin screening all Americans entering the country for Ebola, regardless if they’re exhibiting symptoms or not, government officials in the East African nation announced Tuesday. Coincidence? The new measure comes just days after two Rwandan students were denied enrollment at a New Jersey school over Ebola fears, even though Rwanda has had zero cases of Ebola. The United States, on the other hand, has had three confirmed cases. Rwanda is also more than 2,500 miles from the closest Ebola outbreak in West Africa.

The US Embassy in Rwanda explains the situation:

On October 19, the Rwandan Ministry of Health introduced new Ebola Virus Disease screening requirements. Visitors who have been in the United States or Spain during the last 22 days are now required to report their medical condition—regardless of whether they are experiencing symptoms of Ebola—by telephone by dialing 114 between 7:00 a.m. and 8:00 p.m. for the duration of their visit to Rwanda (if less than 21 days), or for the first 21 days of their visit to Rwanda. Rwandan authorities continue to deny entry to visitors who traveled to Guinea, Liberia, Senegal, or Sierra Leone within the past 22 days.

Although there’s no way to tell if the screenings are indeed motivated by retaliation for the ignorant panic displayed by the New Jersey school, this sure is an interesting turn of events.

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Rwanda Hits Back at America’s Ebola Paranoia

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Everything You Need to Know About Ebola in America, in One Fantastic Quote

Mother Jones

Meet a man made of very stern stuff indeed:

Peter Pattakos spent 20 minutes Saturday in an Akron bridal shop, getting fitted for a tux for his friend’s wedding. Thursday, his friend sent a text message, telling him that Ebola patient Amber Joy Vinson had been in the store around the same time.

Pattakos, 36, a Cleveland attorney who lives in Bath Township, called the health department, which told him to call back if he exhibits any Ebola symptoms. He called a doctor, who told him not to worry.

“I didn’t exchange any bodily fluids with anyone, so I’m not worried about it,” he said. “I’m much more likely to be mistakenly killed by a police officer in this country than to be killed by Ebola, even if you were in the same bridal shop.”

Yep.

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Everything You Need to Know About Ebola in America, in One Fantastic Quote

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Flooding the Zone on Ebola

Mother Jones

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For the record, I want to note that the top five stories currently featured on the Washington Post home page are about Ebola. If you count related pieces, it’s the top nine. That is all.

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Flooding the Zone on Ebola

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People Are Trying to Sell Cinnamon Bark as an Ebola Cure

Mother Jones

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Marion Nestle reports that several supplement manufacturers are selling vitamins that promise to prevent or treat Ebola. The claims caught the attention of the FDA, which has issued warning letters to three of the manufacturers: Natural Solutions Foundation, Young Living, and DoTERRA International LLC. The agency lists specific claims it finds worrisome; for example, on a Young Living consultant’s website, “Ebola Virus can not live in the presence of cinnamon bark.”

Here’s a screenshot from Natural Solutions Foundations’ website:

An article on the Natural Solutions site talks about “the intentional introduction of Ebola into the United States by what will appear to be ISIS terrorists.” It continues, “And it will happen soon, since we know from Dr. Rima’s research that Ebola can become an airborne disease in temperate climates, such as North America’s coming winter.” It urges readers to prepare by stocking up on supplements that contain nanoparticles of silver: “The only protection we have against this new level of tyranny is making sure we do not get sick!!! The best way to do that is to make sure that EVERYONE you can reach has Nano Silver and knows how to use it.”

Another supposed natural Ebola cure making the rounds: Vitamin C. Nestle found this gem on an alternative health information site called NaturalHealth365, which claims that a giant dose of vitamin C can cure Ebola (though it doesn’t actually sell Vitamin C):

NaturalHealth365

It’s not terribly surprising that supplement manufacturers have seized on Ebola. A new Harvard School of Public Health poll has found that 38 percent of Americans (up from 25 percent a few months ago) “are now concerned that they or someone in their immediate family may get sick with Ebola over the next year.” That’s quite a market.

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People Are Trying to Sell Cinnamon Bark as an Ebola Cure

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"Hurt That Bitch": What Undercover Investigators Saw Inside a Factory Farm

Mother Jones

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This is an excerpt from Mother Jones contributing writer Ted Genoways’ new book The Chain: Farm, Factory, and the Fate of Our Food.

On September 15, 2008, Lynn Becker got the phone call every hog farmer fears.

For months on end, pork producers across the Midwest had been struggling against record-low prices per head, but Becker had taken steps to protect his family’s farm against contractions of the market. He had signed a producer agreement with Hormel Foods, maybe the one company with a recession-proof demand for pork, and he had planted enough of his own corn to sustain his herd for the next year, insulating his operation from skyrocketing feed prices. With another Minnesota winter already in the air, Becker was out walking his fields one last time before starting the harvest. “When I got in and checked the answering machine,” he told me later, “there was a message from Matt Prescott with PETA.” Becker was soft-spoken but bristled with nervous energy. His jitters, together with his work-honed physique and fair hair, made him seem much younger than forty. But he insisted that the four years since receiving the call from the People for the Ethical Treatment of Animals had aged him by more than a decade. “They had ‘damning evidence,'” he said haltingly. “Undercover. Of animal abuse. On a farm that we own.”

Becker described his hog operation outside Fairmont, Minnesota, a little more than an hour due west of Austin on Interstate 90, as a “good old-fashioned, American family farm”—and it might appear that way at first. Everything about the old homestead suggests its age, from the weathered, brick-red Dutch Gambrel barn emblazoned with the name, lb pork, to the simple farmhouse that Becker’s grandfather built in the 1940s—the house where all big decisions are still made on Sundays around the dinner table. But in truth, Becker was already a major supplier, providing more than fifty thousand pigs to Hormel each year, and he was making a bid to double that number by bringing the whole supply chain, from seed to slaughter, under his control. He owned 1,500 acres of prime farmland, where he raised corn and soybeans, which he put up in a colossal grain bin and ground at his own feed mill and then trucked to more than a dozen sites in Minnesota and Iowa to feed to thousands of pregnant sows in his breeding barns and tens of thousands of weaned piglets at separate finishing facilities. The company was sprawling and complex, employing dozens of full-time and part-time workers, and it was only getting bigger. Still, Becker insists that he always personally monitored every phase of his business. And as the voice message claiming animal abuse started to sink in, his shock and disbelief quickly turned to indignation.

“Wait a second,” he remembered thinking. “Not on any farm I own.”

Then it dawned on him. The farm in question wasn’t LB Pork or even his breeding facility, Camalot, about ten miles away outside the town of Welcome. The farm that PETA had investigated was a large barn complex, housing some six thousand sows and tens of thousands of newborn piglets, that Becker had acquired less than a month before in Iowa, an operation he had purchased from Natural Pork Production II and renamed MowMar Farms but had only ever seen a few times. Becker phoned his day-to-day management company, Suidae Health & Production, based in Algona, Iowa, and asked them to reach out to Prescott and see if they could get their hands on this “damning evidence”; maybe the video they claimed to have in their possession had all been shot before the facility was under his ownership.

Everything You Didn’t Want to Know About Hormel, Bacon, and Amputated Limbs:

Meanwhile, Becker worked his connections. He was the president of the Minnesota Pork Board, and his wife, Julie, had been the Minnesota Pork Promoter of the Year in 2007. In fact, she was, at that very moment, on Capitol Hill with the Minnesota Pork Producers Association, the lobbying arm of the Pork Board, meeting with members of Congress. Becker called his wife so she could alert her fellow lobbyists. Then he placed another call to Cindy Cunningham, the assistant vice president for communications at the National Pork Board in Des Moines, Iowa.

Soon Becker heard back that PETA wanted to meet with him one-on-one and then stage a joint press conference. Everyone advised against it. Instead, with the assistance of Himle Horner, a public relations firm in the Twin Cities, he decided to issue a written statement, and Cunningham mobilized several agribusiness organizations to help answer press inquiries. But nothing could have prepared them for the onslaught of negative attention. The next day, when the Associated Press released the video online along with a wire report describing its contents, the story became worldwide news almost instantly. The video’s camerawork was shaky and low-definition, captured with recorders hidden in the hat brims of undercover workers, but it had been cut together into a concise and harrowing five minutes.

In one shot, a supervisor was shown beating a sow relentlessly on the back. In another, workers turned electric prods on a crippled sow and kicked pregnant sows repeatedly in the belly. A close-up showed a distressed sow knocked out, her face royal blue from the Prima Tech marking dye sprayed into her nostrils by a worker who said he was trying “to get her high.” In one of the most disturbing sequences, a worker demonstrated the method for euthanizing underweight piglets: taking them by the hind legs and smashing their skulls against the concrete floor. Fellow workers whooped and laughed as he tossed the bloodied and twitching bodies into a giant bin. The AP story revealed that PETA had already met with Tom Heater, the sheriff of Greene County, Iowa, and he had agreed to open a criminal investigation.


Gagged by Big Ag


You Won’t Believe What Pork Producers Do to Pregnant Pigs


Has Your State Outlawed Blowing the Whistle on Factory Farm Abuses?


Timeline: Big Ag’s Campaign to Shut Up Its Critics


The Cruelest Show on Earth

That night, Becker played the PETA video again and again on his iPad. He told me he felt numb as he watched his inbox fill with more than a thousand angry emails. He was starting to see what an ordeal the release of this video was going to be. But worse, he feared that Hormel would terminate its production contract with him—the contract he had used to secure a loan of more than $1 million to mortgage the breed barns in Iowa, with his family’s homestead in Minnesota as collateral. If Hormel decided that Becker had become a liability, he and his family could lose everything.

A couple of miles north of Bayard, Iowa, at the crossroads of two wide gravel tracks, there are three enormous sow barns: the site of Lynn Becker’s MowMar Farms. It’s now operated under the name Fair Creek, though you’d never know it; there are no company signs, no indication at all of what’s going on inside. The barns gleam white in the sun and seem, by all appearances, to be well ventilated, well supplied with water from giant external holding tanks, and generally well turned-out, right down to their square corners and tightly tacked aluminum siding. Gary Weihs (pronounced WISE), the site’s original developer, saw to it that the facility was clean, inconspicuous, and odor-free. It took him two years of disputes and disagreements to get a permit recommendation from the board of supervisors for Greene County, so he wanted to be sure there were no complaints once the facility was built.

After spending years working with large corporations like Pepsi, Procter & Gamble, and Monsanto in operational management, Weihs had decided to return to his native Iowa. He planned to combine the experience he had gained growing up on his father’s hog farm outside of Harlan with the statistical analysis of three decades of corn pricing and hog yields he had performed to complete his MBA at Harvard Business School. “We flat price everything,” Weihs told the National Hog Farmer, “so that we make a little bit per head and base our profits on quantity.” Under the name Natural Pork Production II (NPPII), he lined up investors and, when he had the start-up money in place, began building facilities, about one per year. The three-barn complex in Bayard was the fifth unit—a 6,000-sow farrow-to-wean operation, where returns would be generated for investors by selling roughly 130,000 weaned pigs each year to finishing operations at $36 apiece. All told, NPPII facilities were supplying about fifteen different hog farmers with close to 800,000 weaned pigs, for gross annual earnings of nearly $29 million—but all while carrying precarious overheard, including roughly $5 million in construction costs per site and millions more invested in the breeding sows housed inside.

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"Hurt That Bitch": What Undercover Investigators Saw Inside a Factory Farm

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How Liberia’s Government Is Using Ebola to Crack Down on the Media

Mother Jones

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Ebola has already claimed the lives of more than 2,000 people in Liberia. Now, the Liberian president’s critics are warning that her response to the epidemic is threatening to undermine the country’s fragile democratic institutions.

More MoJo coverage of the Ebola crisis.


Budget Cuts “Eroded Our Ability to Respond” to Ebola, Says Top Health Official


Liberia Says It’s Going to Need a Lot More Body Bags


How Long Does the Ebola Virus Survive in Semen?


Liberians Explain Why the Ebola Crisis Is Way Worse Than You Think


Why the World Health Organization Doesn’t Have Enough Funds to Fight Ebola


New Drugs and Vaccines Can’t Stop This Ebola Outbreak

The controversy began back on August 6 when President Ellen Johnson Sirleaf announced a 90-day state of emergency to deal with the crisis. More recently, Sirleaf wrote a letter to the national legislature requesting the legal authority to suspend a number of civil liberties guaranteed by the country’s constitution. If enacted, the measures would give Sirleaf the power to restrict the movement of certain communities by proclamation and even to limit speech that could create “false alarm.” The government would also be able to confiscate private property “without payment of any kind or any further judicial process” in order to protect the public’s health.

The Liberian House of Representatives rejected the proposals in a landslide vote, but the Senate was still debating them as of yesterday.

Even if the Liberian legislature votes against Sirleaf’s request for more power, the government has already taken actions that erode civil liberties in the name of fighting the disease.

Since declaring a state of emergency, Sirleaf’s government has introduced a nationwide curfew, forcing people to stay indoors at night. Against the advice of Ebola experts and Liberian health officials, Sirleaf also ordered the quarantine of an entire slum in Monrovia in an attempt to contain an outbreak in the Liberian capital. (The slum was reopened 10 days later.) This month—with the legislature’s backing—Sirleaf suspended a special Senate election, citing a lack of essential staff and materials.

Press freedoms have also been eroded: When the curfew was first announced, journalists were not included on a list of exempted professions able to move freely around the country at night. (They were added six days later.) In early October, citing privacy concerns, the government announced that reporters could be arrested for speaking with Ebola patients or photographing treatment centers without written permission from the health ministry.

In her recent letter to the legislature, Sirleaf asked for the authority to further restrict freedom of the press. “Because falsehood and negative reporting on the state of the affairs is likely to defeat the national effort in the fight of the Ebola virus, it is important that such be discouraged and prevented,” she wrote. “Accordingly, the Government of Liberia will restrict speeches that will confuse the citizens and residents including the raising of false alarm thereby creating fear during the state of emergency.”

The rule of law has never been strong in Liberia. Almost from its inception, the country was governed by oppressive regimes. But by the time its 14-year civil war ended in 2003, nascent democratic institutions began to take shape. In its latest ratings, the democracy watchdog Freedom House classified Liberia as “partly free.”

Now, some fear, Sirleaf’s proposals are moving the country back in the direction of authoritarian rule.

“In my view, this is dangerous, and it reminds us of the days when the dictators govern Liberia,” Acarous Gray, a member of the Liberian House of Representatives, told the US-funded news agency Voice of America.

Roosevelt Woods, executive director for the Foundation for International Dignity, a Liberian human rights advocacy group, also slammed the president for overreaching. “This is dangerous for our country,” he told a group of journalists last weekend. “Anything that has to do with absolute power that violates human rights is a bad sign for Liberia. Sirleaf was elected to bring positive change, to restore hopes and not to dash them.”

The news also poses a dilemma for the United States, which has been one of the most active partners in aiding Liberia’s democratic transition. Over the past decade, the US Agency for International Development spent $271 million on democracy and governance programs in the country—almost a quarter of all its aid to Liberia during that time, according to an agency report.

Because it was dealing with such a weak state, USAID looked for ways to build up Liberia’s capacity to govern itself, while simultaneously trying to develop measures to ensure the government respected its citizens’ basic rights. The strategy USAID chose was to help strengthen the country’s historically abusive executive branch while also training local media and community-based organizations to report on corruption and better inform the public. But that approach has potential drawbacks. “The risk…is that we put too much emphasis on governance and too little on democratic governance,” the agency acknowledged in its report.

Now, with the Ebola response threatening some core freedoms, the agency says it’s up to Liberians to determine how far Sirleaf can go. “Whether and how any steps are taken to restrict any of these rights is an issue for discussion among Liberia’s three branches of government, and between the government and civil society,” a USAID spokesperson said in a statement to Mother Jones. “We hope it will not be necessary for President Sirleaf to take steps to restrict civil liberties.”

But Liberian authorities have already done just that—especially in their dealings with the press. In August, the government used tear gas to shutter the National Chronicle newspaper just hours after the information minister threatened reporters critical of the government’s response to the crisis. (The Chronicle had recently published a series of stories discussing efforts by Sirleaf’s rivals to challenge her government.) Days later, the editor of the Women Voices newspaper reported being harassed and interrogated by police after publishing a story alleging that law enforcement officials had misused funds intended for the Ebola effort.

Free press advocates have expressed concern over the recent developments. “Liberia’s public health crisis must not be used as a pretext for cracking down on the media,” Virginie Dangles, assistant research director for Reporters Without Borders, said in a statement. “On the contrary, the media need to be involved as much as possible, to provide the population with constant information about the state of the epidemic, the government’s response and the preventive measures being adopted.”

The Chronicle and Women Voices incidents and others were detailed in a letter from the Press Union of Liberia to Justice Minister Christiana Tah on September 4. She won’t be able to do anything about it now, however. Tah resigned on October 6, accusing the president of undermining the independence of her office.

“The investments of national and international stakeholders promoting the rule of law are being eroded by actions that contradict the values that underpin the fabric of our society,” she wrote in her letter of resignation.

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How Liberia’s Government Is Using Ebola to Crack Down on the Media

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5 Tips to Detox your Laundry Routine

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5 Tips to Detox your Laundry Routine

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