- Stigma – suspicion that being inside the unit has caused cross-contamination and/or possibly a general distrust in the lab results
- Jumping the queue, every day there are lots of patients that need to be admitted from A&E through Observation Ward, but our negative discharges get priority so that they free up isolation beds in the holding unit. There’s no A&E overnight either so there are often queues of patients in the morning waiting to be screened and see a doctor. (I actually think this is a good sign as it shows that people’s faith in the system is improving as they recognise that non-ebola healthcare is getting back up and running compared to a few months ago.)
- No caregiver or relative – we always try to contact the relatives when our patients are discharged but sometimes it proves so difficult to get in touch with them. Incorrect contact details on the form, mobile phone network issues, etc. meaning there’s often quite a delay in them arriving to care for their sick relatives
- Financial - relatives not wanting to pay or not being able to afford to pay registration or admission fees.
|The front of the hospital: screening on the left, holding tent for|
suspect cases on the right
|Brendan & Nat admiring the view of Kroo Bay from the hospital waste management site|
|A sweaty post-PPE pic!|