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Objective: To quantify the potential impact of engaging religious leaders in promoting safe burial practices during the 2014-2016 Ebola virus disease outbreak in Sierra Leone.

Methods: We analysed population-based household survey data from 3540 respondents collected around the peak of the outbreak in Sierra Leone, December 2014. Respondents were asked if in the past month they had heard an imam or pastor say that people should not touch or wash a dead body.

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Vaccine innovation spurred by the long wait for an Ebola virus vaccine.

Lancet Infect Dis

April 2021

Centre de Recherche en Infectiologie de l'Université Laval, Université Laval, Québec City, QC G1V 4G2, Canada. Electronic address:

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Article Synopsis
  • The study aimed to assess changes in knowledge, attitudes, and prevention practices regarding Ebola during the Sierra Leone outbreak from 2014 to 2015 through four cluster surveys.
  • Results showed significant improvements in 14 out of 16 measured outcomes, such as increased willingness to accept Ebola survivors and decreased belief in spiritual healers’ ability to treat the virus.
  • The findings suggest that targeted community engagement is crucial, especially in high-transmission areas, to enhance public understanding and practices during outbreaks.
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