S. haematobium was first discovered in Sierra Leone in 1909 [1,2], and S. mansoni was later discovered in 1934 in the north of the country [1]. Recovered snail samples included both Bulinus globosus and Biomphalaria pfeifferi [1]. Peak transmission of schistosomiasis takes place at the beginning of the dry season, when water levels and habitat conditions are most suitable for snail hosts [1]. A...

OBJECTIVES The Lancet Commission on Global Surgery estimated that low/middle-income countries will lose an estimated cumulative loss of US$12.3 trillion from gross domestic product (GDP) due to the unmet burden of surgical disease. However, no country-specific data currently exist. We aimed to estimate the costs to the Sierra Leone economy from death and disability which may have been averted b...

T he 2014 Ebola virus disease (EVD) outbreak is the largest in history, affecting multiple countries across West Africa, Europe, and the United States. Sierra Leone is among the predominant three nations affected, alongside Guinea and Liberia. As of 14 December 2014, there have been 8,356 cases of Ebola in Sierra Leone, with 2,417 deaths (1). However, little focus has been paid to the deteriora...

1 SUMMARY  In recent weeks, the decline in case incidence and the contraction of the geographic area affected by Ebola virus disease (EVD) transmission that was apparent throughout April and early May has stalled. In total, 31 confirmed cases of EVD were reported in the week ending 7 June: 16 cases in Guinea and 15 in Sierra Leone. This is the second consecutive weekly increase in case inciden...

Since the 5th review under ECF arrangement in July 2022, macro policies have become more expansionary than expected, inflation has continued to rise, leone depreciated sharply and debt related risks increased notably. Deadly floods weakened activity highlighted climate-related risks. The risk of social unrest remains high given soaring cost living record levels food insecurity. President appoin...

The United Kingdom must reverse its cuts to funding of health sector support in Sierra Leone and Liberia, two of the countries devastated by the current Ebola outbreak, a group of MPs have said. A report by the International Development Committee about UK aid to Sierra Leone and Liberia has shown that the UK will cut its total financial support to the two countries by nearly a fifth, from £85.9...

The effective reproduction number, R t , of Ebola virus disease was estimated using country-specific data reported from Guinea, Liberia and Sierra Leone to the World Health Organization from March to August, 2014. R t for the three countries lies consistently above 1.0 since June 2014. Country-specific R t for Liberia and Sierra Leone have lied between 1.0 and 2.0. R t <2 indicate that control ...

This article examines the external and internal dimensions of post-conflict reconstruction in Sierra Leone. The United Nations, bilateral donors such as the United Kingdom, and transnational non-governmental organizations and aid agencies have been instrumental in providing much-needed external assistance to Sierra Leone during the latter stages of its civil war and in the immediate post-war pe...

Despite the comparatively few cases of Ebola Virus Disease (EVD) that arose outside of Sierra Leone, Guinea, and Liberia in 2014, public health response partners around the world developed a patchwork of plans and policies to monitor thousands of people exposed to EVD, quarantine suspected cases, isolate confirmed cases, and close borders to prevent further spread of the disease. Deeply affecte...

In its largest outbreak, Ebola virus disease is spreading through Guinea, Liberia, Sierra Leone, and Nigeria. We sequenced 99 Ebola virus genomes from 78 patients in Sierra Leone to ~2000× coverage. We observed a rapid accumulation of interhost and intrahost genetic variation, allowing us to characterize patterns of viral transmission over the initial weeks of the epidemic. This West African va...