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Marginalisation, Ebola and Health for All: From Outbreak to Lessons Learned

Author

Listed:
  • Clare Shelley-Egan

    (Work Research Institute, Oslo Metropolitan University, PO. Box 4, St. Olavs Plass, NO-0130 Oslo, Norway)

  • Jim Dratwa

    (Law and Science and Technology Studies (LSTS), Free University of Brussels (VUB), 1050 Brussels, Belgium)

Abstract

The Ebola epidemic in West Africa between 2014 and 2015 was the deadliest since the discovery of the virus four decades ago. With the second-largest outbreak of Ebola virus disease currently raging in the Democratic Republic of the Congo, (DRC) it is clear that lessons from the past can be quickly forgotten—or be incomplete in the first instance. In this article, we seek to understand the health challenges facing marginalised people by elaborating on the multiple dimensions of marginalisation in the case of the West Africa Ebola epidemic. We trace and unpack modes of marginalisation, beginning with the “outbreak narrative” and its main components and go on to examine other framings, including the prioritisation of the present over the past, the positioning of ‘Us versus Them’; and the marginalisation—in responses to the outbreak—of traditional medicine, cultural practices and other practices around farming and hunting. Finally, we reflect on the ‘lessons learned’ framing, highlighting what is included and what is left out. In conclusion, we stress the need to acknowledge—and be responsive to—the ethical, normative framings of such marginalisation.

Suggested Citation

  • Clare Shelley-Egan & Jim Dratwa, 2019. "Marginalisation, Ebola and Health for All: From Outbreak to Lessons Learned," IJERPH, MDPI, vol. 16(17), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3023-:d:259555
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    References listed on IDEAS

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    1. Robert G Wallace & Marius Gilbert & Rodrick Wallace & Claudia Pittiglio & Raffaele Mattioli & Richard Kock, 2014. "Did Ebola Emerge in West Africa by a Policy-Driven Phase Change in Agroecology? Ebola's Social Context," Environment and Planning A, , vol. 46(11), pages 2533-2542, November.
    2. Colin McInnes, 2016. "Crisis! What crisis? Global health and the 2014–15 West African Ebola outbreak," Third World Quarterly, Taylor & Francis Journals, vol. 37(3), pages 380-400, March.
    3. João Nunes, 2016. "Ebola and the production of neglect in global health," Third World Quarterly, Taylor & Francis Journals, vol. 37(3), pages 542-556, March.
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    Cited by:

    1. Stuart Gilmour & Phuong Le Mai & Phuong Nguyen & Bibha Dhungel & Maki Tomizawa & Huy Nguyen, 2020. "Progress towards Health for All: Time to End Discrimination and Marginalization," IJERPH, MDPI, vol. 17(5), pages 1-5, March.

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