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Ebola funerals: transmission risks and adaptation strategies

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Key Facts

Ebola can be transmitted through contact with bodily fluids of deceased individuals, who often carry high viral loads.

During the 2014-2016 West Africa epidemic, funerals were identified as a significant source of infection.

Evidence of Transmission at Funerals

  • In Moyamba, Sierra Leone, a single funeral was linked to 28 confirmed cases and 8 deaths. 75% of those infected had touched or carried the corpse.
  • In Guinea, one funeral was linked to 85 confirmed cases and 63 deaths.

Adaptation of Funeral Practices

Public health measures are more successful when communities participate in their design.

Current strategies include:

  • Consulting families on funeral arrangements
  • Allowing choice of clothing or shroud
  • Enabling participation in prayers and religious rites
  • Permitting witnessing of burial and future grave visits
  • Training religious leaders to perform rituals while wearing protective clothing

Burial teams provide clear explanations and answer questions to maintain trust.