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Ebola, informal settlements, and the role of place in infectious disease vulnerability

Evidence from the 2014-16 outbreak in urban Sierra Leone

Bibliographic Data

ID3195527
AuthorsSaleem H Ali (0000-0003-0961-4327, York University, corresponding author), Harris Ali, Abu Conteh (0000-0003-4891-5237, Senior Researcher at the Sierra Leone Urban Research Centre Sierra Leone), Joseph Mustapha Macarthy (Lecturer at Njala University and Executive Director at the Sierra Leone Urban Research Centre Sierra Leone), Joseph Macarthy (0000-0002-9106-1516, Njala University), A Sesay (0000-0002-5392-1191, Njala University), Victoria Nancy Blango (Lecturer at Njala University Sierra Leone), Victoria Blango (0000-0002-2215-1075, Njala University), Zuzana Hrdličková (0000-0002-3137-6794, Senior Researcher at the Sierra Leone Urban Research Centre Sierra Leone)
Year2023
Volume47
Issue2
Pages389-411
Publication date2023-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueDisasters (JOURNAL)
Journal identifiersISSN: 0361-3666 • E-ISSN: 1467-7717
PublisherWiley (PUBLISHER • GB)
DOI10.1111/disa.12553
PMID35762519
OpenAlexW4283653349
LanguageEN
Citations received2
References cited25

Studies of vulnerability often focus on the differential susceptibility of marginalised groups to the effects of disaster. This paper considers how vulnerability is also associated with the characteristics of place, especially the social setting of the informal settlement. In this light, it assesses specifically how cultural, historical, and political economic forces resulted in increased vulnerability to Ebola virus disease (EVD) within informal settlements in Sierra Leone during the epidemic of 2014-16. Key informant and community member interviews and focus-group discussions in two communities revealed that increased vulnerability to EVD could, at least in part, be attributed to a set of place-based social factors pertaining to 'community beliefs and practices' (importance of family ties, funeral rites, traditional healing) and 'structural poverty and low socioeconomic status' (poor healthcare provision, mobility patterns, overcrowding). Together, these different factors demonstrate how multiple and intersecting vulnerabilities contribute to the spatial production of disease risk

Computer security · Development economics · Economic growth · Environmental health · Focus group · Geography · Human settlement · Overcrowding · Political science · Population · Poverty · Psychological intervention · Sierra leone · Social vulnerability · Socioeconomic status · Socioeconomics · Sociology · Vulnerability (computing · Anthropology · COVID-19 epidemiological studies · Global Security and Public Health · Medicine · Nursing · Viral Infections and Outbreaks Research

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Unique citing works2
Citations per year1
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2
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